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Certificates of InsuranceTM AON RISK SERVICES, INC. OF FLORIDA 1001 BRICKELL BAY DRIVE, SUITE #1100 MIAMI, FL 33131-4937 800-743-8130 INSURED ADP TOTALSOURCE III, INC. 5800 WINDWARD PARKWAY ALPHARETTA, GA 30005 ALTERNATE EMPLOYER: FLORIDA KEYS OUTREACH COALITION INC. 12/13/1999 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANY A RELIANCE INSURANCE COMPANY COMPANY B COMPANY C COMPANY D r 0 10 I V I..CR I Ir' T I MA I I Nt F'ULIGILb OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE- INSURED NAMEDBO -AVE FOR THE POLICY�PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE COMMERCIAL GENERAL LIABILITY - - — - - CLAIMS MADE OCCUR .` ' e+ PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT -- - - Y EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ r 4TF _ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY ANY AUTO „e , - / COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTO S BODILY INJURY (Per $ _ person) HIRED AUTOS NON -OWNED AUTOS / ( 111 BODILY INJURY (Per accident) $ - t` � PROPERTY DAMAGE g GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT - $ OTHER THAN AUTO ONLY. - - EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE -- -- -- $ AGGREGATE $ OTHER THAN UMBRELLA FORM -- - -- - - -- - - - _ WORKER'S COMPENSATION AND NWA 0157970-00 12/31 /1999 12/31 /2000 X A EMPLOYERS' LIABILITY TORV LIMITS ER THE PROPRIETOR/ X _ _ EL EACH ACCIDENT -- - $ 1,000,000 INCL PARTNERSiEXECUTIVE I --- -- EL DISEASE - POLICY LIMIT $ - 1,000,000 OFFICERS ARE: EXCL nruco ---. - - - --- - EL DISEASE - EA EMPLOYEE $ 1 ,000,000 I ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY, PAID UNDER ADP/TOTALSOURCE III, INC.'S PAYROLL, WILL BE COVERED UNDER THE ABOVE STATED POLICY. "THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY -RISK MANAGEMENT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 5100 COLLEGE ROAD 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, KEY WEST FL 33040 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. DATE _VKhbIENTATIVE G�a�c� ACORD CERTIRi4t F LIaB�L1T1( I1�ISU ! DATH(MMroD/1fY) * , ah._ _��.:�`.� 06/01/2001 PRODUCER Serial # A13544 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AON RISK SERVICES, INC. OF FLORIDA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1001 BRICKELL BAY DRIVE, SUITE #1100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR MIAMI, FL 33131-4937 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 800-743-8130 i COMPANIES AFFORDING COVERAGE COMPANY ROYAL INDEMNITY COMPANY INSURED ADP TOTALSOURCE III, INC. COMPANY 5800 WINDWARD PARKWAY B —.— ALPHARETTA, GA 30005 COMPANY -- ALTERNATE EMPLOYER: C FLORIDA KEYS OUTREACH COALITION INC. 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 B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE _ OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED APPROVED BY RISK MANAGEMENT AUTOS SCHEDULED AUTOS R t HIRED AUTOS U� NON-OWNEDAUTOS DATEZ i3 Q C, - -- "II!rR: N/A I✓ YFS Q e Fc-v, GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND TO 379125 A EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERSIEXECUTIVE OFFICERS ARE: : EXCL OTHER ■i GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ j PERSONAL & ADV INJURY Is EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Any one 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 -- $ - — -- 06/30/2001 06/30/2002 X TRY LIMITS ER EL EACH ACCIDENT $ 1,000,000 EL DISEASE - POLICY LIMIT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY, PAID UNDER ADP/TOTALSOURCE III, INC.'S PAYROLL, WILL BE COVERED UNDER THE ABOVE STATED POLICY. 'THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY. REF: NON PROFIT ORGANIZATION - LOCATION 5100 COLLEGE ROAD (REAR), KEY WEST, FL 33040 CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: ANN MYTNIK 5100 COLLEGE ROAD KEY WEST FL 33040. ACORD 25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 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. AUTED REPRESENTATIVE 0 ACORD CORPORAT►nN 409 ACORD,. CERTIFICATE OF LIABILITY INSURANCE =12/1 PRODUCER 0 Serial # A13544 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AON RISK SERVICES, INC. OF FLORIDA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1001 BRICKELL BAY DRIVE, SUITE #1100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI, FL 33131-4937 800-743-8130 INSURERS AFFORDING COVERAGE INSURED - — - - DP TOTALSOURCE III, INC. — - - INSURERA: ROYAL INDEMNITY COMPANY - 5800 WINDWARD PARKWAY — - - — - � INSURER B: ALPHARETTA, GA 30005 - ---- --- -- INSURER C: - -- - - - - - ALTERNATE EMPLOYER: - - -- INSURER D: FLORIDA KEYS OUTREACH COALITION INC. INSURERE: - - THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - - - LTR TYPE OF INSURANCE POLICY EVPOLICY XPIRATION - I DA ruEumLIMITSnrw` --- - ---_ -. -- POLICY NUMBER pp ruurnnrFFECTIw�E GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE - -- --_ _- - $ CLAIMS - -- - MADE OCCUR FIRE DAMAGE (Any one fire) $ - - - - MED EXP (Any one person) $ - - - - PERSONAL & ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: - POLICY PRO- -- JECT LOC GENERAL AGGREGATE $ - - - PRODUCTS - COMP/OP AG G $ - AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS - - - - SCHEDULED AUTOS - BODILY INJURY n„ _ (Per person) $ HIRED AUTOS- ` NON -OWNED AUTOS - 1' �. BODILY INJURY $(Per accident) _.- -.. _-_ - _-_ __. _.FEXCESS ,..__. .�,�• PROPERTY DAMAGE (Per accident) $ GARAGEBILITY "`r?, O •- / -- AUTO ONLY EA ACCIDENT $ -$ OTHER THAN EA ACC AUTO ONLY: AGG $ ILITYEACH CLAIMS MADE OCCURRENCE $ /I►// AGGREGATE IBLE - - - --$ $ r--- - - -- - - __ $ON WORKERS COMPENSATION AND CS379125 EMPLOYERS' LIABILITY $ 12/3 1/2000 06/30/2001 X j WC STATU- OTH- A _TORY LIMITS , _ER E L EACH ACCIDENT $ 1,000,000 E L DISEASE-- EA EMPLOYEE $ 1'000,000 OTHER E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY, PAID UNDER ADP/TOTALSOURCE III, INC.'S PAYROLL, WILL BE COVERED UNDER THE ABOVE STATED POLICY. *THE ABOVE NAMED POLICY. CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS REF: NON PROFIT ORGANIZATION - LOCATION 5100 COLLEGE ROAD (REAR), KEY WEST, FL 3 RFCEIVED CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONROE COUNTYBOARD XPIRATION SHOULD ANY OF THE ABOVE DESCRIBE POLICIES B 4=i OF COUNTY COMMISSIONERSn1D DATE THEREOF, THE ISSUING INSURER WRITTEN ATTN: ANN MYTNIK NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5100 COLLEGE ROAD IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR KEY WEST FL 33040 REPRESENTATIVES. ACORD 25-S (7/97) 0 ACORD CORPORATION 1988 ACORDCERTIFICATE JF LIABILITY INSURAh �E DATE(MWD�DfMYY) PRODUCER Serial # A13544 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AON RISK SERVICES, INC. OF FLORIDA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1001 BRICKELL BAY DRIVE, SUITE #1100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR MIAMI, FL 33131-4937 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 800-743-8130 INSURERS AFFORDING COVERAGE INSURED -- —_ ADP TOTALSOURCE III, INC. — - — — - INsuRERA: ROYAL INDEMNITY COMPANY 5800 WINDWARD PARKWAY--- ALPHARETTA, GA 30005 -INSURER B: ALTERNATE EMPLOYER: INSURER C. ---- ------ — FLORIDA KEYS OUTREACH COALITION INC. INSURER D: - -- -- INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR - - - - - GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT I LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY - ANY AUTO EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ i WORKERS COMPENSATION AND CS379125 A EMPLOYERS' LIABILITY g� Ff T OTHER JAN 0 5,2001 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EX ECIAL PROVISIONS ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY, PAID UNDER ADP/TOTALSOURCE III, INC.'S PAYROLL, WILL BE COVERED UNDER THE ABOVE STATED POLICY. *THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY. zh. + EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person).-- _g- PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OPAGG $ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY $ (Per accident) PROPERTY DAMAGE (Per accident) $ AUTO ONLY --EA-ACCIDENT $ --- - -- OTHER THAN _ EAACC - -- $ AUTO ONLY. AGG - _- --- $ _ EACH OCCURRENCE $ AGGREGATE $ - 12/31/2000 06/30/2001 X WCSTATU- OTH- TORY LIMITS ER _ r E L $ 1,000,000 EACH ACCIDENT _ - EL DISEASE - EAEMPLOYEE' $ 1,000,000 E.L.DISEASE -POLICY LIMIT F $ 1,000.000 REF: NON PROFIT ORGANIZATION - LOCATION 5100 COLLEGE ROAD (REAR), KEY WEST, FL 33040 TE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: ANN MYTNIK 5100 COLLEGE ROAD KEY WEST FL 33040 ACORD 25-S (7/97) CANCELLATION 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 O ACORD CORPORATION 1988 ACORDM CERTIFICATE,OF LIABILITY INSURANCE iiii4ioiY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ISLAND INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3229 FLAGLER AVE#112 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. KEY WEST, FL . 33040 COMPANIES AFFORDING COVERAGE j COMPANY A AMERICAN EQUITY INS CO. INSURED - Q COMPANY FLORIDA KEYS OUTREACH COALITION, INC. B — P.O. BOX 4767 t ' COMPANY KEY WEST,FL. 33040 C NOU 2 0 2001 COMPANY I --- D —, - — 4 COVERAGES - - - -(": _ _ _ - - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED INDICATED, NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH CERTIFICATE THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HEREIN IS SUBJECT TO ALL THE TERMS, HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE' POLICY EXPIRATION LTR POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DDNY) LIMITS GENERAL LIABILITY i XX COMMERCIAL GENERAL LIABILITY ACC 186264 9/25/01 9/25/02 GENERAL AGGREGATE $ l,OOO,000 PRODUCTS - COMP/OP AGG $ 1 , O00,000 CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ 1 , 000 , OOO OWNER'S �&CONTRACTOR'S PROT A EACH OCCURRENCE $ 1,000,000 1---------- FIRE DAMAGE (Any one fire) $ 50,000 -- - -- --- AUTOMOBILE LIABILITY MED EXP An - - ( y one person) $ 11000 PANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS f'//""ROVED BY R ,. Add( F�,AEniT SCHEDULED AUTOS BODILY INJURY $ (Per person) ( HIRED AUTOS ! NON -OWNED AUTOS '' 9TE I BODILY INJURY $. (Per accident) NIA __ . _^ VES PROPERTY DAMAGE $ — — - GARAGE LIABILITY - - ---- - ANY AUTO AUTO ONLY - EA ACCIDENT $ I OTHER THAN AUTO ONLY: w EACH ACCIDENT $ - - - - - -- -- EXCESS LIABILITY AGGREGATE $ - - - -- - - - - - -- - - UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ - -- WORKERS COMPENSATION AND WC STATU- OTH- - - -- EMPLOYERS' LIABILITY TORY LIMITS ER THE PROPRIETOR/ INCL EL EACH ACCIDENT $ j PARTNERS/EXECUTIVE - OFFICERS ARE: _ EXCL - - EL DISEASE - POLICY LIMIT $ -._---------- ------------------- OTHER -------_.