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X. Certificates of Insurance S016682 AC � ® DATE (MM /DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 2/9/2017 • THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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: Commercial Lines - (305) 443 -4886 PHONE FAX FAX (AIC. No. Ext): (AIC, No): Wells Fargo Insurance Services USA, Inc. ADDRESS: certs @trinet.com 2601 South Bayshore Drive, Suite 1600 INSURER(S) AFFORDING COVERAGE NAIC # Coconut Grove, FL 33133 INSURER A: Indemnity Insurance Company of North America 43575 INSURED INSURER B SOI -23 of FL, Inc. INSURER C : PO Box 241448 INSURER D Charlotte, NC 28224 INSURER E : RE: Key West Chamber of Commerce, Inc. INSURER F : COVERAGES CERTIFICATE NUMBER: 11413538 REVISION NUMBER: See below 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 S POLICY EFF POLICY EXP TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM /DDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES (Ea occurrence) 1 $ MED EXP (Any one person) '.. S PERSONAL & ADV INJURY S GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO JECT LOC PRODUCTS - COMP /OPAGG S OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (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) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ A AND EMPLOY ERS' YERS' LIABILITY ILIT Y WLRC64309535 03/01/2017 03/01/2018 X S TATUTE ER AND EMPYERS' LIILIT 1,000,000 ANYPROPRIETOR /PARTNER /EXECUTIVE Y / N E.L. EACH ACCIDENT OFFICER/MEMBEREXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes. describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ '.. DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers' Compensation Insurance is limited to employees of Key West Chamber of Commerce through a co- empl•yment col w with SOI 23 of FL, Inc. AAPR-,IE1 GEMENT DATE dullialas/'- ,ki WAIV R N/A Sr,-, Cr CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 SIMONTON STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE 9 , • l The ACORD name and logo are registered marks of ACORD © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policies listed below. Namea Insureci(s): Gevity HR Inc. and its wholly owned subsidiaries including Gevity HR, L.P. ; Gevity HR IV, L.P. ; Gevity HR IX, L.P. ; Gevity HR X, L.P. MARSH 600 301 Boulevard West Bradenton, Florida 34205 Insurer Affording Coverage Coverages: American Home Assurance Co., Member of American International Group,inc.(AIG) The policy(ies) of insurance listed below have been issued to the insured named above for the policy period indicated. The insurance afforded by the policy(ies) described herein is subject to all the terms, exclusions and conditions of such policy(ies). Certificate Exp. Date Type of Insurance ❑ CONTINUOUS Policy Number Limits ❑ EXTENDED * ® POLICY TERM Workers' 1-1-2004 RMWC0977182 Employers Liability Bodily Injury By Accident Compensation RMWC0977183 $1,000,000 Each Accident RMWC0977184 RMWC0977185 Bodily Injury By Disease RMWC0977186 $1,000,000 Policy Limit Bodily Injury By Disease $1,000,000 Each Person Other : BY DATE WAIVER I 'A V'EB __ _ Employees Leased To: E ective Date : 23-JAN-2003 36054.Key West Chamber of Commerce Inc ( Nt, CL T r The above referenced workers' compensation policy provides statutory benefits only to employees of the Named Insured(s) on the policy, not to employees of any other employer. 'If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of the continuation of coverage. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder Countv of Monroe Attn: Risk Management 1100 Simonton Street Key West, FL 33040 Michael C. Weiss Authorized Representative of Marsh USA Inc (866)443-8489 Phone 26-MAR-2003 Date Issued ACMD CERTIFICATE OF LIABILITY INSURANCE OP ID AK DATE(MMIDD/YY) I�YWE11 04/01/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . O. Box 5487 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5487 Phone: 305-294-1096 Fax:305-294-8016 INSURERS AFFORDING COVERAGE INSURED INSURER A: Century Surety Key West Chamber of Commerce, INSURER B: Inc. Diane INSURER C: 402 Wall Street INSURER D: Key West FL 33040 INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE D POLICY EXPIRATION DATE MMID LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY BINDER CCP234555 03/31/03 03/31/04 FIRE DAMAGE (Ary-1.) s 50000 MED EXP (my We person) S 2 0 0 0 CI.. MADE FXJ OCCUR PERSONAL B ADV INJURY S 1000000 GENERAL AGGREGATE $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea ecddent) g ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) g HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per aodderd) $ PROPERTY DAMAGE (Per accident) S GARAGE LUUNLITY AUTO ONLY - EA ACCIDENT g ANY AUTO A RI�A,. 0 APP {, �L �i MI-N r+ � OTHER THAN EA ACC g g AUTO ONLY: A� EXCESS LIABILITY BY EACH OCCURRENCE g OCCUR a CLAIMS MADE DATE ,__,_,,.___._.__ AGGREGATE g s DEDUCTIBLE WAIVER l�JA YES g RETENTION S g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I RY LIT TS OER E.L. EACH ACCIDENT g A E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT g OTHER DESCRIPTION OF OPERATIONSILOCATIONSFMI :LFBIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS certficate holder is additional insured r=DrICIr ATe IJe%I nee KONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ig`DAYSWRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO Do BO SHALL Commissioners 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRECiNTAFIVE ACORD 25-S (7I97) CACORD CORPORATION 1988 ACORD OP ID AK CERTIFICATE )F LIABILITY INSURAN DATE(RWDWM KEYWEll 04/26/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . 0. Box 5487 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5487 Phone: 305-294-1096 Fax:305-294-8016 INSURERS AFFORDING COVERAGE INSURED INSURER A: London Companies Key West Chamber Of Comomerce INSURER B: Inc. Attn: Janell INSURER C: 402 Wall Street INSURER D: Key West FL 33040 INSURER E: NV G�\AV Gp THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE DATE DO POLICY EXPIRATION DATE MM LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY CCP234555 03/24/02 03/24/03 FIRE DAMAGE (Ay we Am) $ 500000 MED EXP (Any one p—) $ 1000 CLAIMS MADE 7 OCCUR PERSONAL&ADV INJURY S 1000000 GENERAL AGGREGATE $ 2000000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2000000 PRO - POLICY JECT LOC AUTOMOBILE LIABILITY ANY AUTO AP MR EMEN COMBINED SINGLE UMI7 (Eeeaenn $ ALL OWNED AUTOS SCHEDULED AUTOS BY q BODILY INJURY (Per person) $ (Pw acddILY ent)RY $ HIRED AUTOS NON-OWNED AUTOS DA WA YES PROPERTY DAMAGE (Per a id nl) $ GARAGE LIABILITY R AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS LIABILITY OCCUR ❑ CLAIMS MADE l C EACH OCCURRENCE $ AGGREGATE $ S DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION AND STATUTH- WM EMPLOYES' LIABILITY ER E.L. EACH ACCIDENT $ EL DISEASE -EA EMPLOYEE I EL. DISEASE -POUCV LIMIT $ OTHER A Commercial Applica BINDER CCP234555 03/24/02 03/24/03 A Pro art Section BINDER CCP234555 03/24/02 03/24/03 DESCRIPTION OF O►ERATIONSILOCATIONBNENICLES/MLUBpNS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS certificate holder is additional insured 1%C0TICIf%AT0 UA1 — —' - IiMPINCLLA I IVIY MONROEC SNOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION.1 T� Monroe County Board of DATE THEREOF, THE ISSUING INSURERWILL ENDEAVORTO MAIL Q_ DAYS WRITTEN County Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMEDTO THE LEFT, BUT FAILURETO DO 80 SHALL Attn: Risk Management 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITSAGENTS OR Key West FL 33040 REPRBSENTATNEq/l , '7 r / j ACORD 25-S (7/97) CACORD CORPORATION 1988 . ACORDM CERTIFICATE OF LIABILITY ik � Ik adµ � ' �.v, a,"tn5':. �.. � �:t«t"u'�'�:arr:.....:. ...,."..,.,, ... .._.,.. I R �." A : ° °"TEAM"2000,, R _ _ PRODUCER Serial # A1030 PHILADELPHIA INSURANCE COMPANIES P.O.BOX 8080 7785 66TH STREET NORTH PINELLAS PARK, FL 33780 k na �r•=.. ��a�f ;,�� >'�^� .�- 05/11/2000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE — - COMPANY A PHILADELPHIA INDEMITY INSURANCE COMPANY INSURED COMPANY GREATER KEY WEST CHAMBER OF COMMERCE B COMPANY 402 WALL STREET KEY WEST, FL 33040 C COMPANY D r THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y 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. O coYPE LTR OF INSURANCE r POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS f GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY J CLAIMS MADE OCCUR PHSDO04476 03/18/2001 03/18/2002 GENERAL AGGREGATE $ 1,000,000 X PRODUCTS -COMP/OP AGG $ PERSONAL & ADV INJURY $ OWNER'S &CONTRACTOR'S PROT D & O COVERAGE EACH OCCURRENCE $ 500 X FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS AUTOS tt" trANON-OWNED " BODILY INJURY $ L;Y T' "—' PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO ---- --- AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM a �' EACH OCCURRENCE $ AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY LIT-0-Fly LIMITS OER EL EACH ACCIDENT EE771 THE PROPRIETOR/ INCL PARTNERSIEXECUTIVE OFFICERS ARE: EXCL EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONSJLOCATIONSNEHICLES!SPECIAL ITEMS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED - MONROE COUNTY BOARD OF COUNTY COMMISSIONEERS MONROE COUNTY RISK MANAGEMENT. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COUNTY COMMISSIONEERS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MONROE COUNTY RISK MANAGEMENT 5100 COLLEGE ROAD KEY WEST, FL 33040 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE OF INDEPENDENT INSURANCE AGENCY C:\FMPRO\CFRTPROS Vd;=R ACORD CERTIFICATE OF LIABILITY INSURANCk DATE(MIAIDD/YY) PRODUCER Atlantic Pacific -Rey West P.O. Box 5548 Rey West FL 33041-5548 YN 18 04/24/01 THIS CE #CATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RW TS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone:305-294-7696 Fax:305-294-7383 INSURERS AFFORDING COVERAGE INSURED INSURER A: TIG INSURER B: Clarendon Select lna . Co. Rey We t Chamber Of Commerce 402 Wall Street Rey Went FL 33040 INSURER C: INSURERD: INSURER E: G`nVRQArlar THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LUTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. Lm TYPE OF INSURANCE POLICY NUMBER TE LIMITS A LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE [*]OCCUR T70003796437803 03/24/01 03/24/02 EACH OCCURRENCE $1000000 X FIRE DAMAGE (Anyone fire) $ 300000 MED EXP (Any one Pennon) $ 5000 PERSONAL & ADV INJURY $1000000 GENERAL AGGREGATE $0 GEML AGGREGATE LIMIT APPLIES PER: POLICY JJEECTT LOC PRODUCTS - COMPIOP AGG a 5000000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS u Y NTE • n « r ! FR: ' COMBINED SINGLE LIMIT (Ea oxide" $ BODILY INJURY (Per pemon) S � BODILY INJURY -w) S PROPERTY DAMAGE Ter $ GARAOE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG S $ EXCESS LABILITY OCCUR CLAIMS MADECC DEDUCTIBLE RETENTION S I EACH OCCURRENCE $ AGGREGATE $ $ $ S WORKERS COMPENSATION AND EMPLOYERS LIABILITY TORY LIMBS ilia B 770000000974101 04/01/01 04/01/02 E.L. EACH ACCIDENT E.L. DISEASE- EA EMPLOYEE E.L. DISEASE- POLICY LIMIT OTHER DESCRIPTIO OF OPERATIONSILOCATIONSIVELUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS ADDNL INSURED LISTED AS: iMONROE COUNTY SOARD OF COUNTY COWISSIONERS $ 100000 $100000 5500000 CERTIFICATE HOLDER y ADDITIONAL INsuRm INSURER LETTER: CANCELLATION MCB4+Omm SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATR Monroe County Board of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN County Cc moinnionera NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO SHALL fax#305-292-4590 5100 College Rd IMPOSE NO OR LIABILITY OF ANY KIND UPON THE INSURER, rr Rey Went FL 33040 REPRESEN A�/TnrEs. )�iCl rA acoRv CERTIFICATE OF LIABILITY INSURANCkD SL DATE NY) YW-18 04/11/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33041-5548 Phone:305-294-7696 Fax:305-294-7383 INSURERS AFFORDING COVERAGE INSURED Key West Chamber of Commerce 402 Wall Street y� Key West FL 33040 V� COVERAGES INSURER A: Allstate Insurance Co. INSURER B: TIG INSURER C: Clarendon Select lns . Co. INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN TR TYPE OF INSURANCE POLICY NUMBER L C I DATE MM/DD/YY P ICY PI 10 DATE MM/DD/YY LIMITS B GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_� OCCUR T70003796437802 03/24/00 03/24/01 EACH OCCURRENCE $ 1000000 X FIRE DAMAGE (Anyone fire) $ 300000 MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 0 GEN'L AGGREGATE LIMIT APPLIES PER- POLICY PRO- JECT F LOC PRODUCTS - COMP/OP AGG $ 5000000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS v _ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Perperson) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO 1': i �: i�!, �' �� AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ � 1 ��%_ G ' �,�(� EACH OCCURRENCE $ AGGREGATE $ $ $ $ C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER Property Section 770000000874100 049776289 04/01/00 03/24/00 04/01/01 03/24/01 TORY LIMITS ER E.L. EACH ACCIDENT $ 100000 E.L.DISEASE - EA EMPLOYE $ 100000 E.L. DISEASE - POLICY LIMIT $ 500000 Bldg DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Additional insured: Monroe County Board of County Commissioners CERTIFICATE HOLDER y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MCBCOMM I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO Monroe County Board of Comm. Fax 295-4364 5100 College Rd Key West FL 33040 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGAT!R OR LIABILITY-9,F ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 26-S (7/97) 1988 DATE AC ORD CERTIFICATE OF LIABILITY INBURANCEC5R CH KZYW-18 04/16/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33041-5548 COMPANIES AFFORDING COVERAGE Horan Insurance COMPANY PnoneNo. 305-294-7696 Fax No.305-294-7383 A Allstate Insurance Co. INSURED COMPANY L� B TIG COMPANY Key West Chamber of Commerce C Clarendon Select lns. Co. 402 Wall Street COMPANY D Key West FL 33040 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 0 X B COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fil OCCUR T700037964378 03/24/99 03/24/00 PRODUCTS - COMP/OPAGG $ 1000000 PERSONAL & ADV INJURY $ 1000000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one fire) $ 50000 MED EXP (Any one person) $ 5000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS �_ K�1G� . (` P`-'4.1 rBODILY SCHEDULED AUTOS � j- '� INJURY $ HIRED AUTOS I� ll BODILY INJURY (Per accident) $ NON -OWNED AUTOS DATE _ /V PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO M OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY O EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY LIMITS PER EL EACH ACCIDENT $ 100000 C THE PROPRIETOR! INCL PARTNERS/EXECUTIVE 77000874099 04/01'99 v4/01/00 EL DISEASE - POL:CYLItAT $ 5000Q0 OFFICERS ARE. EXCL OTHER EL DISEASE - EA EMPLOE $ 10 YE0000 A Property Section 049776289 03/24/99 03/24/00 Bldg 100,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Buildings - not for profit only - Additional insured: Monroe County Board of County Commissioners CERTIFICATE HOLDERC11 CANCELLATION DATE MCBCOMM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE INITIAL Monroe County Boar CoM. Fax 295-4364 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Rd BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 OF ANY KIND UPON THE M NY, ITS ENT§ OR REPRESENTATIVES, AUTHORIZED REPRESENTA IVE ACORD 25-5 (1/95) Horan Insuran nrnRn rruannan-rinr,r n— THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATKN GENERAL LIABILITYgn)jy LIMITS $ EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) g CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG $ POLICY JE OT LOC AUTOMOBILE LIABILITY $ ANY AUTO COMBINED SINGLE LIMIT (Ea accident) ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS �_'({�,4,!F(`. q�; F�� ",(i.�1 (l� 1' HIRED AUTOS ---�/ �/ BODILY INJURY NON -OWNED AUTOS �Y^ _'•.. (Per accident) $ / PROPERTY DAMAGE --" (Per accident) $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ `' ANY AUTO �' S OTHER THAN EA ACC $ • AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE _ AGGREGATE $ l L DEDUCTIBLE $ LP RETENTION $ $ $ WORKERS COMPENSATION AND W STA U- O H- EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OTHER E.L. DISEASE - POLICY LIMIT $ A DIRECTOR'S & OFFICER'S HD02005503 3/18/1999 3/18/2000 LIABILITY DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURE • INSURER LETTER: CANCELLATION DATE!_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN COUNTY OF MONROE77AL NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL MONROE COUNTY RISK MANAG IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5100 COLLEGE ROAD REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25-5 (7/97) © ACORD CORPORATION 1988 .............. Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policies listed below. Named Insured(s): Gevity HR, Inc and its wholly owned subsidiaries including but not limited to Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity MARSH HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp. 600 301 Boulevard West Bradenton, Florida 34205 Insurer Affording Coverage American Home Assurance Co., Coverages: Member of American International Group, Inc. (AIG) The policy(ies) of insurance listed below have been issued to the insured named above for the policy period indicated. The insurance afforded by the policy(ies) described herein is subject to all the terms, exclusions and conditions of such policy(ies). Certificate Exp. Date Type of Insurance ❑ continuous Policy Number Limits ❑ Extended *® Policy Term Employer Liability Workers' 1-1-2005 RMWC2633886 Bodily Injury By Accident Compensation RMWC2633892 $ 2,000,000 Each Accident Bodily Injury By Disease RMWC2633912 RMWC2633913 $ 2,000,000 Policy Limit RMWC2633920 Bodily Injury By Disease $ 2,000,000 Each Person Other: fn Employees Leased To: Effective Date: 1/1/04 ' 36054 Key West Chamber of Commerce Inc. AkVE ' RiSi' . ANAGEMENT 8 OATS _____._ _ P� 41Ai,1EP NIA `Y..._,_YES_ The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer. *If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of the continuation of coverage. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: County of Monroe Attn: Risk Management 1100 Simonton St Key West, FL 33040-3110 �tt��ttt��t��tt�t�t��ttttt��ttt��ttt��ttt��ttt��tttt�t�t� G a � c�•wct, Michael C. Weiss Authorized Representative of Marsh USA Inc. (866)443-8489 1/l/2004 Phone Date Issued i 1 no r NON-PROFIT SERVICE ORGANIZATION tuy THE A HAIiTFORD CERTIFICATE OF INSURANCE COVERAGE DECLARATIONS FOR NONPROFIT DIRECTORS AND OFFICERS LIABILITY NonProfit Directors and Officers Liability Insurance Policy Number: NOA0303209 Item A. Name of insured ENTITY: C/O Street Address City, State, Zip Code: Item B. POLICY PERIOD: (12:01 a.m. local time at the ENTITY's principal address) Item C. Limits of Liability: Annual Premium: 1,330.00 .00 .00 Key West Chamber of Commerce 402 Wall Street Key West FL 33040 1st POLICY YEAR 2nd POLICY YEAR 3rd POLICY YEAR From 3/18/2003 To 3/18/2004 (month, day, year) (month day, year) (i) Aggregate each POLICY YEAR: $1,000,000 Item D. Deductible (also known as retention): (i) EMPLOYMENT PRACTICES CLAIM: S2,500 Each and every CLAIM (ii) Other than EMPLOYMENT PRACTICES CLAIM: 52,500 Each and every CLAIM Item E. Prior or Pending Litigation Date: 3/18/2002 (The Prior or Pending Litigation Date excludes coverage for all past and present litigation or known potential claims) Item F. Retroactive Date: None (If retroactive date is none full prior acts coverage will be provided subject to the Prior or Pending Litigation Date and the Terms and Conditions ofthe policy) Form Numbers of Coverage Parts, Forms and Endorsements that are a part of this policy and that are not listed in the Coverage Parts: XP42230699 XP42290699 XP42420699 Program Administrator: Aff-uuty Insurance Services, Inc. Mailing Address: Affinity Insurance Services, Inc. Aon Huntington Block Insurance Division Aon Huntington Block Insurance Division 159 East County Line Rd 1120 20th Street, N.W. Hatboro, PA 19040 Washington, D.0 20036 1-800432-7465 Special Program: The Chamber of Commerce D&O Program Insurance Provided by: l� Twin City Fire Insurance Co Hartford Plaza Hartford, Connecticut 06115 ,� n a: ✓1 C � U A Member of THE HARTFORD NonProfit Directors and Officers Liability Policy (Ed.6-99) Form No. XP 42 79 06 99 AP B I'SK MA�EENT BY DATE WAIVER NIA _)LYES 4 NON-PROFIT SERVICE ORGANIZATION CERTIFICATE OF INSURANCE THEA COVERAGE DECLARATIONS FOR NONPROFITHARTFORD DIRECTORS AND OFFICERS LIABILITY Nonprofit Directors and Officers Liability Insurance Policy Number: NOA0303209 Annual Premium: 1,400.00 1st POLICY YEAR included for FL State taxes .00 2nd POLICY YEAR 00 3rd POLICY YEAR Item A. Name of insured ENTITY: C/O Key WWest Chamber of Commerce Street ,u~iL��lore-. ----- City, State, Zip Code: 402 Wall Street Kgv West FL 33040 Item B. POLICY PERIOD: (12:01 a.m. local time at the ENTITY's principal address) Item C. Limits of Liability: From 3/18/2004 To 3/18/2005 (month, day, year) (month day, year) r) Aggregate each POLICY YEAR: 11,000,000 Item D. Deductible (also known as retention): c) EMPLOYMENT PRACTICES CLAIM: (ii) Other than EMPLOYMENT PRACTICES CLAIM: _ .:2'500 Each and every CLAIM 1 _i0o Each and every CLAIM Item E. Prior or Pending Litigation Date: (The 002 Prior or Pending Litigation Date excludes coverage for all past and 3/1 nt liti Item F. Retroactive Date: P present litigation or known potential claims) (1f retroactive date is none full prior acts coverage will be NOII provided subject to the Prior or Pending Litigation Date and the Terms and Conditions ofthe policy) Form Numbers of Coverage Parts, Forms and Endorsements that are a part of this policy and that are XP42070699 XP42230699 XP42290699 XP42420699 not listed in the Coverage Parts: Program Administrator: Afiutity Insurance Services Inc.Mailing Address: Aon Huntington Block Insurance Division `and Insurance Services, Inc. 159 East County Line Rd Aon Huntington Block Insurance Division Hatboro, PA 19040 1120 20th Street, N.W. 1-800432-7465 Washington, D.0 20036 Special Program: ..I uirectors and Officers Liab—d Form No. XP 42 7� 06 99 �G. The Chamber of Commerce D&O Program Insurance Provided by: Twin City Fire Insurance Co Hartford Plaza Hartford, Connecticut 06115 A Member of THE HARTFORD APPRr'y : I h9ANA MENT EY_ DATE _. C:: 0_ c� WAIVER �t C- ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DD/YYYY) KWCHA01 09 24 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone:305-294-1096 Fax:305-294-8016 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Century Surety INSURER B: Key West Chamber of Commerce, INSURERC: Inc. Attn��:�Diane 402 Wall INSURER D: Key West FLr33040 INSURER E: rnvcoer_Gc THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INUK LTR AUV� INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MMIDD/YY LIMITS A GENERAL LIABILITY X COMMERCIALGENERAL LIABILITY CLAIMS MADE [K OCCUR CCP301944 03/31/04 03/31/05 EACH OCCURRENCE $ 1000000 PREMISES (Ea occurence) $ 50000 MED EXP (Any one person) $ 2000 PERSONAL BADV INJURY $ 1000000 GENERAL AGGREGATE $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 jEeT LOC PRODUCTS - COMP/OP AGG $ 1000000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS r� � AI�p; 4.` Ii7 i1 IY.. ". G',:: JEI T COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ --- GARAGE LIABILITY ANY AUTO A"` .-_., ..,,._..._.__ _ —" AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ " ' j 1 i 0,7 EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yyes, describe under SPECIAL PROVISIONS below TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - FA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS clubs - building (inc special event coverage) Monroe County Board of County commissoners is an additional insured. MCBOARD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN County Commissoners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Maria 5100 College Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 0 VY ]KeyWest Insurance 2c. ACORD 25 (2001108) W AUUKU GUKPUKA I IUN I VWS ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DD/YYY KWCHA01 09 24 04) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR S ' 4-1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 646 United Street, ui e Key West FL 33040 Phone:305-294-1096 Fax:305-294-8016 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Century Surety INSURER B: Key West Chamber of Commerce, INSURERC: Inc. Attn: Diane 402 Wall Street INSURERD: Key West FL 33040 INSURER E: GES ..OVERA THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER -POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS i 7AX GENERAL LIABILITY COMMERCIAL GENERALLIABILITY CLAIMS MADE X❑ OCCUR CCP301944 03/31/04 03/31/05 EACH OCCURRENCE $ 1000000 PREMISES (Ea occurence) $ 50000 MED EXP (Any one person) $ 2000 PERSONAL BADV INJURY $ 1000000 GENERAL AGGREGATE $ 1000000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 1000000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS p,(Ppi �G'A EN t^ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROrPERTnDAMAGE $ — GARAGE LIABILITY ANY AUTO - ' nAT ._.__.,......___.... „�r -m - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ " tt -*!� EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below .-� IDE.L. TORY LIMITS ER E.L. EACH ACCIDENT $ DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS clubs - building (inc special event coverage) Monroe County Board of County commissoners is an additional insured. C 9,_ RFRTIFIrATF Idnl I]FR GANGtLLA I IUN MC•BOARD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN County Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Maria IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5100 College Road Key West FL 33040 REPRESENTATIVES. �- iAUTHORIZED REPRESENTATIVE u( VY Kev West Insurance. 2c. TION 1988 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policies listed below. Named Insured(s): Gevity HR, Inc and its wholly owned subsidiaries including but not limited to Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity MARSH HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp. 600 301 Boulevard West Bradenton, Florida 34205 Insurer AffordingCoverage American Home Assurance Co., Coverages: Member of American International Group, Inc. (AIG) The policy(ies) of insurance listed below have been issued to the insured named above for the policy period indicated. The insurance afforded by the policy(ies) described herein is subject to all the terms, exclusions and conditions of such policy(ies). Type of Insurance Certificate Exp. Date ❑ continuous ❑ Extended * ® Policy Term Policy Number Limits Employers Liability Bodily Injury By Accident $ 2,000,000 Each Accident Workers' Compensation 1-1-2006 RMWC330470 RMWC330495 Bodily Injury By Disease $ 2,000,000 Policy Limit Bodily Injury By Disease $ 2,000,000 Each Person Other: Employees Leased To: Effective Dryar�te: 1/1/05 36054 Key West Chamber of Commerce Inc. U,/ , ( � The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to the employees of the Named f [ q� p� PVU 5Y By Insured(s) on such policy(ies), not to the employees of any other employer. *If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of the continuation of coverage. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: County of Monroe Attn: Risk Management 1100 Simonton St Key West, FL 33040-3110 Gam' Michael C. Weiss Authorized Representative of Marsh USA Inc. (866)443-8489 l/1/2005 Phone Date Issued ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID J DATE(MM/DD/YYYY) PRODUCER KWCHA01 0 6 2 9 0 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Key West Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone:305-294-1096 Fax:305-294-8016 INSURED ;INS;URERS AFFORDING COVERAGE NAIC # ER A: Century Surety ERB: Key West Chamber of Commerce, Inc. Attn: Diane 402 Wall Street Key West FL 33040 INSURERC: INSURER D: COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AND CONDITIONS OF SUCH LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMF DATE MMlDD I N LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CCP301944 BINDER EACH OCCURRENCE $ 1000000 03/31/05 03/31/06 CLAIMS MADE L-J OCCUR PREMISES(Eaoccurence) $ 50000 MED EXP (Any one person) $ 2000 PERSONAL & ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1000000 POLICY PER LOC PRODUCTS - COMP/OP AGG $ 10 0 0 0 0 0 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS APR S BODILY INJURY $ (Per accident) BY PROPERTY DAMAGE $ GARAGE LIABILITY DA ,� (Per accident) X ANY AUTO ONLY - EA ACCIDENTWAIVERYr �., � WAIVER� _. ,� _. OTHER THAN EA ACC $ EXCESS/UMBRELLA LIABILITY AUTO ONLY: AGG $� OCCUR CLAIMS MADE EACH OCCURRENCE $ CAGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND $ EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ OTHER E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS clubs - building (inc special event coverage) **Monroe County Board of County Commissioners named as additonal Insured** CERTIFICATE HOLDER CANCELLATION MC+BOARD Monroe County Board of SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION County Commi s soners DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Maria NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5100 College Road IMPOSE NO OBLIG ION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATI AUTHOR t N AT y �/ ACORD 25 (2001/08) u c © ACID CORPORATION 1988 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder other than those provided by this policy. This certificate does not amend, extend, or alter the coverage afforded by the policies described herein. Named Insured(s): Levity HR, Inc and its wholly owned subsidiaries including but not limited to Levity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp. 600 301 Boulevard West Bradenton, Florida 34205 Coverages: MARSH Insurer American Home Assurance Co., Member of American International Grou I AI p, nc. ( G) This is to certify that the policy(ies) of insurance described herein have been issued to the insured named herein for the policy Notwithstanding any requirement, term or condition of any contract or other document with respect to which the Certificate may b.od indicated. e issued or may pertain, the insurance afforded by the policy(ies)described herein is subject to all the terms, conditions and exclusions of such policy(ies). (Aggregate) Limits shown may have been reduced by paid claims. of Insurance Workers, Compensation Other: Certificate Exp. Date 1-1-2007 Number RMWC9426922 RMWC9431313 Limits Bodily Injury By Accident $ 2,000,000 Each Accident Bodily Injury By Disease $ 2,000,000 Policy Limit Bodily Injury By Disease $ 2,000,000 Each Person Employees Leased To: Effective Date: 1/i/06 36054 Key West Chamber of Commerce Inc.OW l ��-a7-o5 cc The above referenced workers' compensation policy(ies) 1 - - P P Y( ) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: County of Monroe Attn: Risk Management 1100 Simonton St Key West, FL 33040-3110 t�tl�ttll.Il.�t�l��lll��tli��llt�tllll�t�ll��lft„�ilit *L - ��e Z, el& � � Michael C. Weiss Authorized Representative of Marsh USA Inc. (866) 443-8489 12/15/2005 Phone Date Issued OP ID P AcoRD CERTIFICATE OF LIABILITY INSURANCE KWCHA( S1 DATE (MM/DD/YYYY) 01 17 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. 646 United Street, Suite 1 ONLY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone:305-294-1096 Fax:305-294-8016 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Century Surety INSURED INSURER B: INSURERC: Key West Chamber of Commerce, Inc. Attn: Diane 402 Wall Street Key West FL 33040 INSURERD: INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A13UVt )-UK i ne rVLI .T rcnivu ,. + . •. • ••• • • • • • •• •-- -- ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR POLICY NUMBER CCP358716 DATEYMM/DD/Y`! E 03/31/05 PDATE MM/DD/YY 03/31/06 LIMITS EACH OCCURRENCE $ 1000000 A PREMISES(Eaoccurence) $ 50000 MED EXP (Any one person) s 2 000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 1000000 PRODUCTS - COMP/OP AGG $ INCL GEN'L AGGREGATE LIMIT APPLIES PER: POLICY EST LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE v.n A Y 1 L U 1� J EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? / /^ fivlL� TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under SPECIAL PROVISIONS below OTHER C. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is also listed as an additional insured. C Cz-- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Maria S1avik IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO Box 1026 REPRESENTATIVES. Key West FL 3 3 0 41-10 2 6 AUTHORIZED REPRESENTATIVE 0 t Insurance Inc. , - © O D CORPORATION 1988 ACORD 25 (2001108) AC RD CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MWODIYYYV) KWCHA01 06 27 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone: 305-294-1096 Fax: 305-294-8016 INSURERS AFFORDING COVERAGE N—AIC # INSURED INSURER A'. Century Suretv Key West Chamber of Commer e, a ,,,.j INN UR�:C. Inc. Attn: Diane _ 402 Wall Street j INSURER I Key West FL 33040 - - SURER Erilv9pa�PA IN THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED THE URED NAMED ABOVE FOR THE Pr}�LICV PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR HERD SAEGIS THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESC SED HEREIN IS p(QyJR(IT tTVHE TERMS, EXC SIGNS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE 8EEN REDUCED Y PAID CLAIMS.Rlsr, f+1R,Nri�FN[AIT LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY DATE MMI DIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 A X X COMMERCIAL GENERAL LIABILITY CCP385789 03/31/06 03/31/07 'PREMISES (Ea o=renm) $50000 CLAIMS MADE X❑ OCCUR MED EXP (Any one person) $ 2000 PERSONAL B ADV INJURY $1000000 GENERAL AGGREGATE $ 1000000 PRODUCTS - COMPIOP AGO $ IHCL GEN'L AGGREGATE LIMIT APPLIES PER. POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Pet accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accitlent) $ GARAGE LIABILITY �J��J} • AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO � U (/ � $ AUTO ONLY AGG EXCESS/UMBRELLA LIABILITY - EACH OCCURRENCE $ OCCUR El CLAIMS MADE X AGGREGATE $ $ DEDUCTIBLE l.J(f1A $ RETENTION E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY / t A TV iW LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTIVE E.L. DISEASE EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? inder yes, descALP E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS Celow S O PROVISIONS OTHER DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS clubs - building (inc special event coverage) HOLDER Monroe County Board of County Commissioners Attn: Risk Management 1100 Simonton Street Key West FL 33040 MDHBOCC SHOULD ANY OF THE ABOVE DESCRIBED DATE THEREOF, THE 13 UING SURER W NOTICE TO THE CERTI AT DER NA IMPOSE NO OBLIGATI O IABILI OF S BE CANCELLED BEFORE THE EXPIRATIOI ND AVORTOMAIL 10 DAYS WRITTEN T THE LEFT, BUT FAILURE TO DO SO SHALL KIND UPOJ TYE INS'LER, ITS AGENTS OR RE) 25 Go; © ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE KWCHAoi DAosiasios PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite 1 __8Lj95jjW.ZQVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone:305-294-1096 Fax:305-294- 016 RECEN AFFC IDING COVERAGE NAIC# INSURED INSURER A: CON tury Surety Key West Chamber of Comme ce, MA,f IN -SURER C'. Inc. Attn• Diane 402 Wall Street INSURER D Key West FL 33040 ER E: [:(1V FRA(:FC O1CY !dd :rMVNT III — THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OFINSURANCE POLICY NUMBER P LI Y E TIVE DATE MWDDNY P LI PIRATI N DATE MWDDNY --- LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Lx J OCCUR CCP358716 03/31/06 03/31/07 PREMISES (Ea occurence) $ 50000 MED EXP(Any one person) $2000 PERSONAL B ADV INJURY $1000000 GENERAL AGGREGATE s2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $INCL POLICY PRO JECT E LOC AUTOMOBILE LIABILITY ANY AUTO Oa axINED dbnt) SINGLE LIMIT (E. $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per parson) $ HIRED AUTOS I NON -OWNED AUTOS i BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) AGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC_ -- $ ANY AUTO I ' " - '- -" _ $ AUTO ONLY: AGG EXCESSAIMBRELLA LIABILITY OCCUR CI CLAIMS MADE U`u� CC f^l EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNEWEXECUTIVE EXCLUDED? Fes.d E.L. DISEASE - EA EMPLOYEE $ If yes, describe under and E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is listed as additional ATIMA - Premises Lessor for 402 Wall Street, Key West, FL 33040 nanCC_ MONCMTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County $OCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, OUT FAILURE TO DO SO SHALL ATTNLAVIK 1100 SimonMARIAton SStree IMPOSE NO OBLIGATION OR LIABIL Y OF ANY KIND UPON E IN ER, ITS AGENTS OR 1100 Simonton Street }T Key West FL 33040 REPRESENTATIVES—X ACORD 25 I Certificate of Insurance This certificate is issued its a matter of information only and confers no rights upon the Certificate Holder other than those provided by this policy. This certificate does not amend, extend, or alter the coverage afforded bp4gogLLesscnbed 1herreein. RECEIVE Named Insured(s): Gevity HR, Inc and its wholly owned subsidiaries including but i lot limited to Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; DEC 2 7 2006 Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity Hit VIII, LP; Gevity HR MARSH IX, LP; Gevity HIR X, MONROE COUNTY LP; Gevity HR XI, LLC; Gevity HR XII Corp. RISK MANAGEMENT Town Center Parkway Bradenton, Florida 34202 Insurer Affording Coverage American Home Assurance Co., Coverages: Member of American International Group, Inc. (AIG) This is to certify that the policy(ies) of insurance described herein have been issued to the insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policy(ies)described herein is subject to all the terms, conditions and exclusions of such policy(ies). (Aggregate) Limits shownmay have been reduced by paid claims. Type of Insurance Certificate Exp. Date Policy Number Limits Employers Liability Workers' 1-1-2008 RMWC9719932 Bodily Injury By Accident Compensation RMWC9719957 $ 2,000,000 Each Accident Bodily Injury By Disease $2,000,000 Policy Limit xathl>j (-f - v i "-' Bodily Injury By Disease $2,000,000 Each Person Other: c _.. _. __ _._. - - Employees Leased To: Effective Date: 1/1/07 36054 Key West Chamber of Commerce