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Certificates of Insurance ........... ~ ................... : ~.~. :~.~.:'. .... ~:~:: ::::: :::: ::::::::::::::::::::::: ...... :::::::::::::::::: :,:: PROI~ ::": =========================================================================================== THIS CERTIFICATE IS ISSUED AS A MAYI ER OF INFORMATION H 0 R A N I N S U R A N C E A G E N C Y ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE A Division of HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUC!__.~_ _RI=LOW. P.O. BOX 5548 COMPANIES AFFORDING COVERAGE KEY WEST, FLORIDA 33045 CONIPANY A Allstate Insurance INSURED COMPANY Florida Keys Society for the Prevention of S Monticello Insurance Crulety to Animals Inc. 1901 So. Roosevelt Bldv. c American Safety Insurance Key West, FL. 33040 COMP~ ~.__J D i-'' '.'''' '-~'~'.':~-~:'..'~ ~ ~ H H ~ H i H ~:'.:~.:iH:~i~:~:!:iiiii: :.:: :i~: ii:::i ii :.:::: i~.::::::::::~.: :::::: :::: ::~.: %:::::: :::: ::::: :.: :.:~:~:.:.:.:.:.> ~ ~ ~ <....~...~,......~.~.~.~ ,.. ................................. ........................... ~.~.~.~.~.~.~.~.~:~:.:~:~:.:~:~:.:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:.:~:.:.:~:~::~:~:~:.:~:~:~:~:~:~:~:~:.:~:~:~:~:~:~:~:~:.:~::::::~:.:~:.:~:~:~:~:.:~:.:~:~:~:~:~:~:~:.:~:~:~:~:~:~:~:~:~:~:~::.:~:~:.:~:~:~:~:~:.:.:~:~:~:~:~:~:~:::::~:::::::::::::~:~:~:~:~:~:~:~:~:~:~:~::::::::::::::::::::::::::.:.:~:~:~: :::::::::::::::::::::: !.$ - ................................................................................................................................................ :~:==~ ............................................. THIS IS TO CER~FY THAT THE POUClES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POMCY PERIOD INDICATED, NOTWffHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WffH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUClES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POliCIES. UMFrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. eo~u~ ~ occ $1~000~000 B × CO~P~E~E~W~<~ ~±nde.~ CGL~9976535 '7/]./99 ?/1/00 eo~m,~ $ ~-,000~000 ~~c~x~~ ,~u~DEocc $1,000,000 × ~x~ucm~co~CETE~o~ ~o~,~~ $ ~,000,000 X CONTRACTUAL [] & PO COM[]NED OCC $ X INDEPENDENT CONTRACTORS [] & PD COMaNED AGG : $ X BROADr-O~PROPEmY~E PERSON~NJURY,~ $ 1,000,000 X PERSONAt. ~NJURY ANY AUTO BODILY INJURY · ~.ow. Eo ^UTOS 532316991811086 7/1/99 7/1/00 .CX~LY,NJU.Y (Olher tf~u~ Private Paseeng~.) (Per ~ ~ HIFED AUTOS py PRO~EmY DAMAeE ~.,000~000 I UMERELLA FORM DATE, _. "T ........ F-ACH OCCUF~F-NCE $ AGGREGATE OTHER THAN UMBRELLA FORM / t/[.r, $ WOFUCB~ -~'-:=:=-~--~..TION AND iT,*~ *~'~: i% ';- . ~ EMIW..O'~.:I~' MABIMI~ I WC STATI.J- TH~~ ~ ~_ ~.,c. ~c~ $ lOOeO00 C PAF~NE~ INC~ ~~: ~ ~_ 27587988-01 7/1/99 7/11/00 ~-~x~,,,~ $ 500,000 omER ~E~.~~ $ 100,000 Animal Control Erro ~ & Omissions Binder CGL29976538 7/1/99 7/1/00 Included in General Liabi] Lt Policy-S~me limits ....................... '"'"'"" ..................... '" ..................... ':'$:~'.'.'.'.'.'.'.'-';.'.'.'.'-';.';.'.":-::':'::':: :'.'-'.'.'.'.'.'.'.'-'.:'%'.:'.~.'.'-'-'.'. ~::::: ::'"':':':':':':':':'.: i'i::: ."' Monroe Board of County Cc~.uJ ssioners SHOU,- ~Y OF THE ~OVE ~E~m~ POU~ES RE C~C~Ua~ R~O,E THE 5100 College Road EXP,P~ON DATE THEREOF, THE ~UIN~ COMPANY ~ILL ENDEAVOR TO I~L Key West, FL. 33040 30 DA.~ Wm~N .O.CE *O THE c~n~ .ou~m .~E~ ~ THE ~, AS Additional Ir~ureds & Loss Payee on all SUT FAILDRE~ M~dL SUCH NOTICE SHALL IMPOSE NO ORU~AT10~ Off LIABIUTY policies except Workers C~ensatio~ ...~.~__~_~ ,~N THE ~,,~. n~ ^~n~ ON -- ,---,~- :i~-1 ....................................... J..~ ~. ................... ~ ~ ALLSTA[E INSUFUNNCE COMPANY APPLICATION FOR COMMERCIAL AUTO INSURANCE PLORIDA HOME OFFICE NORTHBROOK, ILLINOIS Business Name : PLORIDA KEYS S.P.C.A. Busn Address : 1901S ROOSEVELT BLVD City. KEY WEST Home Phone ( ) Application No.: 532316991811086 Send Policy to Agent: N St: FL Zip: 33040 Business Phone :( 305 ) 292 3228 VEHICLES Year MaKe/Model Vehicle iD Numb CT PGS VSC 1994 FIO0 SE 1FTEF15Y7RNB52950 35 08 GC1 1995 FiO0 SE 1FTDF15YXSNB60557 35 08 GC1 1995 ~100 SE l~tD~lbY8SNB1/688 35 08 GC1 1995 FiO0 SE 1FTDF15Y63NB17687 35 08 GCl Cost Special Hired/ Zip New Equip Leased Code $13,751 Y 33040 $13,751 Y 33040 $13,/51 Y 33040 $13,751 Y 33040 USE RATE Drvr Car Radius of Stops/ Orig larger Iht Spec/ Class Usage Operation Day Zone Zone Prty? P lype C L 2 Y C L 2 N C L 2 N C L 2 N COVERAGES Bob Roll Show lail Store Room 1994 1995 1995 1995 FiO0 SER FiO0 SER FiO0 SER FiO0 SER LIMITS PREMIUM PREMIUM PREMIUM PREMIUM AB Combnd BI&PD Ea Occ $1,000,000 1222. O0 1322. O0 1323. O0 1323. O0 Liability Ded (option) Liability Deal (amount) DD Col 1 i si on Ded $250 122. O0 152. O0 152. O0 152. O0 HH Comprehensive Ded $250 96. O0 111. O0 111. O0 111. O0 VA Basic PIP (DED) 0 11.00 11.00 11.00 11.00 PIP Plan 1 Estimated Vehicle Premiums: 1562.00 1597.00 1597.00 1597.00 EMPLOYEE EXPOSURES Workers Comp: Y Owner Operated: N Employee Operated: N PaQe 1 of MORE ALLSTATE INSURANCE COMPANY APPLICATION FOR COMMERCIAL AUTO INSUPJNNCE FLORIDA HOME OFFICE NORTHBROOK, ILLINOIS Application No.: 532316991811086 MISCELLANEOUS COVERAGES Policy Zip Code 33040 Drive Other Car : N Employee Non-Ownership : Y Hired Auto : Y Trailer Interchange : N Garagekeepers Physical Damage : N Regist. Plates Not Issued : N Mexico Coverage (limited) : N Broadened PIP N Leased Workers N Pellow Employee Exclusion N Pollution Liability Buyback : N Waiver of Subrogation : N Liability Limit Override : N HIRED AUTO State: ~L Cost of Hi re : (LIABILITY) Number of Locations: Number of Named Operators: Option: Option: Percent: Number of Designated Party: Factor: Cost of Hire: Comprehensive Ded: (PHYSICAL DAMAGE) Collision Ded : 100 100 Physical Damage Lmt: Specified Perils(Y/N): N 10000 Direct Basis(Y/N): Y EMPLOYEE NON-OWNERSHIP LIABILITY COVEFUNGE No. of Employees: Employees as Add'l insured: N No. of Partners as Add'l Insured: Social Agencies: N Number of Volunteers: No. of Volunteer Donors: Agency Employees as Add'l lnsureds: DISCOUNIS APPLIED Item 1 Item 2 Item 3 Item 4 Air Bag Y y y y Anti-Lock Brake N N N N Motorized Seat Belt N N N N Anti-lbeft N N N N PaQe 2 of MORE ALLSTATE INSURANCE COMPANY APPLICATION FOR COMMERCIAL AUTO INSURANCE PLORIDA HOME OFFICE NORTHBROOK, iLLINOIS Application No.: 532316991811086 Est. 12 mo. Policy Premium : $6645.00 Premiums charged must be in accordance with the Company's manual rules & rates Amount Paid: $1665.00 (Check/MO) Payment Plan: LIENHOLDER Lienholder on: 1994 FIO0 SERIES 1FTEF15Y7RNB52950 Dir Code: Name: MC BOARD OF CTY COMM Address: TRUMAN AVE Exp Year: 2004 City: KEY WEST State: FL Zip: 33040 0000 BUSINESS INFORMATION Business Entity: N Number of Employees including owner/partners: 4 Total Number o~ Vehicles: 4 Total Number of Vehicles to be Insured: 4 NATURE OF BUSINESS CIDUG Description 07520 ANIMAL SPECIALTY SERVICES INSURANCE RECORD (PRESENT OR MOST RECENT AUTO INSURANCE CARRIED) Prior Co.: Policy Number: Exp Date: O0 / O0 / 0000 ICC: N PUC: N MCS-90: N PI CODE: NO Is the above policy JUA, Assigned Risk or other non-preferred? N With respect to the Business: A - Has any insurer cancelled or refused or given notice that it intends to cancel or refuse, any insurance similar to that applied for? N DRIVER INFORMATION ON ALL DRIVERS (INCL EMPLOYEES & MEMBERS OF APPL HOUSEHOLD) Name: GWEN D HAWTOF Sex: F DOB: 06 / 17 / 1955 Relation to Ins: EM State Lic: FL SS No: 365668864 DOC Covg: N PIP: N Orig Date Lic: 06 / 1971 Drivers Lic No: H3102~4557170 Drvr Class: 03 Name: CHARLES R BROWN Sex: M DOB: 12 / 23 / 1970 Relation to Ins: EM State Lic: FL SS No: 209544117 DOC Covg: N PIP: N Orig Date Lic: 12 / 1986 Drivers Lic No: B650156704630 Drvr Class: 03 Name: LINDA B MCDILL Sex: F DOB: 09 / 30 / 1950 Relation to Ins: EM State Lic: FL SS No: 385523689 DOC Covg: N PIP: N Orig Date Lic: 09 / 1966 Drivers Lic No: M234522508500 Drvr Class: 03 PaQe 3 of MORE ALLSTATE iNSURANCE COMPANY APPLICATION FOR COMMERCIAL AUTO INSURANCE PL0klUA HOME OFFICE NUKIHBKUUK, ILLINUIb Appiicatlon No.- 532316991811086 DRIVER INFORMATION ON ALL DRIVERS (INCL EMPLOYEES & MEMBERS OF APPL HOUSEHOLD) Name' CECILIA B SMIIH Sex: P DOB: 03 / 08 / 1968 Relation to Ins: EM State Lic' PL SS No: U DUC Covg' N PIP' N Orig Date Lic- 03 / i974 Drivers Lic No- S530i02585880 Drvr Class- 03 NOTICE' tn compliance with the Fair Credit Reportinq Act, .you are hereby notified that an investigative consumer repor~ may 6e made-through personal interviews with neighbors, friends, associates or other persons concerning the character, general reputation, personal characteristics; and mode of living of all drivers. You may Qhtain additional information concerning the nature and scope of this investigation by contacting our Regional Office, the address of which can be secured from your Allstate Agent. BINDER PROVISION Ihe company named above binds this Insurance applied for to become effective as of the Effective Date/lime listed below. Coverage is bound for those coverages requested on t~is Application for Insurance. Ihis Binder is in reliance on the statements provided by the applicant and is limited to thirty (JO) days from the effective date and time of this Binder, unless cancelled sooner by mailed written notice from the Company to the applicant at the address stated. i hereby declare the facts stated in the Binder Provision and Application of Insurance to be true. BEPORE SIGNING IHIS UOCUMENI, BE SURE IHAI YOU HAVE ALSO SIGNED IHE UNINSURLU/ UNDERINSURED MOTORISTS INSURANCE SELECTION/REJECTION FORM. KEEP A COPY OF IHIS DOCUMENI ~UR YUURSELP. Effective Accepted/Bound 02'47PM 06/30/1999 02'4/PM 06/30/1999. Notice' As part of Aiistate's underwriting/quaiification procedure and subJect to applicable laws and regulations, we may obtain information regardi_ng you and other individuals who may be covered by the insurance you are applying for, including- (i) driviDg..record, based on state motor vel~icie reports and loss information reports- (l~) your prior insurance record, if any, which will be oDtained from your current or prior carrier(s); (iii) financial stability, which will be assessed by obtaining credit reports or order financial reports, and (iv) claim Distory, based on loss information reports. Ibis means tDat if your business is a partnership, we may order Paqe 4 of MORE ALLSTATE INSURANCE COMPANY APPLICATION FOR COMMERCIAL AUTO iNSURANCE FLORIDA HOME OFFICE NORTHBROOK, ILLINOIS Application No.: 532316991811086 credit reports on any partners who will De covered by the insurance being applied for. ~ppl i cant' s Si gnature Date Ti me ~. ----- No. 222271 Loc' CA4 ~' ~ ~7 Office Phone: 305-294-7696 Home Phone : 305-294-7383 SAR9~ Ngent' s Si gnature Date PaQe 5 of 5 Mobile USA Insurance Company ~bile USA Insurance Company P.O. Box 33011 St. Petersburg FL 33733-8011 (800)988-4647 Fax (800)905-4329 F L O 0 D W R I T E R 00535-14532 Standard Flood Insurance Application Policy Number 00-0000000000 - 0 AGENT INFORMATION HORAN INSURANCE AGENCY A Dh~k~ ~ P.O. BOX 5548 KEY WEST. FLORIDA 3:~045 License Number : 265978994 POLICY INFORMATION Primary Pol# : Effective Date : 07/01/1999 12:01 am Term : 1 Year Direct Bill to : INSURED Effective at Loan Closing: Y Date of Title Transfer : 07/01/1999 Disaster Assistance : NO Insured's SSN or Tax ID : INSURED MAILING INFORMATION FLORIDA KEYS SOCIETYFOR THE PREVENTION OF CRUELTY TO ANIMALS INC 1901 SO ROOSEVELT BLVD KEY WEST, FL 33040 (305)292-3228 INSURED PROPERTY INFORMATION 10550 AVIATION BLVD MARATHON, FL 33050 PRIMARY MORTGAGEE INFORMATION MONROE BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE ROAD KEY WEST, FL 33040 As Additiu~alInsured&Loss Payee SECONDARY MORTGAGEE INFORMATION NONE BUILDING INFORMATION Located within city limits ....... NO Community number and suffix ...... 125129-I Community name ............. MONROE COUNTY* Community program type ......... REGULAR Flood Zone ............... AE Building occupancy. Building type ............. ONE FLOOR Basement or Enclosure ......... NONE Basement/Enclosure Finished/Unfinished. NONE Number of Units in Building ...... 0 Total Number of Residential Units 0 Condominium coverage .......... NONE Property owned by the State Government. NO Building in the course of construction. NO Insured principal residence ...... NO Replacement Cost ............ 91,200 Building elevated ........... NO Elevated area contain obstructions. NONE Contents Location ........... Construction date ........... .......... NON-RESIDENTIAL Pre-FIRM Construction FloodWriter(c) :2.9 File #: Mobile USA Insurance Company M~bile USA Insurance Company P.O. Box 33011 St. Petersburg FL 33733-8011 (800)988-4647 Fax (800)905-4329 F L O O D WR I T E R 00535-14532 Standard Flood Insurance Application (Cont.) INSURED : FLORIDA KEYS SOCIETYFOR THE PREVENT Completed an Elevation Certificate. .NO PART 2 - GARAGE INFORMATION Garage attached to or part of building. NO COVERAGE INFORMATION Building Deductible ............ 1000 Contents Deductible ............ 0 BASIC LIMITS ADDITIONAL LIMITS AMOUNT OF AMOUNT OF COV. INSURANCE RATE PREMIUM INSURANCE RATE PREMIUM Bldg 89,000 0.79 703 0 0.36 0 Cnts 0 0.00 0 0 0.00 0 DED. TOTAL DISCOUNT PREMIUM 0 703 0 0 Full amount of premium must accompany this application for issuance. Annual premium ICC 5% Community Rating Discount Expense Constant Federal Policy Fee Total Premium Due $ Policy includes increased cost of compliance (ICC) coverage. 703 75 39 5O 30 819 I Reject Contents Coverage. INITIALS The above statements are correct to the best of my knowledge. I understand that any false statements may be punishable by fine or imprisonment under applicable federal law. Print Name of Insured Print Name of Agent/Broker Sig Signaylre of Agent/Broker Date Date FloodWriter(c) :2.9 File #: Page 2 Hobile USA Insurance Company Mobile USA Insurance Company P.O. Box 33011 St. Petersburg FL 33733-8011 (800)988-4647 Fax (800)905-4329 F L O O DWR I T E R 00535-14532 Standard Flood Insurance Application Policy Number 00-0000000000 - 0 AGENT INFORMATION HORAN INSURANCE AGENCY A DMs~ ~ P,O. 8OX 5548 KEY WEST. FLORIDA 33045 License Number : 265978994 POLICY INFORMATION Primary Pol# : Effective Date : 07/01/1999 12:01 am Term : 1 Year Direct Bill to : INSURED Effective at Loan Closing: Y Date of Title Transfer : 07/01/1999 Disaster Assistance : NO Insured's SSN or Tax ID : INSURED MAILING INFORMATION FLORIDA KEYS SOCIETYFOR THE PREVENTION OF CRUELTY TO ANIMALS INC 1901 SO ROOSEVELT BLVD KEY WEST, FL 33040 (305)292-3228 INSURED PROPERTY INFORMATION 5230 COLLEGE ROAD KEY WEST, FL 33040 PRIMARY MORTGAGEE INFORMATION MONROE BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE ROAD KEY WEST, FL 33040 As Additic~alInsured&L0ss Payee SECONDARY MORTGAGEE INFORMATION NONE BUILDING INFORMATION Located within city limits ....... YES Community number and suffix ...... 120168-H Community name ............. KEY WEST, CITY OF Community program type ......... REGULAR Flood Zone ............... AE Building occupancy ........... NON-RESIDENTIAL Building type ............. ONE FLOOR Basement or Enclosure ......... NONE Basement/Enclosure Finished/Unfinished. NONE Number of Units in Building ...... 0 Total Number of Residential Units 0 Condominium coverage .......... NONE Property owned by the State Government. NO Building in the course of construction. NO Insured principal residence ...... NO Replacement Cost ............ 89,000 Building elevated ........... NO Elevated area contain obstructions. NONE Contents Location ........... Construction date ........... Pre-FIRM Construction FloodWriter(c) :2.9 File Mobil~ USA Insurance Company MObile USA Insurance Company P.O. Box 33011 St. Petersburg FL 33733-8011 (800)988-4647 Fax (800)905-4329 F L 00 D WR I T E R 00535-14532 Standard Flood Insurance Application (Cont.) INSURED : FLORIDA KEYS SOCIETYFOR THE PREVENT Completed an Elevation Certificate. .NO PART 2 - GARAGE INFORMATION Garage attached to or part of building. NO COVERAGE INFORMATION Building Deductible ............ 1000 Contents Deductible ............ 0 BASIC LIMITS ADDITIONAL LIMITS AMOUNT OF AMOUNT OF COV. INSURANCE RATE PREMIUM INSURANCE RATE PREMIUM Bldg 91,200 0.79 720 0 0.36 0 Cnts 0 0.00 0 0 0.00 0 DED. TOTAL DISCOUNT PREMIUM 0 720 0 0 Full amount of premium must accompany this application for issuance. Annual premium ICC 0% Community Rating Discount Expense Constant Federal Policy Fee Total Premium Due $ Policy includes increased cost of compliance (ICC) coverage. 720 75 0 5O 30 875 I Reject Contents Coverage. INITIALS The above statements are correct to the best of my knowledge. I understand that any false statements may be punishable by fine or imprisonment under applicable federal law. Print Name of Insured Pr Name of Agent/Broker Signa~re of Agent/Broker Date Date FloodWriter(c) :2.9 File #: Page 2 rwt .~ ot (.;.gs) FLORIDA t4/INDSTORM UNDERWRITING ASSOCI/I TION I'ag¢ I '~ · ,':'WL'A ApphcaZ~on Fax Number (904) 281-5090 ~_Previously faxed ,o..,, (..o' ~C)' <[<5 See manual/or guide to complete application. ~"~ew f---] Eudersemeet ~ Till, Tnmusfmr E~ ereviou, or Cur. at Policy No. TI "',.nt,-d F'IoMa Producer Name. MaiJine Add~u and Telenhone Number (4) ,~[~licaJl['i Name ~ Mailing Address HORAN INSURANCE AGENCY A Dlvtsk)n ol P.O. BOX 5548 KEY WEST. FLORIDA 33045 13/ AGENCY CODE (5)..X~ngagee, Loss Payee (N~me and AdcL,,~ss) To Item. - NUMBER f¥1o ,,o .,¢ Co,... S l oo Gl{e e (7) / (~) (9) ; ~ ~ ~D-~ ~UP~ COD~ (15) (16) IF C~~ :: IF ~ H~ , ~ o(C~ rc<JJ m o/'L~aim m B~ ~c L'ml · (lil) ~,m ,'.'- ~u (19) ^MOUI~ OF COVERAO£ · g9 Oo,) 2 4 ) UN DER. WR/TI NG IN FOliaTION ~ m ~o mobd~ iK~I ~n~l CMh Vel~. Od ',) L~ m & M.H. pm.k Florida Keys Society for the Prevention of Cruelty to Animals Inc. rc then: IoS~r~,j~m Lhe IMt 2 ye~? 1901 So. RDosevelt Blvd. wo._v W~_.~'r_; WL. 33040 (6) Payor. J I Mortgagee or Other Payor: [.,~l indued ~ Producer (20) / (21) OWELLING COMMERCLA/.,.RF=S1D ~ DF. DUCTiLE DEDUCT~LE (2~) (26) ve [~m C~d. ENDOR~F.~ FORMS REQUESTED ', ' (2J) .A.(t..~cb..~,orl.[Lna_lpboto(_s)_toreveree (~.quiztd) (29) e.ffe.,L-l-l¥1f. uATEREQUESTED: (30) i hereby cerrl~y that the Information on this applfc~dou Is true and correct to the best of my kuowle~e. I further understtnd and aEree to ,th, tes, fn~ as set forflf':onJa~e 2. FINUA USE ONLY ~ AIBL Code Sk~ Co~ - FLORIDA WINDSTORM UNDER WRITING ASSOCIATION SUPPLEMENT A PPLICA TION SCHEDULE (10)' OCCUPANCY CODES ^4d~ioml [nfcrmmam.~ [ J Y~ ~ ~0 ~o~ ~ Y~ ~ NO (16) Lo{ m & M.H f'ROPERT~ LOCATION ~_ .'~a'e~ Numb~ .~eem Name Cie/ Couee/ ~p Codm : FWU^ USE ONLY ~ ~AIEIL Co,4~ TYI~ ~Bldi Codm Ye, ~ I(yl radicle ee pqe 2 I m~a'm Cmrn mr Pokey Nm~be~ (9) MA.~CXqRy ( ~L'rm of L'omple~ (10) $r~ MAHUAL FOR OCCUPANCY CODE~ r,~ml · ~' L:me m Oldg (IN) ~ROPERTY LOC~A TION: ·mm Nm Mo~le H~me ID # Zip Cede C~, Co~, (25) (2J) ~rmam~m I%tmeve Dele C~ Cmm~ r~ ~ ~r~m~ (26) ~C (20/22) HUme*me I ~ wind / The ~ floo~ ~rea of'~e bualdin& m (mq~e fei FWUA USE ONLY Cl~ma AfB L Code Tyl~ __BId~ Cm~m 996 Edition MONROE COUNTY, FLORIDA Request For Waiver of Insurance Requirements It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following contract. Contractor: Flor±da Keys Society for the Prevention of Cruelty to An±mals, Inc. Contract for: Operat±on of Monroe County Animal Control Shelters at Key West, B±g Pine Key and Marathon Addrcss of Contractor: 1901 So. Roosevelt__Blvd.