Certificates of Insurance
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BEII",lfIPAn.:p~ll\Jst.JFtAI\IOE
C:SFl.:J'$ ISSUE DATE (MM/DD/VY)
J'Rl!lz...()i OS/25/94
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.
PRODUC!'R
Haake Insurance Agency
3101 Broadway, Suite 100
Kansas City MO 64111-2416
Henry J. Haake, Jr.
816-753-1999
COMPANIES AFFORDING COVERAGE
Freilich, Leitner & Carlisle
A Partnership of Professional
Corporation, etal
Marlene Dickson
4600 Madison
Kansas City MO 64112-3012
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
E
Hanover 1'iW~tw~'RI~~m>~~MFNT
:;T~Yfl:/t:r 7j.tL.
WAIVER: N/A)( YES
INSURED
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 REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MMIDD/VY)
GENERAL LIABILITY GENERAL AGGREGATE $ 1000000
A X COMMERCIAL GENERAL LIABILITY UNDER BINDER 04/05/94 04/05/95 PRODUCTS.COMP/OP AGG, $1000000
CLAIMS MADE X OCCUR. PERSONAL & ADV, INJURY $1000000
OWNER'S & CONTRACTOR'S PROTo EACH OCCURRENCE $1000000
FIRE DAMAGE (Anyone firel $ *50000
MED. EXPENSE (Anyone $ 5000
AUTOMOBILE LIABILITY COMBINED SINGLE
ANY AUTO 04/05/94 04/05/95 LIMIT $ 1000000
A UNDER BINDER
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS Received (Per personl
X HIRED AUTOS Risk Mgmt &r Loss Control BODILY INJURY
X NON.OWNED AUTOS ~, . t, -t. - ;; y (Per accident)
DAlE ._,~___~.---'--.._
GARAGE LIABILITY ~ o~
iNI'J'IAL PROPERTY DAMAGE
EXCESS LIABILITY EACH OCCURRENCE
A X UMBRELLA FORM UNDER BINDER 04/05/94 04/05/95
OTHER THAN UMBRELLA FORM
A WORKER'S COMPENSATION UNDER BINDER 04/05/94 04/05/95
EACH .A.CCfDENT $500000
AND
04/05/94 04/05/95 DISEASE- POLICY LIMIT $ 500000
A EMPLOYERS' LIABILITY UNDER BINDER
DISEASE- EACH EMPLOYEE $500000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
AGGREGATE LIMITS AT INCEPTION
*100,000. FIRE LEGAL LIABILITY APPLIES TO KANSAS CITY LOCATION
Monroe County Board of County Commissioners is recognized as Additional
Insured.
Kay Baheeda
Risk Management
County of Monroe
1500 College Road
Key West FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ~ DA YS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LE~T, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGE~~OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
cc.
~~~
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::::,::::::~:::: :::::::::':~j:j:'::~I:~!:::~:':;:}::~::::::':::I~~':~::::!!:':':!,:~:':,'::::~!!::::::,:,:'!?~~:I:I!I~~:':::':::':::::::::::~ ""'"
...................
..................
...................
.................
........ ........
ISSUE DATE (MM/DDIYY)
Interstate Insurance Group, LTD
6321 Blue Ridge Blvd.
Ray town , MO 64133
"....".. " ".""", "" ":,::::::::::::::::::::::::::::::::::: 0 6 / 2 0 / 9 4
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.
PRODUCER
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER GREAT AMERICAN GRP
FREILICH, LEITNER & CARLISLE, A PARTNERSHIP
4600 MADISON AVENUE
1000 PLAZA WEST
KANSAS CITY, MO 64112
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
Apflp""rn 011 l)1~1l "~M~N".nIT
INSURED
.~
W IVER: N/A
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MMIDDIYY)
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [] OCCUR.
OWNER'S & CONTRACTOR'S PROT,
GENERAL AGGREGATE
$
$
$
$
FIRE DAMAGE (Anyone fire) $
MED,EXPENSE(Anyoneperson $
PRODUCTS.COMP/OP AGG,
PERSONAL & ADV, INJURY
EACH OCCURRENCE
AUTOMOBILE L1A~ILlTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
R ceivec
Risk Mgrr"~!"..':"3 ConlT, I
DATE.._....j...,
COMBINED SINGLE $
LIMIT
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
EACH OCCURRENCE
AGGREGATE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
JNl'i1A c" .......
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
EACH ACCIDENT $
DISEASE--POLlCY LIMIT $
DISEASE--EACH EMPLOYEE $
A OTHER
[X] PROFESSIONAL LIABILITY
LPL739413302
01/01/94
01/01/95
PER CLAIM
AGGREGATE
5,000,000
5,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
LAWYERS PROFESSIONAL LIABILITY
;:e:eR.tipiciTI!'kdtde.ij'rr:')"}'!}'y:::::}}'::},;:::;;:;;:,:;::::,
MONROE COUNTY RISK MANAGEMENT
5100 COLLEGE RD
KEY WEST, FL 33040
..................................... ..................