Inc. The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: County of Monroe Attn: Risk Management 1100 Simonton St Key West, FL 33040-3110 111111111�II11i 11111111111111111111111111111111111111111111111 Michael C. Weiss Authorized Representative of Marsh USA Inc. (866)443-8489 01/01/2007 Phone Date Issued Certificate of Insurance This certificate is issued as a matter of information only and confers no righ u on the Certificate Holder other than those provided by this policy. This certificate does not amend, extend, or alter the coverage afforded by th policies escr Named Insured(s): Gevity HR, Inc and its wholly owned subsidiaries including but not 2007 limited to Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; LAR2 Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR Vill, LP; Gevity HR IX, LP; Gevity HR , E COUNTYASH LP; Gevity HR XI, LLC; Gevity HR XII Corp. NAGEMENT 9000 Town Center Parkway Bradenton, Florida 34202 Insurer Affording Coverage Coverages: American Home Assurance Co., Member of American International Group, Inc. (AIG) This is to certify that the policy(ies) of insurance described herein have been issued to the insured named herein for the policy period indicated. Notwithstanding any requirement, tens or condition of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policy(ies)described herein is subject to all the terms, conditions and exclusions of such policy(ies). (Aggregate) Limits shown may have been reduced by paid claims. Type of Insurance Certificate Ex . Date Policy Number Limits Workers' 1-1-2008 RMWC9719932 Employers Liability Bodily Injury By Accident Compensation RMWC9719957 $ 2,000,000 Each Accident Bodily Injury By Disease $2,000,000 Policy Limit Bodily Injury By Disease Z 2,000,000 Each Person Other: x �c Ty- Employees Leased To: Effective Date: 1/1/07 36054 Key West Chamber of Commerce Inc The above referenced workers' compensation policy(ics) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: County of Monroe Attn: Risk Management 1100 Simonton St Key West, FL 33040-3110 Michael C. Weiss Authorized Representative of Marsh USA Inc. (866)443-8489 01/01/2007 Phone Date Issued Cert ficate of Insurnac,c This certificate is issued as a matter of information only and confers in rights upon the Certificate Holder other than those provided by this policy. This certificate does not amend, extend, or alter the coverage afforded by the policies described herein, Named Insured(s): Gevity HR, Inc; Gevity HR, LP; Gevity HR 11, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp.; Gevity XIV, LLC. 9000 Town Center Parkway Bradenton, Florida 34202 Coverages: MARSH American Home Assurance Company Member of American International Group, Inc. (AIG) This is to certify that the policy(ies) of insurance described herein have been issued to the insured named herein for the Policy Notwithstanding any requirement, tern or condition of any contract or other document with respect to which the Certificate mayebeissued or may pertain, the insurance afforded by the policy(ies)described herein is subject to all the terms, conditions and exclusions of such policy(ies). (Aggregate) Limits shown may have been reduced by paid claims. i ype oI Insurance Certificate Ezp Date Policy Number Workers, I 1-1-2009 I RMWC4402574 Compensation RMWC4275667 Employees Leased To: Effective 36054 Key West Chamber of Commerce Inc. Bodily Injury By Accident $2,000,000 Each Accident Bodily fulmy By Disease $ 2,000,000 Policy Limit Bodily Injury By Disease $2,000,000 Each Person The above referenced workers' compensation policy(ies) pmvide(s) slamfory benefds onl to the e b employer. Y mp Yees Of the Nmed Insmed(s) on such policy(jcs), not ro the employees ofany other Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents orrrreepre e tatives. Certificate Holder: County of Monroe Attn: Risk Management 1100 Simonton St Key West, FL 33040-3110 " J Michael C. Weiss Authorized Representative of Marsh USA Inc. (866)443-9489 01/01/2008 Phone Date Issued Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder other than those provided by this policy. This certificate does not amend, extend, or alter the coverage afforded by the policies described herein Named Insured(s): Gevity HR, Inc; Gevity HR, ;Gevity HR II, LP; Gevity HR III, LP; GevityHR IV, LP; GevityHR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; �r� ��H` Gevity HR XII Corp.; IVl Gevity XIV, LLC. Lt 9000 Town Center Parkway Bradenton, Florida 34202 Insurer Affording Covers e Coverages: American Home Assurance Company Member of American International Group, Inc. (AIG) This is to certify that the policy(ies) of insurance described herein have been issued to the insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policy(ies)described herein is subject to all the terms, conditions and exclusions of such policy(ies). (Aggregate) Limits shown may have been reduced by paid claims. Type of Insurance Certificate Exp. Date Policy Number Limits Workers' 1-1-2009 PAMC4402574 Employers Liability Bodily Injury By Accident Compensation RMWC4275667 $ 2,000,000 Each Accident Bodily Injury By Disease $ 2,000,000 Policy Limit Bodily Injury By Disease $2,000,000 Each Person Other: Employees Leased To: Effective Date: 1/1/08 36054 Key West Chamber of Commerce Inc. The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: County of Monroe Attn: Risk Management 1100 Simonton St Key West, FL 33040-3110 Ct�t� *L e�% Michael C. Weiss Authorized Representative of Marsh USA Inc. (866)443-8489 01/01/2008 Phone Date Issued Certificate of Insurance I I— This certificate is issued as a matter of information only and confers no rights upon the Certificate HoldCt other than those provided by this policy. This certificate does not amend, extend, or alter the coverage afforded by the policies described herein. - Named Insured(s): Gevity HR, Inc; Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp.; /1 C MARSH M A J H Gevity XIV, LLC. 9000 Town Center Parkway Bradenton, Florida 34202 Insurer Affording Coverage (A) Commerce & Industry Insurance Company Coverages: (B) New Hampshire Insurance Company This is to certify that the policy(ies) of insurance described herein have been issued to the insured named herein for the policy period indicated. Notwithstanding any requirement, tern or condition of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policy(ies)described herein is subject to all the terms, conditions and exclusions of such policy(ies). (Aggregate) Limits shown may have been reduced by paid claims. Type of Insurance Certificate Exp. Date Policy Number* Limits Employers Liability Bodily Injury By Accdent $2,000,000 Each Accident Workers' Compensation 1-1-2010 (A)RMWC7095050 (B)RMWC7095051 Bodily Injury By Disease $2,000,000 Policy Limit Bodily Injury By Disease $2,000,000 Each Person Other: Employees Leased To: Effective Date: O1/O1/09 36054 Key West Chamber of Commerce Inc. The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agent rep entatives. *Policy numbers may vary depending on jurisdiction. �t �jl�� Certificate Holder: V,,.,,-1s, lard - -__ _ -- -- County of Monroe Attn: Risk Management 1100 Simonton St Key West, FL 33040-3110 C� tic, Michael C. Weiss Authorized Representative of Marsh USA Inc. (866)443-8489 01/01/2009 Phone Date Issued A DRD. CERTIFICATE OF LIABILITY INSURANCE p� "To (""°° Y" �>3K:R7101 PRODUCER 06 24 09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INfORMATION Ray West Insurance,, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE ROUCIES BELOW, Key West FL 33040 Phone: 305-294-1096 Fax : 305-294-8016 INSURERS AFFORDING COVERAGE NAB S esuReo DER A: CantMU Insurance group INSURER B: West Chamber of Commerce, INSURER c: t 48 8 INSURER D: a try339 Rey ,Treat FL INSURER E: INSURER rtnv=0Af=e THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRY HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSMS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMAS. LTR TYPR OP WIRANC< POLICY NUIIB■R Lam °1111"1111111"L LJAM<IT1r EACH OCCURRENCE $1000000 A X X. CoMMERcIALGENrriRALLIABILn'Y CCPS77973 04/07/09 04/0'1/10 P0`9 TvREMISES uiw�w ooc $100000 CLAIMS MADE ®OCCUR MED EXP (MIN ant peon) $ 5000 PERSONAL &ADVINJURY $ 1000000 GENERAL AGGREGATE i 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG s incl POLICY TCOT LOC /WT0000II.2 LM<M.ITY ANY AUTO COMBINED SINGLE LIMIT (Es ) i ALL OWNED AUTOS ` SCHEDULED AUTOS BODILY INJURY (per perms) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per eoc ) $ PROPERTY DAMAGE _ (Per soddent) GARAGE L UUNLf1Y AUTO ONLY - EA ACCIDENT = ANY AUTO - OTHER THAN EA ACC S LIA<NJTY AUTO ONLY: AGO S OCCUR CWM8 MADE EACH OCCURRENCE : (, ` AGGREGATE : C� DEDUCTIBLE RETENTION = VIORKSM CON MMTION AND i GTH- EMPLOVERV UABIL,IT1r TORT LIMITS ER ANY PROPRMRORIPARTNOMECUTIVE OFFICERIIMEMBER EXCLUDED? E.L. EACH ACCIDENT = ityss�, dmocfts under E.L. DISEASE - EA EMPLOYE _ SPECIAL PROVISIONS below OTNER E.L. DISEASE - POLICY LIMIT i D<iC11lTION OP OPERATION< I LCCATIOi / VENIq y I EXq.UEIONa ADDED BY dIDOI I N f I >lPECIAL MtOV010" Monroe County is named additional insured as their interest may appear. �Q- CERTIFICATE HOLDER CANCELLATION NKMISKS GHOULD ANY OF TM AMM OWKW MR POLIO ME CANC<wp M'PORE TMt <XPMlATiON >�ionroe County Rinktnatgenlent DATE TNalMOP. THE =U0i IIINplEII wLL W=AvOR To we& 30 CAY< NM0rM A tria Slavik NOTICE TO TINE CERTIPICAIM MIMED TO Tilt LEFT. MINT PA<.UR< TO o0 so sNALL 1100 Simonton Street O<L1GAT1oN OF ANY KM UPON THE 1lpWRM1,11 s AA@ITs OR Key West FL 33040 AtNp, ACORD 28 (2001M) =--A NAV ® mm CORPORATION 1988 Certificate of Insurance ----- " -- - - ----- l