Certificates of Insurance
Client#. 51 J<'LAKEYSAOUEDU
I ACORDn. CERTIFICA. E OF LIABILITY INSU~II"\NCE I DATE (MM/DD/YY)
10/13/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ARTHUR J GALLAGHER-BOCA RATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
2255 GLADES RD SUITE 400E
Boca Raton, FL 33431-7379 I INSURERS AFFORDING COVERAGE
I
--~ ----.._- ----'-.... -------------------..- .--- ----------'----------.-T------, -'--'----__ "-
INSURED , ,INSURERA:Executive Risk Specialty Ins. Co.
Florida Keys Aq';leduct Author~ty I'NSURERB:
1100 Kennedy Dr~ ve '-INSURERC: ---._-.
Key West, FL 33040 I_~___ - ---------- ._~------ ------------~.--------...-----
INSURER D:
I INSURER E: -- _.__.._--_._--------_._--~'------------------------~--
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWffHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT wrrH 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 CONDrrlONS OF SUCH
POLICIES. AGGREGATE L1Mrrs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRr - -- _ ':;P~~F INSURAN~--- ..' ------ po'L~~ NUMBER POLICY EFFECTIVE POLICY EXPIRATION
A I GENERAL L1ABILlnfr i 9 9 214094499
i-----,
, X ~ C~~MERCIAL GENER~L LIABILITY '
i-' CLAIMS MADE!iJ OCCUR,
LIMITS
10/01/ 00 ~EACHOCCURRENCE '$I , 000: 000
I..f:IRE DAMAGE (Any one fire~ $ 50 00 0 ~
~ME D EXP (Anyone person) i $ 5 , 0 0 0
PERSONAL & ADV INJURY I $1 , 000 , 000
GENERAL AGGREGATE I $2 000 000
PR~DUCTS_COMP/OP AGGI $I : 000 : 000 ~
~ ,
,
10/01/00 II COMBINED SINGLE LIMIT $1 000 000
(Ea aCCident) "
f-:-_____.____________,______
I ,
i BODILY INJURY , $
I (per person) !
, ----+-------- ----.---
I' BODILY INJURY I $
(Per aCCident)
f..-..-.-______~____.___+______~._____.____
I PROPERTY DAMAGE I $
, (per accident)
110/01/99
I
- -------- -'--- ---'--
_u_ _ _ .________________~_____
.The limits of liability shown refl t the limits at in ption.
Arthur J. Gallagher & Co. does ot assume any re ponsibility
for notification in the event of de
A : AUTOMOBILE LIABILITY
: Xu; ANY AUTO
J
I ALL OWNED AUTOS
, SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
99214094499
APflROVED BY RISK Mil
flV (A.
----- ---------------------
1 ANY AUTO
WMVl=R:
~'A
~
i
EXCESS LIABILITY *
'---, 1-'--
. .1 OCCUR ' I CLAIMS MADEl
DEDUCTIBLE
RETENTION $
I WORKERS COMPENSATION AND
, EMPLOYERS' LIABILITY
I
, OTHER
--------_._------~-----~--
i AUTO ONL Y - EA ACCIDENT $
i OTHER THAN EAAc~F---
AUTO ONL Y: AGG : $
I EACH OCCURRENCE , $
--.T----------.-
I AGGREGATE .........L
c= _~~____
, '$
I-------.-t-----------
$
'we STATU_. OTH-I
' _-HORY LIMITS I 'ER,
~ E.L. EACH ACCIDENT i $
!E.L.DISEASE-EAEMPLOYE $
i E.L. DISEASE_POLICY L1MI $
I
I
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Certificate Holder is listed as an additional insured as respects to:
General Liability and Auto coverages.
CERTIFICATE HOLDER
I AD DmONAL INSURED' INSURER lETTER:
Monroe County Board of County
Commissioners
5100 Collge Road
Key West, Fl 33040
CANCELlATION
SHOULDANYOFTHEABOVEDE~BEDPOUCESBECANCELLEDBEFORETHE~RAnON
DATE THEREOF, THE ISSUING INSURER WILLENDEAVORTO MAIL3-0.- DAYSWRlTlEN
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,ITSAGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESEN ATIVE
ACORD 2S.S (7/97)1 of 2
#S2728/M2727
SAO @ ACORD CORPORATION 1988
CERTlfICA'TE OF COVERA(.
