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Certificates of Insurance ACORDN (j.IZ.IR""I.F=.I.~hXIIZ )F=l...t~I3II...I""~If\Jil..JlRhX~ . 1IZC$R$C DATE (MM/DDIYY) ........FIRS'1'..2 12/10/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 COMPANIES AFFORDING COVERAGE The Johnsons Insurance Agency COMPANY A Fidelity & Deposit Phone No. 305-289-0213 Fax No. INSURED COMPANY ~() B First Nat'l Bank/Gulf Coast Y COMPANY William Meyers C 3838 Tamiami Trail COMPANY Naples FL 34103 D 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DDIYY) DATE (M MIDDIYY) GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 - A X COMMERCIAL GENERAL LIABILITY FIPOOO172406 09/18/99 09/18/00 PRODUCTS. COMP/OP AGG $ 1,000,000 I CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 - FIRE DAMAGE (Anyone fire) $ 100000*** MED EXP (Anyone person) $ 5,000 AUTOMOBILE LIABILITY I-- COMBINED SINGLE LIMIT $ A ANY AUTO FIPOOOl72406 09/18/99 09/18/00 f-- ALL OWNED AUTOS BODILY INJURY I-- $ 500,000 SCHEDULED AUTOS (Per person) f-- ~ HIRED AUTOS cy""mXiI ~l~'-.,~r ~ BODILY INJURY , .......". ~', Cfba $ ~ NON.OWNED AUTOS b (Per accident) f-- (~ '/1 11. - PROPERTY DAMAGE $ f. GARAGE LIABILITY LJl\lt__.u:(T ~q -, CC~ tfk AUTO ONLY - EA ACCIDENT J .. $ f-- ANY AUTO Wf,'VER: ,~, ,: ",~ tyrS OTHER THAN AUTO ONLY: f-- f-- ~ HtJ---t111 EACH ACCIDENT $ miL AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000 A M UMBRELLA FORM FIPOOOl72406 09/18/99 09/18/00 AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND I WC STATU.] 10TH. .. EMPLOYERS' LIABILITY TORY LIMITS ER .. EL EACH ACCIDENT $ THE PROPRIETOR! R INCL EL DISEASE. POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERA TIONS/LOCA TIONSIVEHICLES/SPECIAL ITEMS Automatic Teller Machine at Marathon Airport. Certificate holder is also Additional Insured. CERTIFICATE HOLDER MONR015 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Board of /;;{r-rl ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, County Commissioners 5100 College Rd BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 "\ (t5F).,NY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES D^TE }U-rrryRIZED REPRESENTATIVE -0 "\.. < ..........ohnsons Insurance -"'." -~ ACORD 25-S(1195) ... 1l'I.1ITlA I ......,. , ~ ACORDN CERTIFICATE JF LIABILITY INSURA~ ~ ~Ei~~s~c:.2 DATE (MM/DDIYY) 04/25/00 .- PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION " ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ..~ ~ The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 'i 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. II Marathon FL 33050 COMPANIES AFFORDING COVERAGE .:"i; I COMPANY The Johnsons Insurance Agency A Fidelity & Deposit Phone No. 305-289-0213 Fax No. II INSURED COMPANY B First Nat'l Bank/Gulf Coast ).qO COMPANY William Meyers C 3838 Tamiami Trail COMPANY Naples FL 34103 D 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMIDDIYY) DATE (MM/DDIYY) GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 - A X COMMERCIAL GENERAL LIABILITY FIPOOOl72406 09/18/99 09/18/00 PRODUCTS. COMP/OP AGG $ 1,000,000 I CLAIMS MADE [E OCCUR PERSONAL & ADV INJURY $ 1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 - FIRE DAMAGE (Anyone fire) $100000*** .. - ~i MED EXP (Anyone person) $ 5,000 AUTOMOBILE LIABILITY i - ,0 '''oOR p~ COMBINED SINGLE LIMIT $ ANY AUTO .;' '(\\ . . . - :;, ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS L'V ~ (Per person) - S'(j-C , HIRED AUTOS - "~;E_- -.- - BODILY INJURY $ NON.OWNED AUTOS ,.' /v (Per accident) -- ;l',~ 'I TQ: S I - ,.