---- EL DISEASE - EA EMPLOYEE $ I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS NON—PROFIT. CERTIFICATE HOLDER IS ADDITIONAL INSURED. ;CERTIFICATE HOLDER - CANCELLATION MONRROE COUNTY BOARD OF COUNTY COMMISSIONERS I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 5100 COLLEGE RD THE I EXPIRATION DATE T WEST, FL 33040 HE ISSUING COMPANY WILL ENDEAVOR TO MAIL pKEY . _IO-_ DAYS WRI EN NOTICE O THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO AIL SUCH N j ICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ., OF ANY KIND HE ANY, ITS AGENTS OR REPRESENTATIVES. ! AUTHORIZ EPRESEN IV - -- - - ------ I ACORD 25=5 (1/95) - ACORD CORPORAT ..1988 ACORD,M CERTIFICATE OF LIABILITY INSURANCE��DATE(MM/DD/YYYY) PRODUCER 9-1 %-02 THE PORTER ALLEN COMPANY ONLY THIS CANDIFCONFERSICATE IS SNOERIGH S D AS A MATTERO HE OF ICERTIFICATE 513 SOUTHARD STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR KEY WEST, FLORIDA 33040 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1-305-294-2542 INSURERS AFFORDING COVERAGE INSURED - ---- - - - _ - _- _ - - -- - _.---- INSTHOMCO-TIG INSURANCE COMPANY NAIC# FLORIDA KEYS OUTREACH COALITION, INC. URERA. 1615 TRUSDALE CT., INNSSURERS: KEY WEST, FLORIDA 33040 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. 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 POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID - - HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH CLAIMS. INSR ADD' -- - -- LTR R r.POLICY NUMBER 11 �� GENERAL LIABILITY _ POLICY EFFECTIVE POLICY EXPIRATION _ ATE MM/DD Y DAT MM/DD Y LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE DAMAGE -$��a0 -� CLAIMSMADE OCCUR MHN39291609 TO RENTED [.PREMISSEaoccurenceL 111f1 GG 09-25-03 -X I09-25-02 MEDEXP(Anyoneperson) $POLO-r — - - --- -- PERSONAL & ADV INJURY $ !, GENERALAGGREGATE G_EN'L AGGREGATE LIMIT AP PLIES PER: l - __ - _. -. $ PRO- POLICY T �� LOC PRODUCTS - COMP/OP AGG $ I - - _. _ _.--INCl-_ IN GEl A AUTOMOBILE LIABILITY ANYAUTO L- COMBINED SINGLE LIMIT (Ea accident) $ 1 , 000,000 ALL OWNED AUTOS ----- ' SCHEDULED AUTOS h r0DILYINJURY (Per person) $ HIREDAUTOS -- ---- -- �-- --- — - --, ` NON -OWNED AUTOS MHN39291609 BODILYINJURY $ 09-25-02 09-25-03 (Per accident)- - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - ANY AUTO AUTO ONLY - EA ACCIDENT _ L$-- __ - -- _-- OTHERTHAN EAAC�-$ EXCESS/UMBRELLA LIABILITY AUTO ONLY: qGG $ BY EACH OCCURRENCE $ - OCCUR `J CLAIMS MADE - -- _--- -- - --- DATE i AGGREGATE $ — I DEDUCTIBLE WAIVER L- _-- - - - -- -.---_-.. N/A YESI $ RETENTION $ — -- — _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY $ WC STATU- OTH- - TORY LIMITS ER f. - �_ _-..—. ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? r E L EACH ACCIDENT $ - _ E --_ - �- -- If yes, describe under SPECIAL PROVISIONS below \ E L. DISEASE EA EMPLOYEE, $ ` -- - - -- - - - - -- - $ OTHER E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ADDITIONAL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST, FLORIDA 33040>. CERTIFICATE HOLDER CANCELLnTlnnl MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST, FLORIDA 33040 ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF Y KIND U N THE INRRER, ENTS OR REPRESENTATIVES.AUTHORIZED REPRESENTATIVE �/FRANK MCPHERSON Arl �/ 1 4"__ TION 1988 acoRD.. CERTI PRODUCER 5/27/2002 PAYCHEX AGENCY, INC. P.O. BOX 1503 72 PERINTON PARKWAY FAIRPORT, NY 14450-7503 INSURED PAYCHEX BUSINESS SOLUTIONS, INC 911 PANORAMA TRAIL SOUTH ROCHESTER, NY 14625 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. C_ OMPANIES AFFORDING COVERAGE COMPANY A HARTFORD CASUALTY INSURANCE CO. COMPANY- B COMPANY C COMPANY D . ..._. ...._. ...l.`Y^»Y m `�i's.. ' m a ?s�.�i�mo��u�'\".�u�`a��'. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY SUBJECT TO ALL THE TERMS, PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I POLICY EXPIRATIONT DATE (MM/DD/YY) DATE MM/DD/YY LIMITS COMPREHENSIVE FORM PREMISES/OPERATIONS UNDERGROUND EXPLOSION & COLLAPSE HAZARD PRODUCTS/COMPLETED OPER CONTRACTUAL INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY AUTOMOBILE LIABILITY ANY AUTO J ALL OWNED AUTOS (Private Pass) ALL OWNED AUTOS I (Other than Private Passenger) HIRED AUTOS J NON-OWNEDAUTOS GARAGE LIABILITY BY DATE WAIVER N/A / ES EXCESS LIABILITY `.J UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND A EMPLOYERS' LIABILITY i01 WN J71900 THE PROPRIETOR/ I X 1 INCL PARTNERS/EXECUTIVE I1 OFFICERS ARE: EXCL ONLY THOSE EMPLOYEES (LEASED TO BUT NOT SUBCONTRACTORS OF: SEE RE: BELOW DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE: FL KEEP OUT 5EACH COALITION, INC CG MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: ANN MYTNIK 5100 COLLEGE ROAD KEY WEST, FL 33040 BODILY INJURY OCC — $ BODILY INJURY AGG $ PROPERTY DAMAGE OCC $ PROPERTY DAMAGE AGG $ BI & PD COMBINED OCC [PERSONAL & PD COMBINED AGG PERSONAL INJURY AGG $ (Per person)ILY $ BODILY INJURY $ (Per accident) — — — PROPERTY DAMAGE $ BODILY INJURY & PROPERTY DAMAGE $ COMBINED EACH OCCURRENCE —. —.. .— -- $ $ AGGREGATE -_.__4 _ $ $ 06/01/02 I 06/01/03 EL EACH IDENT LDSEASECPOLICY LIMIT $— — $ EL DISEASE - EA EMPLOYEE $ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 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. HORIZED REPRESENTATIVE / \ es DATE ACORU. CERTIFICATE OF LIABILITY INSURANCE 6/17 M/DDYI) 06/17/03 PRODUCER 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 430 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 200 Linden Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Sui Rochester, NY 14625 INSURERS AFFORDING COVERAGE INSURED INSURER A: Twin City Fire Insurance Company Paychex Business Solutions, Inc. FL KEYS OUTREACH COALITION, INC INSURER B: 911 Panorama Trail South Rochester, NY 14625 877-266-685C INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE Ll OCCUR FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: RO- PECT PRODUCTS—COMP/OP AGG $ 17 POLICY JLOC AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOSBY APP Ea acccdeMINED SINGLE LIMIT$ALL BODILY INJURY SCHEDULED AUTOS ;Y' (Per person) $ HIRED AUTOS DATE BODILY INJURY NON -OWNED AUTOS �A�VER, C__ Ypi -" •------- (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO EA ACC $ $ ONLY: AGG 7 EXCESS LIABILITY OCCUR ❑ CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 01 WN J71900 06/01/03 06/01/04 X WC STATLTORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E. L. DISEASE —EA EMPLOYEE $ 1 000 000 E.L. DISEASE —POLICY LIMIT $ 1 000,000 OTHER DESCRIPTION OF OPERAT10NS/LOCATIONS/VEMICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS WORKERS' COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF FL KEYS OUTREACH COALITION,•INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE MONROE COUNTY BOARD OF THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE COUNTY COMMISSIONERS AM MYTNIK CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION 1100 SIMONTON STREET OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE USA 1185439 © ACORD CORPORATION 1988 C G " 7 AMA&. CERTIFICATE OF LIABILITY INSURANCE DATE 1/10 M/DD/YY) 11/10/03 PRODUCER 1-877-266-6850 Paychex Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 430 Suite 200 Linden Avenue Sui HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Rochester, NY 14625 INSURED Paychex Business Solutions, Inc. INSURER A: Twin City Fire Insurance Company INSURER B: FLORIDA KEYS OUTREACH COALITION INC INSURER C: 911 Panorama Trail South INSURER D: Rochester, NY 14625 8 7 7 -2 6 6 -6 8 5 0 INSURER E: COVE THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDO/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS —COMP/OP AGG $ RQ POLICY JPECT LOC AUTOMOBILE LABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS l�f P�, '`, ti �VI n(� m � 1G)EME U (Per accident) $ PROPERTY DAMAGE (Per accident) AUTO ONLY- EA ACCIDENT $ $ GARAGE LIABILITY _/� lJ ANY AUTO •y- i� r --_ YES ONLYOTHER THAN AUTO AGG $ EXCESS LIABILITY OCCUR ❑ CLAIMS MADE #IV— EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 01 WN J71900 06/01/03 06/01/04 X TORY LIMITS OER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE — EA EMPLOYEE $ 1,000 000 E.L. DISEASE —POLICY LIMIT $ 1 000,000 OTHER DESCRIPTION OF OPERATKNISILOCATION...LES/EXCLUSK)NS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Workers Compensation coverage is provided to only those employees leased to, but not subcontractors of: FLORIDA KEYS OUTREACH COALITION INC MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST, FL 33040 USA ACORD 25-S (7/97) khirschl 1461590 , VAI�VGLLA 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. AUTHORED REPRESENTATIVE O�C4; /C�cSM1S ✓ ® ACORD CORPORATION 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) PRODUCER 03/29/2004 (305)294-2542 FAX (305)296-7985 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Porter Allen Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 513 Southard Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Key West, FL 33040 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED FLORIDA KEYS OUTREACH COALITION INC. INSURERA: SCOTTSDALE INSURANCE COMPANY P.O. BOX 4767 INSURERB: SCOTTSDALE