-/403N, Key ~ FL 33040 Phone: Scope of Work: (305) 292-1091 Operation of Monroe County Animal Control Shelters at Key west, gig Pine Key and Harat?rrm- Reason for Waiver: Unable to obtain Employee Dishonesty Insurance (see attached letter from Richard Horan, Horan Ins.) Policies Waiver ...Employee Dishonest_y_ Insurance will apply to: t .... \'- - Approved ~ _~--..Not Approved County Administrator appeal: Approved: Not Approved: Date: Board of County Commissioners appeal: Me~ting Date: Administration Instruction #4709.3 Approved: Not Approved: Page 10 of 10 102 Mobile USA Insurance Company, Inc. MOBILE USA P.O. Box 33011 0297504BFL 99.001 0299 INSURANCE St. Petersburg, FL 33733-8011 COMPANY, INC. 1-800-988-4647 8/09/99 535 08700 FLD RGLR New Business FLOOD DECLARATIONS PAGE General Property Form Date of Issue 09 3276019510 00 { 8/09/99 Insured FLORIDA KEYS SOCIETYFOR THE PREVEN MONROE BOARD OF COUNTY OF CRUELTY TO ANIMALS INC COMMISSIONERS 1901 S ROOSEVELT BLVD 5100 COLLEGE RD KEY WEST FL 33060-5248 KEY WEST FL 33040-4319 Insured Location (if other than above) Same As Above 1 Community Name MONROE COUNTY Building Description NOnlRes ident ial # of Floors One Floor Basement/Enclosure None Contents Location Community # 125129 Community Rating 10 / 007. Program Status Regular Risk Zone A~ Condo Type N/A # of Units 0 Adjacent Grade 0 Elevation Difference N/A Coverage is provided only where a premium amount is shown for the ~o~r[g~a BUILDING $89,000 $1000 $703.00 CONTENTS $0 $0 $.00 I;DEAR MORTGAGEE he Reform Act of 1994 requires you to notify e WYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location. 3aNNUAL SUBTOTAL: DEDUCTIBLE CREDIT: ICC PREMIUM: COMMUNITY DISCOUNT: EXPENSE CONSTANT: $703.00 $.oo $75.00 $.00 $50.00 TOTAL WRITTEN PREMIUM: FEDERAL POLICY SERVICE FEE: $828.00 $30.00 TOTAL PREMIUM PAID: $858.00 Premium paid by: Insured :FLG99. 100 1098 %,~ ~.~ This policy is issued by ~_~C ' Mobile USA Copy Sent To: As indicated on back or additional pages, £f any. 00003120932760195109922100008 Additional Interest CUSTOMER NUMBER: CA048050107 RUN DATE: 07-06-99 L.P.C. (CA) MC BOARD OF CTY COMM TRUMAN AVE KEY WEST, FL 33040 10 ~8 050107 NN FL D^.T~ INITIAl, BU114-2 I I YOU'RE IN GOOD HANDS WITH ALLSTATE~' CERTIFICATE OF INSURANCE ALLSTATE INSURANCE COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER FLORIDA KEYS S.P.C.A. 048050107 BAP 1901 S ROOSEVELT BLVD KEY WEST, FL 33040-5248 The person or organization designated below is described in the policy as: MC BOARD OF CTY COMM TRUMAN AVE KEY WEST, FL 33040 Coverages designated are afforded as stated below: LIABILITY: $1,000,000 EACH ACCIDENT EFFECTIVE DATE OF CERTIFICATE 06/30/99 POLICY PERIOD 06/30/99 TO 06/30/00 AT 12:01 A.M. STANDARD TIME LIENHOLDER (Loss Payable Clause) ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED CERTIFICATE HOLDER 1994 FORD TRUCK Fl00 SERIE 1FTEF15Y7RNB52950 COLLISION - $250 DEDUCTIBLE - - COMPREHENSIVE - $250 DEDUCTIBLE To the person or organization stated above: This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder named herein, may be cancelled by the Company durin§ the policy period by [living such person or organization 10 days written notice at its last address known to the Company. Proof of such mailin[l is deemed sufficient proof of such notice. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. BU1380-1 BU1 14-2 II I I YOU'RE IN GOOD HANDS WITH ALLSTATE® PAGE I OF I EVID NcE F RTY INS CE ACORD.E II ~ CSRCa DATE (MM/DD/YY) :: 07/09/99 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PHONEmAX PRODUCER I( .... ~)= 305--294--769~305--294--738" COMPANY Allstate Insurance Co. Atlantic Pacific-Key West Independent Agent-Commercial P.O. Box 5548 Key West FL 33041-5548 P.O. Box 740225 Horan Insurance Atlanta GA 30374 CODE: I SUB CODE: AGENCY CUSTOMER ~D#: FLOR-46 INSURED LOAN NUMBER POLICY NUMBER TBA Florida Keys S. P. C.A. EFFECTIVE DATE EXPiRATiON DATE ~ CONTINUED UNTIL 1901 S Roosevelt Blvd #403N 07/01/99 07/01/00 TERMiNATED IF CHECKED Key West FL 33040 TH~S REP~CESPR~OREVIDENCE DATED: PROPER~ INFORMATION LOCATION/DESCRIPTION 001 3 locations: 5230 College Rd, KW; 10550 Aviation Blvd, Marathon; 279 Industrial Rd, BPK COVE~GE iNFORMA~O~ COVERAGEJPERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE Building Xwind 89000' 500 Building Xwind ~ · ~: ~.. 3,.~ ,F~, ~ 95800 500 REMARKS (i~ Od ng ~¢ a! COndit Ohs) ~___~~~ CANCELATION THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. ADDiTiONAL I~EREST NAME AND ADDRESS MORTGAGEE ~_~ ADDITIONAL INSURED LOSS PAYEEIXI Cert. Holder Hoaroe County Board of Cou~'b'v' ~.,..-~/~'~ LOAN# Commissioners ..~f/~ ~ ~/ _ 5100 College Rd __ '~l~ / \ · ~ A / Key West FL 33040 DATb"-----~----~ AUTNORIZEDREP~ESEI~ITAT~E~/ ~V/ ACORD 27 (3/93) '-- ~/ "ACORD CORP i ORAT~N 1993 MOBILE USA INSURANCE COMPANY, INC. Mobile USA Insurance Company, Inc. P.O. Box 33011 St. Petersburg, FL 33733-8011 1-800-988-4647 535 08700 FLD RGLR New Business General Property Form BFL 99.001 0598 0297504 8105199 ~LOOD D~:~LARATIONS P~G~ DateofIssue 8/05/99 Insured FLORIDA KEYS SOCIETYFOR THE PREVEN OF CRUELTY TO ANIMALS INC 1901 S ROOSEVELT BLVD KEY WEST FL 33040-5248 MONROE BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE RD KEY WEST FL 33040-4319 Insu~d Loca~on (if ~her ~an abo~) 5230 COLLEGE RD, KEY WEST FL 33040 Building Description Non-Residential # of Floors One Floor Basement/Enclosure None Contents Location Community Name KEY WEST, CITY OF Community # 120168 Condo Type N/A Community Rating 09 / 05% # of Units 0 Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Co~mge is pro.dad only where a premium am~nt is shown for the co~mge. BUILDING $91,200 CONTENTS $0 $1000 $720.00 $0 $.00 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the VVYO company for this policy within 60 days of any changes in the servicer of th s loan, The above message applies only when there is a mortgagee on the insured location, ANNUAL SUBTOTAL: DEDUCTIBLE CREDIT: ICC PREMIUM: COMMUNITY DISCOUNT: EXPENSE CONSTANT: TOTAL WRITTEN PREMIUM: FEDERAL POLICY SERVICE FEE: TOTAL PREMIUM PAID: Premium paid by: $720.00 $.00 $75.00 $40.00 $50.00 $805.00 $30.00 $835.00 Insured BFLG99. 100 1098 This policy is issued Nobile USA Copy Sent To: As indicated on back or additional pages, i~ any. 00003120932760195099921700005 Additional Interest Part 2: THIS AMENDED DECLARATION' ~E, WITH POLICY PROVISIONS - PART 1 AND ENDr 'EMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE Th~ ~3ELOW NUMBERED FLORIDA WINDSTORM UNDE~x., RIT1NG ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED' S NAME AND ADDRESS ~ CHANGE NO. 2 TI{IS IS AN AMENDED FLORIDA KEYS SOCIETY FOR THE PREVENTION * CRUELTY TO ANIMALS INC. #403N GENERAL BUSINESS 1901 S ROOSEVELT BLVD KEY WEST, FL 33040 THIS CHANGE IS EFFECTIVE 8/19/1999 POLICY TERM 7/01/1999 TO 7/01/2000 AT 12:01 A.M. (EST) POLICY NO. 1055931 ~NOEPT~O~ DaTE EXP~T~O~ o~T~ THIS IS YOUR POLICY DECLARATION PAGE $ ~ % $ $ * THIS STATEMENT OF COVERAGE GIVES THE STATUS OF YOUR POLICY AFTER THE RECENT CHANGE(S). NO ADDITIONAL OR RETURN PREMIUM RESULTED FROM THIS CHANGE(S) 1 ONE STORY MASONRY OFFICE BLDG LOC: 5230 COLLEGE RD KEY WEST, MONROE FL 33040-4302 89,000 0 90 2,670 T-86 435 2 ONE STORY FRAME ANIMAL SHELTER LOC: 10550 AVIATION BLVD MARATHON, MONROE FL 33050-2908 91,200 0 90 2,736 T-85 709 3 ONE STORY MASONRY OFFICE OF ANIMAL SHELTER BLDG LOC: 279 INDUSTRIAL RD BIG PINE KEY, MONROE FL 33043-3407 95,800 0 90 2,874 T-85 544 P - A Florida Hurricane Cat Fund $ $ 1,688.00 $ .00 1998 Hurricane Reinsurance $ 276,000 $ 41.00 $ 253.00 1,982.00 Subject to Form No(s): ($100 RETAINED) CP2 08/98 FWUA 06 (08/98) Mortgagee/Loss Payee MONROE BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE RD KEY WEST, FL 33040 HORAN INSURANCE AGENCY 8669 Payor: INSURED % DIV OF ATLANTIC PACIFIC P O BOX 5548 KEY WEST, FL 33045-5548 9/08/1999 FWUA 03 (0~/97) 8669 MAH MORTGAGEE COPY 29421 Part 2: THIS DECLARATION PAGF I'H POLICY PROVISIONS - PART 1 AND ENDORSE' TTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED FLORIDA WINDSTORM UNDEK,, RITING ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED' S NAME AND ADDRESS ~ FLORIDA KEYS SOCIETY FOR THE PREVENTION CRUELTY TO ANIMALS INC. #403N 1901 S ROOSEVELT BLVD KEY WEST, FL 33040 POLICY TERM 7/01/2000 TO 7/01/2001 INCEPTION DATE EXPIRATION DATE THIS IS A GENERAL BUSINESS AT 12:01 A.M. (EST) POLICY NO. 1055931 THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill PAGE $ $ % $ $ 1 93,000 0 90 2,790 T-86 454 ONE STORY MASONRY OFFICE BLDG LOC: 5230 COLLEGE RD KEY WEST, MONROE FL 33040-4302 2 96,000 0 90 2,880 T-85 746 ONE STORY FRAME ANIMAL SHELTER LOC: 10550 AVIATION BLVD MARATHON, MONROE FL 33050-2908 3 100,000 0 90 3,000 T-85 568 ONE STORY MASONRY OFFICE OF ANIMAL SHELTER BLDG LOC: 279 INDUSTRIAL RD BIG PINE KEY, MONROE FL 33043-3407 P - I TOTAL AMOUNT OF COVERAGE AUfUAL PREMIUM PREMIUM TOTAL PREMIUM F]0rida Hurricane Cat Fund DO N01 PAY , $ .00 Reinsurance 289,000 1,768.00 $ 265.00 2,033.00 Subject to Form No(s): {$100 RETAINED) CP2 07/00 FWUA 06 (07/00) Mortgagee/Loss Payee MONROE BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE RD KEY WEST, FL 33040 Producer: Payor: HORAN INSURANCE AGENCY 8669 INSURED % DIV OF ATLANTIC PACIFIC P O BOX 5548 KEY WEST, FL 33045-5548 6/28/2000 FWUA 03 (08/98) 8669 WCR MORTGAGEE COPY Date: R 40111 760 Mobile USA lnsu]aace C · my, Inc. BFL 99.001 0299 P.O. Box 33011 0297504 MOBILE USA st. Petersburg, FL 33733-8011 INSIJRANCE 7/08/00 COMPANY, INC. 1-800-988-4647 535 08700 FLD RGLR Renewal FLOOD DECLARATIONS PAGE -'~ General Property Form Date of Issue 09 3276019510 01 I 7/08/00 Insured FLORIDA KEYS SOCIETYFOR THE PREVEN OF CRUELTY TO ANINALS INC 1901 S ROOSEVELT BLVD KEY WEST FL 33040-5248 MONROE BOARD OF COUNTY COI~IISSIONERS 5100 COLLEGE RD KEY WEST FL 33040-4319 In~ured Looation (if other than above) 10550 AVIATION BLVD, DiARATHON FL 33050 Community Name MODmOE COUNTY Building Description Non-Residential # of Floors One Floor Basement/Enclosure None Contents Location Community # 125129 Community Rating 10 / 007. Program Status Regular Risk Zone AE Condo Type N/A # of Units 0 Adjacent Grade 0 Elevation Difference N/A BUILDING $89,000 $1000 $703.00 CONTENTS $0 $0 $.00 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days~ of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location. ANNUAL SUBTOTAL: $703.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 CO}ffilJNITY DISCOUNT: $.00 EXPENSE CONSTANT: $50.00 TOTAL WRITTEN PREMIUM: $828.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM PAID: $858.00 Premium paid by: Insured . ~ .............. This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See Coverage A within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company, BFL 99.301 0999 1099 GFL 99.300B 0500 0500 BFLG99.100 0500"050; This po,icy is issued' Mobile USA iV Copy Sent To. As zndzcated on back or addztzonal pages, z£ any. L -~- ~ ' ' .... 00003120932760195100019000008 ........ Adder ~oaal I~tetest - Mobile USA Insurance Company, Inc. MOBILE USA P.O. Box 33011 3FL 99.001 0299 0297504 INSURANCE St. Petersburg, FL 33733-8011 COMPANY, INC. 1-800-988-4647 7/08/00 535 08700 FLD RGLR Renewal FLOOD DECLARATIONS PAGE General Property Form Date of Issue [ 09 3276019509 O1 [ 7/08/00 [From 7/01/00 To 7/01/01 12:01 am Standsrd Time [ 1 yr(,) 7/01/99"" .... 12:01am ....... 09""'"-"~0000312"~']"~"":':':':~'(305) ................ 294-7696'~":'"::~:~"' Insured FLORIDA KEYS SOCIETYFOR THE PREVEN MONROE BOARD OF COUNTY OF CRUELTY TO ANIF~LS INC COI~ISSIONERS 1901 S ROOSEVELT BLVD 5100 COLLEGE RD KEY WEST FL 33040-5248 KEY WEST FL 33040-4319 Ineured Location (ff other than above) 5230 COLLEGE RD, KEY WEST FL 33040 Community Name KEY WEST, CITY OF Building Description Non-Res ident ial · of Floors One Floor Basement/Enclosure None Contents Location Community # 120168 Community Rating 10 / 007, Program Status Regular Risk Zone AE Condo Type N/A # of Units 0 Adjacent Grade 0 Elevation Difference N/A BUILDING $91,200 CONTENTS S0 $1000 $720.00 So $.oo DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location. ANNUAL SUBTOTAL: $720.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 EXPENSE CONSTANT: $50.00 TOTAL WRITTEN PREMIUM: $845.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM PAID: $875.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See Coverage A within your Flood policy for the NFIP definition of "building" or contect your agent, broker, or insurance company. BFL 99.301 0999 1099 GFL 99.300B 0500 0500 BFLG99. 100 0500 0500 Copy Sent To: As indicated on back or Thispolicyisissuedby Mobile USA additional pages, if any. 00003120932760195090019000003 Additional Interest ACO . CERTtFtCA- -.' OF LIABILITY INSUF I 07/17/00 PRODUCER Atlantic Pacific-Key West P.O. Box 5548 Key West FL 33041-5548 Phone:305-294-7696 Fax:305-294-7383 INSURED Florida Keys 1901 S Roosevel=~v~ #403N Key West FL 33040 COVERAGES THIS CERTIFICATE I$ 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 ~;NSURERA: Montiaello Insuranoe Co. ~NSUe~RS: Allstate Insuranoe Co. !~SUR~RC American Safety [nsuranc~ ~r~. THE POLICIES OF INSURANCE UST~_D _B_E~,OW HAVE BI~__EN ISSUED TO THE tNSUR_E_D NAMED ABOVE FOR TH_E POLICY P~_ RIO_D INDICATED. NOTWITHSTANDING ANY REQUII~EMENT, ~ERM 0~ ~:)NDrrlON OF ANY CONTRACT OR OTHER DOCUMENT WTrH RESPECT TO WHICH THiS CERTIFICATE MAY ~E ISSUED OR MAY PERTNN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREiN ~ SUBJECT TO ALL THE TERMS, EXCLUSION~ AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. fN~ PoucY EFFECI'IVE POUCY~ LTR ! TYPE OF INSURANCE } POLICY NUMBER D~TE (M~DDWY} DATE (~ LIMITS t GENERAL LIAmUTY J , ! EACH OCCURRENCE I $ 1000000 A ~ COMM~Ra^~eENE~^LU^~ILn~ j UC3~28601 I 07/0i/00 07/01/01 I FI.ED^~6E(A.,o..~ !~ S0000 C ANY AUT~ ALL OWNED AUTOS SCHEDULED AUTOS NtRED Ab%OS NON-OWNED AUTOS GARAGE UABILITY ANY AUTO EXCE~ LIABILITY i CLAIMS MADE iDEDUCIBLE tRETENTION j COMBINED SINGLE LIMIT 07/01/01 ~ jBODILY INJURY jBODILY INJURY PROPERTY _DAMAGE_ AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGO $ !$ 1,000,000 EACH OCCURRENCE ) $ J AGGR_EGAT~ j $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY UM~TS CiW510123000 07/0Z/00 07/01/01 B ~mal Control Erro] & Omissions ~2K228601 7/1/00 7/1/01 ~RI~ION OF OPERATIONS/I-~ATIONSNEHICLES/EXCLU$1ONS ~D~ BY ~RSEMENT~PEClAL PRO~SIONS } E.L EACHACCIOENT ! $ 100,000 ~- EL DISEASE- EA EMPLOYEE~ $100,000 t~L~S~S~-POUCYU~i$500,000 Included in General LIabil~ I Policy.-Sarae limits Animal shelter - Monroe Board of County Coaaaissioners is name~Additional Insureds & Loss Payee on all policies except Workers Compensation CERTIFICATE HOLDER j N j ADDITIONAL INSURED; INSURER LETTER: __ CANCELLATION Monroe Boamd of County 5100 College Road ~Y WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POMCIES BE CANCELLED BEFORE THE EXPIRATtOk DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAiL ~ 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEi~r~ B~T FAILURE TO DO SO SHALL IMPOSE NO O~LIGA/7~ OR LIABILITY OF ANY KIND UPON~RER, ITS AGENTS O~ REPRF-,.~ENTA~ ~ ,. ~..,,. / MOBILE USA INSURANCE COMPANY, INC. ~aobile USA Insurance Company, Inc. P.O. Box 33011 St. Petersbur~ FL 33733-8011 1-800-988-4647 535 08700 FLD RGLR Renewal General Property Form BFL 99.001 0297504 6/05/01 0201 FLOOD DECLARATIONS PAGE Date of Issue 6/05/01 ~om: 7/01/01To: 7/01/02 12:01 am Standard TlmoI I yr(,)I 7/01/99 12:01am I 09 0000312 (305) 294-7696 Insured FLORIDA KEYS SOCIETYFOR THE PREVEN OF CRUELTY TO ANIMALS INC 1901S ROOSEVELT BLVD KEY WEST FL 33040-5248 insured Lo~tion (if ~her than abo~) 10550 AVIATION BLVD, MARATHON FL 33050 MONROE BOARD OF COUNTY ( O~a ~5/.KEY WSST FL 33040-4g}9_~, j/~ . Building Description Non-Residential # of Floors One Floor Basement/Enclosure None Contents Location Community Name MONROE COUNTY Community # 125129 Oommunity Rating 10 / 007. Program Status Regular Risk Zone AE Condo Type N/A # of Units 0 Adjacent Grade 0 Elevation Difference N/A BUILDING $89,000 CONTENTS $0 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of th s loan The above message applies only when there is a mortgagee on the insured location, $1000 $703.00 $o $.0o ANNUAL SUBTOTAL: $703.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 EXPENSE CONSTANT: $50.00 TOTAL WRITTEN PREMIUM: $828.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM PAID: $858.00 Premium paid by: Insured This policy covers only one building, If you have more than one building on your property, please make sure they are all covered, See III, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company BFL 99.301 0999 1099 GFL 99.300B 0500 0500 GFL 99.0AP 1100 1100 Thispolicyisissuedby Mobile USA Copy Sent To: As indicated on back or additional pages, if any. BFLG99.100 1100 0000312093276019510011560000E Additional Interest MOBILE USA INSURANCE COMPANY, INC. n%bile USA Insurance Company, Inc. P.O. Box 33011 BFL 99.001 0201 St. Petersburg, FL 33733-8011 0297504 1-800-988-4647 6/05/01 535 08700 FLD RGLR Renewal FLOOD DECLARATIONS PAGE General Property Form Date of Issue I 09 3276019509 02 { 6/05/01 Inaured FLORIDA KEYS SOCIETYFOR THE PREVEN ~ONROE BO~D OF COUNTY OF CRUELTY TO ~I~LS INC CO~ISSIONERS 1901 S ROOSEVELT BLVD 5100 COLLEGE RD KEY ~EST FL 33040-5248 KEY ~EST FL 33040-43~9~ Insured Lo~tion (if other than above) C~ ~, 5230 COLLEGE RD, KEY ~EST FL 33040 ~'~ ~ ~"~W:~: ¥~.~ ~ v~ OommonityName KEY ~EST, CITY OF (305) 294-7696 I Building Description Non-Residential · of Floors One Floor Basement/Enclosure None Contents Location Community # 120168 Community Rating 10 / 007. Program Status Regular Risk Zone AE Condo Type N/A # of Units 0 Adjacent Grade 0 Elevation Difference N/A BUILDING $91,200 CONTENTS $0 DEAR MORTGAGEE I The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the serv cer of this can, The above message applies only when there is a mortgagee on the insured location, $1000 $720.00 SO $.0o ANNUAL SUBTOTAL: $720.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 EXPENSE CONSTANT: $50.00 TOTAL WRITTEN PREMIUM: $845.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM PAID: $875.00 Premium paid by: Insured This policy covers only one building, If you have more than one building on your property, please make sure they are all covered. See Illr Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company, BFL 99.301 0999 1099 GFL 99.300B 0500 0500 BFLG99.100 1100 1200 Copy Sent To: As indicated on back or Thispolicyisissuedby Mobile USA additional pages, if any. 00003120932760195090115600006 Additional Interest Part 2: THIS DECLARATION PAGF 'rTH POLICY PROVISIONS - PART 1 AND ENDORSE~'=NTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE TI-,_ BELOW NUMBERED FLORIDA WINDSTORM UNDL RITING ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED'S NAME AND ADDRESS ~ THIS IS A FLORIDA KEYS SOCIETY FOR THE PREVENTIONO~ GENERAL BUSINESS CRUELTY TO ANIMALS INC. #403N 1901 S ROOSEVELT BLVD KEY WEST, FL 33040 POLICY TERM 7/01/2001 TO 7/01/2002 AT 12:01 A.M. (EST) POLICY NO. 1055931 ~¢EPTzo~ DA~E ExPz~T~o~ DA~ THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill PAGE 1 $ $ % $ $ $ 1 95,000 0 90 2,850 T-86 464 ONE STORY MASONRY OFFICE BLDG LOC: 5230 COLLEGE RD KEY WEST, MONROE FL 33040-4302 2 97,000 0 90 2,910 T-85 754 ONE STORY FRAME ANIMAL SHELTER LOC: 10550 AVIATION BLVD MARATHON, MONROE FL 33050-2908 3 103,000 0 90 3,090 T-85 585 ONE STORY MASONRY OFFICE OF ANIMAL SHELTER BLDG LOC: 279 INDUSTRIAL RD BIG PINE KEY, MONROE FL 33043-3407 i~':'VFq: h,~ ,-,"-.. YES ...... P - I TOTAL AMOUNT OF COVERAGE ACTUAL PREMIUM PREMIUM TOTAL PREMIUM F]orJda Hurricane Cat Fund DO NOT PAY $ .00 $ $ Reinsurance 295,000 1,803.00 $ 270.00 2,073.00 Subject to Form No(s): [~lOO RETAINED) CP2 07/00 FWUA 06 (07/00) Mortgagee/Loss Payee MONROE BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE RD KEY WEST, FL 33040 Producer: Payor: HORAN INSURANCE AGENCY 8669 INSURED % DIV OF ATLANTIC PACIFIC P O BOX 5548 KEY WEST, FL 33045-5548 6/06/2001 FWUA 03 (08/98) 8669 Team 3 MORTGAGEE COPY Date: R 40111 1925 A CORD. DATE MM,DD.YI 07/10/01 PRODUCER CERTIFICA..-' OF LIABILITY INSUF. 'NCE Lo c-' 6cH I Atlantic Pacific-Key West P.O. Box 5548 Key West FL 33041-5548 Phone: 305-294-7696 Fax .' 305-294-7383 INSURED gridaKeys S.