~,;' ~'.._-- PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ - ANY AUTO OTHER THAN AUTO ONLY: - - I EACH ACCIDENT $ AGGREGATE $ . EXCESS LIABILITY EACH OCCURRENCE $ ~ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND lINe STATU. I 10TH. EMPLOYERS' LIABILITY TORY LIMITS ER EL EACH ACCIDENT $ THE PROPRIETOR/ RINCL EL DISEASE. POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE. EA EMPLOYEE $ I OTHER , . I , I I I I i , I i i i ~ " "'- DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAlITEMS bank/office. The limits of coverage on this certificate apply for all , locations. The Certificate Holder is also Additional Insured REF: ATM at Marathon Airport. . . CERTIFICATE HOLDER CANCELLATION MONR015 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Board of ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO O~~lTION OR LIABILITY 5100 College Rd DATE[~~11L(~-:L__ Key West FL 33040 OF J'.PY KIND UPON THE COMPANY ITS AJ;3ENTS OR REPRE TATIVES. '"-~FJu-(!JI!;J /l , ,/A ~ ~. Johnsons uranb~ Agen .. ACORD 25-S (1/95) Ir,JiTIAL _. ----_.. '?tORD CORPORATION 1988 - -~~- _... .._---"._-,.~ '-' I ACORDN CERTIFICATE JF LIABILITY INSURAf\ ~Eif~s~C:2 DATE (MM/DDIYY) 10/18/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Marathon FL 33050 COMPANIES AFFORDING COVERAGE The Johnsons Insurance Agency COMPANY A Fidelity & Deposit Phone No. 305-289-0213 Fax No. INSURED COMPANY B First Nat'l Bank/Gulf Coast COMPANY William Meyers C 3838 Tamiami Trail COMPANY Naples FL 34103 D 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DDIYY) DATE (MM/DDIYY) GENERAL LIABILITY I GENERAL AGGREGATE $1,000,000 I-- A X COMMERCIAL GENERAL LIABILITY FIPOOOl72406 09/18/99 09/18/00 PRODUCTS. COMP/OP AGG $1,000,000 I--- ~ CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1,000,000 I--- OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 I-- I--- FIRE DAMAGE (Anyone fire) $ 100000*** MED EXP (Anyone person) $ 5,000 AUTOMOBILE LIABILITY I--- COMBINED SINGLE LIMIT $ A ANY AUTO FIPOOOl72406 09/18/99 09/18/00 - ALL OWNED AUTOS .'W~ BODILY INJURY - ~ $500,000 SCHEDULED AUTOS (Per person) - ~ HIRED AUTOS (~~ff( rb.~'Jk UJ:t BODILY INJURY $ X NON-OWNED AUTOS ~' ~I\ L (Per accident) - - ,-,y T I ~ ,. ~" 1\ PROPERTY DAMAGE $ GARAGE LIABILITY J{ Il -f '-1'-1- ~ AUTO ONLY. EA ACCIDENT $ - D~TE_--t ANY AUTO v'WvrR: j';,;',.~ OTHER THAN AUTO ONLY: - S EACH ACCIDENT $ - AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $5,000,000 A 4 UMBRELLA FORM FIPOOOl72406 09/18/99 09/18/00 AGGREGATE $ OTHER THAN UMBRELLA FORM ! $ WORKERS COMPENSATION AND TwC STATU.] 10TH. EMPLOYERS' LIABILITY TORY LIMITS ER EL EACH ACCIDENT $ THE PROPRIETOR! RINCL EL DISEASE - POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE. EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Automatic Teller Machine at Marathon Airport. Certificate holder is also Additional Insured. CERTIFICATE HOLDER CANCELLATION MONR015 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Board of ~ ,m w,~" '0","" '"' """"A" "';:;t!!;" '"' "" County Commissioners BUT FAILURE TO MAIL SUC~~~,~ IMjjSE NO OBLlGATI OR LIABILITY 5100 College Rd Key West FL 33040 I Y) J? 1"::0 ) r:jl"):>F ANv)t'IND UPON THE CO PA Y, S A PRES ATIVES. n' ~ '--"?UViZ:,.