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Certificates of Insurance ACORQ. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYY) 10/17/95 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AMMIA INC A RISK RETENTION "PURCHASING ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE , . , HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR GROUP" QUALIFIED UNDER THE RISK RETENTIO~LTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ACT OF 1986: FEDERAL LAW 97. 45 COMPANIES AFFORDING COVERAGE 12730 NEW BRITTANY BLVD., SUITE #304 COMPANY FORT MYERS FL 33907-36~6 A MONROE COUNTY MOSQUITO CONTROL 5224 JUNIOR COLLEGE ROAD KEY WEST FL 33040 DISTRICT COMPANY B HOMESTEAD INSURANCE COMPANY APPROVED BY RiSK MM-gGEMENT eL <-:t:(i 7J1j~ OATE /e - 30 -7'5 o~/C: ~K... INSURED COMPANY C COMPANY D " \\1~ER~-~ -..NlA /' YES 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 POLICY EXPIRATION DATE (MM/DDIYY) DATE (MM/DDIYY) LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY X CLAIMS MADE OCCUR OWNER'S & CONTRACTOR'S PROT ~L-0039 GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 PERSONAL & ADV INJURY $ N/A 10/01/95 10/0 1/9 6 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone lire) $ N~A MED EXP (Anyone person) $ N A COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO "" it:2C2,:, ./fT...... AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ $ . -~wc-stAfO:-' afH--- TORY LIMITS ER EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 1J',<-1' ;1': "rn" &:, L '\;;';:~,LI};; H"''''~'''l / Di\.!;...._~_0_2J 9> IFfI7:i,T. ... _..~'1_ '. THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL i DESCRIPTION OF OPERATIO'NSlLOCATIONSNEHICLESlSI;iClAI..ITEMS ; MONROE COUNTY BOARD OF COMMISSIONERS ! OPERATIONS: MOSQUITO CONTROL INCLUDED AS ADDITIONAL INSUREDS. i c ,_,~_'~_~._._~"_ _"",_"._., .~"..,~ ._,"_~,.,~,.._,_.~__.,., . 'CERTIFICATE HOLDER iART SKELLY, DIRECTOR iMONROE COUNTY AIRPORT !5100 COLLEGE ROAD iKEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL --3..0- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE AUTHORIZED REPRESENTATIVE ITS AGENTS OR REPRESENTATIVES, cc: J5~' '~' :..,......-. >:......:.' . -'-."': ...-.'....' , '-.- ':.' ,'" -'-<,.... .--.:-::::",->-'-;.' ,':C' : ~~~~ INC. :ACORD 2S.S (1J95) @ACORD CORPORAnON1988 At.t.lllt.. CER11F1CATEOF.INSURANCE ISSUE DATE (MMIDD/YY) PRODUCER 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 P.Q!-ICIES BELOW. ___~______m_____"_________"________.__ COMPANIES AFFORDING COVERAGE HOMESTEAD INSURANCE COMPANY ~~T~~NY A AMMIA, Inc., a Risk Retention "Purchasing Group" qualified under the Risk Retention Act ! of 1986: Federal Law 97.45 i PO Box 2466 I i Ft. Myers. FL jlNSURED I I I 33902 ~~T~~~NY D AM'RO\IfD BY RtSt( MANAGEMEttT M GsDA/L1/""' om 1'\lJlq) ..-1ft ",. .:/::- 'fn ~~T~~NY B MONROE COUNTY MOSQUITO CONTROL DISTRICT 5224 JUNIOR COLLEGE RD KEY WEST, FL 33040 ~~T~~~NY C ~~~~~NY E ICOVERAGES i 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 i 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. [CTOR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION l- DATE (MM/DD/YY) DATE (MM/DD/YY) I LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY X CLAIMS MADE OCCUR, OWNER'S & CONTRACTOR'S PROTo ML-0027 GENERAL AGGREGATE $ 1 ,000 , 000 PRODUCTS-COMP/OP AGG. $ 1 ,000 , 000 1 0 /1/9 4 PERSONAL & ADV. INJURY $ N / A EACH OCCURRENCE $ 1 , 00 0 , 000 FIRE DAMAGE (Anyone fire) $ N / A ~-"---~---- ------ ;,;?:,;;;~:,-~~-~ I A -"l I 10/1/93 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ I I .._-'---------_., $ I I 1 $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE I I ! i WORKER'S COMPENSATION STATUTORY LIMITS AND Recei veri Risk Mgmt. & Loss Control DATE II- #'8.~.7J:;:it;:;, INITIAL ~ o/L.." EACH ACCIDENT $ DISEASE-POLICY LIMIT $ DISEASE-EACH EMPLOYEE $ EMPLOYERS' LIABILITY OTHER I DESCRIPTION OF OPERA TIONS/LOCA TIONSIVEHICLES/SPECIAL ITEMS . Monroe County Board of Commissioners included as Additional Operations: Mosquito Control Insureds : CERTIFICA TE HOLDER CANCELLATION ART SKELLY, DIRECTOR MONROE COUNTY AIRPORT KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL -..lQ. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE i , \ IACORD 25-8 (7190) AMM I A, I NC . @ACORD CORPORATION 1990 CL- ~ '7f5~- ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIVY) 3/9/95 PROD'A~ I A I n caR i s k R e ten t ion THIS CERTIFICATE IS ISSUED AS A MA TIER OF IN FORMATION , . , ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE "Purchasing Group" qual ified HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR under the Risk Retent i on Act ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. of 1986 j Federa 1 Law 97.45 COMPANIES AFFORDING COVERAGE 12730 New Brittany Blvd, Suite 304 COMPANY Ft. Myers, FL 33907-3646 A INSURED HOMESTEAD INSURANCE COMPANY MONROE COUNTY MOSQUITO CONTROL DISTRICT 5224 JUNIOR COLLEGE RD KEY WEST, FL 33040 COMPANY Received B Risk Mgmr. & LoS~mA~ DATE c5/1 C / ? , C ~~ COMPANY o APPROVED BV R!SV, P,l;\;'\GF~~ENT :~~tt~~~ INITIAL 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 l LTR DATE (MMlDDIVY) DATE (MMlDDIVY) , GENERAL LIABILITY , A X COMMERCIAL GENERAL LIABILITY X CLAIMS MADE OCCUR ML-0032 10/1/94 10/1/95 OWNER'S & CONTRACTOR'S PROT LIMITS GENERAL AGGREGATE PRODUCTS - COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (Anyon~perso_n).. $1,000,000 $1 ,000,000 $ N/A $1,000,000 $ N/A ,$ u___N/ A ---- AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ _'___""__'__'0____" __ EACH OCCURRENCE $ AGGREGATE $ GARAGE LIABILITY ANY AUTO WORKERS COMPENSATION AND EMPLOYERS' LIABILITY $ --wcsfAfD:- -----OTH-----..-~---'-----' TORY LIMITS ER _ EL EACH ACCIDENT INCL EXCL $ $ EL DISEASE - EA EMPLOYEE $ THE PROPRIETOR! PARTNERs/EXECUTIVE OFFICERS ARE: OTHER EL DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlSPECIAL ITEMS Monroe County Board of Commissioners included as Additional Insureds Operations: Mosquito Control CERTlRCATEH()LDER ' ~"QJ;t~~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3..0---- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ,,()':...._~,.,'!:___KIN~.._ UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE ART SKELLY, DIRECTOR MONROE COUNTY AIRPORT KEY WEST FL 33040 ACORD 25-S (1195) c'C:~~ AMM I A , I NC . @ACORD CORPORAnON 1988 ACORDTM CERTIFICATE OF LIABILITY INSURANCE Sedgwick S. W. Florida (1/",,1 C. s. Box 413003 Naples, FL 34102-3003 THIS CERTIFICATE IS ISSUED AS A MATTER I Ii. ION 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 PRODUCER INSURED ~ANY I COMPANY 111 1 B P Ameri~ure I 1"1 5 . Co. Monroe County Mosquito % Mr. Greg Scott 5224 College Rd. Stock Key West FL COMPANY C Island 33040 COMPANY 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 LTR POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DDJYY) DATE (MM/DDJYY) LIMITS TYPE OF INSURANCE POLICY NUMBER A GENERAL LIABILITY . X COMMERCIAL GENERAL LIABILITY l-.:~==j CLAIMS MADE r:;J OCCUR , OWNER'S & CONTRACTOR'S PROT 10/01/96 10/01/97 GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY EACH OCCURRENCE BIND370817 $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS I COMBINED SINGLE LIMIT L.......