~.C.A. 901 S Roosevel= Blvd #403N Key West FL 33040 COVERAGES THIS CERTIFICATEISISSUED AS A MATTER OFINFORMATION 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 INSURERA: Interstate Fire && Casualty Co INSURER B: Legion Insurance Co. 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE {MMIDD/YY) DATE (MMIDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITYr CLAIMS ~ MCK290726 07/14/01 07/14/02 FIRE DAUAGE (Any one fire) $ 50000 j MADE II OCCUR MED EXP (Any one person) $ 1000 PERSONAL & ADV INJURY $ 0 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: IPOLICY ~OECTPRO' ~] LOC PRODUCTS-COMP/OPAGG $ 2000000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT __ ANY AUTO (Ea accident) $ ALL OWNED AUTOS "_~ ~..,~~ (Per pers°n) $ BODILY INJURY NON-OWNED AUTOS , ~- ~.. (Per accident) $ (Per accident) $ GARAGE LIABILITY -. ~-- ,~C'~ ...... AUTO ONLY- EA ACCIDENT ANY AUTO ' ' ' ( ~v,~ OTHER THAN EA ACC $ ~ /} ~ AUTO ONLY: AGG $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC 5[ATU- I OTH- EMPLOYERS' LIABILITY TORY LIMITSI ER B WC41554382 07/01/01 07/01/02 E.L. EACH ACCIDENT $ 100000 E.L. DISEASE- EA EMPLOYEI~ $ 100000 OTHER E.L. DISEASE- POLICY LIMIT~ $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSiONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ADDNL INSURED LISTED AS: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CERTIFICATE HO~F~ I v ( ............................................ SURED; INSURER LETTER: CANCELLATION MCBCOMM Monroe County Board of Com~. fax#305-292-4558 5100 College Rd Key West FL 33040 ACORD 25-S (7/97) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI 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 OB/~I~~ITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR R E" R ES E N TA~VES_.,,,/( I ,,/~/~ //~.,.......~ ~ ~ ACORD CORPO~TION 19~ ACORD. CERTIFICA. £ OF LIABli.ITY INSUKANCF = I . . CSR C~ DATE (MI&'DO/YY) ..... ~-4~ I o8/2O/Ol ~s C~W==ATE = ~SUED AS A MAWER O~ P~C~UCER Atlantic Pac££i=-Eey West P.O. Box 5548 Key West FL 33041-5548 Phone:305-294-7696 Fax:305-294-7383 INSURED loriclaKevs S.P.C.A. 901 S Roo&~u~lt Blv~ J403N Key West FL 33040 ONLY ANO CONFERS NO RK3HTS UPON THE CERTIFH=ATE HOLDE~ TH~ CERT1Fk~ATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIE$ BELOW. INSURERS AFFOR[NNG COVERAGE ~: Interstate Fire && Casualt~ Co Legion Insurance Co. Aon Services Group INSURER D: d ,, , INSURER E: COVERAGES THE POLICIES ~= INSURN, ICE LISTED BELOW HAVE BEEN LSSUED TO THE INSURED'~D ABO~E FOR THE POLICY PERIOD INDICATED. NOTWITHsT~ AI~ REC~IREMENT, TE~a O~ CONIWnC~ OF ANY CONTRACT OR OTHER DOC%IMENT WITH RESPECT TO WHICH THIS CERTFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TI'IE POUClE$ DESCRIBED HEREIN IS SUBJECT TO ALL THE 'I~'RMS, EXCLUSIONS AND ~ OF SUCH POUClE$. AGGREGATE LIMITS SHOWN M~,Y HAVE BEEN REDUCED BY PAID CI.AWIS. LTR TYPE OF INSURANCE POLICY NUMBER LIMITS ~"'E.~ u~u~ ~c~ occu..ENc~ $'i000000 A X COMME~Cf^'GENER~U^aUTY MC~290726 07/14/01 07/14/02 F~E~M~GE¢^~e~e) S 50000 PERSGNAL & ADV INJURY $ 0 GENERAL AGGREGATE $ 2000000 GE~L AGGREGATE L~rr APPLES PER: PRODUCTS - COMP/OP AGG $ 2 0 0 0 0 0 0 AUTOMOBILE ~ Al~f' AUTO (Es ~,~ $ HIRED AUTOS ,," ----v - ' __ -- BODILY INJURY $ NON-OWNED AUTOS ............... ~ ~,~-- ~-- $ ~ON $ ~ $ ' WC $1AIU- EMPt.OYERS' LIABILITY B RC41554382 07/01/01 07/01/02 [L.E~CH^C~G~ $100000 £L ~m~S~-EAEM~OY~ $100000 ~.L.D~S~-POUCYLM~ $ 500000 oTHER C D&O Insurance 81659404 07/01/01 07/01/02 Liability 1000000 ~DDt~ INSOi~BD LIS~BD ~: NOtGROR COO1~1~ BORED OF COON/~ CC~Jt~SSI~ C~IOATE HOLDER I Y, I ADomoN~ INSURED;. emURER ~'i=~: ~onroe Com~Bo&~dof Coaaa. faxJ305-292-4558 5100 College ~ Key West FL 33040 ACO~D 26%q fF/'BTt SHOULD ANY OF THE ABOVE DF.~CRIBED POUOIES BE C, AN~'~ L ~"_~ BEFORE THE EXPII~TI~ DATE THEREOF, THE ISSUING INSURER WILL ENDF_4,VO~ TO MAil. 10 DAYSWRt't'fl=N NOTICE TO THE CERTI~CATE HOLDER NAMED TO THE LEFT, BUT FAJtURE TO DO SO SHALL CERTIFICATE OF INSURANCE ALLSTATE INSURANCE COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER FLORIDA KEYS S.P.C.A. 048050107 BAP 1901 S ROOSEVELT BLVD KEY WEST, FL 33040-5248 The person or organization designated below is described in the policy as: MC BOARD OF CTY COMM 5100 COLLEGE RD KEY WEST, FL 33040-4319 Coverages designated are afforded as stated below: LIABILITY: $1,000,000 EACH ACCIDENT EFFECTIVE DATE OF CERTIFICATE 06/30/02 POLICY PERIOD 06/30/02 TO 06/30/03 AT 12:01 A.M. STANDARD TIME LIENHOLDER (Loss Payable Clause) ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED CERTIFICATE HOLDER 1994 FORD TRUCK Fl00 SERIE 1FTEF15Y7RNB52950 COLLISION - $250 DEDUCTIBLE - - COMPREHENSIVE - $250 DEDUCTIBLE To the person or organization stated above: This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days written notice at its last address known to the Company. Proof of such mailing is deemed sufficient proof of such notice. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. BU1380-1 PAGE I OF I BUl14-2 CERTIFICA E OF LIABILITY INSUr 'kNCF .o CS._, I PRODUCER Atlantic Pacific-Key West P.O. Box 5548 Key West FL 33045-5548 Phone:305-294-7696 Fax:305-294-7383 INSURED Florida Keys S.~.C.A. 1901 S Roosevel= Blvd #403N Key West FL 33040 THIS CERTIFICATE IS ISSUED AS A MAI I ~-R 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 INSURERA: Allstate Insurance Co. INSURERB: Penn-American Insurance Co. ~NSURERC: American Home Assurance ~NSURERD: Allstate Insurance Co. ~NSURER 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY} DATE {MMIDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 B X COMMERCIAL GENERAL LIABILITY PAC6231432 07/01/02 07/01/03 FIRE DAUAGE (Any one fire) $ 50000 [ CLA.MSMADE ~ OCCUR MEOEXP(Anyoneo .... n) $ 5000 __ PERSONAL & ADV INJURY $ 1000000 __ GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMPIOP AGG $ 2000000 X I POLICY ~ PRO- JECT [~ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1000000 ANY AUTO (La accident) ALL OWNED AUTOS BODILY INJURY $ D X SCHEDULED AUTOS 048050107 06/30/02 06/30/03 (Per person) D __Z HIREDAUTOS 048050107 06/30/02 06/30/03 BODILY INJURY $ D X NON-OWNEDAUTOS 048050107 06/30/02 06/30/03 (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO ~ .. I~HER THAN EA ACC $ EXCESSL,AB,L,TY LAC, OCCURRENCE OCCUR CLAIMS MADE ' ' ' ' WC STATU- WORKERS COMPENSATION AND . , I %T_OBY LIMITS J I ER / C EMPLOYERS'LIA~UTY WC7242480 07/01/02 07/01/03 E,L EACHAC~N-T- ..... ~ 100000 _ E.L. DISEASE POLICY LIMIT~ $ 500000 OTHER A Property Section 049840697 07/01/02 07/01/03 Key West $89000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Animal shelter CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: Y CANCELLATION Monroe County Board of County Commissioners 1100 Simonton St Key West FL 33040 ACORD 25-S (7/97) MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL AUTHORIZED REP~¢¢~ A / Jun- '7-02 12:16P Richard Horan 305 294 7762 P.01 ii .......... II m III Illl eL SI Gresham and Associate , I tc. 561-682-3180 ' Fax 561-382-3222 * Toll 800-345-2709 DA'rE,,~June 21, RE: ,~da Key, ~ # OF PG$: 3 FAX # 305-294..7383 I 1 New Submtm$1on f~ A~mmls : We are pleased to offer the following COMlqERCIAt GENERAL I.IAB~ quotation f. hrough ~ Arrmr)ca Insurance Comoanv {A M Best Rated A- VIII) '. UmJts of Uability: $1,000,000 $ 2,000,000 $ 2,000,000 $1,000,000 $ 50,000 $ 5 ,o0o DEDUCTIBLE: $ 0 BI & PD 5% Surplus Lin~s Tax: .3% Servic~ Offic~ Fee: Occu~ence General Aggregate pmduc~/completed OperaUons Aggregate Persor~l/A~NerUsing Injury' Flre Damage Med~l Paymen~ Per Occurrence, Not on Defense ,ozs.oo 3§.00 150.O0 18,63 ,, 6,53g.13 II The Premium is based on the following da.ss codes'& exposures: ~ ,~==~51 -' VeVeminarlan - payroll of $225,000 · 4s~O'- K~r~, o~-ua.~~ding or Sales- ~ of'Compartments- 115 · 49950 - Additional Insured - Monroe County .... . CONDITIONS: CG0001 CG0300 CG2155 CG2147 IL-0021 S-2000 S-2002 CGL Coverage Form Deductible Endorsement Pollution Exdusibn With Hostile Rm Employment Related p. mctJces Exclusion Nudear Energy Exclusion S-2007 S-2033 Gene~l Uability Oedai'ations Combined Provisions (EXCLUDES: Punitive Damages, Asbestos, Earth-movement) Contractual Uab[lity Amendment Lead Contamination Exdusion Continued on Page 2 Jun 27-02 12:16P Richard Horan 305 294 7762 P.02 Page 2 .. RE: Florida Keys Society for Animals F~s & CondlUons ~nflnued: S~lO01 S-1003 Service of Suit ' " ' 25 % Mlnlmum E~mecJ Pram,urn - Cancellation & Non-Renewal IL-0017 Common Policy C:~3ndiUons CG005'7 Amendment-Kno, wn t'njury or Damage : CG2167 Fungi or Bacteria Exclusion CG2169 War or Terrorism Exclusion ' S~022 Animal ~e~ces Amendment : ~-----'~6000 Professional Uabllity DedaraUons 3.--?-----~.__._ ! ~fn~¥Eal profe~iS-na~'a~[iity Cov~ge Part.~. CG2026 Additional [nsured- ~lon~, -- ' CG2116 Exclusion Designated Professional Service ACORD., CERTIFICATE OF LIABILITY INSURANCE 6/27/ 02 Atlantic Pacific Insurance PO Box 5548 Key West, FL 33045 Florida Keys S.P.C.A. 1901 S Roosevelt Blvd Key West, FL 33040 I COVERAGES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POEClES BELOW. INSURERS AFFORDING COVERAGE ,NSuRE,~ Florida Windstorm ,NSuRE,,: Mobile USA ,NSuRE, e. Western Surety/CNA 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 POUCY IEI~E POLICY EXPIRATION , I.'IR TYPE OF II,~URANCE POtJCY NUMBER DA?E IMM/DD/Y~ DATE Ilalil~fyy) UMITS COMMEI::IClAL GENERAL LIABILITY , FIRE DAMAGE (Any one fl~t) PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE lIMIT APPLIES PER:. PRODUCTS- COMP/OP AGG $ ~""~ F'RO- I POLICY I I JECT AUTOMOBILE UABlUTY COMBINED SINGLE UMIT ANY AUTO (Ea aocidant) $ NON-OWNED AUTOS ,.---' (Per ac~de~t) o (P.~ c.,,..-~ uAmu'r, W A~/F--B Nth - yES ~-- ~ $ IANY ALrTO b~'~' ~ OTHER-- EAACC $ AUTO ONLY: AGG EXC'ES~ UAB~UTY I ~'~ EACH OCCURRENCE S DEDUC'RBLE , $ WC STATU- WORKER~ COMPB'~i~ATION AND IO~~-'i" TOffY UMIT~ E.L EACH AC;~IDENT $ ", , E.L DISEASE - EA EMPLOYEE I E-L- OI,,~EA~E - P(X..ICY UMIT $ A Windstorm 1055931 7/1/02 7/1/03 $95,000 - Key West B Flood 093276019509 7/1/02 7/1/03 $91,200 - K~ West (2: EmploTee dishonesty #69364308 7/1/02-7/1/03 $100,000 ? CERTIFICATE HOLDER IX I ADDITIONALINSURED;IN~URERI"III~R: Y CANCELLATION D~nroe County Board of County Cc~anissioners 1100 Simonton St. Key West, FL 33040 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAY~ Wmm mt:N NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAJLUR~ TO DO 80 SHALL IMPOSE NO OBUGAllON OR UABIUTY OF ANY IQND UPON THE IN~URER. I]~,~(M~4T'~ OR MOBILE USA INSU1L4,NCE COMPANY, INC. I 09 3276019509 03 I Mobile USA Insurance Company, Inc. P.O. Box 33011 St. Petersburg, FL 33733-8011 1-800-988-4647 535 08700 FLD RGLR Renewal General Property Form BFL 99.001 0297504 6/28/02 0201 FLOOD DECLARATIONS PAGE Date of Issue 6/28/02 IFrom: 7/01/02 To: 7/01/03 12:01 am Standard TimoI Insured FLORIDA KEYS SOCIETYFOR THE PREVEN OF CRUELTY TO ANIMALS INC 1901S ROOSEVELT BLVD 1 yrl,)I 7/01/99 mOlam 109 0000312 1(305)294-7696 I MONROE BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE RD KEY WEST FL 33040-5248 KEY~WEST-, FL 33~)T~~iSK- K ~I~M AGEMENT ,nsu.d Lo~tion (if other ,ha..bo.) ~ ~:~ -"m 3-9 ~ -- 5230 COLLEGE RD, KEY WEST FL 33040 C~.~ ~[ ~ U~ ... ~v~S~ Building Description Non-Residential # of Floors One Floor Basement/Enclosure None Contents Location CommunltyName KEY WEST, CITY OF Community # 120168 Condo Type N/A Community Rating 10 / 007. # of Units 0 Program Status Regular Adjacent Grade 0 Risk Zone Ali Elevation Difference N/A BUILDING $91,200 $1000 $720.00 CONTENTS $0 $0 $.00 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of th s oan, The above message applies only when there is a mortgagee on the insured location, ANNUAL SUBTOTAL: $720.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COI~MUNITY DISCOUNT: $.00 EXPENSE CONSTANT: $50.00 TOTAL WRITTEN PREMIUM: $845.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $875.00 Premium paid by: Insured This policy covers only one building, If you have more than one building on your properly, please make sure they are all covered, See III, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company, BFLG99.100 1100 1200 BFLD99.307 0601 0691 Copy Sent To: As indicated on back or Thispolicyisissuedby Mobile USA additional pages, if any. 0000312093276019509021790000C Additional Interest Part 2: THIS DECLARATION PAGE,. .~ POLICY PROVISIONS - PART 1 AND ENDORSEI~ / FS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED FLORIDA WINDSTORM UNDERWRITING ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED'S NAME AND ADDRESS ~ THIS IS A FLORIDA KEYS SOCIETY FOR THE PREVENTIONO~ GENERAL BUSINESS CRUELTY TO ANIMALS INC. #403N 1901 S ROOSEVELT BT.VD KEY WEST, FL 33040 POLICY TERM 7/01/2002 TO 7/01/2003 AT 12:01 A.M. (EST) POLICY NO. 1055931 ZNCEP~zoN DA~E ~XPZ~TZON DA~E THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill PAGE 1 $ $ % $ $ $ 1 95,000 0 90 2,850 T- 86 464 ONE STORY MASONRY OFFICE BLDG LOC: 5230 COLLEGE RD KEY WEST, MONROE FL 33040-4302 TOTAL AMOLTNT OF COV,:~AGE ACTUAL PREMIUM PREMIUM TOTAL PREMIUM F]0rlda Hurricane Cat ~und DO N07 PAY $ 464.00 $ .00 Reinsurance $ 95,000 Tax-Exempt Su~ 8.00 $ 70.00 542.00 subject to Form No(s): ($100 RETAINED) CP2 07/00 FWUA 06 (07/00) Mot t~aGee/Loss Payee MONROE BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE RD KEY WEST, FL 33040 Producer: Payor: fIORAN INSURANCE AGENCY 8669 INSURED % DIV OF ATLANTIC PACIFIC P O BOX 5548 KEY WEST, FL 33045-5548 (305) 294-7696 Date: 7/05/2002 FWUA 03 (08/98) : 8669 Team 3 MORTGAGEE COPY R 40111 1151 MOBILE USA INSURANCE COMPANY, INC. Mobile USA Insurance Company, Inc. P.O. Box 33011 at. Petersburg, FL 33733-8011 1-800-988-4647 535 08700 FLD RGLR Renewal General Property Form IFrom: 7/01/03To: 7/01/04 12:01am Standard Time [ 1 vr<,II 7/01/99 12:01am BFL 99.001 297504 5/18/o3 0201 FLOOD DECLARATIONS PAGE Date of Issue 5/18/03 09 0000312 I (305) 294-7696 Insured FLORIDA KEYS SOCIETYFOR THE PREVEN OF CRUELTY TO ANII~LS INC 1901S ROOSEVELT BLVD KEY WEST FL 33040-5248 In.md Lo~tion (if o~er than abo~) 5230 COLLEGE RD, KEY WEST FL 33040-4302 MONROE BOARD OF COUNT~~' RISK"ivI'~(rI~A/GEMENT COMMISSIONERS dY~ ~ ~~ f 5100 COLLEGE RD a~= ~l~ ~3 KEY ~EST FL 33040-431~ .... ~ ..... WAIVER N/A ~ YES Building Description Non-Res ident ial # of Floors One Floor Basement/Enclosure None Contents Location Community Name KEY WEST, CITY OF Community # 120168 Condo Type N/A Community Rating 10 / 00% # of Units 0 Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A BUILDING $91,200 CONTENTS $0 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this oan, The above message applies only when there is a mortgagee on the insured location, $1000 $0 ANNUAL SUBTOTAL: DEDUCTIBLE CREDIT: ICC PREMIUM: COMMUNITY DISCOUNT: $757.00 $.00 $757.00 $.00 $75.00 $.oo TOTAL WRITTEN PREMIUM: $832.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $862.00 Premium paid by: Insured This policy covers only one building, If you have more than one building on your property, please make sure they are all covered, See III, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company, BFLG99.100 0503 0503 BFLD99.307 0601 0691 GFLD99.312 0503 0503 Copy Se~t To: As indicated on back 00003120932760195090313800008 Thispolicyisissuedby Mobile USA or additional pages, if any. Additional Interest ACORD. CERTIFICATL OF LIABILITY INSURANC_ FLOR-46CSR C.I DATE,M.OD )07/01/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P o O o Boz 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5548 Phone: 305-294-7696 Fax: 305-294-7383 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Allstate Insurance Co. 19232 INSURER B: Penn-A~t. erican Insurance Co. Florida Keys S.P.C.A. INSURERC: American Home Assurance 19380 1901 S Roosevelt Blvd #403N ~NSURERD: Allstate Insurance Co. 19232 Key West FL 33040 INSURER E: CNA Surety 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. IN~I~ %UU'L POLICY EFFECTIVE POLICY EXPIRATION LTR NSRr TYPE OF INSURANCE POLICY NUMBER DATE {MM/DD/YY) DATE {MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 B X X COMMERCIAL GENERAL LIABILITY PAC6231432 07/01/03 07/01/04 U^M^~ ,U~.,~U PREMISES (La occurence) $ 50000 I CLAIMS MADE ~_J OCCUR MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/DP AGG $ 2000000 I POLICY ~]PRO' JECT ~] LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT X ANY AUTO (La accident) $ 1000000 ALL OWNED AUTOS BODILY INJURY D X SCHEDULED AUTOS 048050107 06/30/03 06/30/04 (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ ANY AUTO AuToOTHERoNLy:THAN EA ACC $ OV \1 I , ,~ AGG $ DEDUCTIBLE $ RETENTION $ ~ $ v -- WC 5TATU- I OTH- WORKERS COMPENSATION AND TORY LIMITSI ER EMPLOYERS' LIABILITY C ANY P ROPRIETOR/PARTNER/EXEGUTIVE WC7819920 07/01/03 07/01/04 E.L. EACH ACCIDENT i$ 100000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE- EA EMPLOYEE $ 100000 Ifyes. describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500000 OTHER A Property Section 049840697 07/01/03 07/01/04 Bldg 89,000 E Dishonesty Bond 69364308 06/26/03 06/26/04 Bond 100,000 DESCRiP¥iON OF OPERATIONS / LOCATIONS / VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS F= FLOOD - MOBILE USA #09327601950904 7/1/03-7/1/04 $91,200; G: WIND - CITIZENS #1055931 7/1/03-7/1/04 $95,000; H.. DIRECTORS & OFFICERS LIABILITY- AON #81659404 7/1/03-7/1/04 CERTIFICATE HOLDER CANCELLATION MCBCCOM Monroe County Board Commissioners 1100 Simonton St Key West FL 33040 of County ACORD 25 (2001108) 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 ANY KIND UPON THE INSURER, ITS AGENTS OR REPRES ENTAIl_ 2-'--'--'-"~ // AUT"O"'ZED" TSE"r %/I ( )AIIstafe. YouYein good hands, POLICY NUMBER 048050107 BAP COMMERCIAL AUTO CA 20 01 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is in- dicated below. Endorsement Effective JUNE 30, 2003 Named Insured: FLORIDA KEYS S.P.C.A. Countersigned By: (Authorized Representative) SCHEDULE Insurance Company ALLSTATE INSURANCE COMPANY Policy Number 048050107 BAP Effective Date JUNE 30, 2003 Expiration date JUNE 30, 2004 Named Insured FLORIDA KEYS S.P.C.A. Address 1901 S ROOSEVELT BLVD KEY WEST, FL 33040-5248 Additional Insured (Lessor) MONROE COUNTY BOCC Address 1100 SIMONTON ST KEY WEST, FL 33040-3110 Designation or Description of "Leased Autos" 03 CHEVY VANS ASTRO 1GCDM 19X43B132263 BUl14-2 CA 20 01 10 01 DAT WAIVER N/A_ ~ .YF,R ._,~ ~ Copyright, ISO ~roperties, Inc., 2000 Pa~e I o[ ~ Coverages Limit Of Insurance Liability $1,000,000 EACH "ACCIDENT Personal Injury Protection (or equivalent no-fault coverage) $ Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ 250 For Each Covered "Leased Auto" Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ 250 For Each Covered "Leased Auto" Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ For Each Covered "Leased Auto" (If no entry appears above, information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement.) A. Coverage 3, Any "leased auto" designated or described in the Schedule or in the Declarations will be considered a covered "auto" you own and not a covered "auto" you hire or bor- row. For a covered "auto" that is a "leased auto" Who Is An Insured is changed to in- clude as an "insured" the lessor named in the Schedule. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expira- tion date shown in the Schedule, or when the lessor or his or her agent takes pos- session .of the "leased auto", whichever occurs first. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation If we cancel the policy, we will mail notice to the lessor in accordance with the Can- cellation Common Policy Condition. 2. If you cancel the policy, we will mail notice to the lessor. 