INSURANCE COMPANY KEY WEST, FL 33040 INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN 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 ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION DATE LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 CLAIMS MADE D OCCUR OPS 0036212 10/03/2003 10/03/2004 MED EXP (Any one person) $ A X 5,00 PERSONAL & ADV INJURY $ 11L, 000 , 00 GENERAL AGGREGATE $ 3,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEC LOC PRODUCTS - COMP/OP AGG $ 3 , 000 , 00 F_j AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1,000.00 occuR XMCLAIMS MADE ROFESSIONAL LIABILITY 10/03/2003 10/03/2004 AGGREGATE $ 3,000,00 B DEDUCTIBLE RETENTION $ v� ,4 , a S i ef4 � $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY Y J.111U- ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ If yes describe under 1 ""-� v - / ° ° - E.L. DISEASE - EA EMPLOYE $ SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS l DDITIONAL INSURED MONROE COUNTY BOARD OF COUNTY COMMISIONERS OCATION; (OFFICE) 5503 COLLEGE ROAD KEY WEST, FL. 33040 _CERTIFICATE HOLDER „A&I^ , , -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MONROE COUNTY BOARD OF COUNTY COMMISIONERS BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NOORIJGATION OR LIABILITY 1100 SIMONTON STREET OF ANY KIND UPON THE INSURER GENTS JR REP ESE TA ES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE ! sr ACORD 25 (2001/08) Cc ©ACORD CORPORATION 1988 ACORa. CERTIFICATE OF LIABILITY INSURANCE DATE(MNVDD/YY) 06/07/04 PRODUCER Paychex Agency, Inc. 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1175 John Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. West Henrietta, NY 14586 INSURERS AFFORDING COVERAGE INSURED Paychex Business Solutions, Inc. INSURER A: NEW HANPSHIRE INSURANCE COMPANY FLORIDA KEYS OUTREACH COALITION INSURER B: 911 Panorama Trail South INSURER C: INSURER D: Rochester, NY 14625 877- 266 - 6850 INSURER E: COVFRAAFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iNSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDPM POLICY EXPIRATION DATE (MMmDIYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE f FIRE DAMAGE (Anyone fro) $ CLAIMS MADE ❑OCCUR MED EXP (Any one person) f PERSONAL &ADV INJURY f GENERAL AGGREGATE f GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG f . PRO- POLICY JECT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS(Per AUTOSBODILY NON-OWNEDAUTOS ,,,y i -, i>�l"- i*AN ,._..(Per COMBINED SINGLE LIMIT (Ea accidenU S BODILYINJURY person)HIRED INJURY accident)M..lAi PROPERTY DAMAGE (Per accident) f P c GARAGE LIABILITY ANY AUTO AUTO ONLY- EA ACCIDENT f OTHER THAN AUTO EA ACC f F1 t ONLY: AGG f EXCESS LIABILITY OCCUR ❑ CLAIMS MADE EACH OCCURRENCE f AGGREGATE f f DEDUCTIBLE f RETENTION f X I T CSTAORY U- OER f A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC 0929457-FL 06/01/04 06/01/05 E.L. EACH ACCIDENT f 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR D CFRTIFICATF HnI nro „�..,�,...,., ,........�....._..___--__ COUNTY BOARD OF COUNTY COMMISSIONERS MARIA SLAVIK 1100 SIMONTON STREET WEST, FL 33040 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 90 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.S 17IQ71 mvor i �866651 © ACORD CORPORATION 1988 G C- J?o l DATE (MM/DD/YYYY) ACORD,, CERTIFICATE OF LIABILITY INSURANCE 1 01/13/2005 PRODUCER (305)294-2542 FAX (305)296-7985 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Porter Allen Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 513 Southard Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West, FL 33040 INSURERS AFFORDING COVERAGE NAIC # INSURER A: SCOTTSDALE INSURANCE COMPANY INSURED FLORIDA KEYS OUTREACH COALITION INC. INSURERS: SCOTTSDALE INSURANCE COMPANY P.O. BOX 4767 INSURERC: PROGRESSIVE INSURANCE CO. KEY WEST, FL 33040 INSURER D: INSURER E: VE E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE THE POLICY PERIOD INDICATED. ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUME T WITH RESPECTOTO WHICH THIS CERTIIF IC MAY BE ISSUED OR ITHSTANDIN MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PO"CLAIMS E LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID Po ICY EFFECTIVE POLICY EXPIRATION LIMITS 3R 11LF INSURANCE POLICY NUMBER ono' 0 EACH OCCURREgj$$ 1, LITY DAMAGE TO RE$ 300,0 AL GENERAL LIABILITY MADE XM OCCUR OPS 0038683 10/03/2004 10/03/2005 MED EXP (Any o$ 5,QPERSONAL & ADV INJURY 1, 000 , Q A I X GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC W CY JECT PRO - BILE LIABILITY AUTO OWNED AUTOS EDULED AUTOS ED AUTOS -OWNED AUTOS B GARAGE LIABILITY 7 ANY AUTO EXCESSIUMBRELLA LIABILITY 7 OCCUR a CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER 02304767-1109/25/2004 109/25/2005 LIABI 10/03/2004 10/03/2005 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMBINED SINGLE LIMIT I $ (Ea accident) BODILY INJURY I $ (Per person) BODILY INJURY I $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ $ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ 3,000 3,000 1,000 kL INSURED MONROE COUNTY BOARD OF COUNTY COMMISIONERS ; (OFFICE) 5503 COLLEDGE ROAD KEY WEST, FL. 33040 (�0,- r% L 0— AL INSURED MONROE COUNTY BOARD OF COUNTY COMMISIONERS LE: PROGRESSIVE CERTIFICATE # 35504SBX767 1,000 3.000 __jSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MONROE COUNTY BOARD OF COUNTY COMMISIONERS BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 SIMONTON STREET OF ANY KIND UPON THE INSURER, I AGEN OR P S TIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE FRANK MCPHERSON A17 739 ©ACORD CORPORATION 1988 ACORD 25 (2001/08) DATE (MMIDDIYY) CERTIFICATE OF LIABILITY INSURANCE 04/27/05 ACORDfM 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Paychex Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1175 John Street West Henrietta, NY 14586 INSURERS AFFORDING COVERAGE INSURER A: NEW HAMPSHIRE INSURANCE COMPANY INSURED Paychex Business Solutions, Inc. INSURER B: FLORIDA KEYS OUTREACH COALITION INSURER C: INSURER D: 911 Panorama Trail South Rochester, NY 14625 INSURER E: 877 - 266 - 6850 COVERAGES TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION INSR LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIM DATE (MMIDDIYY) LIMITS EACH OCCURRENCE f GENERAL LIABILITY FIRE DAMAGE(Any one fire) f COMMERCIAL GENERAL LIABILITY PER EXP (Any one person) f CLAIMS MADE ❑ OCCUR PERSONAL & ADV INJURY f GENERAL AGGREGATE S PRODUCTS - COMP/OP AGG f GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) f ANY AUTO BODILY INJURY ALL OW NED AUTOS (Par person) f SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per accident) f NON -OW NED AUTOS PROPERTY DAMAGE (Per accident f AUTOONLY- EAACCIDENT f GARAGE LIABILITY EA ACC f ANY AUTO ��5 HER THAN AUTO > F 1 �^. C I�^,� FON r1i`' YI P. ANAGE N� LY: AGG f q AP EACH OCCURRENCE f EXCESS LIABILITY 'y OCCUR CLAIMS MADE "2J AGGREGATE f f DEDUCTIBLE �a Y_p�AlEr RETENTION f WORKERS COMPENSATION AND EMPLOYERS' WC 4170942 X WC STATU- OTH- 06/01/05 06/01/06 TORY LIMITS ER A LIABILITY _ E.L. EACH ACCIDENT f 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE -POLICY LIMIT f 11000,000 0 OTHER $ f S DESCRIPTION OF OPERATION SILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS SURID IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED IN WORKERS COMPENSATION COVERAGE a- C e— r1 CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE ISSUING INSURER WILL ENDEAVOR TO MAIL 90 DAYS WRITTEN NOTICE TO THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS THEREOF, THE FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION CERTIFICATE HOLDER NAMED TO THE LEFT, BUT MARIA SLAVIK OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 1100 SIMONTON STREET KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE USA Pj © ACORD CORPORATION 1988 khirachl ACORD 25-5 (7/97) 2680115 3�c� ACORU. CERTIFICATt 05/27/OF LIABILITY INSURANCE DATE (M03 YY) PRODUCER 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 430 Linden Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rochester, NY 14625 INSURERS AFFORDING COVERAGE INSURED Paychex Business Solutions, Inc. INSURER A: Twin City Fire Insurance Company FL KEYS OUTREACH COALITION, INC INSURER B: INSURER C: 911 Panorama Trail South Rochester, NY 14625 INSURER D: 877-266-6850 INSURER E: PAl/G� Af�rL. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DO/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ElOCCURVIED FIRE DAMAGE (Any one fire) $ EXP (Any one person) $ PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ PRO - D POLICY JECT LOC AUTOMOBILE LIABILITY ANV AUTO OWNED AUTOSBODILY AIO y�tENT � INA(Ee COMBINED SINGLE LIMIT accident)$ALL INJURY (Per person) $ SCHEDULED AUTOS EY ""� HIRED AUTOSDATE NON -OWNED AUTOS WAIVER ,,,_.,,,_,,...---,.w.- '��>, ... � ,. �rwe BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY- EA ACCIDENT $ OTHER THAN AUTO EA ACC $ • $ ONLY: AGG EXCESS LIABILITY OCCUR ❑CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 01 WN 771900 06/01/03 06/01/04 WC ORYSTATU- X TNCSTA ITS OTH- T ER E.L. EACH ACCIDENT $ 1,000,000 ISEASE-EA EMPLOYEE $ 1,000,000 SEASE-POLICY LIMIT EEL $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS WORKERS' COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF FL KEYS OUTREACH COALITION, INC r wn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE MONROE COUNTY BOARD OF THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE COUNTY COMMISSIONERS ANN MYTNIK CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION 5100 COLLEGE ROAD OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE 1 l USA % -.�i.a.:�1 ✓C�. Arnon in L, /�rn�. iennav 1122669 © ACORD CORPORATION 1988 06/21/05 ConfirmNet -> 13052938276 Pg 2/2 ACORD- CERTIFICATE OF LIABILITY INSURANCE os/21/05os PRODUCER 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1175 John street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. West Henrietta, NY 14586 INSURERS AFFORDING COVERAGE NSURED '.NSVRERA'. NEW HAMPSHIRE INSURANCE C044PANY Paychex Business Solutions, Inc. FLORIDA KEYS OUTREACH COALITION INsuRERE. INSURER (-_. 