- I I BODILY INJURY , (Per person) ~{J~JE~:~~: I BODILY INJURY (Per accident) PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO ~,<,&, ~ AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ I AGGREGATE J $ $ ",' F 'l~ t./ "r EXCESS LIABILITY I 'q ~' ." UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL OTH- ER DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/SPECIAL ITEMS FAX: 305-292-4564 MONROE COUNTY NAMED ADDITIONAL INSURED WITH RESPECTS TO GENERAL CANCELLA TION $ $ $ $ $ $ $ $ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL --1-G- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH OTlCE SHA OSE NO OBLIGATION OR LIABILITY RISK MANAGEMENT MONROE COUNTY ATTN: KAY MILLER 5100 COLLEGE ROAD KEY WEST, FL 33040 I CC! "'" 1'-+$ I'r-SHKA,E/NV ACORD 25-S (1195) Belle, "i?A!F r/~ ~ @ ACORD CORPORATION 1988 CERTSS _, ACORD DATE (MMIDDIVY) 11/07/97 TillS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1I0LDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR "ALIEILTIILkQVEMGLl\FFQI:IDEILBYJIIE ""POll C I ES "BELOW. COMPANIES AFFORDING COVERAGE PRODUCER Sedgwick S. W. Florida P.O. BOX 413003 NAP l E S, F L 3 4 101 - 300 3 --------_..~-----~._-._._----_.,---_...-----_._-- ------- COMPANY A Amerisure Ins. Co. INSUFED '\: I' i'.;' ."..\ COMPANY B Governmental Risk Ins Trust Monroe County Mosquito % Mr. W ill i a m R. Sou t h cot t, J r 5 2 2 4 C 0 1 1 e g e R d, S t 0 c k I s 1 and Key W est F L 330 4 0 COMPANY C c ;,..-/ COMPANY D 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, TfRM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. TH~ INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ~XCLUSIONS AND CONDITIO~OLSU~HJl..01lCU::~,---'lII>1JIS_SJ:lllliLMAYjl1\IJLeEfJLBEDUCE[)BliMD CLAIMS. ~_ ___u___ co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTlVE POLICY EXPIRATION DATE(MMJDDIVY) DATE(MMJDDIYY} LIMITS A GENERAL UABIUTY X COMMERCIAL GENERAL LIABILITY CLAIMS D OCCUR MADE OWNER'S & CONT PROT G L 1 292 0 3 7 10/01/97 10/0119 8 _~ENERALAGG;E;,~~-' r$._LQO~()Jl~-Q~ ~RODUCTS-COMP/OP AG(3__ $ ,,_LOJLO_1Lll.O PERSONAL & ADV_INJUR~__ _$.__LOO..D-D-O lL EACH OCCl,J,~~~NCE_~__ $ -.l_0 QILo_o.JL FIRE DAMAGE_~ Any one~re)" ,~_.___5_0_Q_O(L MED EXP (Anyone person) $ 5 0 0 0 AUTOMOBILE UABlUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTO COMBINED SINGLE LIMIT $ ~v M"~ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE UABIUTY ANY AUTO ""\\l~t, AUTO ONLY - EA ACCIDENT $ B EXCESS UABIUTY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKMAN"S COMPENSATION AND EMPlOYER'S LIABIUTY THE PROPRIETOR/:fj, INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL " -- ornER j '".'\ /1 r'-r ",,' f If ~ !~,,{ i: .I ~ t.,.,'\ \.-..~ \~j/ .... .... / \, _Y' .\/\,~", I (, \~;, -l._~~ ,_ <' t :('-; j~~_" ----_...~-------'--~-- .- -----_..-.-------_.._-- \k..x.. OTHER THAN AUTO ONLY: EACH ACCIDENT $ $ AGGREGATE _~CH occyBBE_NC;E:_____ y____________ _ AGGREGATE $ o 0 145 10/01/97 10/01/98 X ,w, C,STATU-,'\-,----,lom: _ _ TPBUlMITS _ _ _ER EL EACH ACCIDENT ---------- EL DISEASE - POLICY LIMIT EL DISEASE - EA EMPLOYEE 1 0 -_._---~---,-_.-- 1000000 -- ----.---.--------- 1000000 DESCRIPTKJN OF OPERA11ONSIL0CATlONS/VEHIClES/SPECIAl iTEMg---~---- FAX # 305 - 2 9 6 - 4 6 0 6 C E R T I F I CAT E H 0 L D E R I S LIS TED A SAD D I T ION A L L I A B I LIT Y C 0 V ERA G EON L Y . INS U RED FOR G ENE R A L MONROE COUNTY BOARD OF COMMISSIONERS-MARATHON AIRPORT 5 100 C 0 L LEG E R 0 A D KEY W EST, F L 3 3 040 SHOULD ANY OF THE ABOVE DESCfIBID POUClES BE CANCEU.ED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILl ENDEAVOR 10 MAIl .LL DAYS WRIITEN N011CE 10 THE CERTIFlCAlE HOLDER NAMED 10 THE lEFT BUT FAILURE 10 MAIL SUCH N011CE SHALL IMPOSE NO OBlIGATION OR UABIllTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTA1lVES. A~REPRESENTA1NE~' ? .~------- ....--.' <' <:. ----- o .c:::~~c.-'~. . - ACORD CERTIFICA TE OF LIABILITY INSURANCE I DATE (MWDDNY) 11/9/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AMMIA, INC., A RISK RETENTION "PURCHASING ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GROUP" QUALIFIED UNDER TIiE RISK RETENTION HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ACT OF 1986: FEDERAL LAW 97.45 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 401 E. JACKSON ST. SUITE 1700 INSURERS AFFORDING COVERAGE TAMPA FL 33602-5227 INSURED INSURER A, FRONTIER PACIFIC INSURANCECOMP ANY MONROE COUNTY MOSQ CONTR DIST AND/OR INSURER B' MONROE COUNTY MOSQ BOARD OF COMMISSIO,S INSURER C' 5224 JUNIOR COLLEGE ROAD INSURER 0' KEY WEST, FL 33040 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 CONDIT10N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE I'NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AG6REGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS, I~f: TYPE OF INSURANCE POLICY NUMBER I POLICY EFFECTlVETPOLlCY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 ~ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyon. fire) S 25,000 CLAIMS MADE l&l OCCUR IVIED EXP (Anyon. p...onl s N/A A PML9810201 1 % 1/98 10/01/99 PERSONAL & ADV INJURY S 1,000,000 - PMLOOOO020 GENERAL AGGREGATE s 1,000,000 GEN'L AGGREGATE LIMIT AAES PER: PRODUCTS - COM PlOP AGG $ 1,000,000 ~ policy n ~~ loc ~TOMOBILE LIABILITY COMBtNED SINGLE LIMIT $ ANY AUTO lea accident) - - ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (P.r p.non) $ - - HIRED AUTOS .y"'WyAT~ V3 BODILY INJURY NON-OWNED AUTOS (Per accidenl) S - - ,i\ I" 'f, V PROPERTY DAMAGE $ (Per accident) ~RAGE LIABILITY UO,\ t - ,11 AUTO ONLY - EA ACCIDENT $ ANY AUTO l'_ff'lTR: / YES OTHERTHAN EA ACC S ;~.' ;" "- AUTO ONLY: AGG S EXCESS LIABILITY ~.. (('0'/ EACH OCCURRENCE $ O'OCCUR D CLAIMS MADE ~ AGGREGATE $ S R DEDUCTIBLE U ~ ~l.l..c 0 s RETENTION $ S WORKERS COMPENSATION AND (&vi rt. (6 )DDLQ I T~~J'T~Jg~ T IU~~- EMPLOYERS' LIABILITY ~ E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT $ OTHER - DESCRIPTION OF OPERATlONSILOCATlONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTlSPECIAL PROVISIONS ADDmONAL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AS RESPECTS PREMISES LEASED BY MONROE COUNTY MOSQUITO CONTROL DISTRICT ONLY. MOSQUITO CONTROL DISTRICT OPERA nONS " CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: xxx CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE COUNTY BOARD OF COUNTY I lAx DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN COMMISSIONERS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5100 COLLEGE ROAD D^TE 11 1 ~ . IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR KEY WEST FL 33040 'fll PRESENl'll.TlVES. A / INITIAL AUTHORIZE~~TIVEU ~L7L. A1TN:MARIADERIO 7 /f -1/' AMMIA, INe. ASC'ID.1$MW/mr. IT, 1')0171 -56] 5 I / ':# I!J ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MWDDNY) 9/29/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AMMlA, INC., A RISK RETENTION "PURCHASING ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GROUP" QUALIFIED UNDER THE RISK