3, Cancellation ends this agreement. The lessor is not liable for payment of your premiums. B. Loss Payable Clause We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto". The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. E. Additional Definition As used in this endorsement: "Leased auto" means an "auto" leased or rented to you including any substitute, re- placement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. CA 20 01 10 01 Copyright, ISO Properties, Inc., 2000 Page 2 of 2 AIIstate. You~ein good hands CERTIFICATE OF INSURANCE ALLSTATE INSURANCE COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER FLORIDA KEYS S.P.C.A. 048050107 BAP 1901 S ROOSEVELT BLVD KEY WEST, FL 33040-5248 The person or organization designated below is described in the policy as: MONROE COUNTY BOCC 1100 SIMONTON ST KEY WEST, FL 33040-3110 Coverages designated are afforded as stated below: LIABILITY: $1,000,000 EACH ACCIDENT POLICY PERIOD 06/30/03 TO 06/30/04 AT 12:01 A.M. STANDARD TIME EFFECTIVE DATE OF CERTIFICATE 06/30/03 2003 CHEVY VANS ASTRO 1GCDM19X43B132263 COLLISION - $250 DEDUCTIBLE - - COMPREHENSIVE - $250 DEDUCTIBLE LIENHOLDER (Loss Payable Clause) ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED CERTIFICATE HOLDER To the person or organization stated above: This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days written notice at its last address known to the Company. Proof of such mailing is deemed sufficient proof of such notice. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. BU1380-1 PAGE I OF I BUl14-2 Pa~t 2: THIS DECLARATION P; WITH POLICY PROVISIONS - PART 1 AND ENDO1~ {ENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE ~- cie BELOW NUMBERED CITIZENS PROPERTY INSU~CE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 --f"CITIZENS INSURED NAME AND ADDRESS ~..~,~. THIS IS A FLORIDA KEYS SOCIETY FOR THE PREVENTION OF GENERAL BUSINESS CRUELTY TO ANIMALS INC. #403N 1901 S ROOSEVELT BLVD KEY WEST, FL 33040 POLICY TERM 7/03/2003 TO 7/03/2004 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1055931 ~N¢~.P~ON ~A'~'~ ~ THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill PAGE 1 $ $ % $ $ $ 1 95,000 0 90 2,850 T-86 464 ONE STORY MASONRY OFFICE BLDG LOC: 5230 COLLEGE RD KEY WEST, MONROE FL 33040-4302 P - I T~Yi'AL AMOUNT OF COV~.'BJ%GE ACTUAL PREMIUM PREMIUM SURCHARGES TOTAL PREMIUM F]0rida Hurricane Cat Fund DO NOT PAY $ 464-00 $ .00 $ Reins/Cat 95,000 Tax-Exempt Su~ 8.00 $ 70.00 542.00 S~bject to Form No(s): ($100 RETAIN,:D) CIT CP2 CIT-W06 Mortgagee/Loss Payee: MONROE BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE RD KEY WEST, FL 33040 Agent: Payor: ATLANTIC PACIFIC INS 8709 INSURED 11382 PROSPERITY FARMS RD SUITE 123 PALM BEACH GARDENS, FL 33410 Date: 7/03/2003 (561~ 624-1~00 CIT-W03 (7/02) 8709 Te~ 4 MORTGAGEE COPY R 40111 3290 AIIstate. Yo~'r~ in good hands~ CERTIFICATE OF INSURANCE ALLSTATE INSURANCE COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER FLORIDA KEYS S.P.C.A. 048050107 BAP 1901 S ROOSEVELT BLVD KEY WEST, FL 33040-5248 The person or organization designated below is described in the policy as: MONROE COUNTY BOCC 1100 SIMONTON ST KEY WEST, FL 33040-3110 Coverages designated are afforded as stated below: LIABILITY: $1,000,000 EACH ACCIDENT EFFECTIVE DATE OF CERTIFICATE 06/30/04 POLICY PERIOD 06/30/04 TO 06/30/05 AT 12:01 A.M. STANDARD TIME LIENHOLDER (Loss Payable Clause) ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED CERTIFICATE HOLDER 2003 CHEVY VANS ASTRO 1GCDM19X43B132263 COLLISION - $250 DEDUCTIBLE -- COMPREHENSIVE - $250 DEDUCTIBLE To the person or organization stated above: ~-~~ ~_~ This policy, as respects the interest of the loss payee, additional interested party, additional"C~"~ -- 'insured or certificate holder writtennamed notice herein, at may its last be cancelled address known by the to Company the Company. during the policy period by giving such person or organization 10 days Proof of such mailing is deemed sufficient proof of such notice. ThiSreferredCertificateto above.°f Insurance neither affirmatively nor negatively amends, extendsior, alters the coverage afforded by the policy BU1380-1 PAGE 1 OF I BU114-2 AIIstafe. YouYeJn good hands, POLICY NUMBER 048050107 BAP COMMERCIAL AUTO CA 20 01 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date Of the policy unless another date is in- dicated below. Endorsement Effective JUNE 30, 2004 Named Insured: FLORIDA KEYS S.P.C.A. Countersignedi By: (Authorized Representative) SCHEDULE Insurance Company Policy Number Effective Date ALLSTATE INSURANCE COMPANY 048050107 BAP JUNE 30, 2004 Expiration date Named Insured JUNE 30, 2005 FLORIDA KEYS S.P.C.A. Address 1901 S ROOSEVELT BLVD KEY WEST, FL 33040-5248 Additional Insured {Lessor) MONROE COUNTY BOCC Address 1100 SIMONTON ST KEY WEST, FL 33040-3110 Designation or Description of "Leased Autos" 03 CHEVY VANS ASTRO 1GCDM 19X43B 132263 CA 20 01 10 01 Copyright, ISO Properties, Inc., 2000 Page I of 2 BU114-2 Coverages Limit Of Insurance Liability $1,000,000 EACH "ACCIDENT Personal Injury Protection (or equivalent no-fault coverage) $ Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ 250 For Each Covered "Leased A~Jto" Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ 250 For Each Covered "Leased A Jto" Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ For Each Covered "Leased A Jto" (If no entry appears above, information required to complete this end¢,rsement will be shown in the Declara- tions as applicable to this endorsement.) A. Coverage Any "leased auto" designated or described in the Schedule or in the Declarations will be considered a covered "auto" you own and not a covered "auto" you hire or bor- row. For a covered "auto" that is a "leased auto" Who Is An Insured is changed to in- clude as an "insured" the lessor named in the Schedule. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expira- tion date shown in the Schedule, or when the lessor or his or her agent takes pos- session of the "leased auto", whichever occurs first. B. Loss Payable Clause We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto". The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If w~make will ~obtain other party. C. Cancella~tion D. The les', premiun E. Addition As used "Leased rented placemc seasons rental a~ direct pi any payment to the lessor, we his or her rights against any If we cancel the policy, we will mail notice to tl~e lessor in accordance with the Can- cellation Common Policy Condition. If yoU cancel the policy, we will mail notice to thie lessor. Can~:ellation ends this agreement. ;or is not liable for payment of your IS. al Definition in this endorsement: auto" means an "auto" leased or :o you including any substitute, re- nt or extra "auto" needed to meet or other needs, under a leasing or reement that requires you to provide mary insurance for the lessor. CA 20 01 10 01 Copyright, ISO Properties, Inc., :~000 Page 2 of 2 ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR c. I DATE,M DD , PRODUCER FT'OR- 46 08 / 31/04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific-Key Wes t HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5548 Phone.. 305-294-7696 Fax.' 305-294-7383 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Penn- A31%erica Insurance Co INSURERB: Allstate Insurance Co. 19232 Florida Keys S.P.C.A. ~NSURERC: 1901 S Roosevelt Blvd #403N Key West FL 33040 INSURERD: COVERAGE..~ .~.~ 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. TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ~ OCCUR GEN'L AGGREGATE LIMIT APPLIE.~ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR [~ CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Ifyes, descdbe under SPECIAL PROVISIONS below OTHER POLICYNUMBER 07/01/04 PAC6391126 048050107 06/30/04 WAIVER~ 07/01/05 06/30/05 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PR'~VlSIONS LIMITS $1000000 EACH OCCURRENCE PREMISES (Ea occumnce) MEDEXP(Anyonepemon) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/DP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY iNJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN ,FA ACC AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE E.L.~ $ E.L. DISEASE - POLICY LIMIT [ $ $50000 $5000 $1000000 $2000000 $2000000 $1000000 $ CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners 1100 Simonton St Key West FL 33040 ACORD 25 (2001/08) / . MCBCCOM ! SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION] ~ DATE THEREOF, THE ISSUING INSIJRER WlLL ENDEAVOR TO MAiL 10 DAYS WRITTEN J J NOTICE TO THE CERT.IE'II~TE HOLDER NAMED TO THE LEFT, BUT FAILUR---~'TO DO SO SHALL J /,,,,.o,,,o o. / REP"ESE.TATIVES. I / tr' ACORD. PRODUCER Atlantic Pacific-Key West P.O. Box 5548 Key West FL 33045-5548 Phone.. 305-294-7696 Fax: 305-294-7383 INSURED CERTIFICATE OF LIABILITY INSURANCE csR CH ~ FLOR-46 ~ THIS CERTIFICATE IS ISSUED AS A MA'II'ER 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. COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURERA: Allstate Insurance Co. 19232 INSURERB: ~erican Home Assurance 19380-- )NSURERC: CNA Surety Florida Keys S.P.C.A. 1901 S Roosevelt Blvd #403N Key West FL 33040 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. TYPE OFINSURANCE GENERALLIABILITY COMMERCIALGENERALLIABILiTY CLAIMS MADE [~OCCUR POUCYNUMBER GEN'L AGGREGATE LIMIT APPLI AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR ~ CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTiVE OFFICER/MEMBER EXCLUDED? Ifyes, descdbe under SPECIAL PROVISIONS below OTHER Property Section WC7691843 049840697 07/01/04 07/01/04 o7/ol/o5 o7/ol/os Dishonest 69364308 DESC~PTIONOF, __06/26/04 ._.~6/26/05 LOCATIONS/VEHICLESI~CLUSiONSADDEDBYENDORSEMENTiSPECIALPROViSiONS Directors & Officers Liability-Executive Risk #81659404 $1,000,000; Wind- Citizens #10559317/3/04-7/3/05 USA #32760195092004 7/1/04-7/1/05 $91,200 LIMITS EACH OCCURRENCE $ _PREMISES (Ea occ__urence}___ MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/DP AGG COMBINED SINGLE LIMIT (Es 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 $ $ E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $100000 $100000 $500000 Building Limits 7/1/04-7/1/05 $100,000; Flood- Mobile 89,000 100,000 CERTIFICATE HOLDER Monroe County Board of County Commissioners 1100 Simonton St Key West FL 33040 ACORD 25 !200~08) CC.- ~==~t.~4uw.¢,.~ CANCELLATION MCBCCOM--M---1 ~Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT OI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED T ....... -- " ~ ~, .r~= ~-~l BUT FAILURE TO DO SO SHALL IMPOSE NO OBLI~IATION ~,~R LIABILITy OF~ANY KIND UPON THE INSURER, ITS AGENTS OR fT ......... Horan Insu~a~,e~ I © ACORD CORPORATION ~ RIIstate. CERTIFICATE OF INSURANCE EFFECTIVE DATE OF CERTIFICATE 06/30/05 ALLSTATE INDEMNITY COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER FLORIDA KEYS S.P.C.A. 048050107 BAP 1901 S ROOSEVELT BLVD KEY WEST, FL 33040-5248 The person or organization designated below is described in the policy as: MONROE COUNTY BOCC 1100 SIMONTON ST KEY WEST, FL 33040-31'10 Coverages designated are afforded as stated below: LIABILITY: $1,000,O00 EACH ACCIDENT POLICY PERIOD 06/30/05 TO 06/30/06 AT 12:01 A.M. STANDARD TIME LIENHOLDER (Loss Payable Clause) ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED CERTIFICATE HOLDER 2003 CHEVY VANS ASTRO 1GCDM19X43B132263 COLLISION - $250 DEDUCTIBLE - - COMPREHENSIVE - $250 DEDUCTIBLE To the person or organization stated above: This policy, as respects the interest of the loss payee, additional interested pa.rty., additional insured or certificate holder named herein, may be cancelled by the Company during the policy period by g~v~ng such person or organization 10 days written notice at its last address known to the Company. Proof of such mailing is deemed sufficient proof of such notice. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. BU1380-1 BU114-2 PAGE I OF I AIIsmte. You,re in good hands. POLICY NUMBER 048050107 BAP COMMERCIAL AUTO CA 20 01 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is in- dicated below. Endorsement Effective JUNE 30, 2005 Named Insured: FLORIDA KEYS S.P.C.A. Countersigned By: (Authorized Representative) SCHEDULE Insurance Company ALLSTATE INDEMNITY COMPANY Policy Number 048050107 BAP Effective Date JUNE 30, 2005 Expiration date JUNE 30, 2006 Named Insured FLORIDA KEYS S.P.C.A. Address 1901 S ROOSEVELT BLVD KEY WEST, FL 33040-5248 Additional Insured (Lessor) MONROE COUNTY BOCC Address 1100 SIMONTON ST KEY WEST, FL 33040-3110 Designation or Description of "Leased Autos" 03 CHEVY VANS ASTRO 1GCDM 19X43B132263 BUl14-2 Copyright, ISO Properties, Inc., 2000 Page I of 2 Coverages Limit Of Insurance Liability $1,000,000 EACH "ACCIDENT Personal Injury Protection (or equivalent no-fault coverage) $ Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ 250 For Each Covered "Leased Auto" Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ 250 For Each Covered "Leased Auto" Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ For Each Covered "Leased Auto" (If no entry appears above, information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement.) A. Coverage Any "leased auto" designated or described in the Schedule or in the Declarations will be considered a covered "auto" you own and not a covered "auto" you hire or bor- row. For a covered "auto" that is a "leased auto" Who Is An Insured is changed to in- clude as an "insured" the lessor named in the Schedule. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expira- tion date shown in the Schedule, or when the lessor or his or her agent takes pos- session of the "leased auto", whichever occurs first. B. Loss Payable Clause We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto". The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation If we cancel the policy, we will mail notice to the lessor in accordance with the Can- cellation Common Policy Condition. 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your premiums. E. Additional Definition As used in this endorsement: "Leased auto" means an "auto" leased or rented to you including any substitute, re- placement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. CA 20 01 10 01 Copyright, ISO Properties, Inc., 2000 Page 2 of 2 ACORD. INSURANCL 31NDER / DP ID B~ DATE / 06/23/05 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. PRODUCER PHONE (A/C, NO, Ext): 305-294-1096 COMPANY 305-294-8016 Key West Insurance, Inc. 646 United Street, Suite 1 Key West FL 33040 Barr~ J. Philipson CODE: I SUB CODE: AGENCY CUSTOMERID: FLORI-5 INSURED Florida Keys SPCA 1901 S. Roosevelt Blvd., Key West FL 33040 #408N IProgressive Companies EFFECTIVE TIME 07/01/05 12: 01 I I PM t THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY PER EXPIRING POLICY #: BINDER# 1006 EXPIRATION DATE I TIME 12:01 AM 07/01/06 I INOON DESCRIPTION OF OPERATIONS/VEHICLES/PROPERTY (Including Location) 2003 Chevy Asto Van #1GCDM19X43B132263 COVERAGES LIMITS TYPE OF INSURANCE COVERAGE/FORMS DEDUCTIBLE COINS % AMOUNT PROPERTY CAUSES OF LOSS BASIC ~ BROAD [--1 SPEC GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FiRE DAMAGE (Any one fire) $ [ CLAIMS MADE [~ OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ RETRO DATE FOR CLAIMS MADE: PRODUCTS. COMP/Dp AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1000000 ALL OWNED AUTOS .___.~j,~k ~ I\ IJ/?~l/~.. _~..._.. ~...~'~~j BODILY INJURY (Per $ X SCHEDULED AUTOS E~Y ~ l_q.~ PROPERTY DAMAGE $ HIRED AUTOS OAT E MEDICAL PAYMENTS $ 5000 NON-OWNED AUTOS PERSONAL INJURY PROT $ 0 0 0 0 " t,~) ' ~ UNINSURED MOTORIST $1000000 $ DULED VEHICLES ~ ~ ~ ~. ACTUAL CASH VALUE ~ COLLISION: 500 STATED AMOUNT $ OTHER THAN COL: OTHER GARAGE LIABILITY ,~.~ ~ ~ ~ AUTO ONLY. EA ACCIDENT $ ANY AUTO IOTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF.INSURED RETENTION $ I WC STATUTORY LIMITS WORKER'S COMPENSATION AND E.L- EACH ACCIDENT $ EMPLOYER'S LIABILITY E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ SPECIAL FEES $ CONDITIONS/ OTHER COVERAGES TAXES $ ESTIMATED TOTAL PREMIUM $ ,DDRESS MCBDCOM Monroe County Board of County Commissioners 5100 College Road Key West FL 33040 ACORD 75-S (1/98) ~/ _~ MORTGAGEE ~_~ ADDITIONAL INSURED LOSS PAYEE LOAN # AUTHORIZED ,/7 /'~J / '~)~, REPR~TATIVE ~ ~/ / // ~ Bar~W. Phi~pCn / NOTE: IMPORT~T STATE INFORMATIO~ ON REVERSE SIDE ~ACORD CORPO~TION 1993 ACORO. CERTIFICATL .)F LIABILITY INSURANC.. OP,D DATE,M.DD ) F?.O~Z- 5 / 06/23/05 PRODUCER THIS CERTIFICATE I$ ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone.- 305-294-1096 Fax-- 305-294-8016 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Century Surety INSURER B: Florida _Keys SPCA INSURERC: 1901 S. ~oosevelt Blvd., #408N Key West FL 33040 ~NSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVVlTHSTANDING 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. ~N~ U30'L POLICY ~P~CTIVE POLICY EXPIRATION LTR NSR£ TYPE OF INSURANCE POLICY NUMBER DATE {MNFDD~Y) DATE {MN~DDP~ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X X COMMERClAL GENERAL LIABILITY BTI~TDEI~. 07/01/05 07/01/06 PREMISES(Eaoccurence) $ 50000 I CLAIMS MADE ~1 OCCUR MED EXP (Any one person) $ 2000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/DP AGG ! $ 1000000 --~ POL,CY ~PRO' JECT [-~ LOC AUTOMOBILE LIABILITY -- COMBINED SINGLE LIMIT ANY AUTO (EM accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ APP~'~_t I .. ~,,,~B~l~l'g ~GEMEh ! AUTO ONLY: AGG $ EXCESS/UMBRELLA BY-----~__,T. 4~ EACH OCCURRENCE $ LIABILITY I OCCURI--qCLA, MSMADE DATE ..............~+.~:4,¢,...~_[..:JIL-'~--' AGGREGATE $ BEDUCTIBLE WAIVER WORKERS COMPENSATION AND ',J EMPLOYERS' LIABILITY TORY LIMITS I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Ifyes, describe under E.L. DISEASE. EA EMPLOYEE $ SPECIAL PROVISIONS below E.L. DISEASE. POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDOA~-MENT / SPECIAL PROVISIONS Monroe County Board of County Commissoners 1100 Simonton Street Key West FL 33040 -' HOLDER CANCF£[ ATION MCBOARD 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 ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTAT,VES.. ? / ~ ~ ® ^CORD CORPORATION ~88 ACORD 25 (2001/08) ACORD. CERTIFICATL OF LIABILITY INSURANC OP,O B[3~ DATE(MM/DD/YYYY} · -- F~,ORZ-5 / 06/23/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite i ALTERTHE COVERAGE AFFORDED BYTHE POLICIES BELOW. Key West FL 33040 Phone: 305-294-1096 Fax: 305-294-8016 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: S11/11[mi t Consult ing, Inc INSURER B: Florida Keys SP_CA INSURERC: 1901 S. Roosevelt Blvd., #408N INSURERD: Key West FL 33040 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN~I~ %UU'L POLICY EFFECTIVE POLICY EXPIRATION LTR NSRr TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ L)AMA~St: I U I~I-N I EU COMMERCIAL GENERAL !.lABILITY PREMISES (Es occurence) $ PERSONAL & ADV INJURY GENERAL AGGREGATE $ IPOL,CY PR°' JECT ~ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) ~ ~ ;'~ Ik~ ~J~%'~ !v~ L~') i ~ PROPERTY DAMAGE i~i/ J~ I J t ~ ~ (Per accident) $ GARAGE UABILITY OAT~ ~ ~ ~,~... ... AUTO ONLY - EA ACCIDENT $ ANY AUTO ............ =...~ .... EA^CC $ -~ OTHER THAN AUTO ONLY: AGG $ WAIVER ~, ~,/~ ,,' i: ::, . . __J occur [--1 CLA,MSMAOE AGGREGATE $ RETENTION $ $ WORKERS COMPENSATION AND ~ ' - --F WC STATU-I OTH- ITORY LIMITS I ER A ANyEMPLOYERS' LIABIUTYPROPRiETOR/PARTNER/EXECUTiVE 7979233-0 07/01/05 07/01/06 E.L. EACH ACCIDENT $100000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100000 If yes, describe under SPECIAL PROVISIONS below E.L, DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER Monroe County BOCC 1100 Simonton Street Key West FL 33040 ACORD 25 (2001108) MONROEC CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGAT/I~R LIABILITY OF ANY~J~IND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVF~./ /~ /~/' / Bar:t~ j~. PhlZ~s~ '~/ / // / ~ ACORD CORPORATION 1988 _ ~ ~' ~ 06 / 23 / 05 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. 