311 Panorama Trail South INSURF7P Rochester, MY 1462S 877-266- 685 0 1 IN SUPER E ,61V BIKANae 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 EXCLUSICNS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INER POLN:Y EFFECTNE POLICY EXPIRATION LTR TYPE OF INSURANCE POuCY NUMBER OATi (MM9DMY) DATE (MM90lYYJ UM TS DBNERAL LIABILITY EACH OCCURRENCE $ C-CM11!R0A.LCX NERALLIAEILITI � PRE 04M.ACE(Any one fio) F CL1.!IAS MACE OOCUR I � NED EtP ;any one F',m1 $ PEP5CNAL&AD7IN,-RY $ GEVERA_ AGGREATE ¢ GEv'_400RE3r1TE LIMIT APPLIES PER PRODUCTS -CONIP CP AG- $ PRO - POLICY OECT HOC AUTOMOBILE LIABILITY rNA8 vED 31N c=_ro1I- ANY ',OTC (Eaa Ia rrI I, t: i I ALL OVir.I Fn A, TOS SCHECULEC AUTOS fPe' 9E"99f) i'6' BO71L' IyJ URt NON-OYUNED A!iTCS � IPer 3nrje,t, 3 j -- - PRCPERT"DANIA3E - (Per aC,de-tj $ GARAGE LIABILITY r. A;,ii00NLr-E.�ACCIDENT $ ��Me{I-�.: A p C ,` ( p_�A ANI.AUTp APPRO E. II {`;,yfS IV !'1 E —, A EAA"C LTHER' I,HAIJ A.rfO $ $ I I �cNLr. AGG III LIABILITY — _ ___—___ j OCCUR a C::,IMS MADE DA1._-_..�....�....._'Si..,...,.... .. ACi 'RELATE '$ CEDIJ,�TISLEWAIVER FETENTIOV ; i, . $ WORKERS COWENSATION AMC EMPLOYERS' A IuMILTx WC 4170942 06101/05 06j01/06 tiVC STAE X -ORv'LITUO-H- MIT3 ER EL EtiCH OCCIDENT _ S 110CC,ODD EEL $ 1,000,000 Imo/ E.LeISEA-E- PouCYumIT $ 1,000,000 r OTHER t $ $ DESCRIPTION OF OPERATION&LOCATIONINIH ICUIS/E XCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVsIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLCYEES LEASED To, BUT NOT SUBCCNTRACTORS OF THE NAMED INSUR ! C C-. ►Y1CC, MONROE COUNTY BOARD OF COUNTY COMMISSIONERS MARIA SLAVIR 1100 SIMONTON STREET KEY WEST, FL 33040 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE IBEUINO INSURER WILL ENDEAVOR TO MAIL 9_ DAYS WRITTEN NOTICED TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,178 ADENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 2969627 9 A166JKu Gad KP'LJKAIIU N TEIiR! ACORU. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYY) 06/21/O5 PRODUCER 1-877-266-6850 Paychex Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1175 John Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE West Henrietta, NY 14586 INSURED Paychex Business Solutions, Inc. INSURER A: NEW HAMPSHIRE INSURANCE COMPANY INSURER B: FLORIDA KEYS OUTREACH COALITION INSURER C: 911 Panorama Trail South INSURER D: Rochester, NY 14625 INSURER E: 877 - 266 - 6850 CUVEKA[itS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iNSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDNY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR FIRE DAMAGE (Any one fire) f MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG E GEN'L PRO - POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accidenU $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ �9 pY GARAGE LIABILITY /'1 DATE AUTO ONLY- EA ACCIDENT $ ANY AUTO -� � Y� WAIVER VVAIVER '.(��v _... -^•-.--..-s--.-...-p '/ ._ OTHER THAN AUTO EA ACC ONLY: AGG $ E EXCESS LIABILITY OCCUR ❑ CLAIMS MADE n1' J EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE `- i f RETENTION E $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY W(' 4170942 06/01/05 06/01/06 WC STATU- OTH- R TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT S 11000,000 OTHER f $ S DESCRIPTION OF OPERATIONS/LOCATK)NSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR 1 I 1^ KLCIICK: — UANGtLLAIIUN COUNTY BOARD OF COUNTY COMMISSIONERS MARIA SLAVIK 1100 SIMONTON STREET KEY WEST, FL 33040 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 90 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 AfAd7 AGVKU caaVlt$i) 2969627y © ACORD CORPORATION 1988 r DATE (MLVDDNY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 05/10/06 PRODUCER 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1175 John Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Nest Henrietta, NY 14586 INSURERS AFFORDING COVERAGE INSURED Paychex Business Solutions, Inc. FLORIDA KEYS OUTREACH COALITION 911 Panorama Trail South Rochester, WY 14625 877-266-6850 INSURER A. NEW HAMPSHIRE INSURANCE COMPANY INSURER P. INSURERC: INSURER D: INSURER E: •,V Y CfllYtTcp THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POUCYNUMBER POLICY EFFECTWE DATE(MMm ) POLICY EXPIRATION DATE IN MY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE (Any me fim) $ COMMERCIAL GENERAL LIABILITY MED EXP(Any aePe ) $ CIAIMSMADE []OCCUR PERSONAL E ADV INJURY $ GENERALAGGREGATE f GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMP/OP AGG $ PRC- POLICY JEGT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ee AcctleM) f ANY AUTO BOOILYINJURY (Pe, Pereon) E ALL OWNED AUTOS - i SCHEDULED AUTOS BODILY INJURY HIREDAUTOS -- - 1 NONOWNEDAUTOS E PROPEaem) PROPERTY DAMAGE IPer accNarL) f GMAGE LIABILITY AUTO ONLY - EA ACCIDENT f OTHER THAN AUTO EA ACC $ MYAUTO $ t ONLY: AGO EKCESS LIABILITY EACH OCCURRENCE E AGGREGATE $ OCCUR ❑CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ A WORKERS CAMPENSATION MD EMPLOYERS' LIABILITY 7656672 O6/O1(06 06/01/07 X WG STATU TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 1,000,000 EL. DISEASE - EA EMPLOYEE $ 11000,000 EL DISEASE -POLICY LIMIT $ 1,000,000 OTHER $ E E DESCRIPTION OF OPERATIONMOCATIONSNEHICLESB CLUMONS ADDED BY ENDORSEMENTAPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYERS LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR COUNTY BOARD OF COUNTY COMMISSIONERS MARIA SLAVIK 1100 SIMONTON STREET WEST, FL 33040 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 90 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 4 `.7)4 ACORD 25-S (tV97) cmg.Leasc 4331420 C-C ® ACORD CORPORATION 1988 9 DATE (MWDDIM .AD0-WM CERTIFICATE OF LIABILITY INSURANCE 06/12/06 PRODUCER 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1175 Jahn Street 1ALTrRTHF COVERAGE AFFORDED BY THE POLICIES BELOW. West Henrietta, NY 14586 INSURERS AFFORDING COVERAGE INSURED INSURERA: NEW HAMPSHIRE INSURANCE COMPANY Paychex Business Solutions, Inc. INSURERS. FLORIDA KEYS OUTREACH COALITION INSURER C: 911 Panorama Trail South INSURER 0 Rochester, NY 14625 877-266-6850 INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PER LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MMNDIYY) POLICY EXPIRATION DATE IMWDD/YYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE(Anyoneflre) $ COMMERCIAL GENERAL LIABILITY MED EXP(Any one pennon) $ CLAIMSMADE OCCUR PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -CONFIDE AGO $ PRO, 17 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO E. accHenp $ BODILY INJURY ALL OWNED AUTOS SCHEDULEDAUTOS (Pen pennon) $ BODILY INJURY HIRED AUTOS NON-OWNEDAUTOS 1 Y - (Per ecclJaM) $ PROPERTY DAMAGE - (Per ecowenq E GARAGE LIABILITY </(/\ "-"" ----- " AUTOONLY EAACCIDENT $ OTHER THAN AUTO EA ACC ONLY. AGO IS ANY AUTO 1 -.,. $ EXCESS LIABILITY U EACH OCCURRENCE $ AGGREGATE $ OCCUR ❑ CI -AIMS MADE $ $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' 7656672 06/01/06 06/01/07 X WC STATU' OTH TON LIMITS ER EL EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 11000,000 E.L. DISEASE -POLICY LIMIT IS 1,000,000 OTHER 8 $ DESCRIPTION OF OPERATMWLOCATION ENICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR ADDITIONAL INSURED; INSURER LETTER: COUNTY BOARD OF COUNTY COMMISSIONERS SLAVIK SIMONTON STREET WEST, FL 33040 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 90 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. D ACORD 25-S (7/97) cm9leaeo LC: 0 ACORD CORPORATION 1988 4459828 C7"^'��^'�C� ',ACOR&M CERTIFICATE OF LIABILITY INSURANCE 1 09/15/06 PRODUCER 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1175 John Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Nest Henrietta, MY 145E16 INSURERS AFFORDING COVERAGE INSURED INSURER A: NEW HAMPSHIRE INSURANCE COMPANY Paychex Business Solutions, Inc. INSURER B. FLORIDA KEYS OUTREACH COALITION INSURERC: 911 Panorama Trail South INSURER D: Rochester, NY 14625 877-266-6850 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. IWN L. TYPEOFINSURANCE POLICY NUMBER POLICY EFFECTIVE DATEIMMADIYY) POLICY EXPIRATION DATE IMMIDDNYI LIMITS GENERAL LIABILITY EACH OCCURRENCE E FIRE DAMAGE (Any one lira) $ COMMERCIAL GENERAL LIABILITY MED EXP(My one person) $ CLAIMS MADE1:1 OCCUR PERSONAL& ADV INA IRY $ If -- GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMP/OP AGG $ PRO - POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accuenB $ PNV AUTO ) BODILY INJURY (Per person) E ALL OWNED AUTOS - SCHEDDLEDAUTOS-_ HIRED AUTOS �� -.E Ae± i - -., ROD leer LY INJUILYINJURY E NON OWNED AUTOS - — PROPERTYDAMAGE " (Per amieene E GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHER THAN AUTO E4 ACC $ MY AUTO S v ONLY: AGO EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR ❑ CLAIMS MADE E E DEDUCTIBLE $ RETENTION S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 7656672 O6/O1/O6 06/01/07 X WC STATU' TORYLIMITS OTH- ER E.L. EACH ACCIDENT E 1,000,000 EL DISEASE - EA EMPLOYEE $ 11000,000 E L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER a $ DESCRIPTION OF OPERATIONSILOLADONSNEIVILE&EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR a ADDITIONAL INSURED: INSURER LETTER: COUNTY BOARD OF COUNTY COMMISSIONERS SIMONTON STREET WEST, FL 33040 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 90 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDEN 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. AUTHORMD REPRESENTATIVE fo a)j1 /f ACORD 26-S (7/97) TAo�$RS 0 ACORD CORPORATION 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE/DD 01/17/z007o? PRODUCER (305)294-2S42 FAX (305)296-7985 The Porter Allen Company 513 Southard Street Key West, FL 33040 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Florida Keys Outreach Coa Ttion Inc PO BOX 4767 Key West, FL 33041-4767 INSURERA: Scottsdale Insurance Co INSURERS: Progressive Companies INSURERC: INSURER D: NSURER E: cc 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, ILTRNSR DR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY OPS 0044610 10/03/2006 10/03/2007 EACH OCCURRENCE $ 1,000,006 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 CLAIMS MADE O OCCUR MED EXP (Any one person) $ S,000 A X PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,00 POLICY F PRO ECT 7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS X SCHEDULEDAUTOS ^/� BODILY INJURY (Per person) $ HIRED AUTOS jl {VVV IV BODILY INJURY NON -OWNED AUTOS i `? ' (Peer racci ent) $ ll �� PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ONLY - EA ACCIDENT $ ANY AUTO U OTHER THAN EAACC $ $ AUTO ONLY: qGG EXC ESS/UMBRELLA LIABILITY EACH OCCURRENCE S 1,000,00 OCCUR X� CLAIMS MADE ROFESSIONAL LIABILITY 10/03/2006 10/03/2007 AGGREGATE $ 3,000,000 A X POLICY # OPS0041547 $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L.DISEASE- POLICY LIMIT $ AUTOMOBILE LIABILITY POLICY # 02304767-3 09/25/2006 09/25/2007 BODILY IN7/PROP.DAM $1,000,000 UNINSURED MOTORIST $1,000,000 MEDICAL PAYMENTS $5,000 DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ADDITIONAL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS LOCATION: 5503 COLLEGE ROAD STE 211 KEY WEST, FL. 33040 �: If'rhas�ce. MONROE COUNTY BOARD OF COUNTY COMMISSIONERS P.O. BOX 1026 KEY WEST, FL 33041-1026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL OF ANY KIND UPON THE INSI AUTHORIZED REPRESENTATIVE LIABILITY ACORD 25 (2001108) ©ACORD CORPORATION 1988 ACORa. CERTIFICATE OF LIABILITY INSURANCE DAT 0 03/07 PRODUCER 1-800-472-0072 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 150 Sawgrass Dr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. /C INSURERS AFFORDING COVERAGE Rochester, NY 14620 [J [/1'I� f`Ll INSURED Paychex Business Solutions, Inc. INSURER A:--A17ERI HONK ASSURANCE COMPANY FLORIDA KEYS OUTREACH COALITION YA MAI INSURER B. 1 �B+SMRE 911 Panorama Trail South Rochester, NY 14625 INSURER D: 877-266-6850 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE(MM)DDIYY) POLICY EXPIRATION DATE(MMDDNY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GLAIM$MADE ❑rx UR EACH OCCURRENCE $ FIRE DAMAGE (Anyone lire) $ ICED EXP(Any one Person) E PERSONAL S ADV INJURY $ GENERAL AGGREGATE g GENT AGGREGATE LIMIT APPLIES PER: PR6 POLICY JECT LOC PRODUCTS -COMP/OP ADD $ AUTOMOBILE LIABILITY MY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON OWNED AUTOS _. `--.._�.'�. "/ _ COMBINED SINGLE LIMIT (E58LCM9M) $ BODILY INJURY (Pe' pereon) $ BODILY INJURY IN, xCYknD E PROPERTY DAMAGE (Per eccaent) $ AGE LIABILITY MY AUTO M { I fl. /) 1�/(�( AUTOONLY-EAACCIDENT $ EA OTHER THAN AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR ❑CLAIMS MADE DEDUCTIBLE RETENTION $ 1 // C f L EACH OCCURRENCE $ AGGREGATE $ $ E E A WORKERS COMPENSATION AND EMPLOYERS' 1101953 06/01/07 06101108 X WC STATU OTH- TORYLIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - CA EMPLOYEE $ 11000,000 EL. DISEASE -PDOGY LIMIT $ 1,000,000 OTHER E E a DESCRIPTION OF OPERATIONSILOCATIONSWHICLESXXCLUMONS ADDED BY ENOORSEMENnSPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYERS LEASED TO, BUT NOT SUBCONTRACTORS OF THE JINSUR COUNTY BOARD OF COUNTY COMMISSIONERS SIMONTON STREET WEST, FL 33040 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 90 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. AGORD 25.5 (7/97) fill---- 0 ACORD CORPORATION 1988 sRACDRD.94CERTIFIC-254ZpATE�OF79 IABILITYISINSIU RAATE FICIN CED AS A The Porter Allen Company ONLY AND CONFERS NO RIGHTS U HOLDER. THIS CERTIFICATE DOES 513 Southard Street ALTER THE COVERAGE AFFORDE[ Key West, FL 33040 INSURERS AFFORDING COVERAGE Florida Keys Outreach Coalition Inc NSURER A: PO BOX 4767 "SURER B: Key West, FL 33041-4767 'SURER C: INSURER D: INSURER E: DATE(MM/DDIYYYY) NAIC # V OF INSURANCE LISTED BELOW TERM OR CONDITION THE INSURANCE AFFORDED AGGREGATE LIMITS SHOWN MAY TYPE OF GENERAL LIABILITY HAVE BEEN ISSUED TO THE INSURED OF ANY CONTRACT OR OTHER DOCUMENT BY THE POLICIES DESCRIBED HEREIN HAVE BEEN REDUCED BY PAID POLICY NUMBER OPS0047SS9 NAMED ABOVE WITH RESPECT IS SUBJECT CLAIMS. POLICY EFFEOTIVE 10/03/2007 FOR THE POLICY TO WHICH TO ALL THE TERMS, POLICY EXPIRATION 10/03/2008 PERIOD INDICATED. NOTWITHSTANDING THIS CERTIFICATE MAY BE ISSUED OR EXCLUSIONS AND CONDITIONS OF SUCH LIMITS EACH OCCURRENCE $ 1,000,00 THE ANY MAY POLICIES. POLICIES REQUIREMENT, PERTAIN, HERDD' DAMAGE TO RENTED $ 300,00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR MED EXP (Any one Person) $ 5,00 PERSONONALSADV INJURY $ 1,000,00 A X GENERALAGGREGATE $ 3,000,00 PRODUCTS.COMP/OP AGG S 3.000,0001 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jECOT LOC AUTOMOBILE LIABILITY 023047674 09/25/2007 09/25/2008 COMBINED SINGLE LIMIT (Ea accident) S 1,000.00 ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ B X SCHEDULEDAUTOS HIRED AUTOS BODILY INJURY (Peraccidenl) S NON -OWNED AUTOS PROPERTYDAMAGE (Peraccidenl) $ GARAGE LIABILITY ANY AUTO 7l --"— /'y P AUTO ONLY - EA ACCIDENT It OTHER THAN EA ACC AUTO ONLY: AGO $ $ EACH OCCURRENCE S EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ v T ) WC STATU- OTM- $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ ANY XECUTIVE OFFICER/MEMBER EXCLUDED? "ea describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS'/ LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS roviding Housing to Homeless Individuals Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 REPR NATIVES. AUTHORIZED ACORO 25 (ZDUPUU) CORPORATION 1988 ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 05/16/08 PRODUCER 1-800-472-0072 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 150 Sawgrass Dr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rochester, NY 14620 INSURERS AFFORDING COVERAGE INSURED INSURER A: ILLINOIS NATIONAL INSURANCE COMPANY Paychex Business Solutions, Inc. FLORIDA KEYS OUTREACH COALITION INSURER B: INSURER C: 911 Panorama Trail South INSURER D: Rochester, NY 14625 877-266-6850 INSURER E: Pnvcoercc 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. MEN LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MMMOM) POLICYEXPIRATION DATE(MW➢OIVY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Anyone fee) $ MED EXP (Any ore person) E PERSONAL A MY INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO POLICY r JECT LOC PRODUCTS-COMP/OP AGO E AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEWLEDAUTOS HIREDAUTOS NON -OWNED AUTOS ^(� v9 \I '' "7 -/F[�" -. - .. COMBINED SINGLE LIMIT (Ea ac,I,nl) E BODILY INJURY (Pm peeon) $ BO DILYIWURY (PH eeC109M1 $ PROPERTY DAMAGE (Par eccaeN) $ GARAGE LIABILITY ANY AUTO ) AUTOONLY EAACCIDENT $ EA ACC OTHER THAN AUTO ONLY'. AGG, $ $ EXCESS LIABILITY OCCUR ❑CLAIMS MADE DEDUCTIBLE RETENTION $ I I EACH OCCURRENCE $ AGGREGATE $ S E E A WORKER COMPENSATION AND EMPLOYERS' 2243523 06/01/08 06/01/09 X we STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE -POLICY LIMIT S 1,000,000 OTHER S $ S DESCRIPTION OF OPERATKMIShCCATIONSNEHICLESEXCLUMONS ADDED BY ENDORSEMENTISPECIAL PROVISNINS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR ADDITIONAL INSURED; INSURER LETTER: COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY NEST, FL 33040 ACORD 25-S p197) 8800 07 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 90 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE vb/ A Z4 J ACORDe CERTIFICATE OF LIABILITY INSURANCE DATE 1/2008) /D 10 /zoos PRODUCER (305)294-2542 F-799S ATE IS ISSUED AS A MATTER OF INFORMATION The Porter Al l en Company 1 � EC � I C}ifDLDER.LY THI CERTIFICATRIGHTS S13E DOES NOT AMEND, EXTEND OR Key Southard Street ------aINSURERB VERAGE AFFORDED BY THE POLICIES BELOW. Key West, FL 33040 Frank McPherson RDING COVERAGE NAIC # INSURED Florida Keys Outreach Coalitio Inc ,"' sdale Insurance Co PO Box 4767 essive Companies Key West, FL 33041-4767 MONROEC L"MER C. RISK MAN✓G INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRF%_D[rI rypE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR OPSOO50965 10/03/2008 10/03/2009 LIMITS EACH OCCURRENCE $ 1,000.00 DAMAGE TO RENTED $ 300,00 $ 5 OO MED EXP (Any one person) PERSONAL S ADV INJURY $ 1 000 DD GENERAL AGGREGATE $ 3 000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 3,000,00( AUTOMOBILE LIABILITY ALL AUTO ALL OWNED AUTOS 023047674-5 09/25/2008 09/2S/2009 COMBINED SINGLE LIMIT (Eaeccitlenl) $ 1,000,00 BODILY INJURY (Per person) $ B SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABIUTY ANY AUTO AUTO ONLY - EA ACCIDENT 7- OTHER THAN EA ACC $ AUTO ONLY. pGG $ OCCURCLAIMS MADE EXCESS/UMBRELLA LIABILITYvii ' EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLERETENTION $-...WORI(ERSCOMPBILITY ON ANDWCSTATU-EMPLOVERS' LIABILIryANY PROPRIETOR/PARTNER/EXECUTIVEE. OFFICERrMEMBER EXCLUDED? L EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ Hyes, describe under SPECIAL PROVISIONS belowE. OTHER L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ROVIDING HOUSING TO HOMELESS INDIVIDUALS ONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS NAMED AS ADDITIONAL NAMED INSURED. CFRTICICATC unl nos SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MONROE COUNTY BOARD OF COUNTY COMMISSIONERS BUT FAILURE TO MAIL SUCH NOTICE S ALL IMPOSE NO OBLIGAT NOR LIABILITY 1100 SIMONTON STREET OF ANY KIND UPON THE INSURE ENTS hiR E R S T ES. KEY WEST, FL 33040 AUTHORD ED REPRESENTATNE FRANK MCPHERSON A174 39 ACORD 25 (2001I08) ®ACORD CORPORATION 1988 G� �Vl 6Ci1r/ LAB ACORDTm CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 02/02/2010 PRODUCER (305) 294-2 S42 FAX (305) 296- 7985 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION The Porter Allen Coq)any ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE S13 Southard Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West, FL 33040 Mayl e, Betty INSURERS AFFORDING COVERAGE NAIC # INSURED Florida Keys Outreach Coalition Inc INSURER A: Scottsdale Insurance Co PO Box 4767 INSURER B: Key West, FL 33041-4767 INSURER C: INSURER D: 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 DDL TYPE OF INSURA14CE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MMIDDIYYL.