- DATE - I :>",-,. ,v'U, · The Johnsons In ance Agenc ACORD 25-S (1/95) INITIAL ~ .. f!I. ORD CORPORATION 1988 /" . . HHHH.H.HHHHHHHHHHH THIS CERTIRCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIRCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER REGAN INSURANCE AGCY 90144 OVERSEAS HWY TAVERNIER FL 33070 COMPANY A THE HARTFORD INSURED COMPANY B FIRST NAT BANK OF THE FL KEYS GCNB & FIRSTBANCORP INC BOX 413040 NAPLES FL 34101-3040 COMPANY C 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 POUCY EFFECnvE POUCY EXPIRAnON DATE (MMIDDIYY) DATE (MMIDDIYY) TYPE OF INSURANCE POUCY NUMBER GENERAL UABILITY COMMERCIAL GENEAL LIABILITY CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE UABIUTY 21 UECKX3 467 X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS 09/18/99 09/18/00 GARAGE UABILITY ANY AUTO L'Y__ EXCESS UABIUTY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSAnON AND EMPLOYERS' UABIUTY THE PROPRIETOR! PARTNERs/EXECUTIVE OFRCERS ARE: OTHER INCL EXCL DESCRIP110N OF OPERAnONSILOCAnONSNEHlCLESISPECIAL ITEMS CERTIFICATE HOLDER IS SHOWN AS AN ADDITIONAL INSURED .CEl.n'lFlCA.,'.',Hti)tJ:$F.l".' .................................................... . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . ..:.).),:',::~~~~~t!p.~:'mL",.,... ........................................ ........................................ ........................................ . .. ........................ UMlTS GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ 1,000,000 COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE EL EACH ACCIDENT $ EL DISEASE. POLICY LIMIT $ EL DISEASE-EA EMPLOYEE $ ................... . ................. ............................................................ . ......................................................... ........................................................................................................ .............................................. . ........................................... ................... MONROE COUNTY BOARD OF COMM ATT:RISK MANAGEMENT 5100 COLLEGE RD KEY WEST FL DATE SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRAnON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOnCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NonCE SHALL IMPOSE NO OBUGAnON OR UABIUTY AGENTS OR REPRESENfAnvES. ......................... I......................... 11(3.'t)";~tl1!B[.. INITI4Lu Robert' ............................ .. ................................ ............................... .... ................. ~.;( ,;."-...~.... BM A .::me:iCdiiboiPdUfldH .... ....................................................... t. .~;; .. I' I' 1..... Ln qt N o o .-i o !' o 1.0 !' M CD ~ ....:l .-i N N o o o M ~ - iiiiiiiiiiii - ~ - == !!I!l!!!!!! - iiiiIIiIiI == iIiiiilli THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MISCELLANEOUS CHANGE ENDORSEMENT POLICY NUMBER: 21 UEC LJ83 7 6 DV CHANGE NUMBER: 00 4A THE. HARTFORD This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. (Premium adjustment, if any, for the addition, deletion or other change described in this endorsement is shown in the Premium Column below.) Effective Date: 09 /18/00 Named Insured: FIRST D'l'IOIDL BAlIK OF '!'lIB I'L BEYS SBB IB1200 Producer's Name: REGAN INSURANCE AGENCY INC / SCIC Pro Rata FBCtor: 1. 