305-294-1096/305-294-801( PRODUCER II~c, N~. E,~: COMPANY Fidelity National Property Key West Insurance, Inc. Flood Processing Center 646 United Street, Suite i P O Box 33003 Key West FL 33040 Barry J. Philipson St. Petersburg FL 33733 CODE: I SUB CODE: AGENCY CUSTOMER ID #: FLORI- 5 INSURED LOAN NUMBER POLICY NUMBER 09770075868600 Florida Keys SPCA EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 1901 S. Roosevelt Blvd., #408N 07/01/05 07/01/06 ~ TERMINATED IF CHECKED Key West FL 33040 THIS REPLACES PRIOR EVIDENCE DATED: I LOCATION/DESCRIPTION 001 5230 College Road Key West FL 33040 COVERAGE/PERIL~FORMS AMOUNT OF INSURANCE DEDUCTIBLE Building / Flood 91200 1000 THE POLICY IS SUBJECT TO THI~ PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW DAYS WRll-FEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. NAME AND ADDRESS X MORTGAGEE ADDITIONAL INSURED LOSS PAYEE Monroe County Board of LOAN# County Commissioners Key West FL 33040 BarryLJ. Phi l~ip~on THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PRODUCER I~cO, N~¥,~Xa: 305-294-109G305-294-801{ COMPANY Key West Insurance, Inc. Citizens Property Ins. Corp 646 United Street, Suite I 6675 Corporate Center Pky. Key West FL 330~0 Jacksonville FL 32216 Bar~ J. Philipson CODE: ~ SUB CODE: AGENCY CUSTOMER ID ~: FLORI- 5 INSURED LOAN NUMBER POLICY NUMBER BI~ER Florida Keys SPCA EFFECTIVE DATE I EXPIATION DATEI CONTINUED UNTIL 1901 S. Roosevelt Blvd., ~408N 07/03/05 07/03/06 ~ TERMINATED IF CHECKED Ke~ We~ F~ 330~ 0 THIS REPLACES PRIOR ~DENCE DATED: LOCATION/DESCRIPTION 00[ 5230 College Road Key West FL 330~0 COVE~G~PERIL~ORMS ~OUNT OF INSU~NCE DEDUCTIBLE Building / windsto~ 95000 2850 APP~ ' ":4< M~ ....... ~ ~ ~ ~__~..~j~ ....... w,~v~ ............... ~, S' ....... ~ .......... ~~ ff~ THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED. THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 10 DAYS WRI~EN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORD~CE WITH THE POLICY PROVISIONS OR AS REQUIRED BY ~W. LOSS PAYEE Monroe County Board o~ LOAN~ o.... 5100 College Road . AUTHOR~E E ESENTA E Key Wes~ FL 330~0 ~. ~. ~o~ a~-ORD DATE (MM/DD/YY) ~!~;; o / 3/05 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PRODUCER I~°.".o,~, 305-294-109~305-294-801( COMPLY Lloyds of London Key West Insurance, Inc. c/o Bass Unde~riters 6~6 United Street, Suite 1 Key West FL 330~0 Bar~ J. Philipson CODE: ~ SUB CODE: AGENCY CUSTOMER ID ~: ~O~- 5 INSURED LOAN NUMBER POLICY NUMBER BI.ER Florida Keys SPCA ~w 0A~ ~0~ 0A~ co~u~o 1901 S. Roosevelt Blvd., ~408N 07/01/05 07/01/06 Key Wes t FL 330 % 0 ~s ~s ~o~ ~v~0~o~ OAI~D: LOCATION/DESCRIPTION 001 Location~ i Building~ I ani~l shelter, pick up abondoned pet 5230 College Road s, t~ to get th~ adopted, Key West FL 330~0 COVE~G~PERILSlFOR~ AMOUNT OF INSU~NCE DEDUCTIBLE Premise i Building 1 BUILDING X-WI~ 89000 1000 ' ~'llh~ THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW DAYS WRI~EN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY ~W. N~E AND ADDRESS ~ MORTGAGEE ADDITIONAL INSURED LOSS PAYEE Monroe County Board of LOAN~ County C~issioners /~/ ~ 1100 Simonton Street A~HOR~E~SENTA~ ~ Key West FL 33040 //~/ / /X~Z W ACORD= CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDPIY) 10/01/2006 09/16/2005 PRODUCER INSURED 1002061 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City Mo 64112-1906 (816) 960-9000 PET HEAVEN MEMORIAL PARK (LESSEE) 10901 W. FIAGER STREET MIAMI FL 33174 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 iNSURER A: OLD REPUBLIC INSURANCE COMPANY INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES RYDSY02 RF THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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 I I POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MI~D/YYI DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ XXXXXXX COMMERCIAL GENERAL LIABILITY NOT APPLICABLE FIRE DAMAGE (Any one fire) $ XXXXXXX I CLAIMS MADE II OCCUR MED EXP (Any one person) $ xxxxxxx PERSONAL & ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/DP AGG $ XXXXXXX ~-~ PRO- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500,000 A ANY AUTO Z35726 10/01/2005 10/0U2006 (EM accident) ALL OWNED AUTOS BODILY INJURY $ XXXXXXX X SCHEDULED AUTOS (Per person) HIRED AUTOS ~P~r accident) NON-OWNED AUTOS ~'~' ~ ~ ~ ~)PERTY DAMAGE $ XXXXXXX ,...C~7"~ ..~__~.~.~, (Pe r accident) F) M~ L' GARAGE MABILITY --'~F-~-' '-~' AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE ~ '/~,~l\/i2~ ~ i~/~____~__. ~Y ~ ~; ........ OTHER THAN EAACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS LIABILITY EACH OCCURRENCE $ XXXXXXX ] OCCUR ] ] CLAIMS MADE NOT APPLICABLE AGGREGATE $ XXXXXXX $ XXXXXXX DEDUCTIBLE m I FORM $ XXXXXXX RETENTION $ $ XXXXXXX WC STATU- I OTH- WORKERS COMPENSATION AND NOT APPLICABLE TORY L M TS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE- EA EMPLOYEE $ XXXXXXX E.L. DISEASE* POLICY LIMIT $ XXXXXXX OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Coverage applies to all vehicles leased to Lessee shown above by Ryder Truck Rental, Inc. under a Track Lease & Service Agreement requiring Ryder Track Rental to extend Automobile Liability Insurance on vehicles so leased, and is subject to the terms and conditions of that Agreement. : CERTIFICATE HOLDER J J ADDITIONAL INSURED: INSURER LETTER: __ gANCELLATION 994068 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION COUNTY OF MONROE DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~0 DAYS WRITTEN ATTN: MARCIA DEL RIO 5100 COLLEGE ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL KEY WEST FL 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~~ ACORD 25-5 (7/97) For questions reglrdlng this cmtlflcat., ¢ontl~t the number listed in the'produce~ section above and specifythe client code'RVDS~ A~OR0 C~[~/POR~ 988 AJXlBD,. CERTIFICATE r:c.'l<ri,'L OATE 6 :19 06 ,IT I CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION . 'b Y_~ CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THISICERTlFICATE DOES NOT AMEND, EXTEND OR ALTER . E CQVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER Atlantic Pacific Insurance P.O. Box 5548 Key West, Florida 33045 JUN 3 r'f'~' c:.UUQ ilNSURERS AFFORDING COVERAGE Florida Keys Society For Prevention Of Cruelty To 1901 S Roosevelt Blvd Apt 408N Key West, Florida 33040-5259 COVERAGES I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR I MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH e MONROE RISK MAN National Ins. Co INSURED INSURER 0: INSURER E I POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 11~i": TYPE OF INSURANCE POLICY NUMBER p~...4.<::~ EFFECTIVE pg~.fFY' EXPIRATION LIMITS ~NERAl UA~UTY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone lire) $ 1 CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ PERSONAl & ADV INJURY $ GENERAL AGGREGATE $ I ~'~ AGGRrlEUMIT APr~5tIPEA PRODUCTS-COMProPAGG $ , POLICY ~~,2r LOG i. : ~OMOBlLE UABIUTY 7lT. 7J: 'T!: ~ COMBINED SINGLE UMIT I $ - mv AUTO 7--5^Or (Ea aocident) ALL OWNED AUTOS r - BODILY INJURY $ SCHEDULED AUTOS '-? (Per person) - I- HIRED AUTOS BOOIL Y INJURY ~~c $ I- NON-QWNED AUTOS 'rJJl (Per aocident) ':> C ~'t 'D PROPERTY OAMAGE $ (Pereocideot) I R":,OE UABIUTY ~~ \. " r7'A~ AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACe $ 'D AUTO ONLY: AOO $ - '-' - ~ ~ -.. - - $ - $ I A Flood Insurance 09770075868601 7-1-06 7-1-07 Buildinq $ 1 00 300 i - - Contents $ 21.000 - $ WORKERS COMPENSATION AND 1.~JT~Th!~ I I OJ.\'- EMPLOYERS' UABlLrTY I E.L. EACH ~OENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSflOCATlONSlVEHICLESlEXCLUSlONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS . CERTIFICATE HOLDER I X I ADDITKtNAL INSURED; INSURER LETTER: CANCELLATION , SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXP1RATION Monroe County Board of DATE THEREOF, THE ISSUINO INSURER WILL ENDEA~:O MAIL 1L DAVS WRITTEN NOTICE TO THE CERTIACATE HOLDER NAMED TO THE FT, BUT FAILURE TO DO SO SHALL County Ccmnissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND U ON THE INSURER,ITS AGENTS OR 1100 Simonton Street REPRESENTATIVES. Key West, Florida 33040 AVTHORIZED REPRESENTATIVE , I / Horan Insurance 1-..-/ ACORD 25-S (7/97) CC'~ f ACORD CORPORATION 1988 J_l Mercury Insurance Group P. O. Box 33003 St. Petersburg, FL 33733-8003 1-866-440-3714 BFL 99.001 0605 0285383 6/27/06 Pollc ,Number 09 7700758686 FLOOD DECLARATIONS PAGE ribt,eol~; timber 09 7700758686 00 Date of Issue 2000 00000 FLD RGLR Policy Type 01 6/27/06 General Pro ert Form POlicvPerlod , .' ..... Term IncelltlonDate Code Phone From: 7/01/06 To: 7/01/07 12:01 am S andard Timt C P L'I\" .I'V 01/05 12:01am 0009865 (305) 294 7696 ,'''-V Insured 1 LOa~NUmller FLORIDA KEYS SOCIETYFOR THE I JUN 3 0 r,~ONR E C~UNTY BOARD PREVENTION OF CRUELTY TO ANIM LS I "1:YF C~UNT~ COMMISSIONERS I 1901 S ROOSEVELT BLVD APT 408 L 11oo1sIMqNTON ST KEY WEST FL 33040-5259 MOfmQ, COUN~EY WEST IFL 33040-3110 r . Building Description # of Fioors Basement/Enclosure Non-Residential One Floor None Community Name KEY WEST, Communtty # 120168 Communtty Rating 10 / 00% Program Status Regular Risk Zone AE CITY OF jIY1 ~ 7 ~~ ~Oh 'If 5~"(~"1 a:/& Condo Type N/ A ~ # of Units 0 Adjacent Grade 0 rr)u t"z Elevation Difference N/ Aj R\Sr: i'llP,:':,~CLMtNT .,---~- Insured Location (if other than above) 5230 COLLEGE RD, KEY WEST FL 33040-4302 FlatlngllllfOr~n Location Description Contents Location CoY4H8'QIl Lowest Floor Only Above Ground Level :c;lilIil1UCtlb1i;;: '. . Premium . I BUILDING CONTENTS $100,300 $21,000 $1,000 $1,000 $832.00 $340.00 $1,172.00 $.00 $75.00 $.00 I 1Mlliii1i1~J~~'i, '" ' .,;1 ANNUAL SUBTOTAL: DEDUCTIBLE CREDIT: ICC PREMIUM: COMMUNITY DISCOUNT: DEAR MORTGAGEE The Relorm Act 01 1994 requires you to notify the WYO company lor thiS policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location, TOTAL WRITTEN PREMIUM: FEDERAL POLICY SERVICE FEE: TOTAL PREMIUM: Premium paid by: $1,247.00 $30.00 $1,277.00 Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent. broker, or Insurance company, Coverage Limitations may apply, Please refer to your Flood Insurance Policy for details, BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1003 1003 This policy is issued by Fidelity National Property and Casualty Copy Sept To: As indicated on back or additional pages, if any. ~e.'~""-G<.. 000986509770075868606178 00001 Lender ~ Allstate. You're '" uood hands -- .. ;.~~-;:. t;' ,." ;}I\/C'n I r' -'vv., H.U J . II A;~-;-8--": 'Ii I COMMERCIAL AUTO , CA 2001 1001 THIS ENDORSEMENT CHANG~~..!~~ :~O~~!~LE~SE lEAD IT CAREFULLY. POLICY NUMBER 048050107 BAP LESSOR - ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is in- dicated below. Endorsement Effective AUGUST 12, 2006 Countersigned By: Named Insured: FLORIDA KEYS S.P.CA (Authorized Representative) SCHEDULE Insurance Company ALLSTATE INDEMNITY COMPANY Policy Number 048050107 BAP Effective Date JUNE 30, 2006 Expiration date JUNE 30, 2007 Named Insured FLORIDA KEYS S.P.C.A. Address 1901 S ROOSEVELT B VD KEY WEST, FL 33040-5248 Additional Insured (Lessor) MONROE COUNTY BOARD OF COUNTY COMMISSIONERS Address 1100 SIMONTON ST KEY WEST, FL 33040-3110 Designation or Description of "Leased Autos" 04 PONTIAC VIBE 5Y2SL628X4Z411493 Cc: hn"'L-~{;..c..- CA 20 01 10 01 Copyright, ISO Properties, Inc., 2000 Page 1 of 2 8U114.2 Ii Coverages Limit Of Insurance Liability $1,000,000 EACH" ACCIDENT Personal Injury , Protection (or equivalent . no-fault coverage) $ , -,..- Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ 250 For Each Covered "Leased Auto" Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ 250 For Each Covered "Leased Auto" Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ For Each Covered "Leased Auto" (If no entry appears above, information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement.) A. Coverage 1. Any "leased auto" designated or described in the Schedule or in the Declarations will be considered a covered "auto" you own and not a covered "auto" you hire or bor- row. For a covered "auto" that is a "leased auto" Who Is An Insured is changed to in- clude as an "insured" the lessor named in the Schedule. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Can- cellation Common Policy Condition. 2. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expira- tion date shown in the Schedule, or when the lessor or his or her agent takes pos- session of the "leased auto", whichever occurs first. 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your premiums. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "Ieased auto". E. Additional Definition As used in this endorsement: 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. "Leased auto" means an "auto" leased or rented to you including any substitute, re- placement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. CA 20 01 1001 Copyright, ISO Properties, Inc., 2000 Page 2 of 2 ~AlIstate. You're in ~o,l(1 h."", CERTIFICATE OF INSURANCE EFFECTIVE DATE OF CERTIFICATE 08/12/06 ALLSTATE INDEMNITY COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER FLORIDA KEYS S.P.C.A. 048050107 BAP POLICY PERIOD 06/30/06 TO 06/30/07 AT 12:01 A.M. STANDARD TIME 1901 S ROOSEVELT B VD KEY WEST, FL 33040-5248 The person or organization designated below is described in the policy as: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST, FL 33040-3110 ; LIENHOLDER (Loss Payable Clause) ADDITIONAL INTERESTED PARTY X ADDITIONAL INSURED X CERTIFICATE HOLDER Coverages designated are afforded as stated below: LIABILITY: $1,000,000 EACH ACCIDENT 2004 PONTIAC VI BE 5Y2SL628X4Z411493 COLLISION - $250 DEDUCTIBLE - - COMPREHENSIVE - $250 DEDUCTIBLE III ~ w{Qff(;dllLW&- ..' .~b , /1l f).-/ ~,~ ccf W /1 &'.c1b M&atU--. To the person or organization stated above: This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days written notice at its last address known to the Company. Proof of such mailing is deemed sufficient proof of such notice. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. BU13SG-1 cc-:h,.,.c;&,....~t'L- PAGE 1 OF 1 BU114-2 ~ ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATI! (MMIDDm'YV) ~4CJ' 11/02/06 I'ROIlUCIiR THIS CERTIFICAtE IBIS8UED AS A MATtER OF INFORIIATlON ONLY AIlO CONFERS NO RIGHTS UPON THE CERTIFICAtE Atlantic Pac:l.fic-K8y W.a~ HOLDER. 1HI8 CERT1FICAtE DOES NOT AIIEIID, EXlEND OR P.O. Boa 5548 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. K8y ...~ F.L 33045-5548 Phone: 305-294-7696 Fax: 305-294-7383 INSURERS AFrORDlNG COVERAGE NAlC . - INSURER A:. Allabt:8 Ina_ Co. 19232 "SURER 8: IIoDtt..l. tD"'~ ~ 41297 rlo~~ ~8.P.C.A. INSURER c: rlo~ida Re~l -"'tion ~8 C~ R'"3~' INSURER D: K8y 1fea~ 40 _URER E" COVERAGEs nE. POUCIES OF INSURANCE USTa) BElOW' HA\IE 8EBI1SSUED TO THE INSURED NAMED MOVE FOR THE POLICY PERIOD NHCATED. NOlWITHSTANDING N<< REQUIREMENT, TERM Oft CONDITKIN OF IWY CONTRACT OR OTHER IlOCtatENT wmt RESPECT TO WHICH MS CERDlCAn: fMV BE ISSUED OR MAY PERTAIN. DE IN8URAHCE AFFORDED BYTtIE POUCE8 DE8Cft18ED HEREIN 18 SUB.leCT TO ALL THE TERMS. EXCl.lJ8JONSAND CONDITIONS OF SUCH Pa.1C1ES. AGGREGATE LIMITS SHOWN 'My HAVE BEEN ABJUCED BY PAID ClAIMS. ~ lYPEOFIfiIIUMNCE POl.JCY_ ~~ LMTS __URBaJTY EACH OCCI.OHNCE . 1000000 B X rx cor..IERCIAl GENERAL LIA8IJTY CLSl141563 07/01/06 07/01/07 PRaISES Ell oc:c:ureral . 100000 I ClAIMS lIADE ~ """'"' MED EXP{Any CItlItplJl'llClfl) . 5000 PERSOtW.. & KJV INJURY . 1000000 GENERAl. AGeJREMTE . 2000000 ~~~tNrTnSPER PRODUCTS ~ COMPIOP AGO . 2000000 POlICY ~ LOC ..,-., I.IMIlUTY COMBINED SINGlE lIMIT - . 1000000 A X _ AUTO 048050107 06/30/06 06/30/07 (e.~) - X ALl OWNED AUTOS BOOIL Y INJURY SCHEDlA.ED AlITOS (....- . X ....., AUTOS BooLY INJURY rx NOM-OWNEoAUTQS (....- . t=- ~ PROPERTY DAMAGE . (....-.oj _UOIIlUlT IAI;L AUTO 0Ht Y - EAACCIDENT . =i_AUTO n'1.S OTHER -.- EAACC . AUTOONlv: """ . ettEAl'.1I _&J.A UMIUTY I -3-01P EACH ocaJRRENce . :=JOCCUR o ClANS....,. _re . =1=' Y- . U~ ~ (Or /1 . . fr' .1. YO . WDRICI!RSOOMfl! 1.~11ON AND .lTOllY L....... I IV.!R" C ............ ..-sTY = PROPftIl!TO!llP""""""",CUTI\If 52033844000 07/01/06 07/01/07 E.L EACH ACCIDENT . 100.-.000 FICEMIEMBER EXClUDED? E.L DISEASE-EAEMPLOYEE . 100 000 Im~_ ( bel " D. ./""_ E.L DISEASE. POliCY LMT . 500 000 0T1l!II V ~ ~1"" OF OPERA......, LOCATIONII V8WC1..ES, DClUllONSADDBD IIYINDC rr,..:w.. PRCMIKJNI ~a- Br--""9, boardisog o~ aal_ e. C : -r:::., a.. ., C' .e CBmFICAtE HOLDER CAHCEI.lATlON Monroe County Board of County co.a:I.aa:l.oner8 1100 S1montou St x.y 1fe.~ F.L 33040 8HOULD ANYOFTHE AIlOVE ~ _ POLICES BE ~NC'" I ~ BEFORE THE EXPRA: MTI! TIt!RIOF. THE ____MJ... ENDMVQR 10 11M. !:.L MYSWIImBI NOT1CI! 10 TIll!' Cl!llTFK:ATI! HCIl.DI!R NAMED 10 ntE LI!FT. BUT fM.URE TO 00 80 ItW.J. ~ NO 0IIl.IQA1'J0N OR LM&nY OF Iutf KIND UPON THE NSURER,. fTSABEN'T1SOR "_ ITATMS AU11tORIZEDq IT" o ACORD CORPORATION till ACORD 2ti (2001101I) Bo~ In ~AlIstate. Ym,,,,mgoo"o,nd. CERTIFICATE OF INSURANCE EFFECTIVE DATE OF CERTIFICATE 06/30/07 ALLSTATE INDEMNITY COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER FLORIDA KEYS S.P.CA 048050107 BAP POLICY PERIOD 06/30/07 TO 06/30/08 AT 1201 A.M STANDARD TIME 1901 S ROOSEVELT B VD KEY WEST, FL 33040-5248 The person or organization designated below is described in the policy as: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST, FL 33040-3110 ; LIENHOLDER (Loss Payable Clause) ADDITIONAL INTERESTED PARTY X ADDITIONAL INSURED X CERTIFICATE HOLDER Coverages designated are afforded as stated below: LIABILITY: $1,000,000 EACH ACCIDENT 2004 PONTIAC VIBE 5Y2SL628X4Z411493 COLLISION - $250 DEDUCTIBLE - - COMPREHENSIVE - $250 DEDUCTIBLE n)~ &-11q-D) . ^- !'lb.. raJV C~;,~ ~~mJl1f;Cl To the person or organization stated above: This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days written notice at its last address known to the Company. Proof of such mailing is deemed sufficient proof of such notice. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. BU138().1 PAGE 1 OF 1 . ee. ~ 00 ~ BU114-2 @j!)Allstate. YOll"',,"'goml"nds POLICY NUMBER: 048050107 BAP COMMERCIAL AUTO CA 20 01 03 06 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: rt~ ;:l"C i' i I- I L 'LI'" 'J" \ . Y L. I.. BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM MAY 1 5 2007 With respect to coverage provided by this endorsement, the provisio modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. less Named Insured: FLORIDA KEYS S.P.CA. Endorsement Effective Date: JUNE 30, 2007 Countersignature Of Authorized Representative Name: Title: Signature: Date: CA 20 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 1 of 3 c,. Co'. ~_.. ... ,-"<"- ~ .. BU114-2 SCHEDULE Insurance Company: ALLSTATE INDEMNITY COMPANY Policy Number: 048050107 BAP I Effective Date: JUNE 30, 2007 Expiration Date: JUNE 30, 2008 Named Insured: FLORIDA KEYS S.P.CA Address: 1901 S ROOSEVELT B VD KEY WEST, FL 33040-5248 Additional Insured (LeSsor): MONROE COUNTY BOARD OF COUNTY COMMISSIONERS Address: 1100 SIMONTON ST KEY WEST, FL 33040-3110 Designation or Description of "Leased Autos": 04 PONTIAC VIBE 5Y2S L628X4Z411493 Coverages Limit Of Insurance Liability $ 1,000,000 Each" Accident" Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus Comprehensive $ 250 Deductible For Each Covered "Leased Auto" Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus Collision $ 250 Deductible For Each Covered "Leased Auto" Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus Specified $ Deductible For Each Covered "Leased Auto" Causes 01 Loss information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage a. You; 1. Any "leased auto" designated or described in the Schedule will be considered a covered "auto" you own and not a covered "auto" you hire or borrow. b. Any of your "employees" or agents; or 2. For a "leased auto" designated or described in the Schedule, Who Is An Insured is changed to include as an "insured" the les- sor named in the Schedule. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: c. Any person, except the lessor or any "employee" or agent of the lessor, oper- ating a "leased auto" with the permis- sion of any of the above. 