RETENTION HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ACT OF 1986: FEDERAL LAW 97.45 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 401 E. JACKSON ST. SUITE 1700 INSURERS AFFORDING COVERAGE TAMPA FL 33602-5227 INSURED INSURER A, FRONTIER PACIFIC INSURANCE COMPANY FL KEYS MOSQ CONTROL DISTRICT AND/OR FL KEYS INSURER B' MOSQ CONTROL DISTRICT BOARD OF COMMISSIONERS INSURER C' 5224 JUNIOR COLLEGE ROAD INSURER D' KEY WEST FL 33040 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. AG6REGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I,N~: TYPE OF INSURANCE POLICY NUMBER I PRHc..y EFFECTIVE I P~LI.fl EXPIF>.ATION PML-99-1 0-20 1 PML-0000078 10/01/99 10/01/00 LIMITS $ 1,000,000 $ 50,000 $ 5,000 $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 FIRE DAMAGE (Anyon. fire) IVIED EXP (Anyone person I PERSONAL & ADV INJURY GENERAL LIABILITY A ~ COMMERCIAL GENERAL LIABILITY ICLAIMS MADE IZI OCCUR EACH OCCURRENCE GEN'L AGGREGATE LIMIT A~ES PER: n policy n f~~ LJ loc ~TOMOBILE LIABILITY _ ANY AUTO _ ALL OWNED AUTOS _ SCHEDULED AUTOS _ HIRED AUTOS _ NON-QWNED AUTOS - COMBINED SINGLE LIMIT $ r\).~ ./ lea accident) BODILY INJURY $ (Per person I BODILY INJURY $ (Per accident) /.. -- PROPERTY DAMAGE $ - (Per accident) ~'. (a,A D) AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC $ AUTO ONLY: AGG $ eel) ~ 0" EACH OCCURRENCE $ , AGGREGATE $ ~~, ~11 (fjfln Q $ $ F=='" ~ $ I WCSTATU- I IU~~- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E,L. DISEASE - POLICY LIMIT $ ~RAGE LIABILITY ~ ANY AUTO ~ESS LIABILITY l.-J OCCUR D CLAIMS MADE h DEDUCTIBLE II RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS ADDITIONAL INSURED: MONROE COUNTY BOARD OF COMMISSIONERS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE SERVICES & OPERATION AGREED TO BE PERFORMED FOR SUCH ADDITIONAL INSURED BY ON BEHALF OF THE NAMED INSURED MEMBER, SUBJECT TO ACTUAL INSURANCE POLICY TERMS & CONDITIONS. MOSQUITO CONTROL CERTIFICA TE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONROECOUNTYBOARDOFCOMM~IS~~ EgqS RISK MANAGEMENT (If j 5100 COLLEGE ROAD DATE_ U KEY WEST FL 33040 INITIAL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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. AUT,HJIlRIZfD REPRE~ENTApvE / J <: \:{(',. V 1 / ^ / /\. 1:', I ...r'W1 /11 ... ~ , AMMIA, INe. ACORD 25-8 (7/97) @ACORDCORPORATION 1988 ACORQM CERTIFICATE OF LIABILITY INSURANCE I in/":::~2 /C;'t; DATE (MM/DDIYY) PRODUCER 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. ~; E~ (1 q t}} i c k I:)" {);l n F'] 0 ,.. ] '.:' ::~. i 1 j.: (l >: oj :'.{ ~~)(j":{ I ;'..1 :' ;., . E"~, r: i~ - 3.~ j' 0 1,-..300:3 r. INSURERS AFFORDING COVERAGE _ INSURED -------------*SURERA ----=-G,JVE'rnl'..f.:'''ta1 fJjs:-:: In-;,. IFfl'::'!. - t,,!.-. lit" ~)(~ C('\'.nt,.{ i'1'-:I{,':~I,I:i t.:. '~~URERB _ _ __ _ _ _ __ - - --- ~;; I'!?.. vi i 1. J 1. :::i,n f~, So '.1 t h c () t. t, ..J r~_lJRER C: __ _ _________ _____ ';':,":~'.L,. t.,olle':j'''' Hc!., :::;tock ISJc'Ind. ,. l~URERD:_________._____.___ I(ev 11..'1\~,~,t FL, 3.3 ()11 0 IINSURERE: 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 I~SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAI~, IN.f~-- TYP; OF INSURANCE POLICY NUMB~;-- ------rPg}~~Y ~~~g8J)~E P8iifJ ~~:ft~\7N I --~~~--- GENERAL LIABILITY . EACH OCCURRENCE _..l.!_ ___ ~MMERCIAL GENERAL LIABILITY I ,FIREDAMAGE(Any on"-fire)---+-!-_ --- =r'_1 CLA. IMS MA.D E D._ OCCUR ...I\'1E_D EXP (Anyone pers,m) ~$$ PERSONAL & ADV INJURY -.-,.-- I I GENERAL AGGREGATE $ ~'L AGGREGATE LIMIT APPLIES PER: i;RODUCTS. CO~P/OP AG~ $ POLICY j~OT LOC ~.T. OMOBILE LIABILITY ~J ANY AUTO r"~ ALL OWNED AUTOS r--- SCHEDULED AUTOS , , HIRED AUTOS -I I NON.OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) DATE C-" I WAIVER: i't/;;' ..... I BODILY INJURY I , (Per accident) $ i- ---------T-'----- PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT ! $ ()l)19.. OTHER THAN AUTO ONLY: EA ACC $ AGG $ DEDUCTIBLE RETENTION $ r~ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY iOOli!';::} l-J/~)1. /Cj~3 EA.C. H..OCCURRE.N~_------t-____.... fGGREGATE .---1';---- ~-.~..~==lt= - i ili;')" /.':,)C) 'i. WCSTATU- I 10TH-I ,I. '...' ',..' l l , __"_.TORY L1MIIS._~ EXCESS LIABILITY OCCUR [J CLAIMS MADE E.L. DISEASE - POLICY LIMIT $ 1. ()(i(.)()(lCl 1. (0):)::):' 1 (}^()()()()() E.L. EACH ACCIDENT $ ,___ ----------- -------------------c E.L, DISEASE - EA EMPLOYE~ $ OTHER DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS :~<j Di',Y NDTICE OF C(..)t.:CELLATIJr.; ~';T r'-j F~E~3F1t::CT'3 FJ W:JfWEfU CCli"jPL::Nf-3(.HIDhf.. (If T hi ;; !'i{'~f~:C;; DEl...RIU FAX: .305-295-4364 CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION 1"i:::IDhnDF:: CDUtHY BCltHW Of: CCJI"'i~1 I Sf::; I Ohlt:: ~~f::; !"IOh! ;:Wf: CC IUI'H'{ F{ I S!{ !'i'-=iN;:jGFr,'n;i\,", ';,:! Oei Cell.i, FGF F~UtlI) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL j () DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL t( E ../ lij F: :~~.: T I." .... ~:~ ::i: C) i;. C) C< "J ACORD 25-S (7/97) .L c::: @ ACORD CORPORATION 1988 NUMBER 0001001-00001 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. PRODUCER Marsh USA Inc, 5801 Pelican Bay Blvd, Suite 400 Naples. FL 34108 KATE SHREWSBURY 941 597 0409 COMPANY A ZENITH INSURANCE CO COMPANIES AFFORDING COVERAGE INSURED Florida Keys Mosquito Contro7 District 5224 Co77ege Road Key West. FL 33040 COMPANY B COMPANY C COMPANY o THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, 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, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, POLICY EFFECTIVE POLICY EXPIRATION I DATE IMM/DDIYY} DATE IMM/DDIYYI LIMITS GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) 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 $ 10/01199 10/01100 1,000,000 EL DISEASE - POLICY LIMIT 1.000,000 EL DISEASE - EA EMPLOYEE 1.000,000 CO LTR TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE DOCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY 63844 THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS 30 DAY NOTICE OF CANCELLATION WITH RESPECTS TO WORKERS COMPENSATION. ATTN: MARIA DELRIO FAX: 305-295-4364 MONROE COUNTY BOARD OF COMMISSIONERS COUNTY RISK MANAGEMENT 5100 COLLEGE ROAD KEY WEST. FL 33040 SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ---1!L- 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. Marsh USA Inc. BY: .' O.E.Rm.I.t=.I.O.AT.E......O.t=.....L-IYA.E3..I.t..I""['{.......1.N.S.t..J..RA..N.O.EoJ6~~4 DATE (MM/DDIYY) ACORDN 10/01/99 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 COMPANIES AFFORDING COVERAGE Key West Insurance, Inc. COMPANY A Frontier Pacific Phone No. 305-294-1096 Fax No, 305-294-8016 INSURED Florida Keys Mosquito Control District COMPANY &/or Florida Keys Mosquito Control District B Board of Commissioners COMPANY 5224 College Road C Key West, FL 33040 COMPANY 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 GENERAL AGGREGATE $ 1000000 - A ~ COMMERCIAL GENERAL LIABILITY PML9810201 10/01/99 10/01/00 PRODUCTS. COMP/OP AGG $ 1000000 ~ CLAIMS MADE o OCCUR PERSONAL & ADV INJURY $ 1000000 f- OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 - c- FIRE DAMAGE (Anyone fire) $ 50000 MED EXP (Anyone person) $ 5000 AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ ANY AUTO - ALL OWNED AUTOS BODILY INJURY f- .;' ~n"r~ Q{j(]" ,~~ ~ $ SCHEDULED AUTOS (Per person) f-- ?