- DATE (MM/DD=)10/03/2009 GENERAL LIABILITY OPS005 5044 10/03/2010 EACH OCCURRENCE $ 19000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 3009000 CLAIMS MADE �� OCCUR MED EXP (Any one person) $ 5,00 A X PERSONAL & ADV INJURY $ 110001000 GENERAL AGGREGATE $ 390009000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- PRODUCTS - COMP/OP AGG $ 39000900 0 POLICY JECT171 LOC. AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ ` (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ $ DEDUCTIBLE f - $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS ROVIDING HOUSING TO HOMELESS INDIVIDUALS ONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS NAMED AS ADDITIONAL INSURED FOR DESIGNATED PREMISES AT: FFICE LOCATION SS03 COLLEGE ROAD SUITE 211, 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 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Monroe County Board o f County Commi s s i one r s BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATI OR LIABILITY 1100 Simonton Street OF ANY KIND UPON THE INSURER GENTS R R RES TA S. Key West, FL 33040 AUTHORIZED REPRESENTATIVE Frank McPherson A1yZ_ 0/11W 74 39 ACORD 25 (2001I08) � ©ACORD CORPORATION 1988 CERTIFICATE OF LIABILITY INSURANCE DATE 5/14 /1M/M 0 05/140 PRODUCER 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Insurance Agency, Inc. 150 Sawgrass Dr EC.E R FERS NO RIGHTS UPON THE CERTIFICATE R. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR MTH1,20V RAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Rochester, NY 14620 INSURED MAYPaychex Business ,Solutions, Inc. �,' �`" Su IL INOI NATIONAL INSURANCE COMPANY INSURER B: FLORIDA KEYS OUTREACH COALITION 911 Panorama Trail South MONROE R ' .1 T -9: NY 14625 RISK. NIAN _ INSURER ff: 1Rochester, 877-266-6850 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1-1 OCCUR MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS — COMP/OP AGG $ PRO - POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS a (Per person) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS �J (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ EA OTHER THAN AUTO ACC $ ANY AUTO � $ ONLY: AGG EXCESS LIABILITY OCCUR E-1 CLAIMS MADE �4 EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS LIABILITYTORY 012007139 0 6 / 01 / 10 0 6 / 01 / 11 X WC STATU- OTH- LIMITS ER E.L. EACH ACCIDENT $ 1 f 000, 000 E.L. DISEASE — EA EMPLOYEE $ 110 0 0 , 0 0 0 E.L. DISEASE —POLICY LIMIT $ 1, 0 0 0 , 0 0 0 OTHER $ $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS WORKERS COMPENSATION 'COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INS VCK I IPI%oAI C I'1VLLJtK I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION IMONROE COUNTY BOARD OF COUNTY COMMISSIONERS 11100 SIMONTON STREET KEY WEST, FL 33040 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 90 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 - - - st:_ �F ACORD 25-S QP7) U15CiRC7 15690961 ©ACORD CORPORATION 1988 do 1 - L CERTIFICATE OF LIABILITY INSURANCE OP ID PR DATE(MM/DD/YYYY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 7�10 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cerd icate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsementlsi_ Gulfstream Insurance Group Inc P.O. Box 8908 Fort Lauderdale FL 33310-8908 Phone:954-561-2220 Fax:954-566-0673 INSURED Florida Keys Outreach Coalition, Inc. PO Box 470 Key West FL 33041 CUSTOMER ID #: FLORI0 8 INSURER(S) AFFORDING COVERAGE INSURER A: Arch Insurance Compa INSURER B : INSURER C : INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER GENERAL LIABILITY GENERAL (MM/DD/YYYY) LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE CJ OCCUR X GEN'L AGGREGATE LIMIT APPLIES PER: � PRO - POLICY r LOC AUTOMOBILE LIABILITY A X� ANY AUTO ' ALL OWNED AUTOS SCHEDULED AUTOS A X HIRED AUTOS A X NON -OWNED AUTOS UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE DEOtICTIBLE RETENTION $ AND EMPLOYERS' LIABILITY �, / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? IN I A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NCPHGO144100 CAUT0144100 CAUT0144100 CAUT0144100 -NA /' /1 -. 09/25/10 09/25/10 25/11 25/11 09/25/10 09/25/11 09/25/10 09/25/11 NAIC # EACH OCCURRENCE $ 1000000 PREMISE7ADV nce) $ 300000 ME EXP son) $ 5 Q 0 0 PERSONAURY $ 1000000 GENERALE $ 3000000 PRODUCTS - COMP/OPAGG $ 3000000 Emp Ben. $1000000 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) j $ $ EACH OCCURRENCE $ AGGREGATE $ SiATU- H- TORY LIMITS ER E.L EACH ACCIDENT $ E.L. DISEASE _EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space) is required Monroe County Board of County Commissioners is additional insured with respect to general liability. CERTIFICATE HOLDER CANCELLATION MONROE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners Risk Management AUTHORIZED REPRESENTATIVE 1100 Simonton St, 1ceV West FL 33040 ACORD 25 2009/09 C N. All rights reserved. ( The ACORD name and logo are registered marks of ACORD FLORIN OP ID: PR C E RTI F I CA nXi9iffivA10104111 U RA N C E DATE (M 0411 YYY) THIS CERTIFICATE IS ISSUED AS A MATTER 0JFICATE NFORMA RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY ORGATIVELY AMEND, EXTEND THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE REPRESENTATIVE OR PRODUCER, AND THE CE S NOT CONSTITUTE A COTWEEN JRAE ER.IMPORTANT: THE ISSUING INSURER(S), AUTHORIZED If the certificate holder is an ADDNAL the terms and conditions of the policy, certain poes certificate holder in lieu of such endorsement(s). INSURED, thepolicy(lendorsed. may require an endorsemement If SUBROGATION IS WAIVED, subject to on this certificate does not confer rights to the PRODUCER Gulfstream Insurance Group Inc P.O. Box 8908 Fort Lauderdale, FL 33310-8908 David Arch ��}e 9i' 7Vr1[irR r'1 LA/t �N�Extl: —_ FAX (A/C, No): E-MAIL ADDRESS: — INSURERIS) AFFORDING COVERAGE NAIC N INSURERA:Arch Insurance Company INSURED Florida Keys Outreach Coalition, Inc. INSURER B : INSURER C : PO BOX 4767 Key West, FL 33041 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVI_clnN NI IMA=I2e THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE ! POLICY EFF POLICY NUMBER MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 300,00 A X COMMERCIAL GENERAL LIABILITY X NCPKG0144101 09/25/11 09/26/12 CLAIMS -MADE a OCCUR MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 3,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $ 3,000,00 POLICY PRO LOC Emp Ben. $ 1,000,00 AUTOMOBILE LIABILITY O BINEDISINGLE LIMIT(Ea $ 1,000,00 A ANY AUTO NCAUT0144101 09/25/11 09/25/12 BODILY INJURY (Per person) $ ALL OWNED SCHEDULEDBODILY AUTOS AUTOS JX INJURY Per accident ( )HIRED $ AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION EMPLOYERS' LIABILITY ' TU_AND TORY LIMITS OER i i YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N I A l/ �' E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ If yes, describe under \\\ i DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ I (( vvvv � DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101 Additional Remarks Schoduls, if more space Is required) Monroe County Board of County Commissioners is additional insured Monroe County Board of Commissioners Risk Management 1100 Simonton St, Frey West, FL 33040 MONROE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CG ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A CERTIFICATE OF LIABILITY INSURANCE DATE/ 02/2121/2012 Y) 012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Risk Transfer Programs, LLC PHONE FAX 219 East Livingston Street A/C No Ext : 866 481-9363 A/C No): Orlando, FL 32801 E-MAIL— INSURED Stafflink Outsourcing, II, III, IV, V 8 VI Inc. 1776 N. Pine Island Road Suite 108 Plantation, FL 33322 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :CastlePoint National Insurance Company 40134 INSURER B :Tower Insurance Company of New York 44300 INSURER D : INSURER E : INSURER F : r nVFRAr:Fft CFRTIFICATF NIIMRFR-R4H9MR6Z REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL I UBR POLICY NUMBER EFF MM DDPOLICYrYYYY POLICY EXP MM DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENT PREMISES Ea occurrence $ CLAIMS -MADE DOCCUR AP MANA MED EXP (Any one person) $ DA PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ J W T � GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ /�� 1�`— r� w ` $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE WSLTHPE00020008 'WSLTHPE00014903 03/01/2012 03/01/2013 X WC STATUS OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Coverage is extended to the leased employees of alternate employer in all states except in monopolistic states (ND, OH, WA, WY): Florida Keys Outreach Coalition, Inc. # 6011 (Effective 4/1/11) ,nR C�• '� �� CtKIIt-IGAIt MVLUtK l HIVI GLLHIIVIV Monroe County Board of County Commissioners Attn: Monique Diaz, Risk Management Assistant 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Page 1 of 1 U 1988-2010 ACORD CORPORATION. All rights reserved. FLOR108 OP ID: PR AFRO CERTIFICATE OF LIABILITY INSURANCE 7TE10/01[MMIDDIYYYY) /12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 954-561-2220 Gulfstream Insurance Group Inc P.O. Box 8908 954-566-0673 Fort Lauderdale, FL 33310-8908 David Arch CONTACT PHONE FAX A/C No Ext : A/C No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Arch Insurance Company INSURED Florida Keys Outreach Coalition, Inc. PO Box 4767 Key West, FL 33041 INSURER B : Fidelity National Property 16578 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 PAMAGE TO RENTED - REMISES Ea occurrence $ 300,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_1 OCCUR X NCPKG0144102 09/25/12 09/25/13 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 3,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,00 PRO LOC POLICY JECT Emp Ben. $ 1,000,00 AUTOMOBILE LIABILITY (CEOac.de SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO X NCAUT01"102 09/25/12 09/25/13 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB HOCCUR CLAIMS -MADE D EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A WC STATU- OTH- TORY LIMIT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ A Property NCPKG01"102 09125/12 09/25/13 see description B Flood 09115002225103 06/09/12 06/09/13 Fid Bldg 10,60 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Monroe County Board of County Commissioners is additional insured with respect to general liability and auto liability per written contract. CERTIFICATE HOLDER CANCELLATION MONROE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners AUTHORIZED REPRESENTATIVE Risk Management 1100 Simonton Key West, FL 33040 ✓ =cam. ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD CG ACORO® � CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 02/21/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTERTHE COVERAGE AFFORDED BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Risk Transfer Programs, LLC 219 East Livingston Street CONTACT NAME: PHONE MAX A/C No Ext : 866-481-9363 1 A/C No): E-MAIL ADDRESS: Orlando, FL 32801 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :CastlePoint National Insurance Company 40134 INSURED Stafflink Outsourcing, II, III, IV, V & VI Inc. INSURER B :Tower Insurance Company of New York 44300 1776 N. Pine Island Road INSURER C : Suite 108 Plantation, FL 33322 INSURER D : INSURER E : INSURER F : rnVFRAr.Fs CERTIFICATE NUMBER:R4H9MR6Z REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYpE OF INSURANCE ADDLSUBR POLICY NUMBER MM/LICY EFF DIYYYY POLICY EXP MM/ D/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR AP MED EXP (Any one person) $ DA D PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ W I GENT AGGREGATE LIMIT APPLIES PER: JECT —1 POLICY PRO LOC PRODUCTS - COMP/OP AGG $ (J �`�"" rC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE WSLTHPE00020008 WSLTHPE00014903 03/01/2012 03/01/2013 X ORY IM TS OTH ER E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Coverage is extended to the leased employees of alternate employer in all states except in monopolistic states (ND, OH, WA, WY): Florida Keys Outreach Coalition, Inc. # 6011 (Effective 4/1/11) C�• �i-r�t n G2� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE Attn: Monique Diaz, Risk Management Assistant 1100 Simonton Street Key West, FL 33040 Page 1 of 1 ©1988-2010 ACORD CORPORATION. All rights reserved. +a CERTIFICATE OF LIABILITY INSURANCE °Aoti27/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTERTHE COVERAGE AFFORDED BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ONTA T PRODUCER NAME: Risk Transfer Programs, LLC PHONE 866481-9363 FAX 219 East Livingston Street A/C L Ext : A/C No Orlando, FL 32801 E-MAIL ADDRESS: nusulxFlxrst AFFORDING COVERAGE NAIC X INSURED Stafflink Outsourcing, II, III, IV, V & VI Inc. 1776 N. Pine Island Road INSURER B : INSURER C Suite 108 INSURER D : INSURER E Plantation, FL 33322 INSURER F COVERAGES CERTIFICATE NUMBER:KHRLGXYL REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL INS UBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OPAGG $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE� LOC AUTOMOBILE LIABILITY r AFCOMBINED Y �EENMENT SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS WAN / 1 ( CC BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB HOCCUR EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR/PARTNERlEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? N / A TWC3404060 03/01/2014 03/01/2015 WC STATU- OTH- X TORY LIMIT R A E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Coverage is extended to the leased employees of alternate employer in all states except in monopolistic states (ND, OH, WA, WY) and other states (AK, HI, ID, OK): Florida Keys Outreach Coalition, Inc. # 6011 (Effective 03/01 /14) CERTIFICATE HOLDER CANCELLATION (c+ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE u ^'d 8VW 1�101 AN E TH THE POLICY PROVISIONS. DELIVERED IN ACCORDWI Monroe County Board of County Commissioners t3.�. AUTHORIZED REPRESENTATIVE Attn: Monique Diaz, Risk Management Assistant 1100 Simonton Street Key West, FL 33040 Page 1 of 1 ©1988-2010 ACORD CORPORATION. All rights reserved. ^i Amon FLOR108 OP ID: RD ACORO DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 09/24/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME:__ Lynn Dowling, AINS, AAI, AIAM Gulfstream Insurance Group Inc PHONE FAX - P.O. Box 8908 (A/c No EXt 954-334-1726 _ (A/C, No) 95_4-537-0177 Fort Lauderdale, FL 33310-8908 E-MAIL y_nn Dl�g_u David Arch ADDREss;llfstreaminsurance.net INSURER,S�FORDING COVERAGE NAIC # INSURER A: National Union Fire Ins. Co. INSURED Florida Keys Outreach INSURER B : Coalition, Inc. PO Box 4767 INSURER C Key West, FL 33041 INSURERD_ INSURER E : INSURER F rnv1=0er-1l rFRTIFIr:ATF NI IMRFR• RFVISI0N NUMBER' 001 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBKPOD/LICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE i POLICY NUMBER MM/DYYYY►'� (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE X OCCUR X 29-LX-067990535-0 09/25/2015 09/25/2016 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,00 X Abuse/Molestation CLAIMS MADE RETRO 10/3/03 MED EXP (Any one person) $ 20,00 CLAIMS MADE RETRO 10/3103 PERSONALBADvwJURY $ 1,000,00 FXJ ProfLiablhty GENERAL AGGREGATE $ --- 3,000,00 GENT AGGREGATE -LIMIT APPLIES PER: PRO- POLICY JECT X LOC PRODUCTS $ 3,000,00 EmBenefit $ $1MIL/3M1 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Eaaccidenl) ______._1-___- $ 1,000,00 A X ANY AUTO X 29-CA-084608414-0 09/25/2015 09/25/2016 BODILY INJURY (Per person) j $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X X NON-OED— lil PROPERTY DAMAGE $ HIRED AUTOS (Per accident) 15K M EMENT s UMBRELLA LIAB OCCUR EACH OCCURRENCE — $ BY EXCESS LABCLAIMS-ADEM AGGREGATE $ DED RETENTION $ DATE $ WORKERS COMPENSATION WAIVER N/ —'— PER H- STATUTE , ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below �_ _- E.L. DISEASE - POLICY LIMIT $ A Property XWIND 29-LX-067990535-0 09/25/2015 09/25/2016 BillL DING 2,200,00 BPP 97,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Monroe County Board of County Commissioners are additional insured on the General Liability & Automobile Liability as per written contract on the following locations: 1615,1616,1618& 1620 Truesdell Court Key West,FL & 1622,1624 Spaulding Court,Key West,FL,10 days notice of cancellation for nonpayment 30 days for all other reasons y1 -1 1.— CERTIFICATE HOLDER -'"I/ L ANUt:LLA I IUN �.% IOE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN V : I IOU � ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Boaof ��d z� County Commissird oggs - (� St)I jJv AUTHORIZED REPRESENTATIVE Risk Management cj� 1100 Simonton St, U� Q�'71 Key West FL 33040 (C-) 1988-2014 AGUFKU GUKPUKA I IUN. All rlgnTs reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD �-, FLOR108 OP ID: RD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 09124/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . IOIT PRODUCER NAMEACT Lynn Dowling, AINS, AAI, AIAM Gulfstream Insurance Group Inc PHONE FAX P.O. Box 8908 (AIC, Mq, Ext):954-334-1726 _ _ (Aic, No): 954-537-0177 EMAIL Fort Lauderdale, FL 33310-8908 ADDRESS. lynn@,gulfstreaminsurance.net David Arch INSURERS) AFFORDING COVERAGE NA1C M INSURER A: National union Fire Ins. Co. INSURED Florida Keys Outreach INSURER B_., _ Coalition, Inc. INSURER C : PO Box 4767 - Key West, FL 33041 INSURERD_ INSURER E oC\/ICtrthl hit tuctFR• nni 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 INSRADDLSUB - POLICY EFF POLICYEXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIODIYYYY MM/tO/YYYV A X . COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,00 __. DAMAGE TO RENTED CLAIMS -MADE X ! OCCUR X 29-LX-067990535-0 09l25l2015 0912512016 PREMISES (Ea occurrence)__. $ 1,000,00 X Abuse/Molestation I CLAIMS MADE RETRO 10/3103 MED EXP (Any one person) a_ 20,00 X ProfLiability CLAIMS MADE RETRO 1013/03I PERSONAL s ADV INJURY $ 1,000,00 - GEN'L AGGREGAT_E LIMIT APPLIES PER 'rGENERAL AGGREGATE S 3,000,00 _ PRO- X LOC PRODUCTS - COMP_IOP AGG $ 3,000,00 POLICY JECT EmBenef-it $ $1MIU3MI OTHER COMBINED SINGLE LIMIT S 1,000,00 AUTOMOBILE LIABILITY (Ea accident) A X ANY AUTO X 29 CA-084608414-0 09125/2015 09126/2016 i BODILY INJURY (Per person) j $ ALL OWNED i SCHEDULED BODILY INJURY (Per accident) $ AUTOS _ AUTOS PROPERTY DAMAGE XNON -OWNED (Peraccidentl. HIRED AUTOS X AUTOS $ UMBRELLA LIAR I OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS -MADE _AGGREGATE $ $ DED RETENTION$ PER VIH- WORKERS COMPENSATION STATUTE _. ER AND EMPLOYERS' LIABILITY YE.L. EACH ACCIDENT S _ ANY PROPRIETORIPARTNER/EXECUTIVE a N 1 A OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE S (Mandatory In NH) If yyes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below 2,200,00 A Property X OF IND 29-LX-067990535-0 0912512015':, 09/2512016 BUILDING BPP 97,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if m4DA e is required Monroe County Board of County Commissioners are additional insured on the General Liability &Automobile Liability as per written contract on the N EMEM following locations: 1615,1616,1618& 1620 Truesdell Court Key West,FL & 1622,1624 Spaulding Court,Key West,FL,10 days notice of cancellation for t nonpayment 30 days for all other reasons WAIVER N/ YES� 7. • 1.1 n MONROE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CounteComm ssiion l f 60 d3S SIOZ y AUTHORIZED REPRESENTATIVE Risk Manageln V. 4.I � �� z 11oosimontb��t;j-�� bUJ (J3�i� Key West FL 33040 ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD AC f0sn C,ERTIFICATM""OF LIABILITY INSURAP" 02/1.1E#A�Dpr1fY 2/12/2410 "tO==R (305) 294- 2 S42 FAX %) 296- 793 S THIS CF TIFICATE iS .i _ UED AS A MATTER OF INFORMATION The Porter Allen Company r - ERB N RIGHTS UPON THE CERTIFICATE 513 Southard Street r b CERTIFI TE DOES NOT AMEND, EXTEND OR Key West, FL 33040 � �.