3. The coverages provided under this en- dorsement apply to any "leased auto" de- scribed in the Schedule until the expiration date shown in the Schedule. or when the CA 20 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 2 of 3 ~AlIstate. Yo"'o"'~"mll""d, lessor air his or her agent takes possession of the "leased auto", whichever occurs first. B. Loss Payable Clause 1. We will pay. as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto". 2. The insurance covers the interest of the les- sor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor In accordance with the Cancella- tion Common Policy Condition. CA 20 01 03 06 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your pre- miums. E. Additional Definition As used in this endorsement: "Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. Copyright, ISO Properties, Inc., 2005 Page 3 of 3 BU114-2 Ii ~AlIstate, YOll.'e'n<JOO" ,,",,"S CERTIFICATE OF INSURANCE EFFECTIVE DATE OF CERTIFICATE 06/30107 ALLSTATE INDEMNITY COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is In force: POLICYHOLDER POLICY NUMBER FLORIDA KEYS SP.CA 048050107 BAP POLICY PERIOD 06/30107 TO 06/30/08 AT 1201 AM STANDARD TIME 1901 S ROOSEVELT B VD KEY WEST. FL 33040-5248 The person or organization designated below is described in the policy as: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST. FL 33040-3110 ; LIENHOLDER (Loss Payable Clause) ADDITIONAL INTERESTED PARTY X ADDITIONAL INSURED X CERTIFICATE HOLDER Coverages designated are afforded as stated below: LIABILITY $1.000,000 EACH ACCIDENT 2004 PONTIAC VIBE 5Y2SL628X4Z411493 COLLISION - $250 DEDUCTIBLE - - COMPREHENSIVE - $250 DEDUCTIBLE \t\.~~,.~ wl~. (.u?:OVu.a~-f 'l~'o'-o) . '{. ~~ ~07 [c ~-U 'b4J fY1~~ To the person or organizlItion stated above: This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days, or whatever longer period of time prescribed by state law. Proof of such mailing is deemed sufficient proof of such notice. This Certificate of Insurance neither affirmatively nor negatively amends, extends or aiters the coverage afforded by the policy referred to above. BU1380 (05/06) Cc :~~ PAGE 1 OF 1 BU114-2 00 ~ ~AlIstate. Ym(," '" "ood ",od, POLICY NUMBER 048050107 BAP COMMERCIAL AUTO CA 20 01 03 06 THIS ENCIORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM JUL 5 2007 MON~OE COUNTY RISK MANAGEMENT With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below Named Insured: FLORIDA KEYS S.P.CA. Endorsement Elfective Date: JUNE 30, 2007 Countersignature Of Authorized Representative Name: Title: Signature: Date: CA 20 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 1 of 3 BU114-2 ~ ~ SCHEDULE Insurance Comlpany: ALLSTATE INDEMNITY COMPANY Policy Number: 048050107 BAP I Effective Date: JUNE 30, 2007 Expiration Date: JUNE 30, 2008 Named Insuredl: FLORIDA KEYS SP.CA Address: 1901 S ROOSEVELT B VD KEY WEST. F L 33040-5248 Additional Insured (Lessor): MONROE COUNTY BOARD OF COUNTY COMMISSIONERS Address: 1100 SIMONTON ST KEY WEST. FL 33040-3110 Designation or Description of "Leased Autos": 04 PONTIAC VIBE 5Y2SL628X4Z411493 CoveraSJes Limit Of Insurance Liability $ 1,000,000 Each" Accident" Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus ComprehE!nsive $ 250 Deductible For Each Covered "Leased Auto" Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus Collision $ 250 Deductible For Each Covered "Leased Auto" Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus Specifi.ed $ Deductible For Each Covered "Leased Auto" Causes Of Loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage 1. Any "leased auto" designated or described in the Schedule will be considered a covered "auto" you own and not a covered "auto" you hire or borrow. a. You; b. Any of your "employees" or agents; or 2. For a "leased auto" designated or described in the Schedule, Who Is An Insured is changed to include as an "insured" the les- sor named in the Schedule. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: c. Any person, except the lessor or any "employee" or agent of the lessor, oper- ating a "leased auto" with the permis- sion of any of the above. 3. The coverages provided under this en- dorsement apply to any "leased auto" de- scribed in the Schedule until the expiration date shown in the Schedule, or when the CA 20 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 2 of 3 ~AlIstate. y.,u're;o 900d hand, lessor or his or her agent takes possession of the "Ieased auto", whichever occurs first. B. Loss Payable Clause 1, We will pay, as interest may appear. you and the lessor named in this endorsement for "loss" to a "leased auto". 2. The insurance covers the interest ofthe les- sor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the policy. we will mail notice to the lessor in accordance with the Cancella- tion Common Policy Condition. CA 20 01 03 06 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your pre- miums. E. Additional Definition As used in this endorsement: "Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. Copyright, ISO Properties, Inc., 2005 Page 3 of 3 BU114-2 ~ CERTIFICATE OF LIABILITY INSURANCE I DATI CIIIIIDDIYWY) ACORD. ~4T 08/17/07 - TIll C&R11FlCA'IE I8I81UED Nt. II MATTER OF INFORIIAllON ON!. Y AND CONFERS NO AIQH18 UPON THE CERT1F1CA'IE Atlantic Paairia-Koly ...1: HOLDER. THIB......, rl\OA'IE DOES NOT _II), EXTEND OR 1010 1<_"q Dr, SUi1:e 203 . ALTER THE COVERAlE AFFORDED BY THE POLICES BELOW. Koly ...1: I'L 33040 Pbon.:305-294-7696 Fax: 305-294-7383 INSURERS AFFORDING COVERAGE NAI(a - -" All.1:a1:e rnauraDae Co. 19232 INSURER B: Penn- _ioa rnauranae Co Flor~ ~B.P.C.A. IN8UAER c: Florida Be1:&i1 redeJ:a1:ion ffi8 C~ r ~ -" Koly ...1: 3 io INIItI'ERE: CO\/I!RAGES TlE POUCIU OF INSURANCE LISTED BElOW HAVE IEEN I88UED TO THE IH8URED IWIED ABOVE FOR THE POLICY PERIOD INDICATED. NmWITH8TMDWG Mf REQUIREIlENT, TERM OR CONDI11Oft OF NNCON'J'RACTOIt OTHER DOCUMENT wmt ReSPECT TO WMtCH THIS CI!!R1FICATE tMY BE II8UED OR frlAy PERTAIN, nE INSURANCE AFFORDED BY 1lE POIJCE8 ~D HEREIriII8 8UBJECTTO ALL THE TERMS, EKCW81ON8AND CONDrT1ONS OF SUCH POLICIES. ABOREGATE UMrIlI SHCMIN MAY..\IE BEEN REDUCEDIIV PAl) CLAMB. TYPIOfI"'lIWa ........... UAIUTY . X X COMMERCIAL GENERAL l..IA8IJTY ClAOe...... [!J OCCUR POLICY_ PAC&697015 07/01/07 ...... EN;tt OCCURREHCE 5 1000000 07'/01/08 .....-............ 0100000 _...(Any.......-) 55000 PERIOlW.O_IHJURY 01000000 .........._...TE 02000000 PROIlUCTS.c"""""'.... 01000000 GEN'L AGGREGATE L.MT APPUE8 PER: POLICY LOC AUTOlIOIIILI! "-UTY A X _AUTO ALL OVIINED AUT08 X SCHEDULEO AI1fOS X HtREDAUTOS X NON-OWNEO AUTOS 048050107 06/30/07 COMIIED S"GlE LIMIT 0&/30/08 lEo-I 5 1000000 m. w-~ '.1]~0] 8ODlLV.........v lPW...-1 o IlOOIL Y IHJURY lPW-) 5 PROPERTY_ lPW-) o _UAIUTY _ AlITa DEOl1CT18LE RETEHT10N 0 WDIIKEItI'~B1 L t-:I1OffMQ --..rUAIUTY C Nff PROPfUETORIPAR'TJrERBECU'I'NE OFFICEMlEMI!R EXClUDED? ~~- OTIEO 52033844000 AUTO OHL y. EA ACCIJENT . EAACC 5 - . """'. THAN AUTO ONLY: IllCOIIII/I-.u.I.IOIIIlnY OCCUR 0 ClAM8WDE EACH OCCURRENCE _"'TE 5 07/01/07 07/01/08 E.L EACH ACCIDENT E.LDI8EA8E-EA E.L Dt8EA8E - POLICY LMT 5 100000 o 100000 .500000 DB8C1IPTlON OFOPEMlDIB/L.OCATIONI/VlHCLU1~ .--ADDID BY INIl cr J -r IlIPKIAL PIIICMIIQNS CEk,.""''IE HOlDER CANCEU.A1lOH ~ ItICXA.DMYOFTHEAIICNE~ POI.ICa_,y----. "'~ne!XNtA DATEYHI!AIOF, THE_INIUIIIIRWLLIDIDMWRTOMM. !!!-. DAYSWIIT1IN NCmCI: TO THI CM'IIlICAlI! HOLDIR NAIlED TO 1H! U!FT. BUT FALUM TO DO 10 ItW.L IIIP08II NO o.uGrATION CJIII LlMUlYOF Nt'( KIND UPON TME IN8URI!R" rrs AGlNT80R ._ "TA1IVIL AUTHOIIZED ItErII.UBn: Monroe Coun1:y Board or Coun1:y c:oa.u...:lonera 1100 BiIIoaton at Koly ...1: I'L 33040 ACORD ZII (2IIG1108y . t:.C;~ QZ' o ACORD CORPORAllON 1_ ACORD. EVIDENCE OF COMMERCIAL PROPERTY INSURANCE CSR CH I DATE CMMIOD1YYYY) 09/13/2007 THIS 15 EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED LINDER THE POLICY. PRODUCER NAME. CONTACT I [A]~~o Ext): 305-294-7696 COMPANY NAME AND ADDRESS I NAlC NO: PERSON AND ADDRESS I lAiC No): 305-294-7383 ADDRESS: Lloyd's of London Atlantic Paoific-:Etey West 1 Lime St. London 1010 Kennedy Dr, ,Suite 203 Key West FL 33040 CODE: I SU8 CODE: C~W)~ER 10 II: FLOR-46 IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH NAMED INSlJRED A"itDORi"aa Ke S P C A lOAN NUMBER j POLlCY NUMBER or1 y..... BUJ'13695 Carol Clo1burn 1901 So Roosevelt Blvd 1t408N EFFECTIVE DATE I EXPIRATION DATE I rxl.CONTINUED UNTIL Key Wes't FL 33040 07/12/07 07/12/08 X TERMINATED IF CHECKED ADDlTlONAL. NAMED INSUREO(S) THIS REPLACES PfUOR EVtDENCE DATED: PROPERTY INFORMATION (Use addltional._ W more .pacel. required) LOCATlONIDESCRIPTION ~.1JllaL SUeL .er 001 5230 Co11e..e Rd Itev West-= COVERAGE INFORMATION CAUSE OF lOSS FORM I I BASIC l I BROAD l xl SPECIAL L ~ OTHER COr.w..tERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE . 120000 OED. 1000 ves NO BUSINESS INCOME J RENTAl VALUE; If YES, LIMIT: I I Actual LOIIISultained ". of months: BlANKET COVERAGE X If YES, indicate amOl.lnt of insurance on properties idenUfllld above S TERRORISM COVERAGE Attach signed Disclosure Notice I DEC IS COVERAGE PROVIDED FOR "CERTIFIED ACTS" ONLY? If YES, SUB LIMIT: OED. IS COVERAGE A STANO AlONE POLICY? If YES, LIMIT OEO; DOES COVERAGE INCLUDE DOMESTIC TERRORISM? If YES, SUB LIMIT: OED' COVERAGE FOR MOLD If YES, LIMIT' OED: MOLD EXCLUSION (If ''YES'', specify e,rganizalion's form used) REPLACEMENT COST X AGREED AMOUNT COINSURANCE X If YES, 90 % EQUIPMENT BREAKDOWN (If Applicable) If YES, LIMIT: OED LAW AND ORDINANCE - Coyeral~ for 1011I to undamaged portion of building If YES, LIMIT: OED - Oemolilioo Costs If YES, LIMIT: OED' .Incr. Cosl of Construction If YES, LIMIT: OED' EARTHQUAKE (If Applicable) II YES, LIMIT OED: FlOOD (If Applicable) If YES, LIMIT: OED: WIND J HAIL (If Separate Policy) IrYES, LIMIT: OED' PERMISSION TO WAIVE SUBROGATION PRIOR TO LOSS REMARKS - Includlns Specllll CondklDna (U.. .ddltion.l.h.... If more .pac. Is required) --- i! ~, ;::-1 /1 c2'N C<L- CANCELLATION THE POUCY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POlICY PERIOD. SHOULD THE POUCY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTlFtED BELOW 10 DAYS WRITTEN NOTICE, AND WILL SEND NOTlFlCATlON ANY CHANGES TO THE POLICY THAT WOULD AFFECT 1rHAT INTEREST, IN ACCORDANCE WITH THE POLtCY PROVISIONS OR AS REQUIRED BY LAW. ADDITIONAL INTEREST E AND ADDRESS LENDER SERVlCIN N1NA W-42k 06ff ,0" (Y] C&'w, Monroe Coun1cy Board of County C~l.sioners 1100 Simontc>n St Key West FL 33040 MORTGAGEE X LOSS PAYEE ACORD 28 (21103110) AUTHORIZED REPRES @ACORD CORPORATION 2003 Atlantic Pllcific-Key West 1010 Kennedy Dr, Suite 203 Key We., FL 33040 Phone: 30!i.2~14. 7696 Fax: 305-294-7383 MEMO Page 1 WNDC 0710312007 07/0312008 Citizens 6676 Corporal4' Center Parkway J..I<oo""OI<, F.L 32116 CUSTOMER: Florida Kev. s.P.c.A- Cairo) Colburn Effective in~ediately, the fOllowing should be added as additional insured: Monroe County Board of County Commissioners 1100 Simonton St Key West, FL 33040 Chri.tlne Hernandez WWW,,,,,..C(D ACORD. EVIDENCE OF COMMERCIAL PROPERTY INSURANCE CSR CH I DATE (MMIDDNYYY) 09/13/2007 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BEL :t;.EN I~SUED, IS IN FORCf. ANn CONV.E;Y~,ALL T!iE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. lIJ]VI~~ '. DCf'CI\!cn PRODUCER NAME, CONTACT ~c,rtNo, Extl: 305 294-76 6 r- 1\1."'~I99?J1i1 E AND A ORES _"'^ ...:: _~'..:-:,' (_.=..~ NAIC:NO: PERSON AND ADDRESS .iCe, Nol: 183 ~~=r' rSEP 242007 305-294-7 ADO"'RE55: r.~ . Atlantic Pacific-Key West '. London r 1010 Kennedy Dr, Suite 203 L____ --:--- I L-----~~.~:~~~r-cOii~-- Key West FL 33040 r,-=; 11TH' .'.., '" CODE: ~ODE; . ....--- . \.,j. .- -4. :_ r'i'':,:i:::o,''"r,r','niT J, _J1 -l _.'---___~'-_,,:~..:.:.:.:.:::~~ I ~3~~g~ER 10 #: FLOR-46 -"~"'4Ii.IW.LI!f.,L~_qOMPANIES, COMPLETE SEPARA'T'EFORM FOR EACH NAMED INSURED AN~tDDRESd Keys S,P.C.A. LOAN NUMBER I :POLlCY NUMBER orJ. a Carol Colburn BUF13695 1901 So Roosevelt Blvd #408N EFFECTIVE DATE I EXPIRATION DATE I rxl CONTINUED UNTIL Key West FL 33040 07/12/07 07/12/08 X TERMINATED IF CHECKED ADDITIONAL NAMED lNSURED(S) THis REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION (Use additional sheets if more space is required) LOCATION/DESCRIPTION luuma.L Sne.L lOer 001 5230 CoJ.J.ege Rd K~u W~~.. ..i'. ~~nAn COVERAGE INFORMATION CAUSE OF LOSS FORM I I BASIC I I BROAO I X I SPECIAL I I OTHER COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $ 120000 OEO 1000 YES NO BUSINESS INCOME I RENTAL VALUE If YES, LIMIT" I I Actual Loss Sustained # of months: BLANKET COVERAGE X If YES, indicate amount of insurance on properties identified above: $ TERRORISM COVERAGE Attach signed Disclosure Notice { DEC IS COVERAGE PROVIDED FOR "CERTIFIED ACTS" ONLY? If YES, SUB LIMIT: OEO IS COVERAGE A STAND ALONE POLICY? If YES, LIMIT OED DOES COVERAGE INCLUDE DOMESTIC TERRORISM? If YES, SUB LIMIT: OEO COVERAGE FOR MOLD If YES, LIMIT: OEO MOLD EXCLUSION (If "YES", specify organization's form used) REPLACEMENT COST X AGREED AMOUNT COINSURANCE X If YES, 90 % EQUIPMENT BREAKDOWN (If Applicable) If YES, LIMIT OED- LAW AND ORDINANCE - Coverage for loss 10 undemaged portion of building If YES, LIMIT OED' -Demolitiol1Costs If YES, LIMIT OED: 1-___ If YES, -lncr. CostofConslruction LIMIT OED EARTHQUAKE (If Applicable) If YES, LIMIT OED: FLOOD (If Applicable) If YES, LIMIT OED: WIND / HAIL (If Separate Policy) If YES, LIMIT OED PERMISSION TO WAIVE SUBROGATION PRIOR TO LOSS REMARKS -Including Special Conditions (Use additional sheets if more space is required) I c:c: f=.:.....~ CL.. CANCELLATION THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 10 DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. ADDITIONAL INTEREST NAME AND ADDRESS LENDER VI -(JS-o\'.. t Monroe County Board of County Commissioners 1100 Simonton St Key West FL 33040 MORTGAGEE X LOSS PAYEE ACORD 28 (2003110) AUTHORIZED REPRES Horan Insura @ ACORD CORPORATION 2003 Atlantic Pacific-Key West 1010 Kennedy Dr, Snlte 203 Key West, FL 33040 Phone: 305-294-7696 Fax: 305-294-7383 MEMO Page 1 ~I, ,,!J',~,,!?i ., ", 1434762 [~I!~~]~,1!~~t'~~~~,1l'~~~i1M"~,'j\'~~~~r"~~~!~ ",.."!1)WJI!lI'i~~>>,~~,~,~J.!: WNDC 07/0312007 07/0312008 Citizens 6676 Corporate Center Parln,ay JacksonvUle, FL 32216 CUSTOMER: Florida Ke~'s S.P.c.A. Carol Colburn Effective immediately, the following should be added as additional insured: Monroe County Board of County Commissioners 1100 Simonton St Key West, FL 33040 Christine Hemandez www.aptru.colD Part 2; THIS AME\T])EIJ DECl,ARATI()N PA(;E, WITH POIJCY PR()"'JSJ(>\'S - PART J A\J) F\'J)()RSE!\1L\TS. 1I; ANY ISSllED TO J<'(lRM A PART TIIERFOF. CO\l!PLl'TE TlII~ BI,:LoW NI'.~1BI~RFJ) 1:1.0RJI)A V.'INI>STOR\11 T!\'IJERWRITII\C ASSOCIATION POl.lCY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077l1otlllc'\'al Road Suit<: :;00. .Iackslltl\i1lv. HUlida 322J(1-(l(ltd IHSl~EDtS NAME ~JD ADDRESS FLORIDA KEYS SPCA ET AL 1901 S ROOSEVELT BLVD #408N KEY WEST, FL 33040 ~QlI~~~~ . ", CHANGE NO. 2THlS IS AN AMENDED GENERAL BUSINESS l.'lli.llji'l , : THIS CHANGE IS EFFECTIVE 10/04/2007 At l~'O~ A.1)n'fST)1' 5 POLICY NO. 1434762 This is ~our ~olicy Declaration Pa~e - This is nol a lIiII _ ))0 NOT PAY I. PAGE .1 POLICY TERM 7/03/2007 TO 7/03/2008 INCEPTION DATE EXPIRATION DATE " " h.' I Deductible A!nc.,unt 1 Contento Territory Premium , , $ $ $ * THIS STATEMENT OF COVERAGE GIVES THE STATUS OF YOUR POLICY AFTER THE RECENT CHANGE IS) . NO ADDITIONAL OR RETURN PREMIUM RESULTED FROM THIS CHANGE IS) 1 109,000 90 3,270 T~86 532 21,000 90 1,000 T-86 103 ONE STORY MASONRY OFFICE BLDG LOC: 5230 COLLEGE RD KEY WEST, MONROE FL 33040~4302 2 27,000 90 1,000 T~86 132 5,000 90 1,000 T-86 24 ONE STORY MASONRY DOG SHELTER BLDG LOC: 3 27,000 90 1,000 T~86 132 5,000 90 1,000 T~86 24 ONE STORY MASONRY CAT SHELTER BLDG LOC: ''0\ Llli: ~'a(Cl-, ,'CJ . j} ((. ~ S&~I4J rn~il1 Total Co\'era e amount: $194000 Total Premium amount: $1 148 Premimn Amount Tax Exempt Surcharge 2005 Citizens Emergency Assessment 2005 Market Equalization Surcharge $947 $17 $13 $20 200S Florida Hurricane Catastrophe Fund Emergency Assessment Catastrophe Reinsurance Surcharge $9 $142 Subject to Form NO(D): Mortgagee/Loss Payee !\DDITIONAL INSUREDS LIST ON PAGE 2 * MONROE COUllTY 11 0 0 SIMONTON KEY WEST, FL BOARD ST 33040 OF COUNTY COMMISSIONERS Producer: ATLANTIC PACIFIC INS 8709 11382 PROSPERITY FARMS RD SUITE 123 PALM BEACH GARDENS, FL 33410 Payor: INSURED Date: CIT-W03 07 07 ;;:; ,8?09;~ Team 4 c.G'.~~ 10/10/2007 MORTGAGEE COPY -01 TCH 10026 2867 P;lrl 2: TI--IIS A\1E\DFD DECLARATIO\ PAGE. WITH pOIJCY PR{)VTSJONS - PART I AND ENDORSF\tfF!\TS, II; ANY ISSlTFD T{) HW..\1 A PART TIIERI:(>F C< )\1PI ErE TilE BEl ,()\\i ~{'\mERED ]'-1 .(>RJ[)A WINDST<>RM I :'iDl,:R\VRlTIN(; ,\SSOClATHf\ PI )IJ("{ FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bnnllc'\al Road - Suite .'iOO, Jacbollvil k Hurid,l 311 I ()-60tH FLORIDA KEYS SPCA ET AL 1901 S ROOSEVELT BLVD #408N KEY WEST, FL 33040 ~C!,I1l~J'~~ CHl,NGE NO. 2THlS IS AN AMENDED InSURED'S NAME AND ADDRESS GENERAL BUSINESS THIS CHANGE IS EFFECTIVE 10/04/2007 POLICY TERM 7/03/2007 TO 7/03/2008 AT 12:01 A.M. (EST) POLICY NO. 1434762 INCEPTE'N DATE EXPIRATION DATE This is your Policy DeclaratinD Page - This is not a Bill - UO NOT PAY 11'-.c!lL o.u o. 1"'01:'-'111_ '-:',: Deductible tk,_ L-'l.li-.dLIL'1 Contents i;i,'/l"',t\; u. Amount '''"rl Territory Premium $ $ % $ $ ADDITIONAL NAMED INSUREDS LIST. 1 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST, FL 33040 . Total Coverage amount: Total Premium amount: Subject to Form No (s) : CIT CP2 CIT~W06 Mortgagee/Loss Payee * Producer: ATLANTIC Payor: PACIFIC INS 8709 INSURED 11382 PROSPERITY FARMS RD SUITE 123 PALM BEACH GJ\RDENS, FL 33410 Date: (Soli o?4.1ROn 10/10/2007 PAGE 2 CrT-WO] 07 07 87092 Team 4 MORTGAGEE COPY -01 TCH 10026 2868 IAl Mercury Insurance Group P. O. Box 33003 St. Petersburg, FL 33733-8003 1-866-440-3714 EFFECTIVE: 7/01/08 FLOOD DECLARATIONS PAGE 7~~t)1 7700758686 02 ''1''erm':t 1 yrls) FFL 99.001 0608 0285383 7/30/08 2000 '[~Icl)' Froml 7/01/08 TOl 7/01/09 Insured FLORIDA KEYS SOCIETYFOR THE PREVENTION OF CRUELTY TO ANIMALS 5230 COLLEGE RD KEY WEST FL 33040-4302 Insured Location (if other than above) 5230 COLLEGE RD, KEY WEST : [:\i[WlllUJ"gii'ij . Loan Number MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST K~(~~SO~L 33040-3110 .~ (1).~ ,. ~. ~-S--oQ Building Description Non-Res identia1 # of Floors One Floor Basement/Enclosure None Community Name KEY WEST, Commun~y # 120168 Commun~y Rating 10 / 00% Program Status Regular Risk Zone AE CITY OF Condo Type N / A Location Description Contents Location Lowest Floor Only Above Ground Level Adjacent Grade 0 Elevation Difference N / A BUILDING CONTENTS $100,300 $21,000 $1,000 $1,000 $832.00 $340.00 $1,172.00 $.00 $75.00 $.00 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this poliCY wdhin 60 days of any changes in the servicer of this loan, The above message applies only when there is a mortgagee on the insured location. ANNUAL SUBTOTAL: DEDUCTIBLE CREDIT: ICC PREMIUM: COMMUNITY DISCOUNT: FEDERAL POLICY SERVICE FEE: PREVIOUSLY PAID PREMIUM: PREMIUM ADJUSTMENT: ENDORSED TOTAL PREMIUM: Premium paid by: $35.00 $1,282.00 $.00 $.00 Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered, See III. Property Covared within your Flood poliCY for the NFIP definition of "building" or contact your agent. broker, or Insurance company. Coverage limitations may apply. Please refer to your Flood Insurance Policy for details. BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 1003 This policy is issued by Fidelity National Property and Casualty Copy Sent To: As indicated on back or additional pages, if any. 00098b~09~700758b8b08212 '-'-~. 