\ HIRED AUTOS ~ f- ..Y \ .~ BODILY INJURY $ - (Per accident) NON.OWNED AUTOS f-- O~,TE _' W l{- ( )q f-- - PROPERTY DAMAGE $ / GARAGE LIABILITY WINER: i"'~, ;' . . ~ YF~ AUTO ONLY. EA ACCIDENT $ f-- ANY AUTO OTHER THAN AUTO ONLY: f-- ffi LL f-- ~'. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY cc~ ~. EACH OCCURRENCE $ q UMBRELLA FORM Jo AGGREGATE $ .... OTHER THAN UMBRELLA FORM f1 ^ .tV'\. $ I WORKERS COMPENSATION AND [ "':b I l.O 1 ~rUl(w' IWCSTATU- T IOTH- 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 OPERATIONSlLOCATIONSNEHICLES/SPECIAL ITEMS Mosquito Control Certificate Holder is Additional Insured CERTIFICATE HOLDER . CANCELLATION MOCOBDC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Board of County Commissioners ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Risk Manaqement 5100 Colleqe Road BUT FAILURE TO MAIL SUCH NOT~~EHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 J ~i W ~~FANYKINDU~HECOMPANy.1 SAGENTS~REP.RESENTATIVES DATE .A~*E~T~:I~J ~ //./ ACORD 25-S(1/95) INITI^L ~ C)<ey W t Insuran~c. - ----:'" .. ACORD CORPORATION 1988 ACORDN CERTIFICATE OF LIABiliTY INSURANCE OP 10 .JW I DATE (MMlDDIYYl MONRO- 4 07/24/01 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 INSURERS AFFORDING COVERAGE Phone: 305-294-1096 Fax: 305-294-8016 fNSURED INSURER A: Speciality Hat'l Ins (Kemper) INSURER B: Old Republic Insurance Co Florida Keys Mosquito INSURER c: Control District 5224 coll;le Road INSURER 0: Key West F 33040 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. lNSR ~~~~~~ ~Y/:O~N LTR TYPE Of' IN8URANCE POUCY NUMBER LIMITS ~ERAI. LIAlIILlTY EACH OCCURRENCE S 1000000 A X COMMERCIAL GENERAL LIABILITY 3XZ12695500 10/01/00 10/01/01 FIRE DAMAGE (Any ale ire) S 50000 I CLAlMSMADE D OCCUR MED EXP (Any me persool S 5000 PERSONAl & ArN INJURY S 1000000 - GENERAL AGGREGATE S 1000000 - GEN'L AGGREGATn APPUES PER: PRODUCTS. CQMP/OP AGG S 1000000 I PRO- n POUCY JEer LOC AUTOMOIlILE LIAlIIUTY cotwWNEO SINGLE UMIT - S I>N'lAUTO (E._I I-- ALL OWNED AUTOS t\~VED~) "OAr-- BODILY INJURY f-- S SCHEDULED AUTOS ) I ~ <r;; (Per person) I-- 0Y J J >-- HIRED AUTOS BOOIL Y INJURY S NON..QWNED AUTOS , \ - 1. ~(/) (Per accident) I-- 1t11 I-- DATE PROPERTY DAMAGE J S ./ (per accldenl) GARAGE LIABILITY W~'VFR: i'l,;: . ~YfS AUTO ONLY. EA ACCIDENT S ==1 ANY IWTO 0Jf\./ (f, .(). OTHER THAN EA N;C S AUTO ONLY: AGG S :588 LIAlIIUTY ~~lJ :Y-e EACH OCCURRENCE S OCCUR D CLAIMS MAllE AGGREGATE S CO, 'If {l)LW s ==1 DEDUCTIBLE PI"I ()~ s RETENTION S S WORKERS COMPENSATlON AND I WCSTATU- I 10TH. TORY UMITS ER B EMPLOYERS' LIABILITY CAV01880900 10/01/00 10/01/01 E.L E/lCH ACCIDENT S 1000000 E.L DISEASE. EA EMPlOYEE S 1000000 E.L DISEASE. POLICY UMIT S 1000000 OTHER DESCRIPTION OF OPERATIOIIlt/I.OCATlON8IVEHICLE8IEllCWBIONS AIlDED BY ENDORSEMENTIBPECIAl. PROVI8IONS CERTIFICATE HOLDER I y 1 ADDrrlONAL INSURED; INSURER LETTER: CANCELLATION MCBOARD SHOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board. of DATE THEREOF, THE BSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN County COIIIIllissoners - Maria del Rio NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEfT. BUT FAILURE TO DO 80 SHALL 5100 College Road NPOSE NO OIll.IGAT1ON OR LIABIUTY OF At<< ~PON THE INSURER, ITS AGENTS OR Key West FL 33040 ~ATIVEB. ~ ....... -..c-J h:. / ./",<. r ,/ -I..?~ //~ ../ './ I I i'ev.Afest Insurance - 'l:nc . ~ ACORD 25-5 (7/97) @ACORDCORPORATION 1988 . ACORO,. CERTIFICATE OF LIABILITY INSURANCt:dlk~4 I DATE (MM/DD/YV) 03/04/02 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. O. Box 5487 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5487 INSURERS AFFORDING COVERAGE Phone: 305-294-1096 Fax:305-294-8016 I INSURED INSURER A: Speciality Nat'l Ins (Kemper) INSURER B Old Republic Insurance Co Florida Keys Mosquito I INSURER C: Control District 5224 colle~e Road INSURER D Key West F 33040 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. I~TR TYPE OF INSURANCE POLICY NUMBER LIMITS ~~NERAL LIABILITY I A ,Je ~~O~MERCIAL GENERAL LIIABILlTY, L__ L I CLAIMS MADE I OCCUR I I 10/01/01 10/01/02 EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) I PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $ 1000000 $ 50000 I $ 5000 i $ 1000000 $ 1000000 $ 1000000 3XZ12695500 GEN'L AGGREGATE LIMIT APPLIES PER POLICY m?T!1 LOC ~AUTOMOBILE LIABILITY I-I ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea accidenl) I I $ BODILY INJURY (Per person) $ BY DATE WAIVER , /}.X:ll ~ ()-. / N!A. _.~" YES BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ EXCESS LIABILITY OCCUR CLAIMS MADE AUTO ONLY - EA ACCIDENT $ EA ACC $ $ $ $ $ OTHER THAN AUTO ONLY: AGG GARAGE LIABILITY ANY AUTO EACH OCCURRENCE I DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ((' ' -~~ AGGREGATE , r-- $ $ B CAV01880901 10/01/01 TORY LIMITS 10/01/02 E.L E~c:HACc:I~E~T___,-$ ~9Jl'<:l.QOO EL DISEASE.. EA EMPLOYEE! $ 1000000 EL DISEASE - POLICY LIMIT $ 1000000 , OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Marathon Airport Lease CERTIFICATE HOLDER N ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Monroe County Risk Management 5100 College Road Key West FL 33040 MOCOBDC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 Inc. ACORD 25-S (7/97) @ ACORD CORPORATION 1988 ACORQM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYVY) 03/31/2003 PRODUCER (352)787-2431 FAX (352)787-9922 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BROWN AND BROWN, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 900 N 14th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 491636 leesburg, FL 34749-1636 INSURERS AFFORDING COVERAGE NAIC# INSURED Florida Keys Mosquito Control District INSURER A Preferred Governmental Ins Tru 5224 College Road INSURER B: Key West, FL 33040 INSURER C INSURER D INSURER E COVERAGES TYPE OF INSURANCE GENERAL LIABILITY f-- EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE D OCCUR MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE - - GEN'L AGGREGATE LIMIT APPLIES PER: --, nPRO- n I POLICY JECT LOC AUTOMOBILE LIABILITY - PRODUCTS - COMP/OP AGG $ ~. _.J.'\. r- '~'SK Mlh ,l'Al!MEM" APl'h 1\ " '\ 111. II J'Q 7 BY -a- T~~ lA () ~ DATE WAIVER N/A -+- YE S ~ _ , ('n. n Oi~ J l)4.'