Certificate Holder
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
5100 COLLEGE ROAD
KEY WEST, FL 33040
Administrator
Issue Date 4/17/00 NT
Florida League of Cities, Inc.
Public Risk Services
P.O. Box 530065
Orlando, Florida 32853-0065
COVERAGES
THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE 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 COVERAGE AFFORDED BY THE
AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT.
FLORIDA MUNICIPAL INSURANCE TRUST
I COVERAGE PERIOD: FROM 10/1/99 \ COVERAGE PERIOD: TO 9/30/00 12:00 Midnight Standard Time
TYPE OF COVERAGE - PROPERTY
COVERAGE PROVIDED BY:
AGREEMENT NUMBER: FMIT 178
TYPE OF COVERAGE - LIABILITY
General Liability
o Comprehensive General Liability, Bodily Injury, Property Damage and
Personal Injury
o Errors and Omissions Liability
o Supplemental Employment Practice
o Employee Benefits Program Administration Liability
o Medical Attendants' /Medical Directors' Malpractice Liability
o Broad Form Property Damage
o Law Enforcement Liability
o Underground, Explosion & Collapse Hazard
Limits of Liability
$100,000 Each Person/$200,000 Each Occurrence
Deductible N/A
Automobile Liability
o All owned Autos (Private Passenger)
o All owned Autos (Other than Private Passenger)
o Hired Autos
o Non-Owned Autos
Limits of Liability
$100,000 Each Person/$200,000 Each Occurrence
Deductible N/A
Automobile/Equipment - Deductible
o Physical Damage
Other
N/A - Comprehensive - Auto
N/ A - Collision - Auto
Description of Operations/LocationsNehicles/Specialltems
RE: Lease Contract for building of Wastewater Treatment.
o Buildings
o Basic Form
o Special Form
o Personal Property
o Basic Form
o Special Form
o Agreed Amount
o Deductible N/A
o Coinsurance N/A
o Blanket
o Specific
o Replacement Cost
o Actual Cash Value
o Miscellaneous
o Inland Marine
o Electronic Data Processing
o Bond
o
Limits of Liability on File with Administrator
TYPE OF COVERAGE - WORKERS' COMPENSATION
I:8J Statutory Workers' Compensation
I:8J Employers Liability
$1,000,000 Each Accident
$1,000,000 By Disease
$1,000,000 Aggregate By Disease
I:8J Deductible $2,500
o
N/A - Miscellaneous Equipment
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 AGREEMENT ABOVE, '
DESlmJATED MEMBER
CHERYL SARGENT
FLORIDA KEYS AQUEDUCT AUTHORITY
1100 KENNEDY DRIVE
KEY WEST, FL 33040
CANCELLATIONS
SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
PROGRAM, ITS AGENTS OR REPRESENTATIVES.
~~
AUTHORIZED REPRESENTATIVE
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.
'~"'r~"", 0' ;N'~';;;;~ ----T- - -,;;;U~, NUM"R i '1:.'&' fJ"'"J)"" i'"'''''' '""'RA'Jf;l----- ____ ___ _-..;;."" _ ____ _ _ _ ___ _
A I ~,NERAC UA"Url- ,81 7 8 -7811 10/01/00 10/01/01 EAOH ooC"R"'-N"E_____ ~1~Q_O 0 LQQQ.
L ~ ~"ERC'",- GENE"" ,.",,, r --"RE OA"~GE ,^" O..._';j:L_ ___. ___ __
i-;~- J C,,,", "ME[ J OCC"R! ;;;;;~,;:;;::~~ ,~:;:;I;_ _ ___
:~;iLA~:R~~U"::~~,:~ I ;;.~~'7'~:,~".:~ ~~~fl ~ ~~:~'~~bll", ~~%;:;:;::~~;:~.[~OQ~QQ~
I POLICY! PRO. I I LOC I for notification in the event of de letion of the aggrj"gate. !