00008 Lender IAl Mercury Insurance Group P. O. Box 33003 St. Petersburg, FL 33733-8003 1-866-440-3714 BFL 99.0AC 0598 0285383 7/30/08 Policy Number 09 7700758686 03 2000 00000 FLD RGLR Flood Date of Notice 7/30/08 Insured FLORIDA KEYS SOCIETYFOR THE PREVENTION OF CRUELTY TO ANIMALS 5230 COLLEGE RD KEY WEST FL 33040-4302 Loan Number MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST FL 33040-3110 Notice of Revised Declarations Dear Insured. Pertinent information on your policy has recently changed. Consequently, we are issuing a new declarations page for your records. For an explanation of this change. please see the code(s) listed below and refer to the reverse side of this page for the code definitions. Reason(s) for Revised Declarations Page F03 If this change is not correct. please contact your Agent . 000986509770075868608212 00008 Lender Change Reeson Codes F01. Payor of Policy Premium F02 Insured Name F03. Insured Mailing Address F04 Property Address Correction F05. Mortgage Addition F06. Mortgage Deletion F07. Mortgage Updated (eg.. add loan #) FOB Community Number Change F09. Zone Change F10. Occupancy Type Correction F11. Building Type (# of floors) F12 Basement/Enclosure F13 Condo Unit F14 Course of Construction F15 Elevated/Non-Elevated F16 Contents Location F17 PRE/POST Firm (Date of Construction) F1B. Add/Oelete Elevation Figures F19. Add/Delete/Increase Building Coverage F20 Add/Delete/Increase Contents Coverage F21 Policy is no Longer Tentatively Rated F22 Policy is no Longer Provisionally Rated F23. Building Deductible F24. Content Deductible F25. Agent F26. High/Low Rise Indicator F27. Policy Effective Date Change F2l:i, Replacement Cost ACORD. CERTIFICATE OF LIABILITY INSURANCE OP II) PM ./ DAtE_nnl FLOll-46 08/2S/08 - THIS CERTFlCATE IS ISSUED AS A MATTER OF INFORIIATION ONLY AND CONfERS NO RIGItTlI UPON THE CERllFlCATE AUantic Pacific-Key W.st HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1010 Kennedy Dr, Suite 203 ALTER THE COVERAGE AfFORDED BY THE POlICIES IlELOW. Key W.st FL 33040 Phone:30S-294-7696 Fax:30S-294-7383 INSURERS AFFORDING COVERAGE NAJC . ....... OISURER " Penn- Aaerica Insurance Co 328S9 OISURER .. LJ.ovd's of London Flor;da Keys S.P.C.A. INSURER '" Old Doainion Insurance Co. 40231 ~IUU.. S 30 COU~ ~ INSURER '" Key West 33 40 INSlIER. E: COVERAGEs TIE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED fWEDABOVE FOR 1ltE POUCY PERIOD lOCATED. NOT'MTHSTANDWG ANY REOlMEMENT. TERM OR COfDnON OF ANY 0JN'rRACT OR 011ER OOCUIlENTWITH RESPECT TO WHICH THIS CERTFlCATE MAY BE ISSUEOOR IIAY PERf.... 1ltE INSURAHCE AfFOADED BY 1ltE POUCIES llESCRIIlED _IS SUIIJECT TO AU. 1ltE""'- ~ _ ~ OF SUCH POUCIES. AGGREGATE LJMn'S SHOWN MAY HAVE BEEN REDUCeD BY IWDCI.AIUS. UIIIlS EAQt OCQ _u s 1000000 07/01/08 07/01/09 PREIISES .......... s 100000 UED EXP (Any OM.....) s SOOO ~&N:N""""", S 1000000 _AGGREGATE S 2000000 PRIlllUCTS - COIFlCP AGO S 1000000 COI8ED~lIMIT S 1&-) IIOOILY""""", S (.........,1 IIOOILY""""", S (....- PROPEInYDAMAGE S l""'_) AUTO ONly. EAACCIDENT S OTHER 1liAN EANX S AUl'OONlY: AGO S EACH 0CCl _JCE S AGGREGATE S S S S TORY "-L EACH ACClOENT S EL DISEASE - EA S E.L DISEASE - POlICY LIMIT s 07/12/08 07/12/09 Building 120,000 JT/IPI!CIAL~ TYPE OF .....IICE POtJCY ...- GE_lMhJTY A X X ,.,..... - cF:l c..AL GEN:RAt. lMSI.JTY PAC67S0117 a.AlMS1WlE~OCCUR GEN'lAGGREGAtE lIMIT APPI.JES.... I'OUCY ~ lOC AlI"-E lMhJTY ..., AUTO AU. OWNED AUTOS SCHEDulED AlITOS HIRED AlITOS NOHOWNEo AUTOS GARAGELIA8IUTY ..., AUTO EXena-1'II1- tA~ OCCUR Oa.AlMS1WlE IlEDUCTIIll.E RETEH110N S -_11011_ -..oYEios"UA8IUlY ~ :m....-- PROIIISIONs _ 01ltEII B Property Section 1lUF17771 ~IIUN 0fL' OPBlATIDNI I LOCATIDNI I VI!ftICLES 1- .___ AIXI!D ay me C. Bond Eaployee Dishon.sty $100,000 (2(2'- r:~ Cl/nCL_ CERTFlCATE HOlDER Monroe County Board of County Co.ai..ioner8 1100 Saonton St Key West FL 33040 CANCEu..ATION ~ 8HCM.DNl'rc:.TtEAIIOVE ..... POI..ICE:S. e...--. m\IIEFORETHEDPIRA DATI! "-'F. ----.......__TO.... ~ DAft-.nI!N NOTICE TO.,.. CBn'1FICATE HOl.DER HAlED 1'0 lIE LEFT. BIn fM.URE TO DO 80 aIAl.L -NO-TIONCIIlLIA8IUTYorllltr_"""'_--............CIIl ACORD 25 (2001108) Ri Horan ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 CH I DATE (MMIDD/YVYVI 1'L01l-46 09/26/08 PROOIJCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE At1ant1c paci~ic-Key Weat HOLDER. THIS CERTIFICATE OOES NOT AMEND. EXTEND OR 1010 Kennedy Dr, suite 203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. KeY West r.L 33040 Phone: 305-294-7696 Fax: 305-294-7383 INSURERS AFFORDING COVERAGE NAIe # MURED INSURER A. Penn- America In.u~aDce Co 32859 INSu:<eRB: proqre..ive COSo Florida Keys S.P.C.A. INSURER c' c~nn e 5 30 cOll;le ~ INSURER D KeY West 33 40 INSURER E COVERAGES TI-E POLICIES OF INSLRANCE LISTED BELOW HAVE BEEN ISSUED TO nE INSL..RED NM-ED JlBOVE FOR THE PCtJCY PERIOD INDICATED. NOlWl1H$TANOING AN'( REOUIREttoENT, TERM OR Cor,olTION OF ANY CQN1RACT OR On-ER DOCl.tvIENT WITH RESPECT TO WHICH 1HIS CERTIFICATE MAY BE ISSLED OR t.'A.y PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUB..ECT TO All THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ~ TYPE OF tlSURANCE POLK:V NUMBER DATE (MMIDDNV) ~ LMra ~ERAL UABUTY EACH OCCURRENCE . 1000000 A X X CCM.ERCIAL GEt-ERAL LIABILITY PAC6750117 07/01/08 07/01/09 PREMISE5'i'Es occurence) .100000 I CLAIMS MADE ~ OCCUR MED EXP (MY one person) .5000 A X Prof. Liab-$1lIli.l .AC6750117 07/01/08 07/01/09 PERSONAl & M)V INJURY .1000000 GEJ'ER.AJ.. AGGREGATE .2000000 h'~AGGR~n L1MIT.AWn PER PRODUCTS - COMPIOP MG .1000000 POLICY ~~& LOC ~OMOBLE LIABIL.1TY Cot.-BINED SINGLE LIMIT .1000000 B X AHYM.JTO 064564540 06/30/08 06/30/09 (E!accident; ~ f.- ALL OWNED AUTOS BODILY INJURY . - SCHEDLlED ,AJJTOS {Per person) - HIRED AUTOS BODILY INJURY NON-OWl'.ED NJTOS (Pereoeident) . f.- f.- PROPERTY [),,6M.Cl,GE . (Peraccidert) =i""LlABlLrrY ALJrO ONLY - EA ACCIDENT . ~Y AUTO OlliER THAN EAACC . - NJTOONLY I'hG . :=JESSJUMBRElL.A L.IABIUTY ,:'061,\ n..::-J EACH OCCl.JRRENCE . OCClJ': 0 CLAIMS MADE AGGREGATE I 10 ~-D? . =i ~EDlCTIBLE . RETENTION . . WORKERS COMPENSATION AM:) ~ IrOR~~lQIfS I I' ER- EMPLOYERS' UABIUTY , fIoN( PROPRIETOR/PARTf'.ERlEXECUTIVE DYe; EL EACH ACCIDENT . OFFICERMMBER EXCLlDED? EL DISEASE. EA EMPLOYEE . lIyes,clescribel.llder , \~OO SPECIAL PROVISIONS bltlow EL DISEASE - POLICY LIMIT . """" L-" .=- ( '" ..\ Y.,j) . DElI :titP'TlON OF OPERATIONS f L.OCATIONS f V&IICLE$/ EXCLUSION. ADDeO BY ENDORSE iiNl I Sf'EC1AL. PROVI8tONS C.C . 8 Y\.- (1...oy'\ c:....L.- CERTIFICATE HOLDER CANCELLATION KCBCCOM SHOULD >><< OF 1lE ABOVE oesCRBED POL.ICES BE CANCElL.ED BEFORE l1-E EXPlRA110N DATE 1l4EREOF, THE IS8UINC INSLMM M.L ENDEAVOR TO MAL 10 DAYS WRITTEN Monroe county Board of County - COIIIIIlissioners NOTICE TO TtE CERTFlCATE HOLDER NAMBl TO TtE LEFT. BUT FAILURE TO DO so SHALL 1100 Simonton St IMPOSE NO OBLIGATION OR LIABUTY OF /JI4Y KIND UPON T1-E INSUREFl. ITS AG9lTS OR KeY We. t r.L 33040 REPRESiiNTATlIIES. NTA_ Richard Horan ACORD 25 (2001108) 10 ACORD CORPORATION 1988 Part 2: TInS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPE'~~RPORArION, WIND ONLY POLICY ; 6676 ~ ~~ ~.:Jdvay, Jackson"tille, Florida 32216-0973 ! 'JU- ~I ~8r-~~,l]i~~~ I I ., - I ..... ".__..~._-'.' .~._-- I ~'.( ,- - l, INSURED NAME AND ADDRESS THIS IS A FLORIDA KEYS SPCA ET AL 5230 COLLEGE RD KEY WEST, FL 33040 GENERAL BUSINESS POLICY TERM 7/03/2009 TO 7/03/2010'------ AT 12:01 A.M. (EST) 'CITIZENS POLICY NO. 1434762 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill- 00 NOT PAY PAGE 1 ltma><<:>> ' , '~I.,l~N'~~Jf ~. ,.,. '<~1i1ldinq> .' ,.......,.. ::::::::::~:.~ :Perc!eitt::'o.f>>.~;~.. :::"'DRDOCT:IBl:.iII:S <<<<::::.:';.:-:.:::.;...;:...:;.;..... '~'.';' ....::;...;...;.;.;.;....';.:.-.;.;... ':' "," . "," ... ",'::" . ":::"',''','' C0I1tenta::,:>:~~t2I~;gYge< >:.... .'. . . . ..... . :' .: . : <:::HH::~~f:#)~~tY::::::::<::>::,:,:'::,H:~~~II\,iu...!-,:,<.' $ $ 1 124,000 , $ $ 3,720 T-86 $ 90 90 727 113 21,000 1,000 T-86 ONE STORY MASONRY OFFICE BLDG LOC: 5230 COLLEGE RD KEY WEST, MONROE FL 33040-4302 2 30,000 90 90 1,000 1,000 T-86 T-86 176 27 5,000 ONE STORY MASONRY DOG SHELTER BLDG LOC: 3 30,000 90 90 1,000 1,000 T-86 T-86 176 27 5,000 ONE STORY MASONRY CAT SHELTER BLDG LOC: C){\ CO...;~gLd~ ~ 0)&'. ~ '\ C(~ Total Coveral!e: 5215.000 Pavment Plan: Full Pay Total Premium: 51.493 Premium Amount Tax Exempt Surcharge 2005 Citizens Emergency Assessment $1,246 $22 $17 2005 Florida Hunicane Catas1rophe Fund Emergency Assessment Catas1rophe Reinsumnce Surcharge 2007 Florida Insurance Guaranty Association Regular Assessment Subject to Form No(s): ADDITIONAL INSUREDS LIST ON PAGE 2 Mortgagee/Loss Payee: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST ~ . KEY WEST, FL 33040 Ct,:~ Agent: Payor: ATLANTIC PACIFIC INS 8709 11382 PROSPERITY FARMS RD SUITE 123 PALM BEACH GARDENS, FL 33410 (561) 624-1800 CIT if03-CNR 01 08 87092 Team 4 INSURED Date: 6/01/2009 MORTGAGEE COPY -01 QSY R 40111 C'.l 0 C'.l 0 CIO 0 111 CO ~ iiiiiiiii !!!!!!!!! - !!!!!!!!! iiiiiiiii - - ~ iiiiiiiiiii - == iiiiiiiiiii - - iiiiiiii == iiiiiiii ~ iiiiiiii - iiiiiiii - --- - --- - 57 $12 $187 $9 II INSURED NAME AND ADDRESS Part 2: TIllS DECLARATION PAGE, wrrn POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONL Y POLICY 6676 Cmporate Center Parkway, Jacksonville, Florida 32216-0973 ~CITIZENS 'UKI" ~."''''.t ('tt"'*A rt~ THIS IS A FLORIDA KEYS SPCA ET AL 5230 COLLEGE RD KEY WEST, FL 33040 GENERAL BUSINESS POLICY TERM 7/03/2009 TO 7/03/2010 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1434762 INCEPTION DATE EXPIRATION DATE This is your PoUcy Declaration Page - This is not a Bill - DO NOT PAY ltil!!ili . NO. 2 $ $ % $ $ $ ADDITIONAL NAMED INSUREDS LIST: 1 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST, FL 33040 MORTGAGEE COPY -01 QSY R 40111 .. c ~ ~ III Ul ~ = - -- -- - - !!!!!!! iiiiiii - - - - - - iiiiii - iiiiii !!!!!!!!!! = - = = iiiiiiii - iiiiiiii !!!!!!!!!! 58 Total Cover e: Pa ent Plan: Total Premium: Subject to Form No(s): CIT CP2 Mortgagee/Loss Payee: CIT-W06 Agent: ATLANTIC PACIFIC INS 8709 11382 PROSPERITY FARMS RD SUITE 123 PALM BEACH GARDENS, FL 33410 (561) 624-1800 CIT K03-CNR 01 08 87092 Team 4 Payor: INSURED Date: 6/01/2009 3 ~ pRODUCER CERTIFICATE OF LIABILITY INSURANCE DATE (IIMD)IYYYY) 08 05 09 THIS CER11FICATE IS ISSUED AI A 1M INFOR ATION ONLY AND CONFERS NO RIGHTS IRION THE CERTIFICATE HOLDER. TIll CERTFICATE DOES NOT AMEND, EXTIND OR ALTER TIE COVERAGE AfFORDED BY THE POLICIES_LOW. Atlantic Pacific-K8y ...t 1010 1(ennedy Dr, SUite 203 Key West FL 33040 Phone:305-294-7696 Fax:305-29'-7383 ...-.0 Flor~da K8ys S.P.C.A. i~W-~llege Rei K8y west FL 33040 I COVERAGES THE POLICIES OF I4SURANCE l.IS1EQ BeLOW HAve BEEN ISSUED TO THE 1NSURt!D NAMED MOVE FOR n4E POLICY PERIOD INDICATED. NQ1'WI1HITNGING AWl AEQUlREMENTt TERM OR CONDITION OF NIt CONTRACT OR OTHER DC)CdIENTWITH RESPECT TO WHICH THIS CERTFlCATE MAY BE 1SSUED OR MAY PERTAIN. ntE INSUftNtCE AFFORDED BY lIE POLICIES DESCRIBED ttBElN IS SU8.JECT TO ALL TIE TEAMS. EKCLUSIONSANO CONDmON8 OF lUCK POLICIES. AGGAEGA1E UMrrs 8I<<JWN MAY HAVE BEEN REDUCED BY PAl) a.AMS. L1R "" OF ~ PGUCY....... GEIERAL UMlUTY A X X ~~ GENEfW.lJMILITV PAC6750117 ._ a.AMS MADE [i] OCCUR INSURERA-: ~------ INSURER B: 1NStA:R ~ tNSURER 0: tNSURER E: PeDn- ~z::~oa XD8~ranC8 Co Florida Rlltai.l Federation P r888i v. eo.. 01d Doai_~~~. ~~~~.90. NAIC . ..--- -....... --~~~~?.. INSURERS AffORDING COVERAGE 40231 ... --------- .. 07/01/09 UIM1'S 11000000 ~(Ea~) s 100000 MEDEXP(Anyane,..n) S 5000 PERSONN..&NJVI~..... s_~9_~~._ t .OENEIW.~TE _ ~_~~~_~OOO- PROOUCTS.. CQMM)P AGG $ 1000000 DAtE CQM8Ni) SINGLE LIMT 11000000 C X 064564541 06/30/09 06/30/10 (Ea eccIdInt) . ..-..--- AU. 0WtED ~~ BODILY'NJURY S SCHEDULED AUTOS (Per penon) _. - __ . ~ ..- I"OW" HIRED AUTOS BODILY INJURY S NCJN.(7INNED AUT()S (FW eccident) - .. . . .- PAOPERTV DAMAGE S (~~) GARAGE UA8IlITY i AUTO ONLY - EA ACaDENT 1 ANr AUTO OTtER THAN EA It,OC, I AUTO ONLY: AGO S EXCE881 Ull8RB..LA UAIIBJTY ' &AOI OCCURRENCE . OCCUR CI aMAS MADe AGGREGATE S ..,..~ . DEDUCTB..E S RETENTIlN t~ $ WORKERS C~ElllA11ON AtI) ..-LOY2IUr UAIIIUTY Y IN fR B AlNPRQPRET~ 52033844000 . s 100000 CJFFICERIMEtMJE EXCLUDED' CJIMId"'" In .... S 100000 :m deKrtbe undIr s 500000 1M. PROYI8ION8 below 01Hl!R D Fidelity Bond I'0171060ZY 06/29/09 06/29/10 100000 DEICRPnOII OF 0PERA1ION81 LOCATIONIIWHCLEI' EXC&..u.oIlS ADDlED lIT ENDORIEIIENT ,..... PROVIIIDtII Kennels. Monroe County Board. o~ County COJali..ioners is li.sted .. an Add.i~ional In.ured. Oft the General Liabi1ity and Auto Liab1.ity po1.ioi.. only. /". II '....- ~ , h~)a- nee.... Monroe County Board. of County ea.ai..ionera Attn Mon1que Diaz ,Risk Mgat 1100 8:Laonton St Key w..t PL 33040 I ACORD 25 (2001I01) CANCELLATION SHOULD ANY Of THE ABOVE DESCRIBED PQUClE8I11! CANCI!LLED.&FORE THE EXPRA: DAtE ntEREOF. .,.-1I8UIIIG INSURER -.L ENDQVOR TO 11M. 1.IL- DAYS WRrTT&II NOTICE TO THE CERJW=tCATE HOllIER NAIED 10 ... LIPT..ur FALURE TO DO 10 IItALL ...oIE NO O8I.I8ATION OR UAIII.ITY OF ANY""...-oN tIE INIURER. .... AQENT8 OR ...........AtM8. _A1'IYE CER11F1CATE HOLDER .1.....2001 ACORD C The ACORD name .nd logo .. ..alsteNd marb of ACORD FLORIDA KEYS SPCA ET AL 5230 COLLEGE RD KEY WEST, FL 33040 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY [ 6676 CorporateC~~~ P~;'J~V e, Florida 32216-0973 I ~Cln~NS , 1 2010---,-- .,..,..--.-..J f.,;l:^!f!'iUE COUNTY 7/03/2010 TO 7 /03/2011 fAlt.hJ.;2!HQ1Cif'.~~T(EST) CITIZENS POLICY NO. 1434762 INCEPTION DATE EXPIRATION DATE "''I1iISisyour Po cy Declaration Page - This Is Dot a BIII- DO NOT PAY THIS IS A INSURED NAME AND ADDRESS GENERAL BUSINESS POLICY TERM PAGE 1 Item No. 21,000 Percent of DZDUCTIBLES Coinsurance Territory Premium Applicable % $ $ $ 90 3,720 T-86 799 90 1,000 T-86 124 Building Contents $ $ 1 124,000 ONE STORY MASONRY OFFICE BLDG LOC: 5230 COLLEGE RD KEY WEST, MONROE FL 33040-4302 2 30,000 90 1,000 T-86 193 5,000 90 1,000 T-86 30 ONE STORY MASONRY DOG SHELTER BLDG LOC: 3 30,000 90 1,000 T-86 193 5,000 90 1,000 T-86 30 ONE STORY MASONRY CAT SHELTER BLDG LOC: ~. " <<k1 N o N o CO 8 (U},.: ~ 1'1 CL-r7 ( <G Total Coven e: 5215 000 Pa eat Plaa: Full Pa el' - - 8 Total Premium: 51 650 Premiwn Amount Tax Exempt Surcharge $1,369 $24 2005 Citizens Property Insurance Corporation Emergency Assessment 2005 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment Catastrophe Reinsurance Surcharge 2007 Florida Insurance Guaranty Association Regular Assessment 2009 Florida Insurance Guaranty Association Regular Assessment ATLANTIC PACIFIC INS 8709 11382 PROSPERITY FARMS RD SUITE 123 PALM BEACH GARDENS, FL 33410 (561) 624-1800 CIT W03-CNR 01 10 87092 Team 4 INSURED $19 iiiiiiiii $14 !!!!!!! - $205 !!!!!! $6 iiiiiiiiiiiii - $13 - !!!!!! iiiiiiiiiii - iiiii! iiiiiiiii - - iiiiiiiii - - iiiiiiiii = iiiiiiiiii - - iiiiiiiii - iiiiiiiiiiii - iiiiiiiiiiii !!!!!!!!! Subject to Form No(s): ADDITIONAL INSUREDS LIST ON PAGE 2 Mortgagee/Loss Payee: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST, FL 33040 Agen t : Payor: Da te : 5/24 /2 01 0 MORTGAGEE COPY -01 QSY R 40111 74 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-0973 ~CtlJl~~ INSURED NAME AND ADDRESS FLORIDA KEYS SPCA ET AL 5230 COLLEGE RD KEY WEST, FL 33040 THIS IS A GENERAL BUSINESS POLICY TERM 7/03/2010 TO 7/03/2011 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1434762 INCEPTION DATE EXPIRATION DATE This Is your PoUcy Declaration Page - This Is not a BIU - DO NOT PAY PAGE 2 Item No. AMOUNT OF Percent of Coinsurance Applicable Building Contents $ $ DEDUCT IBLE S Territory Premium % $ $ $ ADDITIONAL NAMED INSUREDS LIST: 1 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST, FL 33040 Total Coveral!e: PaYment Plan: Subject to Form No(s): CIT CP2 01 10 CNRW 01 10 01 10 Mortgagee/Loss Payee: Agen t : ATLANTIC PACIFIC INS 8709 11382 PROSPERITY FARMS RD SUITE 123 PALM BEACH GARDENS, FL 33410 (561) 624-1800 CIT W03-CNR 01 10 87092 Team 4 Total Premium: Payor: INSURED ~a te : 5/ 2 4 / 2 01 0 MORTGAGEE COpy -01 QSY R 40111 -- 0 C'4 8 8 -- -- 0 0 0 iiiiiiiiiiiiij; !!!!!!!! iiiiiiiiiii iiiiiiiiiii - !!!!!!!! iiiiiiiiiiii - iiiiiiiiiiii - - - - iiiiiiiiiii - iiiiiiiiiiiiiii = iiiiiiiiiiiiiii iiiiiiiiiiiiii - iiiiiiiiiiiiii - iiiiiiiiiiiiii - iiiiiiiiiiii !!!!!!!! 75 ~ ACORD- CERTIFICA TE OF LIABILITY INSURANCE I DA TE (MM/DDIYYYY) OP 10 PM ~ FLOR-46 08/19/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1010 Kennedy Dr, Suite 203 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 'Key West FL 33040 REC fJs~~s AF~ORDI Phone: 305-294-7696 Fax:305-294-7383 ~G COVERAGE NAIC # ~*-_..- I-"--~'-,-" .----~ . -.:;..-...;;,;;.. INSURED INSURER A: Fenn- America Insurance Co 32859 AUG 11N~RriJMn Frogr ~ssive Coso Florida Keys S.P.C.A. ~N~URt~ ~~ Flori ~a Retail Federation Connie 5230 Coll~e Rd INSURER 0: Key West 33040 MONR( 18~fJ~fR~: "- I COVERAGES RISh r./1ANc~GEr',.'~ENT 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 IAOO' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE DATE (MM/DDIYYYY) DATE (MM/DDIYYYY) LIMITS I ~NERAL LIABILITY I EACH OCCURRENCE $ 1000000 PAC6876464 07/01/10 07/01/11 ~-m~ $ 100000 A I X ~ COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) I ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000 A X Prof Liab $1 mil PERSONAL & ADV INJURY $ 1000000 I GENERAL AGGREGATE $2000000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000 I n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f--- $ 1000000 Blx ~ ANY AUTO I 06456454-2 06/30/10 06/30/11 (Ea accident) ALL OWNED AUTOS ~ BODIL Y INJURY $ I SCHEDULED AUTOS (Per person) ~ HIRED AUTOS I I ~ (%3 BODIL Y INJURY $ ~- NON-OWNED AUTOS (Per accident) I - ------- PROPERTY DAMAGE ~ (Per accident) $ GARAGE LIABILITY I to V\ -= = '6' "dO -Co AUTO ONL Y - EA ACCIDENT $ ==l ANY AUTO I -.. i. "- OTHER THAN EA ACC $ r-\ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY 1 3f\;~ G ~ EACH OCCURRENCE $ o OCCUR D CLAIMS MADE AGGREGATE $ i ~ $ R DEDUCTIBLE ' ' i$ RETENTION $ C~ $ WORKERS COMPENSATION I I lM(, ~ ^ ~- -'- IOTH- ; AND EMPLOYERS' UASUJTY Y/N I 07/01/10 i r- -- -" JQR"-1:I~JI~__.__.J._.~_~.~ -- C ANY PROPRIETOR/PARTNER/EXECUTlVO 52033844000 07/01/11 E.L. EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) &j ~l[t) E.L. DISEASE - EA EMPLOYEE $ 100000 If yes, describe under $ 500000 SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT OTHER I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners 1101 Simonton St Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY REPRESENTATIVES, AUTI1.e.~~P-REPRESENT A TIVE All rights reserved. ACORD 25 (200~/01~ . ' (;c,<~ @ 1988-2009 ACORD CORPO The ACORD name and logo are registered marks of ACORD �� " FLOR-46 OP ID: PM AW CERTIFICATE OF LIABILITY INSURANCE °" 09/ 1 09<2 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(SI, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an AD • - . , • g r>17 les) must endorsed. If SUBROGATION IS WANED, subject to t terms and conditions of the policy, certain • kiss rely a ;� ",t ent A root on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER 305- 294 -7896 Atlantic Peclfic-Krry West 1010 Kennedy Dr, Sults 203 30i104-761 err w [.U: . 1 FAX. N,) Key West, FL 33040 Richard Horn ,..a_.::1 AFFORDING COVERAGE NMC 1 ,..: 66. i. _ , _ . A : Penn- - rica Insurance Co 32859 INSURED Florida Keys S.P.C.A. Connie RISK MANA �=-�-f • . . _etas) Federation 5230 College Rd INSURER c : Key West, FL 33040 NEURERD: INSURER E : _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY FIAVE BEEN REDUCED BY PAID CLAIMS. L YN TYPE OF1RSURARCE NCR sun IN POLICY POLICY NUNCIO II INY Y1 I UNITS — GENERAL UAOLrrY EACH OCCURRENCE 1 S 1,000,000 A X COMMERCIAL GENERAL LIABILITY X PAC$509423 07101/11 07/01 /12 P 'a o�„ I 100,000 CLAIMS -AIDE LX] OCCUR MED EXP (My ono person) ` e 5,000 PERSONAL & $ 1,000,000 A Xj Professional Liab 1,000,000 GENERAL AGGREGATE $ 2.000,000 � - G -- EM I . AGGREGATE UNIT APPLIES PER PRODUCTS - COMP/OP AGO $ 1,000,000 7 I POLICY f .A - fl WC s AUTOMOaLE LIASUTY COMBED SINGLE (Ea accidral $ _ ANY AUTO : BODILY INJURY (Par parson) $ ALL OWNED -- - scuecuu D • . . AUTOS OS BODILY INJURY (Par accident) $ _ HIRED AUTOS - MED ) i C PROPERTY DAMAGE S ; (PNracadeal .. . - 1.