- 'bY r~ t ~~ '-A.../ COMBINED SINGLE LIMIT (Ea accident) - ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) - BODILY INJURY (Per person) - - NON-OWNED AUTOS - - PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ $ $ $ $ $ $ $ GARAGE LIABILITY =l ANY AUTO EXCESS/UMBRELLA LIABILITY :=J OCCUR D CLAIMS MADE '"I DEDUCTIBLE I RETENTION OTHER THAN AUTO ONLY: H D l/n~ W EACH OCCURRENCE /I , . l' LU,)..... AGGREGATE x I TVX~JmI,~~ I IOJ~- EL EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER TBD 04/01/2003 10/01/2003 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ontract: Marathon Airport lease LIMITS $ $ $ $ $ $ $ $ $ EA ACC AGG 1,000,000 1,000,000 1,000,000 CANCELLATION 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I /.l ~;1 Richard Childers, Jr./PATTY ~ CERTIFICATE HOLDER Monroe County Board of County Commissioners County of Monroe Risk Manager 1100 Simonton St. Key West, FL 33040 ACORD 25 (2001108) FAX: (305)292-4564 @ACORDCORPORATION 1988 ACORDN CERTIFICATE OF LIABILITY INSURANCI;Lo~i~~ B~ DATE (MM/DDIYV) 02/24/03 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 INSURERS AFFORDING COVERAGE Phone: 305-294-1096 Fax:305-294-8016 I ._._~._---------~- . ..._,-----~-_.._. ..------ -- --- INSURED I INSURER A: Speciality Nat'l Ins (Kemper) -.- , INSURER B Old Republic Insurance Co Florida Keys Mosquito : INSURER C: Control District I 5224 coll~e Road I INSURER D Key West 33040 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, I~T~ TYPE OF INSURANCE POLICY NUMBER 'I GENERAL LIABILITY A , X~' COMMERCIALGENERALL.,IABILlTY 3XZ12695502 I.. -- -l CLAIMS MADE [] OCCUR I e-- 1 W 10/01/02 10/01/03 FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE LIMITS , $ 1000000 , $ 50000 $ 5000 I $ 1000000 $ 1000000 I PRODUCTS. COMP/OP AGG 1$1000000 $ 1000000 , I , EL. DISEASE. EA EMPLOYEE' $ 1000000 ~ ELDISEASE.POLlCYLlMIT $1000000 ! COMBINED SINGLE LIMIT ! (Ea accident) i I BODILY INJURY (Per person) ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS , OTHER BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY. EA ACCIDENT WAIVER OTHER THAN AUTO ONLY: EXCESS LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND B I EMPLOYERS' LIABILITY CL CAV01880902 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS C- 0 ~ \ e.. ~ '. ~.\ ~Y'\t. <L. CERTIFICATE HOLDER i Y ADDITIONAL INSURED; INSURER LETTER: CANCELLATION $ $ $ $ $ I EAACC 1$ i AGG I $ I $ $ $ $ $ Monroe County Board of County Commissioners Kay Miller 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 LlAflLlTY OF ANY KIND U~ON THE INSURER, ITS AGENTS OR REPRESENTATIVES. I AUTHORIZED REPRESENTA E".j /' I 'I flU . i Ke West I urance Inc. MOCOBDC ACORD 25-S (7/97) , j'\t"i-' RD CORPORATION 1988 ACORD.. CERTIFICATE OF 'LIABILITY INSURANCI;Lo~r~~ ~ DATE (MM/DDIYV) 01/07/04 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 INSURERS AFFORDING COVERAGE Phone: 305-294-1096 Fax:305-294-8016 I INSURED I INSURER A PGIT INSURER B: Florida Keys Mosquito INSURER C Control District 5224 colle~e Road INSURER D Key West F 33040 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, I~T~ TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY A r ~l_oMMERCIAL GENERAL LIABILITY PKFL1044400303-01 , ' CLAIMS MADE I OCCUR I ' - -- ---- I LIMITS EACH OCCURRENCE $ 3000000 $ 50000 $ $ 6000000 $ 6000000 $ 3000000 10/01/03 10/01/04 FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER POLICY FJf8T LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS PRODUCTS. COMP/OP AGG M.!, {\lfc~r c(,~ COMBINED SINGLE LIMIT $ (Ea accidenl) 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 $ AGGREGATE $ ;$ $ $ 4P~~'." BY . DATE ---.,. '-,,"-~ ANY AUTO , EXCESS LIABILITY I] OCCUR CLAIMS MADE I R DEDUCTIBLE I RETENTION $ i WORKERS COMPENSATION AND EMPLOYERS' LIABILITY '$ E.L DISEASE. EA EMPLOYEE $ E. L DISEASE. POLICY LIMIT $ ! OTHER DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS -to : ~ (--,'n.. ~ .., C L- C CJ JJ CERTIFICATE HOLDER Y ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Monroe County Board of County Commissioners Attn: Risk Management 1100 Simonton Street Key West FL 33040 MONBOCC 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 L1ABILI F ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25-5 (7/97) ACORDN CERTIFICATE OF LIABILITY INSURANCE OPID "'~ DATE (MMlDDIYYYY) FLORI-4 04/28/05 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: PGIT - Preferred Governmental INSURER B: Florida Keys Mosquito INSURER C: Control District 5224 Colle~e Road INSURER D: Key West F 33040 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, ~QL!~1,~.FF!=J'-,.!VE P~~Ll,;.,Y(ij"rM'RAT~~N LIMITS LTR NSR[ TYPE OF INSURANCE POLICY NUMBER DATE MMlDDIYV) DATE MMlDDIVY GENERAL LIABILITY EACH OCCURRENCE $ 3000000 - u~~~~~'=..! ':'_ nt:" , t:u A X COMMERCIAL GENERAL LIABILITY PKFLI04440030402 10/01/04 10/01/05 PREMISES (Ea occurence) $ 100000 I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ 10000 PERSONAL & ADV INJURY $ 6000000 - GENERAL AGGREGATE $ 6000000 - GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ 3000000 "I nPRO. n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f-- $ ANY AUTO (Ea accidenl) f--- ALL OWNED AUTOS BODILY INJURY f-- (Per person) $ SCHEDULED AUTOS f-- HIRED AUTOS BODILY INJURY f--- $ NON.OWNED AUTOS (Per accidenl) f-- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY 1\,...,. LN)D~~ n~: K,~AGEMEI AUTO ONLY. EA ACCIDENT $ ==l ANY AUTO BY_ bTHER THAN EA ACC $ II' --' AUTO ONLY: AGG $ - .- ~..~. -- EXCESs/UMBRELLA LIABILITY ....,." --,-~ :;;:D:2 EACH OCCURRENCE $ :=J OCCUR D CLAIMS MADE --. WAI~ ER ~,Ii A__...: - "'AGGREGATE $ ",-.. YES ..__." $ ==l DEDUCTIBLE r1f7' ({)olD j $ RETENTION $ $ WORKERS COMPENSATION AND Q I T()~/LIM:~S I IU1H' ER EMPLOYERS' LIABILITY lL:~ ANY PROPRIETOR/PARTNER/EXECUTIVE C E.L. EACH ACCIDENT $ OFFlCER/MEM3ER EXCLUDED? E,L. DISEASE. EA EMPLOYEE $ ~~~21~tS~~'iMs?o~s below E.L. DISEASE. POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is Additional Insured CERTIFICATE HOLDER Monroe County Board of County Commissioners Maria Slavik, Risk Mgr 1100 Simonton Street Key West FL 33040 CANCELLATION MONCNTY 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 ACORD 25 (2001/0~~ Cc- ACORDN CERTIFICATE OF LIABiliTY INSURANCE OP ID 4~ DATE (MM/DDIVYYY) FLORI-4 01/19/06 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 NAIC# INSURED INSURER A: PGIT - Preferred Governmental INSURER B: Florida Keys Mosquito INSURER C: Control District 5224 colle~e Road INSURER D: Key West F 33040 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, INl;R ~~~[ POLICY NUMBER PDATE IMM/DDIY':f..E DATE MM/D~~~N LIMITS LTR TYPE OF INSURANCE GENERAL LIABILITY EACH OCCURRENCE $3000000 e-- A X ~ COMMERCIAL GENERAL LIABILITY PKFL1044400304020 10/01/05 10/01/06 ~~~~~~s (Ea occurence) $ 100000 -- ~ CLAIMS MADE D OCCUR MED EXP (Anyone person) $ 10000 - PERSONAL & ADV INJURY $ 6000000 GENERAL AGGREGATE $ 6000000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ 3000000 I nPRO. n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY - $ NON.OWNED AUTOS (Per accidenl) - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ~ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: .AGG $ EXCESs/UMBRELLA LIABILITY \"''<'' 'k~r1 EACH OCCURRENCE $ =:J OCCUR D CLAIMS MADE ,'I"DY ~. 'Od;!} "",.!'. AGGREGATE $ . ". ~ $ ~ I~(q -~ .. =l DEDUCTIBLE ~::- $ RETENTION ~.-." $ ".\ ' . "-. $ WORKERS COMPENSATION AND . "I I" ITORy"LIMITS I 10TH. EMPLOYERS' LIABILITY 'rfl /) ER ANY PROPRIETOR/PARTNER/EXECUTIVE 6Yc5'. E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? -- E.l. DISEASE. EA EMPLOYEE $ ~p~MtS~~~v~S?