This certificate is issued as a matter of information only and confers no rights upon the Certificat Holder This certificate does not ametid, extend, or alter the coverage afforded by the policies described herein. AUG 4 2009 Named Insured(s): TriNet HR Corp.; Gevity HR, Inc; Gevity HR, LP; Gevity HR II, LP; P, OWME COUNTY Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp; Gevity XIV, LLC. 9000 Town Center Parkwy Insurer Affording Coverage Bradenton, FL 34202 (A) Commerce & Industry Insurance Company Coverages: B New Hampshire Insurance Company 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 the Certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. Type of Insurance Certificate Exp. Policy Number * Limits Date Employers Liability Workers Compensation 7-1-2010 (A) 23259191 (B) 23259215 Bodily Injury By Accident $2,000,000 Each Accident Bodily Injury By Disease $2,000,000 Policy Limit Bodily Injury By Disease $2,000,000 Each Person Other: Employees Leased To: Effective Date : 0 1 - JUL - 2 0 0 9 36054.Key West Chamber of Commerce Inc v The above referenced workers' compensation policies provide statutory benefits only to the employees of the Named Insured(s) on such policies, not to the employees of any other employer. Cancellation: Should! any of the above described policies be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. *Policy numbers may vary depending on jurisdiction. Certificate Holder: Monroe County Florida Board of County Cornmissioners 500 White Head St Key West, FL 33040 AON Risk Services Northeast, Inc. (866)443-8489 30-JUL-2009 Phone Date Issued Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This certificate does not amend, extend, or alter the coverage afforded by the policies described herein. Named Insured(s): RECEIVED TriNet HR Corporation Gevity HR, Inc and all its affiliates & subsidiaries' p$) 2 3 12009 • Key West Chamber of Commerce Inc (Endorsed as alt mate m is r 9000 Town Center Parkway Bradenton, FL 34202 MONROE CO PTY RISK MANAGENT I surer Affording Covera e A) C merce & Industry Ins Co B) Illi ois National Ins Co C) In Co of the State of Pennsylvania (D) N Tonal Union Fire Ins Co of Pittsburgh PA lvew Hampshire Ins Co 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 the Certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. Type of Insurance nsu rer Polic Number Y State Effective Date Expiration Date Limits O WC Statutory Limits Workrs' (A) 023259191 FL 07-01-2009 07-01-2010 Employers Liability Compensation Bodily Injury By Accident $ 2, 000, 000 Each Accident Bodily Injury By Disease $ 2, 000, 000 Policy Limit Bodily Injury By Disease $ 2, 000, 000 Each Person N ■\s h V f Other: Client Number 36064 The above referenced workers' compensation policies provide statutory benefits only to the employees of the Named Insured(s) on such policies, not to the employees of any other employer. " kievity HK, inc; uevity rim, Lr; kievity rim n, Lr, kievity nit in, Lr; kivvuy nit 1 v, Lr, %JGv1Ly rim v, Lr, %JGvlLy Ulm r 130 Lr, VGY II•y I11\ ♦ 119 Ll , %Jb♦lLy 111. ♦ IA1, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp.; Gevity XIV, LLC Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder County of Monroe Attn: Risk Management 1100 Simonton St Key West, FL 33040-3110 .LION Risk Services Northeast, Inc. AON Risk Services Northeast, Inc. Authorized Representative of AON Risk Services (866) 443-8489 09/16/2009 Phone Date Issued 027970 ACORDTm CERTIFICATE OF LIABILITY INSURANCE01/27/2010 DATE (MMIDDIYYYY) PRODUCER (305)294-2542 FAX (305)296-7985 The Porter Allen Company 513 Southard Street Key West, FL 33040 Frank McPherson THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Key West Chamber of Commerce 510 Greene Street Key west, FL 33040 INSURER A: Penn America INSURER B: INSURER C: INSURER D: INSURER E: v r `I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR i DD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION LIMITS GENERAL LIABILITY PAC68 56483 01/26/2010 01/26/2011 EACH OCCURRENCE $ 290009000 DAMAGE TO RENTED $ 1009000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fj] OCCUR MED EXP (Any one person) $ 59000 PERSONAL & ADV INJURY" $ 2,0009000 A X F-1 GENERAL AGGREGATE $ 290009000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 290009000 POLICYF-] PRO[--] JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ - 10 COMPENSATION AND WORKERSER TORY LIMITSWC STATU- JOTH- EMPLOYELIABILITY ANY PRO PRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? TD If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS ERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED f%C13TI0It%ATC Uf%l r%CD r_AkIf_=1 I ATlf%kl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Monroe County Board of County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 Simonton Street OF ANY KIND UPON THE INSURER, ITS AGEI#S OR R RES TATIV AUTHORIZED REPRESENTATIVE Key West, FL 33040 FRANK MCPHERSON A174739 ACORD 26 (2001/08) @AdORb,,qORPORATION 1988 This certificate is issued as a matter of information only and alter the coverage afforded by the policies described herein. Named Insured(s): TriNet HR Corporation and all its affiliates & subsidiaries* Key West Chamber of Commerce Inc (Endorsed as 9000 Town Center Parkway Bradenton, FL 34202 no righ",riir ",rill Gad Date Holder. This certificate does not amend, extend, or empMOE CO ANAGE insurer Affording Coverage (A) C)mmerce & Industry Ins Company (B) III nois National Insurance Company s Co of the State of Pennsylvania (D) Nat Union Fire Ins Co of Pittsburgh PA (E) New Hampshire Insurance Company 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 the Certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. Type of Insurance Insurer Policy Number State Effective Date Expiration Date Limits O WC Statutory Limits Workers' (A) 057057094 FL 07-01-2010 07-01-2011 Employers Liability Compensation Bodily Injury By Accident $ 2,000,000 Each Accident Bodily Injury By Disease $ 2,000,000 Policy Limit Bodily Injury By Disease $ 2,000,000 Each Person , Other: Client Number 36054 - The above referenced workers' compensation policies provide statutory benefits only to the employees of the Named Insured(s) on such policies, not to the employees of any other employer. IIII111 -1 -Fl-L-I, I III NVt "l V, IIIG. Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder Monroe County Florida Board of County Commissioners 500 Whitehead St Key West, FL 33040-6581 I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 004604 -AOW Risk Services Northeast, Inc. AON Risk Services Northeast, Inc. Authorized Representative of AON Risk Services (866) 443-8489 07/1/2010 Phone Date Issued ,4�� o�® CERTIFICATE OF LIABILITY INSURANCE 2i2i2o11"" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER The Porter Allen Company, Inc. 513 Southard Street Key West INSURED FL 33040 Key West Chamber of Commerce 51.0 Greene Street REM FEBP IV= PHONE (305 E-MAIL marls@ ADDRESS: EER ID R 000 IN WIMOR ISK MANAUENWERI INSURER :Penn INSURER E : 294-2542 TFAX AIC, No: (305)296-7985 orterallencompany.com 6267 URER(SI AFFORDING COVERAGE NAIC # merica JKey West FL 33040 IINSURER F: CnVFRenFS CFRTIFICOTF NUMBER-CL112200768 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER MM DI DY/YYYY MM% DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ SOO OOO A CLAIMS -MADE FXI OCCUR X PAC6899961 1/28/2011 1/28/2012 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ x-1 POLICY JECT PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS nA $ FI '__�f\ PQ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE ^ ii �' DEDUCTIBLE $ �b $ RETENTION $ WORKERS COMPENSATION WC STATULIM - I OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N , E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A �- (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below 1 E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ ic DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Community Service Organization/ Business Certificate holder is listed as additional insured MONROE COUNTY BOARD OF COMMISSIONERS 1100 SIMONTON STREET KEY WEST, FL 33040 G� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (20091091 01 88-2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD 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 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 SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements(s). Named Insured(s): TriNet HR Corporation and all its affiliates and subsidiaries* Key West Chamber of Commerce Inc (Endorsed 9000 Town Center Parkway Bradenton, FL 34202 altemat�, ffmploygr) 2011 MONROE COUNTY Insurer Affording Coverage artis Casualty Company (A) ommerce & Industry Ins Company (B) I s Co of the State of Pennsylvania (C) at Union Fire Ins Co of Pittsburgh PA (D) ew Hampshire Insurance Company (E) The policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. Type of Insurance Insurer Policy Number State Effective Date Expiration Date Limits ❑X WC Statutory Limits Workers' (B) 046926592 FL 07-01-2011 07-01-2012 Employers Liability Compensation Bodily Injury By Accident $ 2,000,000 Each Accident Bodily Injury By Disease $ 2,000,000 Each Person Bodily Injury By Disease $ 2,000,000 Policy Limit - f Other: Client Number: 9173 The above referenced workers' compensation policies provide statutory benefits only to the employees of the Named Insured(s) on such policies, not to the employees of any other employer. *TriNet HR V, Inc; TriNet HR Corporation Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the insurer affording coverage or its designee will endeavor to provide 30 days written or electronic mail notice to the certificate holder named herein, but failure to provide such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: County of Monroe Risk Management 1100 Simonton St Key West, FL 33040-3110 IIIIIIIIIIIIIIIIII�IIIIII,IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII GG AON Risk Services Northeast, Inc. AON Risk Services Northeast, Inc. (866) 443-8489 07/01/2011 Phone Date Issued 002789 Alll...�� ICORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD 1�24�Zo1"2YY) 01`� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certifcate holder in lieu of such endorsement(s). PRODUCER The Porter Allen Company, Inc. Southard Street !267Ke 94-2542 _ 1AX No): t3os)z9s-79esrterallencompany.com513 E04f RER(S)AFFORDINGCOVERAGE West FL 33040 INSURED MODEmericaCO RISK MANAG Key West Chamber of Commerce, In INSURERC: INSURERD: 510 Greene Street INSURER E : 1 INSURERF: Key West FL 33040 COVERAGES CERTIFICATE NUMBER:CL1212402022 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE I D INSR R POLICY NUMBER MM/DDY/YYYY EFF MM DDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TU RENTED PREMISES Ea occurrence $ 100,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IN]OCCUR X i AC6919752 1/28/2012 1/28/2013 MED EXP (Any one person) $ __ 5- ,000- PERSONAL & ADV INJURY $ 2,0002000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGATE LIMIT APPLIES PER: GGRE PRODUCTS - COMP/OP AGG $ 2 , O00 , OOO $ X POLICY PRO LOC AUTOMOBILE PAPPR LIABILITY ANY AUTO ALL OWNED AUTOS _ V @Y RISK MANAlb�C1 SY Y1 COMBINED SINGLE LIMIT (La acckf n) $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ $ J SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DA W 1? cc pie i PROPERTY DAMAGE (Per accident) - $ $ — — $ UMBRELLA LIAB ;OCCUR EXCESS LIAB CLAIMS MADE TDC I EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ! ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A VNC STATU- OTH- T R LIMITSR E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE I $ - $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CHAMBER OF COMMERCE - COMMUNITY SERVICE ORGANIZATION : CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissione 1100 Simonton Street Key West, FL 33040 AUTHORIZE PRESS VE ACORD 25 (2009/09) ©1988-20 ACORD CORPORATION. All rights reserved. 90 INS025 (2009) The ACORD name and logo are registered marks of ACORD A►� U CERTIFICATE OF LIABILITY INSURANCE ATE(MM/DD/YYYY) F06/21 /2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may requre an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER WELLS FARGO INS. SERV. USA -CH, NC 6100 FAIRVIEW ROAD, SUITE 800 PO BOX 220748 CHARLOTTE, NC 28222 CONTACT PHONNo.E FAx EAI -ML ESS INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: HARTFORD FIRE INSURANCE CO. INSURED 6682 - FL STRATEGIC OUTSOURCING, INC. PO BOX 241448 CHARLOTTE, NC 28224 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 47,660 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 ADD'LSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR BYUtz DA W �p7,�� , `��/► r EACH OCCURRENCE $ DAMAGE TO RMIS PRE ES (E'ENTED $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS b47562 / , �`- ,hJ `� COMBINEDSSINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY Per accident ( 1 $ PROPERTY DAMAGE $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 0 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 22WBRG30001 03/01/2012 03/01/2013ER X we sTATU- oTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEIJI DES Attach APO ,G 116 Ggfs, l Sc dule, if more space is required) LIMITED TO EMPLOYEES LEASED T A BY STRATEGIC OUTSOURCING, INC. Chill IIFICAII- MOLDER CANCELLATION Gerimcate ILI 4f,tt)t)U MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD A �® CERTIFICATE OF LIABILITY INSURANCE 1 30/2013 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. 1000 IMPORTANT: If the certificate holder is an AD ITIONAL t be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain olicies m sement. statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement( PRODUCER The Porter Allen Company, Inc. FEB q 513 Southard Street [ �0� Key West FL 33040 CONTACT NAME: ONE 305)294-2542 FAX (305)296-7985 -MAIL .ma is@porterallencompany.com INSURERS AFFORDING COVERAGE NAIC # I SURERA:P nn America Insurance Co INSURED Key West Chamber of Commerce, Inc. 510 Greene Street ,Key West FL 33040 INSURERC: INSURERD: INSURER E : INSURERF: n �aoo An0e rCoTICICeTC kniRAmr P-rT,1313003066 RFVISION NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DOVWYY POLICY EXP MM/DDVYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence 100 000 $ r MED EXP (Any one person) $ 5,000 A j— CLAIMS -MADE ❑X OCCUR X PAC7017239 1/28/2013 1/28/2014 PERSONAL 8 ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ INCLUDED $ X POLICY 7 PRO LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED BY DA �� COMBINED SINGLE LIMIT Ea accident 80DILY INJURY (Per person) - $ BgOLY INJURY (P€r accid4fit) /'$ •' ! .' AUTOS �_. AUTOS NON -OWNED HIRED AUTOS — AUTOS WA -' w , PROPERTY DAMAGE r (Per accident) ----- $ ( , $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION WC STATUCRY LIM - OTH- ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY If yes. describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CHAMBER OF COMMERCE - COMMUNITY SERVICE ORGANIZATION /BUISNESS / CERTIFICATE HOLDER IS LISTED AS ADDITONAL INSURED CERTIFICATE HULUEK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissione 1100 Simonton Street AUTHORIZED Key West, FL 33040 ACORD 25 (2010105) ��o� �.,.....,..., �.. .:1... _. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD S016682 A� © ® CERTIFICATE OF LIABILITY INSURANCE DATE DrrrvY) 3/5/2 /5/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Commercial Lines — 800-868-8834 Wells Fargo Insurance Services USA, Inc. 6100 Fairview Road Charlotte, NC 28210 CONTACT Kim Rooney PNONE ExtI: 704-553-6464 FAx No 866-332-3051 A/C ADDRESS: kimbedy.s.rooney@wellsfargo.com INSURERS AFFORDING COVERAGE NAIC X INSURER A : Hartford Fire Insurance Company 19682 INSURED Strategic Outsourcing, Inc. PO Box 241448 Charlotte, NC 28224 INSURER B : INSURER C INSURER D INSURER E INSURER F Cny1=l2erai7s CERTIFICATE NtjmrtFR- 57019UU REVISION NUMBER: Sap hpinw THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADDLITYPE INSR SUER POLICY NUMBER MM DDPOLICY /YYYY) (MMIDDIYYYYI LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS-MADE1:1 OCCUR APPR E SOYA D //�/,/ 1 {XJ G EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMPIOP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAR EXCESS LIAB HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 22WNG30001 03/01/2013 03/01/2014 X WC STATUS OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) LIMITED TO EMPLOYEES LEASED TO K1Y WEST CHAMBER OF COMMERCE, INC!BY STRATEGIC OUTSOURCING, INC. EKTIFICAIt MULUtK MONROE COUNTY BOARD OF COUNTY COMMISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 SIMONTON STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ACORD 25 (2010/05) eL16/'UA%JC� ©1983-2010 ACORD CORPORATION. All rights reserved. A� a CERTIFICATE OF LIABILITY INSURANCE 1/31/ D 2014 IDD/V4 31/ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER The Porter Allen Company, Inc. 513 Southard Street Key West FL 33040 CONTACT NAME: PHONE (305)294-2542 FAX (305)296-7985 EMAIL .mari0porterallencompany.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Penn America INSURED Key West Chamber of Commerce, Inc. 510 Greene Street Key West FL 33040 INSURER B : INSURERC: INSURERD: INSURER E : INSURERF: rnVERAGES CERTIFICATE NUMBER:CL1413104079 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 I LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000, O00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100 000 MED EXP (Any one person) $ 5,000 A CLAIMS -MADE ❑X OCCUR X PAC7057134 1/28/2014 1/28/2015 PERSONAL 8 ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Include $ X POLICY PRO LOC I AUTOMOBILE LIABILITY ANY AUTO ALI OWNED SCHEDULED _ AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS 1 I Y P4___ `yam w�VCrc M i' COMBINED SINGLE LIMIT Ea accident BODILY INJURY(Per person) $ — BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE _I_DED RETENTION $ $ WORKERS COMPENSATION 1/UC STATU- O R AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNERIEXECUTIVE E.L. EACH ACCIDENT $ _ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N / A E.L. DISEASE -POLICY LIMIT $ It yes, describe under DESCRIPTION OF OPERATIONS below _ I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CHAMBER OF COMMERCE - COMMUNITY SERVICE ORGANIZATION / BUSINESS /CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED t ()dN0W CERTIFICATE HOLUEK ZZ : I I WV S- 833 h I01 Monroe County Board of County Commissione 1100 S 0;9 NUN[� 11 J Key Wes 3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED R SENT ACORD 25 (2010/05) INS025 (201005).01 W 1.'7V The ACORD name and logo are registered marks of ACORD ,l. VIOOUL ® DATE (MWDDNM) CERTIFICATE OF LIABILITY INSURANCE 2/27/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). CONTACT PRODUCER NAME____ Commercial Lines — 800-868-8834 PHONE ext 67618 888-572-2412 A/ Ne): Wells Fargo Insurance Services USA, Inc. E-MAIL certs@soi.com ADDRESS: _ @ -- - - ----- - — 6100 Fairview Road INSURER(S) AFFORDING COVERAGE NAIC #____ Charlotte, NC 28210 INSURERA: Hartford Fire Insurance Company - 19682 INSURED Strategic Outsourcing, Inc. PO Box 241448 INSURER C : INSURER D : Charlotte NC 28224 1 INSURER F • II wcer.r.wwTc uuuoco. 