• - (' $ UMSREU.A LMe I OCCUR EACH OCCURRENCE $ _ EXCESS LIES 1 CLAIMS-MADE X - AGGREGATE 5 1 010 1 1 RETENTIONS • WORKERS COMPENSATION I TO WC RY STLIMITS ATU• 1 OT1t -I ARO EMPLOYERS' U AINLITY 1 I ER B ANYPROPRIETORIPARTNERIEXECUTNE Y_±N 52033844000 07/01111 07101/12 E.L : $ 100,000 OFFl� C AS MBER EXCLuawn N / A . + yN. balm ( I 1 , I E.L DISEASE - EA EMPLOYEE . 62 'd t $ 100,000 DESCRIPTION O O PERATIONS bal 1)) \•�YJ t E.L DISEASE - POLICY LIMB 1 $ 600,000 t 1 DESCRIPTION OP OPERATION* I LOCATIONS / VINICLE$ (Ammo ACORO 1 H, AdlRl.niI RomaAp SeIOMIN. E mare spa N rauulrod) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of THE DELIVERED E EXPIRATION DATE THEREOF, NOTICE WILL BE DE IN ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners 1100 ,Simonton St AUTNORQEDREPRESENTATIVE i1 Key West, FL 33040 1 ""' r j - ®1988. . 0 1 • RO CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of AC . • Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 C , , ate C -, ? ". ' av _ :. , . - 32216 -0973 INSURED NAME AND ADDRESS ITIZENS THIS IS A FLORIDA KEYS SPCA ET AL GENERAL BUS INESS 5230 COLLEGE RD JUN 1 �_: 1 KEY WEST, FL 33040 MONROE COUNTY POLICY TERM 7/03/2012 TO 7/03/2013 AT 12R(ItKAMIA CITIZE S POLICY NO. 1434762 INCEPTION DATE EXPIRATION DATE This s your ' O ' , •• ' I - This is not a Bill - DO NOT PAY PAGE 1 z tem ' AMflt)NT aF INSURAN Percent;; of DIPDUCTI$LLS . No. Building COIn uranse Terri Contents Appl Y Premium S S % S $ 1 126,000 90 3,780 T -86 983 21,000 90 1,000 T -86 150 ONE STORY MASONRY OFFICE BLDG LOC: 5230 COLLEGE RD KEY WEST, MONROE FL 33040 -4302 2 30,000 90 1,000 T -86 234 5,000 90 1,000 T -86 36 ONE STORY MASONRY DOG SHELTER BLDG LOC: 3 30,000 90 1,000 T -86 234 5,000 90 1,000 T -86 36 ONE STORY MASONRY CAT SHELTER BLDG LOC: BY • } DA' r ikagr w . z . , • • � _ CAre6', yte/144' O O (141 a Cs ,t,14A Lao Total Coverage: $217,000 Payment Plan: Full Pay Total Premium: $1,994 Premium Amount $1, 6 7 3 2005 Citizens Property Insurance Corporation Emergency Assessment $17 mmm Tax Exempt Surcharge $ 2 9 2005 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment $ 2 2 Catastrophe Reinsurance Surcharge $ 2 51 ■ 2009 Florida Insurance Guaranty Association Regular Assessment $ 2 mmm mmm Subject to Form No(s): C ADDITIONAL INSUREDS LIST ON PAGE 2 mmm Mortgagee /Loss Payee: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST / KEY WEST, FL 33040 mmm maim maim mmm Agent: Payor: ATLANTIC PACIFIC INS 8709 INSURED m mmm 11382 PROSPERITY FARMS RD mmm SUITE 123 mmm PALM BEACH GARDENS, FL 33410 (561) 624 -1800 Date: 6/01/2012 CIT W03 -CNR 01 10 87092 Team 4 MORTGAGEE COPY -01 QSY R 40111 70 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 Corporate Center Parkway, Jacksonville, Florida 32216 -0973 INSURED NAME AND ADDRESS C ITIZENS ..... � ..�. - THIS IS A FLORIDA KEYS SPCA ET AL GENERAL BUSINESS 5230 COLLEGE RD KEY WEST, FL 33040 POLICY TERM 7/03/2012 TO 7/03/2013 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1434762 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY PAGE 2 ztem AMOUNfi Or rN3URANCE =Cent 'a DLDIICTT$I No, Building Contents Coin urance Territory Premium Applicable $ $ % $ $ ADDITIONAL NAMED INSUREDS LIST: 1 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST, FL 33040 o N O 8 rn 8, Total Coverage: Payment Plan: Total Premium: Subject to Form No(s): e eee CIT CP2 02 12 CNRW 01 10 01 10 Mortgagee /Loss Payee: C e e ee Agent: Payor: ATLANTIC PACIFIC INS 8709 INSURED 11382 PROSPERITY FARMS RD SUITE 123 PALM BEACH GARDENS, FL 33410 (561) 624 -1800 Date: 6/01/2012 CIT W03 -CNR 01 10 87092 Team 4 MORTGAGEE COPY -01 QSY R 40111 71 1 -----•"'"..11/1 CSR: PM ACCP p O DATE (MMIDDIYYYY) ‘....,---- EVIDENCE OF COMMERCIAL PROPERTY INSURANCE 08/03/2012 THIS EVIDENCE OF COMMERCIAL PROPE II ■ I; ACE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED : •" r-i r-;�a'j1•)aIy • • • • MAIIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI • • + �� P • : ; OF INSU - NCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED RE RESENTATIVE OR • • AND TH ADDITIONAL INTEREST. PRODUCER NAME, PHONE . 305 -2' ' - D ADDRESS NAIC NO: CONTACT PERSQN AND Ap4RE$S A/C No E Atlantic Pacific -Key West 1 A H . L. don 1010 Kennedy Dr, Suite 203 Ume St. Key West FL 33040 London Richard Horan • •: •• FAX No : 305 -294 -7383 ADDRESS: tg,Y 1. ULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH CODE: SUB CODE: POLICY TYPE AGENCY FLOR -46 CUSTOMER ID is NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER Florida Keys S.P.C.A. BUF34629 Connie 5230 College Rd EFFECTIVE DATE EXPIRATION DATE Key West, FL 33040 CONTINUED UNTIL 07112/12 07/12/13 X TERMINATED IF CHECKED ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED: Monroe County Board of County Commissioners PROPERTY INFORMATION (Use REMARKS on page 2, if more space is required) ISI BUILDING OR ❑ BUSINESS PERSONAL PROPERTY LOCATION/DESCRIPTION Animal shelter 5230 College Rd Key West, FL 33040 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 EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGE INFORMATION PERILS INSURED BASIC BROAD X SPECIAL COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $ DED: 1000 YES NO NIA ❑ BUSINESS INCOME ❑ RENTAL VALUE If YES, LIMIT: Actual Loss Sustained; #ofmonths: BLANKET COVERAGE If YES, indicate value(s) reported on property identified above: $ TERRORISM COVERAGE X Attach Disclosure Notice / DEC IS THERE A TERRORISM - SPECIFIC EXCLUSION? IS DOMESTIC TERRORISM EXCLUDED? LIMITED FUNGUS COVERAGE IfYES, LIMIT: DED: FUNGUS EXCLUSION (If "YES', specify organization's form used) REPLACEMENT COST X AGREED VALUE COINSURANCE X IfYES, 90% EQUIPMENT BREAKDOWN (If Applicable) If YES, LIMIT: DED: ORDINANCE OR LAW - Coverage for loss to undamaged portion of bldg - Demolition Costs If YES, LIMIT: DED: - Ina. Cost of Construction If YES, LIMIT: DED: EARTH MOVEMENT (If Applicable) If YES, LIMIT: DED: FLOOD (If Applicable) If YES, LIMIT: DED: WIND /HAIL (If Subject to Different Provisions) If YES, LIMIT: DED: PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE APPRO R� /�-rs••w`L �e✓rz _ _ .G L� HOLDER PRIOR TO LOSS BY DA WANE A t YES CANCELLATION °'Ill 4Q 1C— � f t {O 3444 ( SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST MORTGAGEE _ CONTRACT OF SALE LENDER SERVICING AGENT NAME AND ADDRESS LENDERS LOSS PAYABLE NAE AND ADDRESS M Monroe County Board of County Commissioners 1100 Simonton St AUTHORIZED REPRESENTATIVE Key West, FL 33040 tf' ` . --- i ACORD 28009112) Page 1 of 2 ©2003 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Le— . EVIDENCE OF COMMERCIAL PROPERTY INSURANCE REMARKS - Including Special Conditions (Use only if more space is required) 5230 College Rd - $120,000 Bldg; $26,000 Contents; $10,000 Prop. in Transit 21251 Old State Rd 4A- $220,000 Bldg. 0. ACORD 28 (2009112) Page 2 of 2 4 EVIDENCE OF PROPERTY INSURANCE DAfE(MMIDOIYY) PROPERTY SCHEDULE 0810312012 PAGE 3 PROPERTY INFORMATION L OCATIO NID ESCRIPTIO N 21251 Old State Rd 4A Cudjoe Key, FL 33042 Dwelling - single family - no pool PROPERTY INFORMATION LOCATIO NIDESCRIPTIO N PROPERTY INFORMATION LOCATION/DESCRIPTION PROPERTY INFORMATION LOCATIO NIDESCRIPTION PROPERTY INFORMATION LOCATIONIDESCRIPTION PROPERTY INFORMATION LOCATION/DESCRIPTION PROPERTY INFORMATION LOCATION/DESCRIPTION PROPERTY INFORMATION LOCATIO NIDESCRIPTION ATTACH TO EVIDENCE OF PROPERTY APPLICATION - ^1 FLOR -46 OP ID: CH A coRUP' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) ki...--- 07/18112 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 ADDI •• • - - - - - - - r ust be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain p• icies mayltECEri ' V I ��ement. • tatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 305 - 294 -7696 CT NAME: Atlantic Pacific -Key West P HONE FAX 1010 Kennedy Dr, Suite 203 331294 - 7383 .t ,af�y6� No. Ext): (Arc, No ): Key West, FL 33040 S AD RESS: Richard Horan INSURER(S) AFFORDING COVERAGE NAIC • MONROE • 1,,:, - ERA: Pe - America Insurance Co 32859 INSURED Florida Keys S.P.C.A. RISK MANAGE ,. • - - , - • • ressive Express 02962 Connie INSURERC: Retail Federation 5230 College Rd Key West, FL 33040 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR MD POLICY NUMBER (MMIDD/YYYY) (MMIDDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X PAC6981014 07/01/12 07101/13 DAMAGE - S r O l PREMISE {Ea REN occurr ED en $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A X Professional Liab GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER PRODUCTS- COMP /OP AGG $ 1,000,000 PRO- Prof Liab $ 1,000,000 POLICY JECT LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ 1,000,000 B ANY AUTO X 064564544 06/30/12 06130/13 BODILY INJURY (Per person) $ X ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS AUTOS (Per PROPERTY) A MAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS' LIABILITY TORY LIMITS FR C ANY PROPRIETOR /PARTNER/EXECUTIVE Y NIA 52033844000 07/01/12 07/01/ E.L EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E L DISEASE - EA EMPLOYEE $ 100,000 If yes. describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks he• le, if more space is required) B I GEIVIEM WAI d• N • ' j. Or •. C�✓! CERTIFICATE HOLDER CANCELLATION MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 lJ 4 r ' __ e — J ,. -- - -- --_,____—% —• © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Fidelity National Indemnity Insurance Company FFL 99.001 0112 (G 3733 -80I: 0116407 17_876T3242 5/29/12 q FIDELITY • 2000 11523 FLD RGLR NATIONAL INDEMNITY INSURrN: ,E COMPANY FjT OO�' ;:)E�RA1ONS P • E i-AJ i7 Policy Type Policy Number l Pri Policy Number Renewal l FLD RGLR 09 1150477654 02 09 1 5047761,0NRokodigip ofissu. 5/29/12 General Property Form Y yam' Date Polio Period Code Phone From: 7/01/12 To: 7/01/13 12:01 am Standard Time 1yr(s) 7/01/0512 :01am BR9 -003 - (305) 294 -7696 Agent (305)294 -7696 ATLANTIC PACIFIC INSURANCE INC FLORIDA KEYS SOCIETYFOR THE 1010 KENNEDY DR STE 203 PREVENTION OF CRUELTY TO ANIMALS KEY WEST FL 33040 -4133 5230 COLLEGE RD KEY WEST FL 33040 -4302 Insured Location (if other than above) Address may have bean changed in aaoardan oa with USPS standards 5230 COLLEGE RD, KEY WEST FL 33040 Rating Information — Community Name: KEY WEST, CITY OF Grandfathered: No Community #• 120168 Building Description: Non Residential Map Panel /Suffix: 1528 K Condo Type: N / A j of Floors: One Floor Community Rating: 10 / 00% Basement /Enclosure: None Program Status: Regular Adjacent Grade: 0 AP••, ► . RISK MANAGEMENT Rating Flood Zone: AE Elevation Diff: N/A B I i4 D. ap W. : Oft C tei t CC: "el l-fi Coverage VeA u,44, Deductible Premium BUILDING $100,300 $2,000 $832.00 CONTENTS $21,000 $2,000 $340.00 PROBATION SURCHARGE: $.00 ANNUAL SUBTOTAL: $1,172.00 THIS IS NOT A BILL DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $70.00 DEAR MORTGAGEE COMMUNITY DISCOUNT: $ .00 The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the loan. of this oan. TOTAL WRITTEN PREMIUM: $1,242.00 The above message applies only when there is FEDERAL POLICY SERVICE FEE: $40.00 a mortgagee on the insured location, TOTAL PREMIUM: $1,282.00 C C , � n a-77 Premium Paid by: Insured Special Provisions: This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III, Property Covered within your Flood policy for the NFIP definition of "building' or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details Forma and Endorsements: FFLG99.100 0503 0503 FFL 99.310 0709 0707 FFL 99.116 1005 1005 This policy is issued by Fidelity National Indemnity Insurance Co Copy Sent To: As indicated on back or additional pages, if any. 011640709115047765412150 0000D Company Ohl Dominion Ins. Co. RECEIVED 4601 Tnuchton Rd East SIe 3300 Report of Execution - Renewal •P.O_ Boy 1610(1 Jackson. ills,l 1: 32245 - 01110 JUL. 1 0, r2 • RISA ENT Agency Code: 09 -0236 -003 Bond Number: F- 0I- 710602 -Y Bond Effective Date: 6.:26/2012 Atlantic - Pacific Ins Bond Expiration Date: 6/26/2013 11382 Prosperity Farms Rd #123 Palm Beach Gardens, FL 3.3410 Type of Renewal: Continuous Principal: Obligee: Florida Keys SPCA Inc Blanket Coverage A 5230 College Rd PO Box Key West, FE 33040 Type of Bond Classification Penalty Premium Comm Rate Coverage Form :\ - 131anket Employee Dishonesty 1'idNon- protit Oren ?all Otltcr $100.000 $257 TOTAL l AL PREMIUM S257 FHCF Assessment 53.34 APPR� �r, te�•/I • r • NAGEMENT BY Total 5260 -33 .1�_ D • .: 111111/ Description: W ��"� BLANKET COVERAGE A cr SI00 000 1., +'t Remarks: Sfifh ( Additional Principals: Additional Obligees: C^ Attorney: Other: SYSTEM PB /9 Part 2: THIS AMENDED DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM • A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-0973 INSURED' S NAME AND ADDRESS �+ CHANGE NO. 1 THIS IS AN AMENDED FLORIDA KEYS SPCA ET AL 1/4" 4ITIZENS 5230 COLLEGE RD GENERAL BUSINESS KEY WEST, FL 33040 THIS CHANGE IS EFFECTIVE 4/18/2013 POLICY TERM 7/03/2012 TO 7/03/2013 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1434762 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY PAGE 1 Item AMOUNT OF INSURANCE Percent of Deductible r No. Building Contents Coinsurance Applicable Amount Territory Premium Reason for Change: ADD ADDITIONAL INSD $ $ % $ $ * THIS STATEMENT OF COVERAGE GIVES THE STATUS OF YOUR POLICY AFTER THE RECENT CHANGE(S). . NO ADDITIONAL OR RETURN PREMIUM RESULTED FROM THIS CHANGE(S) 1 126,000 90 3,780 T -86 983 21,000 90 1,000 T -86 150 ONE STORY MASONRY OFFICE BLDG LOC: 5230 COLLEGE RD KEY WEST, MONROE FL 33040 -4302 2 30,000 90 1,000 T -86 234 0 ` _ 5,000 90 1,000 T -86 36 0 c g ONE STORY MASONRY DOG SHELTER BLDG LOC: 8 m 3 30,000 90 1,000 T -86 234 5,000 90 1,000 T -86 36 : r r. ONE STORY MASONRY CAT SHELTER BLDG LOC: p BY.• • E, Cie • WAI • ! Qt1��ntlfTC41-44 Payment Plan Total Coverage: $217,000 Full Pay Total Premium: $1,994 Premium Amount $1, 673 2005 Citizens Property Insurance Corporation Emergency Assessment $17 Tax Exempt Surcharge $29 2005 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment$22 _ ( Catastrophe Reinsurance Surcharge $251 2009 Florida Insurance Guaranty Association Regular Assessment $2 ECM mmm Subject to Form No(s): E ■ � ADDITIONAL INSUREDS LIST ON PAGE 2 mmm Mortgagee /Loss Payee amm MONROE COUNTY BOARD OF COUNTY COMMISSIONERS amm 1100 SIMONTON ST 1 KEY WEST, FL 33040 i' Agent: ATLANTIC PACIFIC INS 8709 Pa aaa 11382 PROSPERITY FARMS RD INSURED SUITE 123 = t PALM BEACH GARDENS, FL 3 410 :_ I Date: = s (561) 624-1800 Cc... 4/18/2013 CIT NO3 -CNR 01 10 87092 Team 4 MORTGAGEE COPY -01 RBE 39040 38 Part 2: THIS AMENDED DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-0973 INSURED' S NAME AND ADDRESS i CHANGE NO. 1 1111 IS AN AMENDED FLORIDA KEYS SPCA ET AL � ` C ITIZENS 5230 COLLEGE RD GENERAL BUSINESS KEY WEST, FL 33040 THIS CHANGE IS EFFECTIVE 4/18/2013 POLICY TERM 7/03/2012 TO 7/03/2013 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1434762 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY PAGE 2 AMOUNT OF—INSURANCE Percent of Item Coinsurance Applicable Deductible No. Building Contents Amount Territory Premium ADDITIONAL NAMED INSUREDS LIST: 1 * MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST, FL 33040 0 N p z p Payment Plan Total Coverage: Total Premium: Subject to Form No(s): CIT CP2 02 12 CNRW 01 10 01 10 Mortgagee /Loss Payee qq C • Agent: ATLANTIC PACIFIC INS 8709 Payor: 11382 PROSPERITY FARMS RD INSURED c EEE SUITE 123 PALM BEACH GARDENS, FL 33410 Date: (561) 624 -1800 4/18/2013 CIT NO3 -CNR 01 10 87092 Team 4 MORTGAGEE COPY -01 RBE 39040 39 1 t, A Stock Company FFL 99.001 0113 f4� P.O. Box 33003 000000000177225 St. Petersburg, FL 33733 -8003 5/23/13 ,��wRhI��T (�` c *n..,nr Cnr+ire• 1JlAA1l9A_39d7 Clai 1 r rr045#�4�2 Wright "„b,,,, F,,,, Insurance Company �Y �1J 2000 1152 3 FLD RGLR TLOOD DECLARATIONS FAGE Policy Type Policy Number 1 Prior Po icy Nunc, , 7 ¢ewai RGLR 09 1150477654 03 1 09 11504 77654 I ' 02 `bide of Issue 5/23/13 General Property Form Policy Period u'g Date Agent Code Phone From: 7/01/13 To: 7/01/14 12:01 am Stondard BURK ltIAv'f'h(E)41 /05 112:O1am BR9 -003 - (305) 294-7696 Insured Loan Not provided FLORIDA KEYS SOCIETYFOR THE MONROE COUNTY BOARD PREVENTION OF CRUELTY TO ANIMALS OF COUNTY COMMISSIOI V 4:Yi GEC 5230 COLLEGE RD 1100 SIMONTON ST DA ifF " ` 7 KEY WEST FL 33040 -4302 KEY WEST FL 33040 -31AV R N/A _ Q�,�/ Fj � , l V . L/ 4) Insured Location (if other than above) Address may have been changed in accordance with USPS standards. 5230 COLLEGE RD, KEY WEST FL 33040 I Rating Information Community Name: KEY WEST, CITY OF Grandfathered: No Community #: 120168 Condo Type: N/A Building Description: Non - Residential Map Panel /Suffix: 1528 K # of Floors: One Floor Community Rating: 10 / 00% Basement /Enclosure: None Program Status: Regular Adjacent Grade: .0 Flood Zone: AE Elevation Diff: N/A Principal Residence: N ! Coverage Deductible Premium I BUILDING $100,300 $2,000 $832.00 CONTENTS $21,000 $2,000 $340.00 PROBATION SURCHARGE: $.00 I THIS 18 T A 13ILL 1 ANNUAL SUBTOTAL: $1,172.00 DEDUCTIBLE CREDIT: $.00 DEAR MORTGAGEE ICC PREMIUM: $70.00 The Reform Act of 1994 requires you to notify COMMUNITY DISCOUNT: $.00 the WYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a TOTAL WRITTEN PREMIUM: $1,242.00 mortgagee on the insured location. FEDERAL POLICY SERVICE FEE : $40.00 TOTAL PREMIUM: $1,282.00 Premium Paid by: Insured I Special Provisions: This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. Forms and Endorsements: I FFLG99.100 0503 0503 FFL 99.310 1012 1010 FFL 99.116 1005 1005 This policy is issued by Wright National Flood Insurance Company A stock company /4A -� • � J`�""- Copy Sent To : As indicated on back or additional pages, if any. Chief Operating Officer rai 01164070911504776541314301 00000 00308 Lender f 1 -�' FLOR -46 OP ID: CH A� 7 07101!12013 2013 R°Y CERTIFICATE OF LIABILITY INSURANCE D ATE(MM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Phone: 305 -294 -7696 C Atlantic Pacific -Key West Fax: 305 -294 -7383 PHONE FAx 1010 Kennedy Dr, Suite 203 (AIC, No, Exit: (A/C, No): Key West FL 33040 ADDRESS: Richard FHoran INSURER(S) AFFORDING COVERAGE NAIC / INSURER A: Penn- America Insurance Co 32859 INSURED Florida Keys S.P.C.A. Y INSURER a : Progressive Express 02962 Connie INSURERC: Dominion Insurance Co. 40231 5230 College Rd Key West, FL 33040 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 TYPE OF INSURANCE ADDL , POLICY NUMBER (MMI (MM LTR JDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE f0 A COMMERCIAL GENERAL LIABILITY X PAC7037714 07/01/2013 0710112014 PREMISES fEa RENTE occur rence) $ 100,000 ■■ CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 ■ PERSONAL & ADV INJURY _ $ 1,000,000 A © Professional Liab GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS- COMP /OP AGG_ $ 1,000,000 ■ POLICY N P c I T I I LOC Prof Liab $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ C ■ ANY AUTO X 064564545 06/30/2013 06/30/2014 BODILY INJURY (Per person) $ © ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS - NON -OWNED PROPERTY DAMAGE .1 HIRED AUTOS _ AUTOS (Per accident) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ ■ EXCESS LIAB ■ CLAIMS -MADE AGGREGATE _ $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU OTH- AND EMPLOYERS' LIABILITY Y 1 N TORY LIMITS FR ANY PROPRIETOR /PARTNER/EXECUTIVE NIA E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E L DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E . DISEASE - POLICY LIMIT $ C Fidelity Bond F1710602 06/26/2013 06126!2014 Bikt CovA 100,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) rw <- I �C,._ .' NAGEMENT WA N • T } — C 1. - ,k-( t'P/ } ?L) CERTIFICATE HOLDER CANCELLATION MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County ty ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATNE Key West, FL 33040 p� w l jt_ 1^ O 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (201 05) The ACORD name and logo are registered marks of ACORD LL