~~S below I" r ' -f~ a E.l. DiSEASE. POLICY LIMIT $ OTHER L-\.. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is Additional Insured --- Lease Agreement - Marathon Airport hn et. 17 C e. CC: CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners c/o Risk Management PO Box 1026 Key West FL 33041-1026 MONCNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 NTATIVES. UTHORIZ REP ACORD 25 (2001108) ACORD. CERTIFICA TE OF LIABILITY INSURANCE OP 10 D~ DATE (MMIDDIYYYY) FLORI-4 12/06/06 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 Urii.ted Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 - Phone: 305-294-1096 Fax: 305-2 9~ 8016 D L I '\.. IIJ-!tAlURERS AF ORDING COVERAGE NAIC# INSURED 1\' , ~_. Preferred Governmental I n - -----'---------- INSURER Florida Keys Mosquito ._- -- Control District DEe 1 1 ,",~~RER 5224 colle~e Road ' INSURER Key West F 33040 i-INSU-~~R COVERAGES "ONor E COUNTY THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 155 ED TO THE INsiBMA Y PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRAC MENT 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 -1-POLl~TNEFFECT.!l;E PgktCEYf~~~~~C?N "--- LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY LIMITS ~NERAL. L.IABIL.ITY EACH OCCURRENCE .3000000 A X X COMMERCIAL GENERAL LIABILITY PKFL1044400306-04 10/01/06 10/01/07 ~~~~~~s (E~~du~~nce) .50000 I CLAIMS MADE D OCCUR MED EXP (Anyone person) .10000 - PERSONAL & ADV INJURY $ included -,-_. -- , GENERAL AGGREGATE .6000000 - - ..---. ~'L AGG:EnE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG : $ included PRO- n -_. POLICY JECT LOC ~~OMOBIL.E LIABILITY COMBINED SINGLE LIMIT . , _! ANY AUTO , {Ea accident} -- -- - ALL OWNED AUTOS BODILY INJURY . SCHEDULED AUTOS (Par parson} - -- - HIRED AUTOS DDD'" 'Q_ BODILY INJURY rf\-S . I NON.OWNED AUTOS {Per accident) '- '"'I~ PROPERTY DAMAGE I :--..5-1 . (Peraccidenl) . ~~GE L1ABIL.ITY I V 7, r - AUTO ONLY - EA ACCIDENT . - ---- H ANY AUTO n OTHER THAN EA ACC . ,,- AUTO ONLY ." AGG . [JESS/UMBRELLA LIABILITY ~',u ~ EACH OCCURRENCE . , OCCUR D CLAIMS MADE --- AGGREGATE . (C . . R DEDUCTIBLE . e--- ,,- RETENTION . . . WORKERS COMPENSATION AND 1TO~Y \'I~:~S I IU~~ EMPLOYERS' LIABIL.ITY - ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT . . OFFICER/MEMBER EXCLUDED? - E.L DISEASE. EA EMPLOYEE . If yes, describe under -- SPECIAL PROVISIONS below EL.. DISEASE - POLICY LIMIT . OTHER I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCL.USIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS Mosqui to Control Ground CC . h'I')Q "CL . CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissoners Maria Slavik 1100 Simonton Street Key West FL 33040 MCBOARD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WIL.L ENDEAVOR TO MAlL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE L.EFT, BUT FAILURE TO DO SO SHALL. IMPOSE NO OBL.IGATION OR L1ABIL.ITY OF ANY KIND UPON THE REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Vivian Swofford ACORD 25 (2001 (08) RECEIVED CERTIFICATE OF CCVERAGE ISSUED ON: 2/29/2012 COVERAGE PROVIDED BY: PREFERRED CAERVN1TAL IN! URANCE TRUST PACKAGE AGREEMENT NUMBERtK FL1 0444003 11 -08 OVERAGE PERIOD: 10/1/2011 TO 10/1/2012 12:01 AM COVERAGES:This is to certify that the ageement bet.: i ,- a ; • esignated member for the coverage period indicated. Notwithstanding any requirement, term or condition of any contr ct or other . , i. � (;: o , ich this ce ificate may be issued or may pertain, the coverage afforded by the agreement described herein subject to all t' o ,,..... ' • ' - ' ` Ijf'jh aareerent. Mail to: Certificate Holder Designated Member Monroe County BOCC Florida Keys Mosquito Control District 1100 Simonton St. 5224 College Road Key West, FL 33040 Key West, FL 33040 w LIABILITY COVERAGE WORKERS' COMPENSATION COVERAGE X Comprehensive General Liability, Bodily Injury, Property Damage WC AGREEMENT NUMBER: and Personal Injury Limit $3,000,000 / $6,000,000 $2,500 Deductible Self Insured Workers' Compensation X Public Officials Liability Limit $1,000,000 $5,000 Deductible Statutory Workers' Compensation X Employment Practices Liability Employers Liability Limit $1,000,000 $5,000 Deductible Each Accident X Employee Benefits Liability By Disease Limit $3,000,000 / $6,000,000 $2,500 Deductible Aggregate Disease Law Enforcement Liability Limit , PROPERTY COVERAGE AUTOMOBILE COVERAGE Buildings & Personal Property ' Automobile Liability Limit Limit $3,000,000 $0 Deductible Note: See coverage agreement for details on wind, flood, and other X All Owned deductibles. Specifically Described Autos Rented, Borrowed and Leased Equipment X Hired Autos Limit X Non -Owned Autos All other Inland Marine Automobile Physical Damage Limit X Comprehensive See Schedule for Deductible X Collision See Schedule for Deductible ANA S VI X Hired Auto with limit of $35,000 DA iWM0 - I G t M litlitaW 14-5 W . 2. (il t r6 f o , J Garage Keepers � ` � r 4 Liability Limit C� " ` � Liability Deductible 1 I Comprehensive Deductible Collision Deductible NOTE:The most we will pay is further limited by the limitations set forth in Section 768.28(5), Florida Statutes (2010) or the equivalent limitations of successor law which are applicable at the time of the loss. _ . Description of Operations/ Locations/ Vehicles/Special items: Additional Covered Party per PGIT form 902: Monroe County BOCC 1100 Simonton St., Room 268 Key West, FI. 33040 This section completed by member's agent, who bears complete responsibility and liability for its accuracy. 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. Administrator CANCELLATIONS Public Risk Underwriters® SHOT ILD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRAIION DA FE THEREOF. PREFERRED GOVERNMENTAL INSURANCE TRI f WILL ENDEAVOR To MAIL 60 DAYS WRI ITEN P.O. Box 958455 NOTICE, OR 10 DAYS WRITTEN NOTICE FOR NON - PAYMENT OF PREMII IM TO THE CERIIFICAFE HOLDER Lake Mary, FL 32795 -8455 NAMED ABOVE. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PROGRAM, ITS AGENTS OR REPRESENTATIVES. Producer I t" „ Kay West Insurance Agency /V� " 646 United Street, Ste 1 Key West, FL 33040 r AUTHORIZED REPRESENTATIVE 2/29/2012 PGIT -CERT (11/09) PRINT FORM • C G: T l ti ct, n ca._ PUBLIC ENTITY AUTOMATIC ADDITIONAL COVERED PARTIES THIS ENDORSEMENT CHANGES THE AGREEMENT. PLEASE READ IT CAREFULLY. This endorsement AL LIABILITY COVERAGE FORM, PGIT 200 and l th e GENERAL PROPERTY AND INLAND MARINE COVERAGE FORM, PGIT 104 Where indicated by (x) below, coverage applies to the person(s) or organization(s) as their interest may appear. The provisions in this endorsement do not supersede Florida Statute 768.28, Article 10 § 13 of the Florida Constitution, or any other Statute or law limiting whom a Public Entity can indemnify. . ADDITIONAL COVERED PARTY - BY CONTRACT, AGREEMENT OR PERMIT SECTION I - WHO IS A COVERED PARTY is amended to include any person(s) or organization(s) (hereinafter called Additional Covered Party) with whom you agree in a written "insured contract" to name as a Covered Party, but only