000 Description of Change: FOR THIS ENDORSEMENT THE RETURN PREMIUM OF POLICY CHANGE EFFECTIVE DATE. $67.00 IS DUE AT THE FOLLOWING LESSOR NO(S). IS/ARE DELETED: 05 06 !!I!l!!!!!! - == LOSS PAYEE NO. 06 IS DELETED FOR THE FOLLOWING COVERED II AUTO (S) : II !IIII!!!! == -== 00008 =-= -- ~ === == =-= == ii!iiiii!i - - ~ === - == - - == ~ - == ~ - - == _ THIS ENDORSEMENT IS NOT BINDING UNLESS COUNTERSI~NED BY OUR AUTHORIZED == REPRESENTATIVE. == - ~ Countersigned by ~ U, ~~~ Authorized Representative 10/30/00 Date AUTO ADDL INTEREST Fonn HA 9910 06 92T Printed in U.S.A. PAGE 1 (CONTINUED ON NEXT PAGE) MISCELLANEOUS CHANGE ENDORSEMENT (Continued) POLICY NUMBER: 21 UEC LJ8376 SCHEDULE OF COVERED AUTOS YOU OWN --------------------------------------------------------------------------- ABSENCE, IF ANY, OF A LIMIT ENTRY MEANS THAT THE LIMIT ENTRY SHOWN IN THE CORRESPONDING ITEM TWO OF THE DECLARATIONS LIMIT COLUMN APPLIES INSTEAD. --------------------------------------------------------------------------- NO. 00006 00 MERCED ZIP CODE: 34102 COVERAGES: ANNUAL PREMIUMS SEQ. NO. 00011 ADDITIONAL/RETURN PREMIUMS LIABILITY E430 ID NO. WDBJFOJXYB027984 $ 749 $ 29.00 RP --------------------------------------------------------------------------- NO. 00008 00 TOYOTA SIENNA VAN ORIG. COST NEW: $ 27,254 USE: PPT ZIP CODE: 33050 COVERAGES: ANNUAL PREMIUMS SEQ. NO. 00013 ADDITIONAL/RETURN PREMIUMS LIABILITY ID NO. 4T3ZF13C6YU299907 $ 948 $ 38.00 RP --------------------------------------------------------------------------- Form HA 99 10 06 92T PAGE 2 ;0;;;;;;;;;; !II!!!!!! = - - EE !II!!!!!! ==== = =:= iiIiiiiij; == = !I!!I!!!!!!! = == ==== &iiliii !II!!!!!! - - ""'== -== -= !ii!!ii!!ii! ;0;;;;;;;;;; ;0;;;;;;;;;; ~ - = ;0;;;;;;;;;; == !II!!!!!! - !II!!!!!! ;0;;;;;;;;;; - ;0;;;;;;;;;; - ;0;;;;;;;;;; - ~ - - - !II!!!!!! Notice of Automobile Insurance ~ Named Insured r:l:RS'1' 1IIA'1':l:0DL BARIt or '!'lIB I'L KEYS SBB :l:B1200 Add~ss POBOX 413040 Policy No. 21 UEC LJ837 6 Producer 224589 REGAN INSURANCE AGENCY INC / SCIC Name of Insurance Company Effective Date of this Notice 09/18/00 Ex iration Date of Poli 09/18/01 Countersi ned b (Authorized Representative) D Mailing Address Change Only \0 qt N o o [i] LOSS PAYEE D Name MONROE COUNTY BOARD OF COMMATT. RISK MANAGEMENT Address 5100 COLLEGE RD. KEY WEST FL 33040 ...... o r-- o \0 r-- t"1 ex> IJ ...:l ...... N N o o o t"1 -IC LESSOR THIS NOTICE OF AUTOMOBILE INSURANCE IS APPLICABLE AS INDICATED BELOW. A. LOSS PAYEE o 1. This is to certify that the policy of insurance listed above has been issued to the insured named above and is in force at this time for the auto(s) described below. 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 policy described herein is subject to all the terms, exclusions and conditions of such policy. State of Nebraska - This certificate does not amend, extend or alter the coverage afforded by the listed policy Loss Payee - Except for towing, all physical damage loss is payable to the Named Insured and the Loss Payee named above as interest may appear at the time of loss. This is to notify that the policy of insurance listed above has been changed by the insured to change the Physical Damage Coverage for the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete Physical Coverage for the auto(s) described below. B. LOSS PAYEE OR LESSOR 01. 02. [i] 3. D2. 03. This is to notify that the policy of insurance listed above has been change by the insured to delete the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete the Loss Payee or Lessor named above for the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete the Loss Payee or Lessor named above. Schedule of Autos Physical Damaae COVIll1HHl iFor A.1. and A.2. above) Covered De8crlpUon Other then Collision Collision Auto No. Coverags. Limit Limit DeducUbls .ACV- DeducUbls .ACV- or Stated Amount or Stated Amount THIS CERTIFICATE DOES NOT EVIDENCE LIABILITY INSURANCE *AJ= AK= AL= AM= AO= AP= Com{>>!.8henslve Coverage Specified Causes of Loss Coverage Fire Coverage Fire