A AUTOMOBILE LIABILITY 8178 - 7811 10/01/00 10/01/01
--I
I I ANY AUTO
~~ ALL OWNED AUTOS
~~,' SCHEDULED AUTOS
r- ! HIRED AUTOS
I___~ NON-OWNED AUTOS
- Client#: 51 FLORIDAKEYSAO
ACORnIM ~CERTIFICA. E OF LIABILITY INSUr ~NCE I DATE (MM/DD/YY)
09/25/00
PROp UCEF! THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ARTHUR J GALLAGHER-BOCA I<ATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
2255 GLADES RD SUITE 400E
Boca Raton, FL 33431-7379 INSURERS AFFORDING COVERAGE
---.-------,-------,-- -------'--------.-, -- ----'-----1;;------------- -----------------_____________
IN,"REO '''"RER A. Execu t i ve Ri sk Spec ialt y Ins. Co _
Flor'da Keys Aqueduct Authority '--_n ___________________
l, , INSURER B:
1100 K nn dy Drlve _ ______________.__________
e e INSURER c:
Key West, FL 33040 ------------.-------.--..---
INSURER D:
------- --...--------.....----.------------..--__n
i INSURER E:
I~ARAGE lIABllITY*
i __oj ANY AUTO
! : I
: EXCESS LIABILITY * :
1-.1 OCCUR LJ CLAIMS MADEl
L._ I
I '
L... i DEDUCTIBLE
i 1 RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
AfJ
BY
DATE
WAIVER
I COMBINE D SINGLE lIMITt 1 000 000
(Ea aCCident) "
r----____ ______.._____...__
BODIL Y INJURY $
(Per person) I ~
- - 1---...--________ .___
j
BODIL Y INJURY t
(Per accident) $
r------....___ __________
I' PROPERTY DAMAGE /' $
, (Per accident)
, ,
'---I
I f
, '
...----.------------. - -.---
OTHER
!
.AUTO ONL Y - EA ACCIDENT $
OTHER THAN EA ACC I $
I AUTO ONLY: _n~;-~1;-----
EACH O_CCURRENCE , p_ _... __ __ _
A~~_._-J-!_______
---,----1!________
f.------=-f;----------n--
WC STATU. OTH-
i~~:::::~:::~~:~--~~=::===~~
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Lease for parcel of land at the Marathon Airport
Certificate Holder is listed as a additional insured. No hold harmless
or indemnification.
CERTIFICATE HOLDER
ADDmONAL INSURED' INSURER LETTER:
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I;XP!RATlON
DATE THEREOF, THE ISSUING INSURER WILLENDEAVORTOMAIL3JL . DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUTFAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Monroe County Board of County
::ommissioners
3100 College Road
{ey West, FL 33040
I
.CORD 25-S (7/97)1 of 2
#S5204/M5000
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD2S-S(7197)2 of 2 #S2728/M2727
Client#.: 51 FLORIDAKEYSAO
~CORDTM CERTIFICA" 2 OF LIABILITY INSUF. :NCE l DATE (MM/DD/YY)
1010S/Q1
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ARTHUR J GALLAGHER-BOCA RATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
2255 GLADES RD SUITE 400E i
Boca Raton, FL 33431-7379 INSURERS AFFORDING COVERAGE
I, INSURER A: Execu t i ve
INSURED Risk _Specialty Ins. CO.
Florida Keys Aqueduct Authority I
rlNSURER B:
1100 Kennedy Drive INSURER c:
Key West, FL 33040 i INSURER D: -----.-. --
I ----_._~.~_._--'---- --
I 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.
INfR TYPE OF INSURANCE POLICY NUMBER Pg~!fY EF~ECTJVE POLl~Y EXPIRATION
A I GENERAL LIABILITY I 0254 I 10/01/01 110/01/02
i~~MERCIAL GENERAL LIABILITY I 'I \
'_J CLAIMSMADEC OCCUR I I'
~-~-,._.._--------
LIMITS
, EACH OCCURRENCE j $1 , 000 , 000
[FIRE DAMAGE (Anyone fire I $250 , 000
L!"IE D EXP (Anyone person) '$ 5 , 0 0 0
I PERSONAL&ADVINJURY \ $1 ,000 ,000
L GENERAL AGGREGATE i $2 , 000 , 000
(RODUCTS-COMP/OP AGGI $1, 000 , 000
1_____ __ I
GEN'L AGGREGATE LIMIT APPLIES PER: 1
I POLICY PRO-!~ LOC I
A l AUTOMOBILE LIABILITY
~E ANY AUTO
'I ALL OWNED AUTOS
f----I
0254
10/01/01,10/01/02
I I
, I
APr>ROVED BY RISK MANA9n~n'lT I
py l\.. t~'~(I~OrrJ:!x'~1
f'~TE (~/' I
\,I,",":F~: NI~ l
1 COMBINED SINGLE liMIT! $1 000 000
(Ea aCCident) "
-_.__._----_.__._._~~-
I BODILY INJURY
~per person)
BODILY INJURY
. (Per accident)
!