with respect to liability arising, in whole or in part, out of your operations, "your work" or facilities owned or used by you. The coverage afforded to the Additional Covered Party does not apply: (1) Unless the written "insured contract ", agreement or permit was executed prior to the "bodily injury," "property damage," "personal injury" or "advertising injury;" (2) To any person(s) or organization(s) included as a Covered Party under this coverage agreement or by an endorsement made part of this coverage agreement. ADDITIONAL COVERED PARTY - OWNERS OF LEASED EQUIPMENT SECTION II - WHO IS A COVERED PARTY is amended to include any person(s) or organization(s) (hereinafter called Additional Covered Party) with whom you agree in a written equipment lease or rental agreement to name as a Covered Party, but only with respect to liability arising out of the sole negligence of the Covered Party, and only while such equipment is in the care, custody or control of the Covered Party, or any employee or agent of the Covered Party. The coverage afforded to the Additional Covered Party does not apply to: (1) "Bodily injury" or "property damage" occurring after you cease to lease or rent the equipment; (2) "Bodily injury" or "property damage" arising out of any negligence of the Additional Covered Party; (3) Structural alterations, new construction or demolition operations performed by or on behalf of the Additional Covered Party; (4) Liability assumed by the Additional Covered Party under any contract or agreement; (5) "Property damage" to: (a) Property owned, used, occupied by, or rented to the Additional Covered Party; (b) Property in the care, custody or control of the Additional Covered Party or its employees or agents, or of which the Additional Covered Party, its employees or agents are for any purpose exercising physical control. Page 1 PGIT 902 (10 08) MIL ADDITIONAL COVERED PARTY - MANAGERS OR LESSORS OF PREMISES SECTION II - WHO IS A COVERED PARTY is amended to include any person(s) or organization(s) (hereinafter called Additional Covered Party) with whom you agree in a written agreement to name as a Covered Party, but only with respect to liability arising, in whole or in part, out of the "premises" leased to you by such person(s) or organization(s). The coverage afforded to the Additional Covered Party does not apply to: (1) "Bodily injury" or "property damage" occurring after you cease to be a tenant in that "premises "; (2) "Bodily injury" or "property damage" arising out of any negligence of the Additional Covered Party; (3) Structural alterations, new construction or demolition operations performed by or on behalf of the Additional Covered Party; (4) Liability assumed by the Additional Covered Party under any contract or agreement; (5) "Property damage" to: (a) Property owned, used, occupied by, or rented to the Additional Covered Party; (b) Property in the care, custody or control of the Additional Covered Party or its employees or agents, or of which the Additional Covered Party, its employees or agents are for any purpose exercising physical control. Notwithstanding any other provision of this agreement, nothing in this agreement shall be construed as a waiver of the Covered Party's sovereign immunity nor shall any provision of this agreement increase the liability of the covered party, or the sums for which the covered party may be liable, beyond the limits provided in §768.28, Florida Statutes. Page 2 PGIT 902 (10 11) CERTIFICATE OF COVERAGE ISSUED ON: 9/27/2012 COVERAGE PROVIDED BY: PREFERRED GOVERNMENTAL INSURANCE TRUST PACKAGE AGREEMENT NUMBER:PK FLl COVERAGE PERIOD: 10/1/2012 TO 10/1/2013 12:01 AM COVERAGES:This is to certify that the agreement o w has been ��((� member fo he coverage period indicated. Notwithstanding any requirement, term or condition of any contract or of document rtcate be issued or may pertain, the coverage afforded by the agreement described herein subject to all the terms, xdusions and conditions of such agreement. Mail to: Certificate Holder Designated ember Monroe County BOCC OCT - 1 7nt Florida Ke Mosquito Control District 1100 Simonton St. 5224 Co /le e Road Key West, FL 33040 Key West, L 33040 LIABILITY COVERAGE .I r l ie RS CO ENSATION COVERAGE X Comprehensive General Liability, Bodily Injury, ' rope t 1 and Personal Injury Limit $3,000,000 / N/A $2,500 Deductible X Public Officials Liability Self Insured Workers' Compensation Limit $1,000,000 $5,000 Deductible X Employment Practices Liability Statutory Workers' Compensation Limit $1,000,000 $5,000 Deductible Employers Liability X Employee Benefits Liability Each Accident Limit $3,000,000 / N/A $2,500 Deductible By Disease Law Enforcement Liability Aggregate Disease Limit PROPERTY COVERAGE AUTOMOBILE COVERAGE Buildings & Personal Property Automobile Liability Limit Limit $3,000,000 $2,500 Deductible Note: See coverage agreement for details on wind flood and other X All Owned deductibles. Specifically Described Autos Rented, Borrowed and Leased Equipment X Hired Autos Limit X Non -Owned Autos All other Inland Marine Automobile Physical Damage Limit X Comprehensive See Schedule for Deductible X Collision See Schedule for Deductible • _ a `� MANASAleg _ X Hired Auto with limit of $35,000 J r - M' Garage Keeper oi \gkC/►' Liability Limit C(..: fi 6 e Liability Deductible Comprehensive Deductible Collision Deductible NOTE:The most we will pay is further limited by the limitations set forth in Section 768.28(5), Florida Statutes (2010) or the equivalent limitations of successor law which are applicable at the time of the loss. Description of Operations/ Locations/ Vehicles/Special items: Additional Covered Party per PGIT form 902: Monroe County BOCC 1100 Simonton St., Room 268 Key West, FI. 33040 This section completed by member's agent, who bears complete responsibility and liability for its accuracy. 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. Administrator CANCELLATIONS Public Risk Underwriters® SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE P.O. Box 958455 THEREOF. PREFERRED GOVERNMENTAL INSURANCE TRUST WILL ENDEAVOR TO MAIL60 DAYS WRITTEN NOTICE, OR 10 DAYS WRITTEN NOTICE FOR NON - PAYMENT OF PREMIUM, TO THE CERTIFICATE HOLDER Lake Mary, FL 327954455 NAMED ABOVE, BI IT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PROGRAM. ITS AGENTS OR REPRESENTATIVES. Producer Key W viditt". Key West Insurance Agency 046 United Street, Ste 1 �� Key West, FL 33040 , AUTHORIZED REPRESENTATIVE PGIT -CERT (11/09) PRINT FORM 9/27/2012 Cc• �� PUBLIC ENTITY AUTOMATIC ADDITIONAL COVERED PARTIES THIS ENDORSEMENT CHANGES THE AGREEMENT. PLEASE READ IT CAREFULLY. This endorsement modifies coverage provided under the AUTOMOBILE COVERAGE FORM, PGIT 300, the GENERAL LIABILITY COVERAGE FORM, PGIT 200 and the PROPERTY AND INLAND MARINE COVERAGE FORM, PGIT 104 Where indicated by (x) below, coverage applies to the person(s) or organization(s) as their interest may appear. The provisions in this endorsement do not supersede Florida Statute 768.28, Article 