and Theft Coverage Fire, Theft and Windstonn Coverage limited Specified Causes of Loss Coverage **ACV = Actual Cash Value CAF-4025-4 - === = !!!!BB - ~ !!!!I!!!!!!! -= = ~ - = ~ ~ = !I!!!!!!!; =-= iiiiiiIii = iiiiiiiiiii - !Ill;!;!; -=== :!IIIiEi!5 === i!Iiiiiiiiiii iiiIIiIii ~ ~ - ~ ~ ~ = ~ - = == iiliiiiiiii === Notice of Automobile Insurance ~ Policy No. 21 UEC LJ8376 Named Insured FIRST IlATIODL BAlm 01' 'l'BB I'L DYS sa 1&1200 Add~ss POBOX 413040 Producer 224589 REGAN INSURANCE AGENCY INC / SCIC Name of Insurance Company Effective Date of this Notice 09/18/00 Ex iration Date of Poli 09/18/01 Name MONROE COUNTY BOARD OF COMM ATT: RISK MANAGEMENT Add~ 5100 COLLEGE RD. KEY WEST FL 33040 Countersi ned b (Authorized Representative) D Mailing Add~ Change Only LESSOR THIS NOTICE OF AUTOMOBILE INSURANCE IS APPLICABLE AS INDICATED BELOW. A. LOSS PAYEE D 1. This is to certify that the policy of insurance listed above has been issued to the insured named above and is in force at this time for the auto(s) described below. 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 policy described herein is subject to all the terms, exclusions and conditions of such policy. State of Nebraska - This certificate does not amend, extend or alter the coverage afforded by the listed policy Loss Payee - Except for towing, all physical damage loss is payable to the Named Insu~d and the Loss Payee named above as interest may appear at the time of loss. This is to notify that the policy of insurance listed above has been changed by the insured to change the Physical Damage Coverage for the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete Physical Coverage for the auto(s) described below. B. LOSS PAYEE OR LESSOR 01. 02. [i] 3. Schedule of Autos Phvsical Damaae Cov 'For A.1. and A.2. above) Covered Description Other than Collision Collision Auto No. Coverage* Limit Limit Deductible *ACV- Deductible *ACV- or Stated Amount or Stated Amount E"- ~ N o o D LOSS PAYEE [!] ...-I o E"- o 1.0 E"- M (Xl IJ ....:I ...-I N N o o o M -IC 02. 03. This is to notify that the policy of insurance listed above has been change by the insured to delete the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete the Loss Payee or Lessor named above for the auto(s) described below. . This is to notify that the policy of insurance listed above has been changed by the insured to delete th.e Loss Payee or Lessor named above. *AJ= AK= AL= AM= AO= AP= Com{'!.8Mnslve Coverage S~lfled Causes of Loss Coverage Fire Coverage Fire and Theft Coverage Fire, Theft and Windstonn Coverage Limited Specified Causes of Loss Coverage **ACV = Actual Cash Value THIS CERTIFICATE DOES NOT EVIDENCE LIABILITY INSURANCE CAF-4025-4 --- !I!!!I!!!!!! iiii!iiiiiiiii --- - --- == !I!!!I!!!!!! == = --- - ~ --- --- - ;;;;; = --- - = = - !I!!!I!!!!!! - !I!!!I!!!!!! -=== - == ilii!!iii!iii --- ~ - ~ ~ --- = !I!!!I!!!!!! = !I!!!I!!!!!! == --- - - - - - Notice of Automobile Insurance x. Policy No. 21 UEC LJ8376 Named Insured I':ERST DT:EORAL DB 01' '1'BB I'L DYS sa :E&1200 Address POBOX 413040 Producer 224589 REGAN INSURANCE AGENCY INC / SCIC Name of Insurance Company I TY E LESSOR THIS NOnCE OF AUTOMOBILE INSURANCE IS APPLICABLE AS INDICATED BELOW. A. LOSS PAYEE o 1. This is to certify that the policy of insurance listed above has been issued to the insured named above and is in force at this time for the auto(s) described below. Notwithstanding any requirement, tenn 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 policy described herein is