'I PROPERTY DAMAGE
(Per accident)
I:
I
1$
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
I EXCESS LIABILITY I
[J OCCUR [j CLAIMS MADEl
, '
,
\~] DEDUCTIBLE
, RETENTION $
'I WORKERS COMPENSATION AND
. EMPLOYERS' LIABILITY
I AUTOONLY-EAACCIDENT $
I OTHER THAN EAAC~1-_________
! AUTO ONLY: AGG $
i._EACH OCCURRENCE _~-~-
I AGGREGATE _____-----L!___----
! $
1$
$
OTH-
GARAGE LIABILITY
l-l
! ' ANY AUTO
A ' OTHER Crime
i
10254
!
i
\10/01/01\10/01/02
~E,L. EACH ACCIDENT $
f-E_L.DISEASE-EAEMPLOYEE\ $
, E.L. DISEASE-POLICY LiMI $
$500,000 Limit
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Lease for parcel of land at the Marathon Airport
Certificate Holder is listed as a additional insured. No hold harmless
or indemnification.
CERTIFICATE HOLDER
X ADDmONALiNSURED'INSURERlETTER: A
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATETHEREOF,THE ISSUING INSURER WILLENDEAVORTO MAIL3..D- 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,ITSAGENTS OR
REPRESENTATIVES.
A ORIZED REPRESENTATIVE
Monroe County Board of County
Commissioners
5100 College Road
Key West, FL 33040
ACORD 25-S (7/97)1 of 2
#S9507/M9504
Client#' 51 FLORIDAKEYSAO
ACORfL. CERTIFICA. c. OF LIABILITY INSUF~ .NCE l DATE (MM/DD/YY)
10/08/01
~ODUCE~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ARTHUR J GALLAGHER-BOCA RATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
2255 GLADES RD SUITE 400E
Boca Raton, FL 33431-7379 I INSURERS AFFORDING COVERAGE
I . Risk specialty Ins. CO.
INSURED 'r INSURER A: Exe cu t 1. ve
Florida Keys Aqueduct Authority , INSURER B:
1100 Kennedy Drive I -
Key West, FL 33040 ~NSURER c: .----
i INSURER D:
I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 POL!fY EFFECTIVE POLICY EXPIRATIO
A GENERAL LIABILITY 0254 110/01/01 10/01/02
I COMMERCIAL GENE~L LIABILITY I I
CLAIMS MADEIL J OCCURi i
I I
f---~ ----------- I
~: !
~'L AGGREGATE LIMIT A~~SPER: I
I \ POLICY PRO- LOC I
A AUTOMOBILE LIABILITY
X I ANY AUTO
R ALL OWNED AUTOS
h SCHEDULED AUTOS
H HIRED AUTOS
i ---4 NON-OWNED AUTOS
t I
r-l
0254
10/01/01 10/01/02
GARAGE LIABILITY
'-,
~_n1 ANY AUTO
1 '
AP
y
DATE
AIVER
I
I
i
_I
I
~ESS LIABILITY
~~ OCCUR [~: CLAIMS MADEl
_" I
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
\
i
I
\10/01/01 10/01/02
I i
A \ OTHER Crime
I
I
0254
LIMITS
EACH OCCURRENCE $1 000 000
FIRE DAMAGE (Anyone fire $250 000
I ME D EXP (Anyone person) i $ 5 000
I, PERSONAL & ADV INJURY \ $1 : 000 , 000
I GENERAL AGGREGATE '$2 000 000
PRODUCTS-COMPIOP AGG $1 000 000
COMBINED SINGLE LIMIT 1$1 000 000
~(Ea accident) \"
\ BODILY INJURY II $
, (Per person) I
, I
I BODILY INJURY 'I
I (Per accident) $
i PROPERTY DAMAGE I $
(Per accident)
I AUTO ONLY - EA ACCIDENT! $
I OTHER THAN EA ACC " $
i AUTO ONL Y: AGG ' $
, EACH OCCURRENCE
i
I AGGREGATE
I
\
1$
I I
E.L.DISEASE-EAEMPLOYE $
E,L. DISEASE-POLICY LIMI $
$500,000 Limit
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS AD DED BY ENDORSEMENT/SPECIAL PROVISIONS
Lease for parcel of land at the Marathon Airport
Certificate Holder is listed as a additional insured. No hold harmless
or indemnification 0
CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlON
DATE THEREOF, THE ISSUING INSURER WI LL EN DEAVOR TO MAl L3..0..-..- DAYSWRlTTEN
NOTlCETOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BVTFAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
A ORIZED REPRESENTATIVE
CERTIFICATE HOLDER
X ADDmONALINSURED'INSURERlETTER: A-
Monroe County Board of County
Commissioners
5100 College Road
Key West, FL 33040
ACORD 2S.S (7/97)1 of 2
#S9507/M9504
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD2S-S(7/97)2 of 2 #89507/M9504
CERTIFICATE OF COVERAGE
Certificate Holder
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
5100 COLLEGE ROAD
KEY WEST, FL 33040
Administrator
Issue Date 11!7 /02
Florida League of Cities, Inc.