::::::::::'i':: IAIP~t~Plt:::: .........."".....:,::::::,:::::,::::: ...... "... "'" """""",."..
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
\\ LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
:::::,:, AUTHORIZED REPRESENTATIVE
................................-................
A<<..$l1:.~ttt.~r()) ".:."" ."
c C:
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~~
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... ft.... . .. ....\#Iii . .. ..IT :\ill,... ..1:"Qr"I"~un"...:\iII ..........,..........,.................." . , , ............
iL,...:,::::::<:<:<:::,):\:;;..).:)::i.().:!:\.....)\).).)...:.:j(\...:.::.:(:}.::::::.\::::::::}}"":'}}:":..:.::::::::::::....}}}}:))((.:.:.:.::::.::::.. ,:, ,.", .', ,':::::, .1/(((::::;:::,:
.aake In.urance Agency
3101 Broad.ay, Sui~e 100
Kan.a. Ci~y NO 64111-9203
.enry J. "ake, Jr.
816-753-1999
INaURED
Received
kIst. Mgmt. &: Loss Conte
DATE 10 r
A MATTER Of
WON TIE ClRTlPlCATI
NOT AMEND. ~D OR
BY TIE _ow.
ING COVERA.
PRODUCIII
INITIAL
COMPANY
A
Freilich, Leitner 5 CArli.le
A partner.hip of Profe..ional
Corpora~ion, e~al
4600 lladi.on
Kan.a. Ci~y NO 64112-3012
COMPANY
B BY
COMPANY
C DATE
llilS IS TO CERTIFY lliA T lliE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO lliE INSURED NAMED ABOVE FOR lliE POLICV PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDmON OF ANY CONTRACT OR OlliER POCUMENT WITH RESPECT TO WHICH llilS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. lliE INSURANCE AFFORDED BY lliE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL lliE TERMS.
EXCLUSIONS AND CONDmONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co TYPE OF INaURANCE POUCY N~ POUCY 8'FEIC11VE POUCY EXPIM110N UMlTa
LTR DATE lI\oWIDDlYYI DATE CMMIDDIYYI
GENIIIAL UMIUTY GENERAL AGGREGATE . 1000000
A COMMERCIAL GENERAL LIABILITY TBD 04/05/95 04/05/96 PRODUCTS. COMP/OP AGG . 1000000
CLAIMS MADE [!] OCCUR PERSONAL. ADV INJURY . 1000000
OWNER'S. CONTRACTOR'S PROT EACH OCCURRENCE . 1000000
FIRE DAMAGE lAny one flrel .*50000
MED EXP lAny one~) . 1000
AUTOM08ILE UMlUTY . 1000000
04/05/95 04/05/96 COMBINED SINGLE LIMIT
A ANY AUTO TBD
ALL OWNED AUTOS BODILY INJURY
!Per ~) .
SCHEDULED AUTOS
X HIRED AUTOS BODILY INJURY
.
X NON-QWNED AUTOS !Per 8CcIcIenl)
PROPERTY DAMAGE .
GARAGE UMIUTY AUTO ONLY. EA ACCIDENT .
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT .
AGGREGATE .
EXCDS UMlUTY EACH OCCURRENCE .3000000
A X UMBRELLA FORM TBD 04/05/95 04/05/96 AGGREGATE . 3000000
OTHER THAN UMBRElLA FORM
A WOflKIRa COMPENaATION AND X STATUTORY LIMITS
A IMPLOYIIII' UMIUTY .100000
EACH ACCIDENT
THE PROPRIETOR! INCL TBD DISEASE. POLICY LIMIT . 100000
PARTNERSlEXECUTIVE
OFRCERS ARE: EXCL TBD DISEASE - EACH EMPLOYEE .100000
OTHIR
DE8CIIPTION OF ONRATIONaILOCATION&NENc:L8IJUIlCIAl ITEMS
AGGREGATB LIIII!rS A!r IIf~IOIf
* 100,000. FIRE LBGAL LIABILIn APPLIBS m KAlISH CIn ~IOJf _ .
Monroe CoWl~y Board of CoWl~y eo.ai..ioner. i. recognised a. A4di~ional
Inaured.
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.:.:.:.:.;.;.;.:.;.;.;.;.:.;.:.;.;.;.;.;.;.:.:.:.:.:.:.:.:.;.;.;.;.;.:.;.:.:.:.:.;.:.;.;.;.;.;.;.;.;.:.;.;.:.;.:.;.:.;.;.;.:.:.:.:.:.:.:.:.:.:.:.;.:.;.;.;.;.;.;.;.;.;.;.:.;.;.;.;.:.;.;.;.:.:.;.;.:.;.;.