10 § 13 of the Florida Constitution, or any other Statute or law limiting whom a Public Entity can indemnify. ADDITIONAL COVERED PARTY - BY CONTRACT, AGREEMENT OR PERMIT SECTION I - WHO IS A COVERED PARTY is amended to include any person(s) or organization(s) (hereinafter called Additional Covered Party) with whom you agree in a written "insured contract" to name as a Covered Party, but only with respect to liability arising, in whole or in part, out of your operations, "your work" or facilities owned or used by you. The coverage afforded to the Additional Covered Party does not apply: (1) Unless the written "insured contract ", agreement or permit was executed prior to the "bodily injury," "property damage," "personal injury" or "advertising injury;" (2) To any person(s) or organization(s) included as a Covered Party under this coverage agreement or by an endorsement made part of this coverage agreement. ADDITIONAL COVERED PARTY - OWNERS OF LEASED EQUIPMENT SECTION II - WHO IS A COVERED PARTY is amended to include any person(s) or organization(s) (hereinafter called Additional Covered Party) with whom you agree in a written equipment lease or rental agreement to name as a Covered Party, but only with respect to liability arising out of the sole negligence of the Covered Party, and only while such equipment is in the care, custody or control of the Covered Party, or any employee or agent of the Covered Party. The coverage afforded to the Additional Covered Party does not apply to: (1) "Bodily injury" or "property damage" occurring after you cease to lease or rent the equipment; (2) "Bodily injury" or "property damage" arising out of any negligence of the Additional Covered Party; (3) Structural alterations, new construction or demolition operations performed by or on behalf of the Additional Covered Party; (4) Liability assumed by the Additional Covered Party under any contract or agreement; (5) "Property damage" to: (a) Property owned, used, occupied by, or rented to the Additional Covered Party; (b) Property in the care, custody or control of the Additional Covered Party or its employees or agents, or of which the Additional Covered Party, its employees or agents are for any purpose exercising physical control. PGIT 902 (10 08) Page 1 ADDITIONAL COVERED PARTY - MANAGERS OR LESSORS OF PREMISES SECTION I1- WHO IS A COVERED PARTY is amended to include any person(s) or organization(s) (hereinafter called Additional Covered Party) with whom you agree in a written agreement to name as a Covered Party, but only with respect to liability arising, in whole or in part, out of the "premises" leased to you by such person(s) or organization(s). The coverage afforded to the Additional Covered Party does not apply to: (1) "Bodily injury" or "property damage" occurring after you cease to be a tenant in that "premises "; (2) "Bodily injury" or "property damage" arising out of any negligence of the Additional Covered Party; (3) Structural alterations, new construction or demolition operations performed by or on behalf of the Additional Covered Party; (4) Liability assumed by the Additional Covered Party under any contract or agreement; (5) "Property damage" to: (a) Property owned, used, occupied by, or rented to the Additional Covered Party; (b) Property in the care, custody or control of the Additional Covered Party or its employees or agents, or of which the Additional Covered Party, its employees or agents are for any purpose exercising physical control. Notwithstanding any other provision of this agreement, nothing in this agreement shall be construed as a waiver of the Covered Party's sovereign immunity nor shall any provision of this agreement increase the liability of the covered party, or the sums for which the covered party may be liable, beyond the limits provided in §768.28, Florida Statutes. PGIT 902 (10 12) Page 2 CERTIFICATE OF COVERAGE ISSUED ON: 11/20/2015 COVERAGE PROVIDED BY: PREFERRED GOVERNMENTAL INSURANCE TRUST PACKAGE AGREEMENT NUMBER:PK2FL1 0444003 15-12 COVERAGE PERIOD: 10 /1/2015 TO 10/1/2017 12:01 AM 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 subject to all the terms, exclusions and conditions of such agreement. Mail to: Certificate Holder Designated Member Monroe County BOCC Florlda Keys Mosquito Control District 1100 Simonton St. 5224 College Road Key West, FL 33040 Key West, FL 33040 LIABILITY COVERAGE WORKERS' COMPENSATION COVERAGE X Comprehensive General Liability, Bodily Injury, Property Damage WC AGREEMENT NUMBER: WC2FL1 0444003 15-14 and Personal Injury Limit $3,000,000 $2,500 Deductible Self Insured Workers' Compensation X Public Officials Liability Limit $1,000,000 S5,000 Deductible X Statutory Workers' Compensation X Employment Practices Liability A PP E ' ANAG rM 1NT Limit S1,000,000 55,000 Deductible X Employers Liability S C y ^ L__ S1,000,000 Each Accident DATE irami: a l.(�C/ X Employee Benefits Liability S1,000,000 By Disease 'NAIVE N/ S Limit $3,000,000 52,500 Deductible S1,000,000 Aggregate Disease Law Enforcement Liability Limit PROPERTY COVERAGE AUTOMOBILE COVERAGE Buildings & Personal Property Automobile Liability Limit Limit $3,000,000 S2,500 Deductible Note: See coverage agreement for details on wind, flood, and other X All Owned deductibles. Specifically Described Autos Rented, Borrowed and Leased Equipment X Hired Autos Limit X Non -Owned Autos Total All other Inland Marine Automobile Physical Damage Limit X Comprehensive See Schedule for Deductible X Collision See Schedule for Deductible CRIME COVERAGE X Hired Auto with limit of 535,000 X Employee Dishonesty Limit 550,000 $5,000 Deductible X Forgery or Alteration Limit 5250,000 55,000 Deductible Garage Keepers X Theft Disappearance & Destruction Liability Limit Limit 5250,000 55,000 Deductible Liability Deductible X Computer Fraud Comprehensive Deductible Limit 5250,000 55,000 Deductible Collision Deductible NOTE:The most we will pay is further limited by the limitations set forth in Section 768.28(5), Florida Statutes (2010) or the equivalent limitations of successor law which are applicable at the time of the loss. Description of Operations) Locations/ Vehicles/Special items: Additional Covered Party per PGIT form 902: Monroe County BOCC 1100 Simonton St., Room 268 Key West, FI. 33040 This section completed by member's agent, who bears complete responsibility and liability for its accuracy. 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. Administrator CANCELLATIONS Public Risk Und erwrkers® SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, PREFERRED GOVERFMENfAL INSURANCE TRUST WILL ENDEAVOR TO MAD. fO DAYS WR1TtEN NOTICE, OR 10 DAYS P.O. Box 958455 WRr17FN NOTICE FOR NON - PAYMENT OF PREMIUM TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL Lake Mary, FL 32795 -8455 SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KLND UPON THE PROGRAM, ITS AGENTS OR REPRESENTATIVES Producer Key ey West Insurance Agency / 646 United Street, Ste 1 Key West, FL 33040 -- AUTHORIZED REPRESENTATIVE PGIT - CERT (11/09) PRINT FORM 11202015