Public Risk Services
P.O. Box 530065
Orlando, Florida 32853-0065
COV~RAGES
THtS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE 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 COVERAGE AFFORDED BY THE
AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT,
AGREEMENT NUMBER: FMIT 0178
COVERAGE PERIOD: FROM 10/1/02
FLORIDA MUNICIPAL INSURANCE TRUST
COVERAGE PERIOD: TO 10/1/0312:01 AM STANDARD TIME
COVERAGE PROVIDED BY:
TYPE OF COVERAGE - LIABILITY
General Liability
D Comprehensive General Liability, Bodily Injury, Property Damage and
Personal Injury
D Errors and Omissions Liability
D Supplemental Employment Practice
D Employee Benefits Program Administration Liability
D Medical Attendants'/Medical Directors' Malpractice Liability
D Broad Form Property Damage
D Law Enforcement Liability
D Underground, Explosion & Collapse Hazard
Limits of Liability
$100,000 Each Person/$200,000 Each Occurrence
Deductible N/A
Automobile Liability
D All owned Autos (Private Passenger)
D All owned Autos (Other than Private Passenger)
D Hired Autos
D Non-Owned Autos
Limits of Liability
$100,000 Each Person/$200,000 Each Occurrence
Deductible N/A
Automobile/Equipment - Deductible
D Physical Damage
N/A - Comprehensive - Auto
N/A - Collision - Auto
Other
Description of Operations/Locations/Vehicles/Specialltems
RE: Lease Contract for building of Wastewater Treatment.
TYPE OF COVERAGE - PROPERTY
D Buildings
D Basic Form
D Special Form
D Personal Property
D Basic Form
D Special Form
D Agreed Amount
D Deductible N/A
D Coinsurance N/A
D Blanket
o Specific
D Replacement Cost
D Actual Cash Value
D Miscellaneous
D Inland Marine
D Electronic Data Processing
D Bond
D
Limits of Liability on File with Administrator
TYPE OF COVERAGE - WORKERS' COMPENSATION
~ Statutory Workers' Compensation
~ Employers Liability
$1,000,000 Each Accident
$1,000,000 By Disease
$1,000,000 Aggregate By Disease
~ Deductible $2,500
D
N/A - Miscellaneous Equipment
n1f1tifa4
~VU. I 'iJ2e
APP-
BY
DATE
WAIVER
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 AGREEMENT ABOVE.
DESIGNATED MEMBER
FLORIDA KEYS AQUEDUCT AUTHORITY
1100 KENNEDY DRIVE
KEY WEST, FL 33040
FMIT-CERT 110/96)
/ .
C(,,~
CANCELLATIONS
SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
PROGRAM, ITS AGENTS OR REPRESENTATIVES.
~L1tJX~
AUTHORIZED REPRESENTATIVE
CERTIFICATE OF COVERAGE
Certificate Holder
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
5100 COLLEGE ROAD
KEY WEST, FL 33040
Administrator
Issue Date 11!7 /02
Florida League of Cities, Inc.