--_._ O GE O HE POCK S BELOW. Mayl e, Betty INSURERS AFFORDING OVERAGE NAIC oisuaao ors Keys Outreac Coal i ti o� nc uR p es i ve PO Box 4767 INSURER e Key West, FL 33041-4767 +t Rc: a ..Iu .. 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 SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PO4ICiES. A00REGATE LUTS SHOWN MAY HAVE BMW REDUCED SY PAID CLAIMS. TYM OR Mi1BuRANCE POL4v NuNN1EA EXPI LINE ODMU . LIAUN,ITY EACH OCCURRENCE E COMMERCM GENERAL L"LITr DAMAGE TO RENTit a CtJNMA El occuR Mr-baftMADE (fjL=ED AHED eXP IAA► am venmf i PERSONAL ! ADV INAIRY � GENERAL AG8pEt3ATE � GEN'!. AG(iREOATE LMAIT APPLIES PER: PRODUCTS . CO#R'tOP AGOi Powcy JECT LOC AUTOINME UANUTY 02304767-6 09/2 S/2009 09/2S/2010 ANY AUTO COMI NED SINGPLE LIMIT (I.* owd ') : ALL OVN11E0 AUT06 1 000 X WtWg)ULEO AUTOS A x 9OOILY 1N) ; I►•� � "REP AUT08 NON -OWNED AUTOS 84QtlY iNJUAY IPw Wad") i PROPERTY OAMA09(Per waftm) S "RAW LIA OLITY AUTO OWY - EA ACCIDENT S ANY AUTO OTMEIt THM EA ACC S AUTO ONLY. AGO 3 EXCE!'A1MOWLA LUUWTY .-. OCCUR CLAW MAPi EACH OCCuPRENCE f AeGRIeGATE � t,r _ GeDWTIBLE RETENTION f i MIIow" COMPEN"71 M AMID TiVLOVE'RE' LIABRJW i ST TV- OTM. I ANY PROPRIETOfWAR CUTIIIE OFFICE! WMKR E=uD it IF It E-L. EACH ACCIDENT i Uefte"awpcnd. S �, E. L. DISEASE - EA ElyPIoYE E Wilm- bsiow OTHER E. L, DISEASE • POLICY LIMIT : D MMOOP01 OF OI'ER "*$ / ff=LUSIONS AOOID SY INDORSEMIM 1 SPECIAL PAOy1610Iy2 R N33)Z c HOUSIK TO LESS INOWINALS - AUTO POLICY OF CC ADOMOmL IlVSUREA Ak�.Aft&• ft nme County board of County Corti ssioners 1100 Simoton Street Key West, FL 33040 SHOULD ANV OF THI AEOV! C"CROED POL.ICIE6 W CANCELLO egra1lfe Tw iXft"T" DATI THERIOF, THE MUWv piuREIR "LL WON TO MAIL .. DAY$ VOITTIN NOTICE TO THE CEWWWATE HOLDER MAIM TO THE 9.6T, OUT FAILURE TO MAIL SUCH Norc SM" Moat No oe N OR UAPLITY OF Awn 00 uPON THE �I Iy oR AUTHOFUM 49PRESINTA Frank McPherson Al 3 4CORD 25 (Milo#) - VACORD CORPORATION IN$ A� UO CERTIFICATE OF LIABILITY INSURANCE DA02/2112013m THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTERTHE COVERAGE AFFORDED BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Risk Transfer Programs, LLC 219 East Livingston Street(AC. CONTACT NAME: PHONE g66 FAX AC No Ex FAX A/C NO); E-MAIL ADDRESS: Orlando, FL 32801 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :CastlePoint National Insurance Company 40134 INSURED Stafflink Outsourcing, II, III, IV, V & VI Inc. INSURER B :Tower Insurance Company of New York 44300 INSURER C 1776 N. Pine Island Road Suite 108 Plantation, FL 33322 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:LSSCD3KT REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL RR TYPE OF INSURANCE IN L UB POLICY NUMBER MMIDDY EFF MMIIDD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE_____ $ MERCIAL GENERAL LIABILITY BY rvla�� PREMISES Ea occurrence occurrence) $ MED EXP (Any one person) $ CLAIMS-MADE1:1 OCCUR 4—clo, DA i W �( �� rl� ^r` PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS Per aPER ccident DAMAGE $ UMBRELLA LIAB 1 OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE WSLTHPE00020009 WSLTHPE00014904 03/01/2013 03/01/2014 X WC STATU- I OTH- TQRY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Coverage is extended to the leased employees of alternate employer in all states except in monopolistic states (ND, OH, WA, WY): Florida Keys Outreach Coalition, Inc. # 6011 (Effective 4/1/11) Monroe County Board of County Commissioners Attn: Monique Diaz, Risk Management Assistant 1100 Simonton Street Key West, FL 33040 ACORD 25 (2010/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Paqe 1 of 1 ©1988-2010 The ACORD name and logo are registered marks of ACORD . All riahts reserved. FLOR108 OP ID: RD CERTIFICATE OF LIABILITY INSURANCE DATE 0911912 0 Yi THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. es mus be endorsed. If SUBROGATION IS WAIVED, subject to IMPORTANT: if the certificate holder Is an AD the terms and conditions of the policy, certain licies ma ment. A tement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s ONTACT PRODUCER Phone:954-561-2220 NAME: Lynn owlin Gulfstream Insurance Group Inc Fax: i ff IS6620673 No E,t :954 34-1726 FAX No): 954-537-0177 P.O. Box 8908 Fort Lauderdale, FL 33310-8908 ADDRESS: IYnn ulfstreaminsurance.net David Arch SURER(S AFFORDING COVERAGE NAIL N MONROE RA:Arc Insurance Company INSURED Florida Keys Outreach RISK MANAG t National Flood Coalition, Inc. INSURER C : PO Box 4767 INSURER D : Key West, FL 33041 - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. r POLICY EFF M LJCY EXP LIMITS TYPE OF INSURANCE POLICYNUMBER M 1,000,00 EACH OCCURRENCE $GENERAL LIABILITY 300,00 X COMMERCIAL GENERAL LIABILITY X NCPKG01"103 09/25/2013 09/25/2014 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,00 CLAIMS -MADE 1XI OCCUR 1,000,00 PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ 3,000,00 PRODUCTS - COMPIOP AGG $ 3,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: Emp Ben. $ 1,000,00 POLICY PRO- LOC CO eB�IN�SINGLE LIMIT $ 1,000,00 AUTOMOBILE LIABILITY A X ANY AUTO X NCAUT01"103 09/25/2013 09/25/2014 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON -OWNED Per accident X HIREDAUTOS X AUTOS $ EACH OCCURRENCE $ UMBRELLA LlAB OCCUR AGGREGATE $ EXCESS LIAR CLAIMS -MADE $ DED RETENTION $ WC STATU- I JOTH- WORKERS COMPENSATION T Y I I AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE F--� N / A OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ (mandatory In NH) tt yes describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below 708,00 A Property NCPKG0144103 0912512013 09/2512014 Building B Flood/Buildings 34303 02/14/2013 02/14/2014 Flood 250,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space is required) nroe County Board of County Commissioners is additional insured with, respect to general liability and auto liability per written contract. P ISI DA WYYA✓✓I / r CERTIFICATE HOLDER CANCELLATION i MONROE2 c� SHOULD ANY OF THE ABOVE DESCRIBED ilW ' 6 9EarA�IC ED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of Commissioners AUTHORIZED REPRESENTATIVE Risk Management 1100 Simonton St, ;;i � e_) Key West, FL 33040 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD --,MIN FLOR108 OP ID: RD .4coJRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM1MDIYYYY) F0912912014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: -j_ the certificate hojoer is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and'.conditicns of the p6Rcy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate hokki in lieu of suctt_endorseme s . PRODUCER HaMEcT _Lynn Dowling, AINS, AAI, AIAM Gulfstream Insurance 006up Inc �_ _ PHONE 954-561-2220 FAX No 954-566-0673 P.O. Box $908 No. Ext): —._— _ — — _ . _ i_1A►c,. _ ): . - Fort Lauderdale, FL 33310-8908 AOI RESS_ I nn ulfstreaminsurance.net David Arch _ _ _ INSURER(S) AFFORDING COVERAGE NAIL a INSURERA_:Amh Insurance Company INSURED Florida Keys Outreach INSURER B __._ Coalition, Fric. PO BOX 4737 INSURER C _ . Key West, FL 33041 IN D INSURER E w�srronwr� ul lunGO. I21:VllaCIM IMI lllAPFR• nn7 NVrGr%MV1617 vim..... �...�.. �...��... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN`SR NbDL --•-- --TAU EFF POLICY LIMITS L TYPE OF INSURANCE POLICY NUMBER MMMMIDDArnnn A X COMMERCIAL GENERAL uAmLITY EACH OCCURRENCE S 1,000,00 'CLAIMS -MADE , X. OCCUR X i DAM A-13ET0 RENTED NCPKG0144104 09/26/2014 09/25/2015I PREMISES(EaoccWence). S 1+000,0 _ X Abuse/Molestation ! CLAIMS MADE RETRO 1013103 MED EXP (Any one person) S 20,0 - — - -- I X Proftiability CLAIMS MADE RETR0 10/3/031 PERSONAL 3 ADV INJURY S 1,000,0 GERL AGGREGATE LIMIT APPLIES PER: I I GENERAL AGGREGATE $ 3,000,00 I_I PRO- rX� I POLICY LOC, JECT C._� PRODUCTS - COMP/OP AGG S 3,000,00 — 'EmBenefit s $1MIU3M1 OTHER: LIMIT S 1,000,00 COMBINEDEa AUTOMOBILE LIABILITY j enISINGLE A X f� X `I 09/2512014 09/25/2015 . BODILY INJURY (Per person) s ANY AUTO ALL OWNED 1 SCHEDULED INCAUT0144104 BODILY INJURY (Per accident) S AUTOS _ ;AUTOS 'NON -OWNED X i X I PROPERTY DAMAGE $ Leer accident) HIRED AUTOS AUTOS f $ UMBRELLA LIAR OCCUR I EACH OCCURRENCE F $ EXCESS LIAS CLAIMS -MADE i I AGGREGATE I,$ DED RETENTIONS $ PER WORKERS COMPENSATION 'STATUTE i ERR AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT S ANY PROPRIETORIPARTNERIEXECUTIVE ----- - — - I • INI E.L. DISEASE - EMPLOYEEI $OFFICERMEMBER EXCLUDED? (Mandatory in NH) -- — — — I If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below 2+200+0 A jProperty Section NCPKG0144104 09125/2014 09125/2015 BUILDING EXCLWINDSTORM IBPP 97,0 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) Monroe County Board of County Commissioners are additional insured on the General Liability and Automobile Liability as per written contract on the following locations: 1615,1616,16196 1620 Truesdell Court Key West,FL & GEMEM WtA- 1622,1624 Spaulding Court,Key West,FL A?PRO See page 2 for Cancellation 6 Flood Information B /n�t•� ;C� 1� WAIVER N/ 4 .,r,. GtK 1 RI6ft I C nvwcra MONROE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE Risk Management t"S" " 1100 Simonton St, Ke West, FL 33"0 wwww w�en�swTrM�r All -:.-64- .wssw+reel ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD r+f NOTEPAD: HOLDERCODE MONROE2 FLORI08 INSURER'S NAME Florida Keys Outreach OP ID: RD dav notice of cancellation for nonpayment of premium 30 days notice of ncellation for all other reasons. 3d Policcyy Wright National Flood Policy 09115109167800 - 1624 Spalding Reyy WEst, FL 33041-4767 $250,000 Building Coverage W/$3000 Deductible, ,800 Contents Coverage W/1000 Deductible - Effectsve 4/l/2014-4/l/2015 PAGE 2 Dab 09/29/2014