subject to all the tenns, exclusions and conditions of such policy. State of Nebraska - This certificate does not amend, extend or alter the coverage afforded by the listed policy Loss Payee - Except for towing, all physical damage loss is payable to the Named Insured and the Loss Payee named above as interest may appear at the time of loss. This is to notify that the policy of insurance listed above has been changed by the insured to change the Physical Damage Coverage for the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete Physical Coverage for the auto(s) described below. B. LOSS PAYEE OR LESSOR 01. 02. [i] 3. <X> "'" N o o D LOSS PAYEE [!] ri o t"- o \0 t"- l"1 <X> IJ ..:l ri N N o o o l"1 iC D2. 03. Effective Date of this Notice 09/18/00 Ex iration Date of Poli 09/18/01 Name MONROE COUNTY BOARD RISK MANAGEMENT Address 5100 COLLEGE RD. KEY WEST OF COMMATT Countersi ned b (Authorized Representative) D Mailing Address Change Only FL 33040 This is to notify that the policy of insurance listed above has been change by the insured to delete the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete the Loss Payee or Lessor named above for the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete the Loss Payee or Lessor named above. Schedule of Autos Physical Damage Coveraae (For A.1. and A.2.. above) Covered Description Other than Collision Collision Auto No. Coverage* Limit Limit Deductible *ACV- Deductible *ACV- or StatecI Amount or Stated Amount THIS CERTIFICATE DOES NOT EVIDENCE LIABILITY INSURANCE CAF-4025-4 *AJ= AK= AL= AM= AO= AP= Comprehensive Coverage Specified Causes of Loss Coverage Fire COv....ge Fire and Theft Coverage Fire, Tbett and Windstonn Coverage Limited Specified Causes of Loss Coverage **ACV = Actual Cuh Value r-l o 00::1' o M r-l 00 r-l ~ .:1 r-l N N o o o N i< (') 00 1-3 ~ -..J :z: f-> tIj f-> t'" ~ 0 i 1-3 1-3 ~ 1-3 tIj I'Ij ~ ~ Cll t:l H ~ ~ Cll (') H Cll (') 1-3 ~ ~ tIj 12: (') t.J 00 t.J f-> W ~~=a I-3l-3tIj 1'Ij1'lji;S ~~!ii t:lt:l1-3 , I'Ij (')~~ 1-3~t:l s;!1 o ~I:E f->:Z:O UlOt:l Ie (j)(') t"'1-3 IH ~~ Cll ~ ~ Cll (') ~ 1-3 ~ 0'\ 00::1' N o o ii!Iiiiii!iiiii - - - = - - == - - = == - == - - = iiIiiiiiiii = !lIi!i555 == I!!!l!!!!!!! - == - I!!!l!!!!!!! - - = - iii!iiiii!!i! == - = - - - - - - - - - - - ACORDN CERTIFICAT[ JF LIABILITY INSURA ~~C~:S~<:2 I DATE (MM/DDIYY) 06/25/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 INSURERS AFFORDING COVERAGE Phone: 305-289-0213 INSURED INSURER A: Fidelity & Deposit/Zurich INSURER B: First Nat'l Bank/Gulf Coast INSURER c: Lori Arnold 3838 Tamiami Trail INSURER 0: Naples FL 34103 INSURER E: I COVERAGES 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 ~~~~TMi&~~~YE p~L~1~rIRAwN LIMITS LTR DATE MMIDDIYY GENERAL LIABILITY EACH OCCURRENCE $ 500,000 I-- 09/18/00 09/18/01 $ 100000*** A X COMMERCIAL GENERAL LIABILITY FIPOOOl72407 FIRE DAMAGE (Anyone fire) I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $ 500,000 - $ 1,000,000 GENERAL AGGREGATE - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COM~OPAGG $1,000,000 I nPRO. n Emp Ben. 1,000,000 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - 09/18/00 09/18/01 (Ea accident) $ A ANY AUTO FIPOOOl72407 - ALL OWNED AUTOS BODILY INJURY $ 500,000 - (Per person) SCHEDULED AUTOS - ,CaJr X HIRED AUTOS '-'F( ~ rrOom"; f .