Public Risk Services
P.O. Box 530065
Orlando, Florida 32853-0065
COVERAGES
THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE 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 COVERAGE AFFORDED BY THE
AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT.
AGREEMENT NUMBER: FMIT 0178
COVERAGE PERIOD: FROM 10/1/02
FLORIDA MUNICIPAL INSURANCE TRUST
COVERAGE PERIOD: TO 10/1/0312:01 AM STANDARD TIME
COVERAGE PROVIDED BY:
TYPE OF COVERAGE - LIABILITY
General Liability
o Comprehensive General Liability, Bodily Injury, Property Damage and
Personal Injury
o Errors and Omissions Liability
o Supplemental Employment Practice
o Employee Benefits Program Administration Liability
o Medical Attendants' /Medical Directors' Malpractice Liability
o Broad Form Property Damage
D Law Enforcement Liauiiity
o Underground, Explosion & Collapse Hazard
Limits of Liability
$100,000 Each Person/$200,000 Each Occurrence
Deductible N/A
Automobile Liability
o All owned Autos (private Passenger)
o All owned Autos (Other than Private Passenger)
o Hired Autos
o Non-Owned Autos
Limits of Liability
$100,000 Each Person/$200,000 Each Occurrence
Deductible N/A
Automobile/Equipment - Deductible
o Physical Damage
N/A - C"mprehensive - Auto
NIA - Collision - Auto
Other
Description of Operations/Locations/Vehicles/Specialltems
RE: Lease Contract for building of Wastewater Treatment.
TYPE OF COVERAGE - PROPERTY
o Buildings
o Basic Form
o Special Form
o Personal Property
o Basic Form
o Sp(lcial Form
o Agreed Amount
o Deductible N/A
o Coinsurance N/A
o Miscellaneous
o Inland Marine
o Electronic Data Processing
o Bond
o
o Blanket
o Specific
o Replacement Cost
o Actual Cash Value
Limits of Liability on File with Administrator
TYPE OF COVERAGE - WORKERS' COMPENSATION
[8] Statutory Workers' Compensation
[8] Employers Liability $1,000,000 Each Accident
$1,000,000 By Disease
$1,000,000 Aggregate By Disease
[8] Deductible $2,500
o
i~/A - Miscellaneous EqUipment
APPR
BY
DATE
WAIVER
l
EMENT fYK,
~~:
N / A ..::::::. YES
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 AGREEMENT ABOVE,
DESIGNATED MEMBER
FLORIDA KEYS AQUEDUCT AUTHORITY
1100 KENNEDY DRIVE
KEY WEST, FL 33040
------------_._--~._._---------~-
FMIT-CERT (10/96)
CANCELLATIONS
SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
PROGRAM, ITS AGENTS OR REPRESENTATIVES.
~C&~
AUTHORIZED REPRESENTATIVE
ACC1RUTM'. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
10/17/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ARTHUR J GALLAGHER-BOCA RATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
2255 GLADES RD SUITE 400E
Boca Raton, FL 33431-7379 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: United National Insurance Co.
Florida Keys Aqueduct Authority INSURER B:
1100 Kennedy Drive INSURER c:
Key West, FL 33040 INSURER D:
INSURER E:
Client#: 51
FLORIDAKEYSAQ
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 NSRI TYPE OF INSURANCE POLICY NUMBER PJ>..t+~1ri~r88m\E Pg~.flI~':f,~N LIMITS
A GENERAL LIABILITY CPA 1000132 10/01/03 03/31/04 EACH OCCURRENCE $1 000 000
- ~~~~~~J9,,~Eo~b~~ence\
X COMMERCIAL GENERAL LIABILITY $
r-- ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $
Including SIR PERSONAL & ADV INJURY $
r--
I-- of $25,000 GENERAL AGGREGATE $
GEN'L AGGREnE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
~ PRO- ~
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
f-- $
ANY AUTO (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
- HIRED AUTOS BODILY INJURY
$
NON-OWNED AUTOS (Per accident)
- BY' ~.~A.JidEM
- _\. .L.L. A; A PROPERTY DAMAGE $
. Nf accident)
GARAGE LIABILITY B\ ~ n I . .'1. :~ AUTO ONLY - EA ACCIDENT $
q ANY AUTO OJ' - r I ) 1-- ~ 't)? ~~~~~~t~~ EA ACC $
DJ IE f,? AGG $
EXCESS/UMBRELLA LIABILITY W IVER N!A. '*- YES EACH OCCURRENCE $
tJ' OCCUR 0 CLAIMS MADE AGGREGATE $
$
q DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I /!.gvW:.~~;, I 10J~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER!EXECUTIVE E.L. EACH ACCIDENT $
OFFICER!MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
II yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Lease for parcel of land at the Marathon Airport
No hold harmless or indemnification.