71AQ156 Rr-VISInN NUMBER' See below 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. I LTR R TYPE OF INSURANCE INSO I VIVO SUER POLICY NUMBER MMIDD/YYYY MM/DDNM LIMITS LT COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ CLAIMS -MADE L OCCUR DAMAGE TO RENTED PREMI1SESJE@ occurrence _] APPR BY MED EXP (Any one person) $ — -- - -- PERSONAL & ADV INJURY $ DATE WAIVER W/A* GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE i PRODUCTS - COMP/OP AGG RO LOC POLICY DP JECT �i i o i OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ _ ALL OWNED SCHEDULED AUTOS AUTOS OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident) ____ j —__ i UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB CLAIMS -MADE DED RETENTIONS _ 4 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? a (Mandatory In NH) N / A 22WEG30001 3/1/2014 3/1/2015 X STATUTE ERH E.L. EACH ACCIDENT _ 1,000,000 $ _ _ E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 S Ir yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) LIMITED TO EMPLOYEES LEASED TO KEY WEST CHAMBER OF COMMERCE, INC. BY STRATEGIC OUTSOURCING, INC. e�I I MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET 61 :I I Wd Z dVW ti10Z KEY WEST FL 33040 4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 006426 The ACORD name and logo are registered marks OT AGUKU V I V00-LU M MV.VRN \.VRt-VRMa mom. — ..V............ ACORD 25 (201,4101) 1111111I III IIIIII111111111111II11111111111111111111111111111111111111111111111111111111111 cra .7/003140o210210101W / ® ACORV CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/15/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Commercial Lines — 800-868-8834 Wells Fargo Insurance Services USA, Inc. 6100 Fairview Road Charlotte, NC 28210 CONTACT NAME: PHONE888-572-2412 FAX No): ext 67618 E-MAIL ADDRESS: carts soi.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Hartford Fire Insurance Company 19682 INSURED Strategic Outsourcing, Inc. PO Box 241448 Charlotte, NC 28224 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : �./ V Y GRMV GJ 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. -- IN SR LTR TYPE OF INSURANCE ADDL lwvn SUBR POLICY NUMBER MOL POLICY EFF MM/DD/YYYI LICY EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 0 OCCUR t` EACH OCCURRENCE $ DAMA E TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ Ap I BY PERSONAL & ADV INJURY $ WAIV#IA—rC` `' / ! V GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JE� LOC GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY SINGLE LIMIT Ea aBINED cc dent) $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below X STATUTE ER I PE $ A �N/A 22WEG30001 3/1/2014 3/1/2015 E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE 1,000,000 $ E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Workers' Compensation coverage is limited to employees leased to Key West Chamber of Commerce by Strategic Outsourcing, Inc. CERTIFICATE MULUtK MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE The ACORD name and logo are registerea marKs oT AI UKLJ v Iaoo-w ra r+vvr.v • •..• ••y•••-• •---• ---• ACORD 25 (2014/01) S016682 DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 1/30/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIF CATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORD D BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU ER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION S WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does If of confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Commercial Lines PHONE 888-572.2412 FAX No): A/C No Ext Wells Fargo Insurance Services USA, Inc. E-MAILRESS: certs@trinet.com ADD 6100 Fairview Road INSURERS AFFORDING COVERAGE NAIC # Charlotte, NC 28210 INSURER A : Indemnity Insurance Company of NorthAmerica 43575 INSURED INSURER B : Strategic Outsourcing, Inc. INSURER C : PO Box 241448 INSURER D : INSURER E : Charlotte NC 28224 I INSURER F : I I ____. _._ _ __ ... .........- cacn �A7 oCVICIl1W kit IMRF�R See below UUVrKAVCJ ♦.cr�llrlVfllV--- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THE POLICY PERIOD TO WHICH THIS TO ALL THE TERMS, ILA TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurren jel $ MED EXP (Any one pers n) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGAT $ PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT OTHER: AUTOMOBILE LIABILITY COMBINED Eaaccident)SINGLE LIMIT $ BODILY INJURY (Per pe son) $ ANY AUTO OWNED SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS VDA� N A rAUTOS_ 1ALL r� • �/ v BODILY INJURY (Per a ident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below PER X STATUTE _ RH A NIA WLRC48560349 03/01/2015 03/01/2016 E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EM LOYE $ 1,000,000 ELDISEASE - POLICY .. LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Workers' Compensation coverage is limited to employees leased tC Key West Chamber of Commerce by Strategic Outsourcing, Inc. CERTIFICATE HOLDER L.ANt+CLLA I IVN MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST FL 33040 ACORD 25 (2014/01) SHOULD ANY OF THE ABOVE DESCRIBED POLIC THE EXPIRATION DATE THEREOF, NOTICE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORA BE CANCELLED BEFORE LL BE DELIVERED IN All rights reserved. '4� CERTIFATE OF LIABILITY INSLIPANCEF2/4/2015OAT£"MM'DD"YYY' 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 INSU ER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: The Porter Allen Company, Inc. PHONE (305)294-2542 FAX (305)290-7985 513 Southard Street ADE)RIEss.maria@porterallencompany.com Key West FL 33040 INSURERA:Penn America Insurance Co. INSURED INSURER 8: Key West Chamber of Commerce, Inc. INSURERC: 510 Greene Street INSURER D: INSURER E : lKey West FL 33040 INSURERF: COVERAGES r r-PTIPIf ATC kII IIIIIQcc.rT.1 r)nnS1 on THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FO INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJEC EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THE POLICY PERIOD PECT TO WHICH THIS TO ALL THE TERMS, INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF M 1 POLICY EXP YLIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE aOCCUR X N P"0045296 1/28/2015 1/28/2016 DAMAGE TO RENTED PREMISES (Ea cccurren e S 100,000 MEDEXP(Anyro-eoerso� $ 5,000 PFRSONAL 8 ADV INJURI S 2,000,000 GENERAL AGGREGATE 5 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER _x1 POLICY PRO- 17 LOC PRODUCTS - COMPIOP A G $ Included S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT `Ea wciden!l is BODILY INJURY (Per persc) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS I BODILY INJURY Per acrid ( nt, ' I $ HIRED AUTOS NON -OWNED AUTOS 11 PROPERTY DAMAGE :Per a-cldentj S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ $ EXCESS LIAR CLAIMS -MADE i AGGREGATE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY FROPRIETORIPARTNERIEXECL'T1VE ❑ OFFICER/MEMBER EXCLLDED7 NIA V•iC STATU- O Fi- EL EACH ACCIDENT $ E L DISEASE - EA. EMPLO E $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below El DISEASE -POLICY Lit, 11 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is requlr ) CHAMBER OF COMMERCE - COMMUNITY SERVICE ORGANIZATION - BUSINESS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED PPR CEMENT WAIVE/A, �`' 'o Ki l/ TDC�_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES B� CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WIL BE DELIVERED IN Monroe County Board of County Commissione ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZE r EPRESENT w IVE ACORD 25 (2010/06) © 1988-2010 AC D CORPORATION. All rights reserved. INS025 (20!005) 01 The ACORD name and logo are registered marks of ACORD '`'� " CERTIFICATE OF LIABILITY INSURANCE DATE 201/DINY6 1/276 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER The Porter Allen Company, Inc. 513 Southard Street Key West FL 33040 CONTACT NAME: PHOAI _NE (305)294-2542 FAX tAIC NO), (305)295-7985 E-MAIL ,maria@porterallencompany.com INSURERS AFFORDING COVERAGE NAIC tl INSURERA:Penn America Insurance INSURED Key West Chamber of Commerce, Inc. 510 Greene Street Key West FL 33040 INSURER B : INSURER C: INSURER D: INSURER E INSURERF: I envGDAr_cc r FRTIFIr ATF All IMRFR-CT.1 612706207 RFVISIAN Nl1MRER- 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 R TYPE OF INSURANCE ADDL U R POLICY NUMBER POLICY EFF POLICY EXP / LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAX RENT PR MI rr PREMISES $ 100,000 COMMERCIAL GENERAL LIABILITY MED EXP (Any oneperson) $ 5,000 A CLAIMS -MADE Fx_1 OCCUR X N PAV0082071 1/28/2016 1/28/2017 PERSONAL 8 ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY PRO- LOC PRODUCTS - COMPIOP AGG $ Included COMBINED SINGLE LIMIT a accident) $ AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per a $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION WC STATU- OTH- WORKERS COMPENSATION E L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOMPARTNERIXECUTIVE E L. DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) N I A IDESCf es, descriRIPTIONbe uOFnderOPE RATIONS Delow E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required CHAMBER OF COMMERCE - COMMUNITY SERVICE ORGANIZATION CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED PPR D EMEM' DATE ()1(� WAIVER N/A _ YES _ CERTIFICATE HOLDER V " ' I R"iill CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County County Boa O�1 a u wr 9101 AUTHORI REPRESENTATIVE Count Commissionsy� Ali 1100 Simonton Street Key West, FL 33040 ,,,J, � J0J r li� ACORD 25 (2010105) ©19 -201 INS025 (2013C5) 01 The ACORD name and logo are registered marks of A( D CORPORATION. All rights rese