~ BODILY INJURY - '. I' ': $ ~ NON.OWNED AUTOS ) DL 11(1 (Per accident) " Li ,{ - I -{ ')../J PROPERTY DAMAGE $ 11 , '....1 {~L (Per accident) GARAGE LIABILITY i',\. L - ~"'-' . AUTO ONLY. EA ACCIDENT $ R ANY AUTO 'IJ! ,,:,''''-0_ ;,~ XFS OTHER THAN EA ACe $ \ 'l.., ".", ~.....,., . '.' AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000 A tJ OCCUR D CLAIMS MADE FIPOOOl72407 09/18/00 09/18/01 AGGREGATE $ $ ~ DEDUCTIBLE $ X RETENTION $ 10,000 $ WORKERS COMPENSATION AND I TORY LIMrrs I IU~~' A EMPLOYERS' LIABILITY WCPOO0399208 09/18/00 09/18/01 $ 500000 E,l. EACH ACCIDENT E.l. DISEASE - EA EMPLOYEE $ 500000 E,l. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERA TlONSlLOCA TlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Automatic Teller Machine located @ Marathon Airport. The Certificate Holder is also Additional Insured on all but the Workers Compensation policy. CERTIFICATE HOLDER I N I ADDITlONALINSURED; INSURER LETTER: CANCELLATION MONR015 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlO~ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of - - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL County Commissioners L- / cJ IMPOSE NO OBLIGATION OR L1An OF ANY KINJ> UPON THE IN~ ITS AGENTS OR 5100 College Rd Key West FL 33040 "- REPR~TATlVES. /7 -'< 5!~-V7U >;t L:/ ft//1 ~ /1-- I The Johnsons I~ ance Aqency'J! ACORD 25-S (7/97) \... @Ace!DCORPORATION 1988 ACORDN CERTIFICA TE OF LIABILITY INSURANC~ULl1~~~ T1 DATE (MM/DDIYY) 07/24/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lutgert Smith Lesher Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 671 Goodlette Rd., Suite 130 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Post Office Drawer 1587 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Naples FL 34106 INSURERS AFFORDING COVERAGE Phone: 239-262-7171 Fax:239-262-5360 INSURED INSURER A: Zurich US Orion Bancorp, Inc First Banco~ Inc INSURER B: Auto-Owners Insurance, Inc Gulf Coast ational Bank INSURER C: 1st Nat'l Bank of FL Keys 3838 Tamiami Trail N. INSURER 0: Naples FL 34103 I INSURER E: COVERAGES 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 TYPE OF INSURANCE GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY FIAO 001724 CLAIMS MADE W OCCUR POLICY NUMBER LIMITS EACH OCCURRENCE $500,000 09/18/02 09/18/03 FIRE DAMAGE (Anyone fire) $100,000 MED EXP (Anyone person) $ 10,000 PERSONAL & ADV INJURY $500,000 GENERAL AGGREGATE $1,000,000 PRODUCTS. COMP/OP AGG $1,000,000 Em Ben. 1,000,000 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY. EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ 5,000,000 09/18/02 09/18/03 AGGREGATE $5,000,000 $ $ $ 09/18/02 09/18/03 $ 500000 E. L DISEASE. EA EMPLOYEE $ 500000 -------------- ------------ EL DISEASE. POLICY LIMIT $ 500000 GEN'L AGGREGATE LIMIT APPLIES PER ~~T LOC AUTOMOBILE LIABILITY B X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS 4354265900 GARAGE LIABILITY ANY AUTO EXCESS LIABILITY A X OCCUR 0 CLAIMS MADE CCL000160810 DEDUCTIBLE X RETENTION $ 10,000 WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY FIA0001724 OTHER DESCRIPTION OF OPERATlONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Ref: Bank ATM Machine, The Key West International Airport, S Roosevelt Blvd, Key West, FL Monroe County Board of County Commissioners is additional insured as respects general liability. Fax# 305-295-4342 Attn: Maria Slavik; 410-261-7837 Attn: Joyce Farrell/Zurich; 261-2990 Attn: Lori Arnold CERTIFICATE HOLDER Y ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Monroe County Board of County Commissioners 1100 Simonton Street Key West FL 33040 MONRO- 3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHOR REP ESENTATIVE C ACORD CORPORATION 1988 ACORD 25-S (7/97j1 cc:~