C-Of0 " ~ V'. "" 1'\ ~
CERTIFICA TE HOLDER
CANCELLATION
Monroe County Board of County
Commissioners
5100 College Road
Key West, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL --3.0- 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
ACORD 25 (2001108) 1 of 2
#S20075/M20069
-
BJG
@ ACORD CORPORATION 1988
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
04/07/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION
ARTHUR J GALLAGHER-BOCA RATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
2255 GLADES RD SUITE 400E
Boca Raton, FL 33431-7379 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: United National Insurance Co.
Florida Keys Aqueduct Authority INSURER B:
1100 Kennedy Drive INSURER C:
Key West, FL 33040 INSURER D:
INSURER E:
Client#: 51
FLORIDAKEYSAQ
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 NSRI TYPE OF INSURANCE POLICY NUMBER P~+~1,i~~68~:= Pg~.fl (~X~~~N LIMITS
A ~ERAL LIABILITY CPA1000145 03/31/04 03/31/05 EACH OCCURRENCE $1 000.000
X COMMERCIAL GENERAL LIABILITY ~~~~~U9,,~E~~~~enco\ $
- ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $
I-- Including SIR PERSONAL & ADV INJURY $
_ of $25,000 GENERAL AGGREGATE $
~'L AGGREAE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
PRO- 'n
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
-
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS AP~ r
- BY ~ , BODILY INJURY $
NON-OWNED AUTOS IS~ iAANAGf'/ENT (Per accident)
-
I-- BY \ \ I J ) PROPERTY DAMAGE $
J ': I. 1n,,' ~ (Per accident)
~RAGE LIABILITY DATE __.___....~ ~rj'\--I' AUTO ONLY - EA ACCIDENT $
WAIVER ~i/A__~ \ ,
ANY AUTO YES OTHER THAN EA ACC $
AUTO ONLY: AGG $
=SESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR 0 CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T~gyS;r~W~T 10J~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR!PARTNER!EXECUTIVE EL EACH ACCIDENT $
OFFICER!MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E,L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Lease for parcel of land at the Marathon Airport
COVERAGES
CERTIFICATE HOLDER
CANCELLATION
Monroe County Board of County
Commissioners
5100 College Road
Key West, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -3..0.- 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.
AUTHORIZED REPRESENTATIVE
-
ACORD 25 (2001/08)/1 of.2 #S21152/M21148
c.c.~~
BJG
@ ACORD CORPORATION 1988
ACORD,,, CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
06/01/05
PRODUCER 1-561-995-6706 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Arthur J. Gallagher & Co. - Boca Raton ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2255 Glades Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 400E
Boca Raton, FL 33431
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Princeton Excess & Surplus Lines Ins 10786
Florida Keys Aqueduct Authority
INSURER B:
1100 Kennedy Dr INSURER C:
Kay West , FL 33040 INSURERD:
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.
INSR ~~~~ P~l-~~~:~~~~mf POLICY EXPIRATION
LTR POLICY NUMBER LIMITS
A ~NERAL LIABILITY J056141 03/31/05 03/31/06 EACH OCCURRENCE $975,000
X OMMERCIAL GENERAL LIABILITY ~~~MISES lEa o~~~nce\ $
f--- CLAIMS MADE 0 OCCUR
f-- MED EXP (Anyone person) $
~ Excess of $25,000 SIR PERSONAL & ADV INJURY $
- GENERAL AGGREGATE $
~'L AGGREAE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $
POLICY ~bW,: LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
- ANY AUTO (Ea accident)
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
- SCHEDULED AUTOS
- HIRED AUTOS BODILY INJURY
$
NON-OWNED AUTOS (Per accident)
I--- RIS\-i i\~.AG! MEW
'\PP,,~l\p ~ PROPERTY DAMAGE
In, ~ (Per accident) $
RRAGE LIABILITY BY.J.---Y-o: ~-_.--~ I AUTO ONLY - EA ACCIDENT $
ANY AUTO \f) <19 .. -~~._---' OTHER THAN EA ACC $
DATE.......-... .. ,._,..~-:." ,.~ AUTO ONLY: AGG $
~ESS/UMBRELLA LIABILITY WA\\f;::F~ ~_,j I " '{ to,: .,..W;~ EACH OCCURRENCE $
OCCUR D CLAIMS MADE OVt AGGREGATE $
(L' .'~ ~ $
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T~~~Tf~~;, I 10J~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER!EXECUTIVE INCL E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? EXCL E.L. DISEASE - EA EMPLOYEE $
~P~~fi"~~~~~I~;rNS below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Lease for parcel of land at the Marathon Airport
CCJp~: ~ v-... <^- \"\ C L
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Monroe County Board of County Commissioners 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
5100 College Rd IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
Key West FL 33040 AUTHORIZED REPRESENTATIVE 4-P
USA
ACORD 25 (2001/08) umbel
2920108
Powered By CertificatesNow TI/
@ ACORD CORPORATION 1988
ACORD", CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIODNYVY)
OS/23/07
PRODUCER 1-561-995-6706 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Arthur J. Gallagher Risk Management Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Arthur J. Gallagher " Co. (Florida) " ALTER TH HIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2255 Glades Road RECEIVE E COVERAGE AFFORDED BY THE POLICIES BELOW,
Suite 400E
Boca Raton, FL 33431 ERSI ~FORDING COVERAGE NAIC#
INSU
INSURED I,." I..l.ttISURE A: III Dois Union Ins Co 27960
Florida Keys Aqueduct Authority JUN 1 4 LV ~~SURE
B --
lIDO Kennedy Dr INSURE C,
Kay West , FL 33040 MON~O~,"G^~u~r 0, --
L..NSURER 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 DO' M POLICY EFFECTIVE POLICY EXPIRATION LIMITS
L POLICY NUMBER
A-I ~~~ERAL LIABILITY PEPG22906288 ! 03/31/07 03/31/08 EACH OCCURRENCE $975,0~0 --
I -,,-' =rERCIAL GENERAL LIABILITY I I ~~~~~~9E~=~nce , --
__ CLAIMS MADE 0 OCCUR MED EX? (Any one parson) , --
X Excess of $25,000 SIR, PERSONAL & ADV INJURY , --
GENERAL AGGREGATE ,
~'~ AGGREAE ~L.IMIT APnS ~ER PRODUCTS. COMPtOP AGG ! ----
POLICY ~~R,: LOC
pOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Eaaccidenl) ,
ANY AUTO
I 8 ~_m.ro' BODILY INJURY
(Per person) ,
! SCHEDULED AUTOS --
HIRED AUTOS BODILY INJURY
~O,,' ( 2J (Peraccidenl) ,
NON-OWNED AUTOS ~ --
11-- PROPERTY DAMAGE ,
_ ./ OJ II (Peraccidenl)
qAGE LIABILITY V 0-1 ~- 'i) AUTO ONLY - EA ACCIDENT , ---
ANY AUTO V OTHER THAN EAACC , --.-
AUTO ONLY AGG ,
:=JESS/UMBRELLA LIABILITY f'fbf' '(J.~n EACH OCCURRENCE , .--
- OCCUR [J CLAIMS MADE AGGREGATE ,
r ' ~ Cr ,
==i ~EDUCTIBLE ,
RETENTION , ,
WORKERS COMPENSATION AND I TVX%~i~JN~ I IOJ~-
EMPLOYERS' LIABILITY r~-.L. EACH ACCIDENT ---
ANY PROPRIETOR/PARTNER/EXECUTIVE , ---- .-
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE ,
~PE~i~\L~~gVls4oNS belClw ..--
E.L. DISEASE - POLICY LIMIT ,
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
RE: Lease for parCEll of land at the Marathon Airport
COVERAGES
CERTIFICATE HOLDER
CANCELLATION *10 day cancellation for premium non payment
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Monroe County Board of County Commissioners 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
5100 College Rd IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
Key West FL 33040 AUTHORIZED REPRESENTATIVE /f~
USA -
ACORD 25 (2001/08) ..mbel
I ~256226
~,:~~
@ACORDCORPORATION1988