...................................................................................................................................................................................................
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............................
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.............................
. . . . . . . . . . . . . . . . . . . . . . . . . .
................................:.;.;.....................:.:.:.:.:.:...............:.;.;.:.;.:.:.;.;.............:.;.:.:.;.;.;.:.:...:.....:.:.;.:.;.:.:.:.:.;.:.:.....:.:.;.:.:.:.:.:.:.:.:.;.:.:.:.:.:
Kay Baheeda
Ri.k llaDag_8Jl~
CoWl~y of Monroe
1500 College Road
Key We.~ l"L 33040
ItAYBABB aHOUlD ANY OF THE MOVE DUCMIP POUCIIia lIE CMC~..... THE
EXPIRATION DATE THIII8IP. THE IMUING COMPMY WlU.....VUII TO MM.
~ DAYa ~ NDlICE TO THECIR'I1ACATE HOLDIII ~ TO THE~.
IUT FAIWIlE TO MAIL IUCH NDlICl aHALL IMP08I ND OMICMTION OR UMIIITY
OF MY ICIND UPON THE COMPANY. ITa A8BIITa OR ..........nATlVII.
AlITHONZED IIII'Il&IIIIT A11VE
;.:.:.:.:.:.;.;.:-;.;.;.;.;.:.;.:-:.;.:.;.:.:-;.;.;.;.;.;-:.:.:-:.:.:.:.;.:.:.:.:-:.:.:.:::::::::..::~:e:f1'. J. !!~:~!t:.:.:.:.~!:.~;.;-:.;.;.:-:.:.;.:.:.:.:.:.:.:.:.:.~~;~.:.~ ......
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Cc: SftN}.~ 6' urt€LI ~ ,F-/N/'tv
F/~
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
Insurance Group, LTD CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
Interstate DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
6321 Blue Ridge Blvd POLICIES BELOW.
Ray town, MO 6413 3 Received COMPANIES AFFORDING COVERAGE
Risk Mgmt. & Loss Control
DATE '71:1.Y/c;>r" COMPANY A GREAT AKERICAN INSURANCE CO
LETTER .
INITIAL /- COMPANY
INSURED 0 LETTER B APPRIwm RV QIC::I< ..
....
Preilich, Leitner &: Carlisle , A Partnershi COMPANY C ~ L _/'1/1 /lZ 0-<' t ~
LETTER BL A~~ 7P'/; C ~
4600 Madison Ave 0
1000 Plaza West COMPANY D ["'~~ 7- ~&> -- ~
Kansas City, MO 64112 LETTER -
COMPANY E H" " ~' . ./VCS
"
LETTER -'.~'--_._-_.-
::~lAgl.!;t:IIIIIIII:}::::}}:~::::::::}::jIII:}j:}jIIIIII~:::::~:::I:::mm:I:}}}}}}}}}}}}}}::::::::::}::::}mI~:~::::::}::j::::::::ImmIII~}}}}}:I:::::::::::}::}}}}}}}}:::Im}I}:III:jI~:I:::}:::::~:::~::}mm}}mI::I:j:}jI::ImmI:j:}jIIImmm}:II:::}jI::IJ
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOlWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MMJDDIYY)
~ERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG, $
<< l CLAIMS MADED OCCUR. PERSONAL & ADV. INJURY $
OWNER'S & CONTRACTOR'S PROT, EACH OCCURRENCE $
-
- FIRE DAMAGE (Any one/Ire) S
MED, EXPENSE (Anyone person S
~OMOBILE LIABILITY COMBINED SINGLE
LIMIT S
- ANY AUTO
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
- SCHEDULED AUTOS
- HIRED AUTOS BODILY INJURY
(Per accident) $
- NON-OWNED AUTOS
- GARAGE LIABILITY
PROPERTY DAMAGE S
EXCESS LIABILITY EACH OCCURRENCE S
~UMBRELLAFORM AGGREGATE $
OTHER THAN UMBRELLA FORM <
I STATUTORY LIMITS i ........... ..............
WORKER'S COMPENSATION
EACH ACCIDENT S
AND
DISEASE-POLICY LIMIT $
EMPLOYERS' LIABILITY
DISEASE--EACH EMPLOYEE S
A OTHER
[X)PROPESS IONAL LIABILI LPL73 9413 3 03 01/01/95 01/01/9 6 PER CLAIM 5 , 00 0 , 000
AGGREGATE 5 , 000 , 000
DESCRIPTION OF OPERA TlONS/LOCATIONSNEHICLESISPECIAL ITEMS
LAWYERS PROFESSIONAL LIABILITY
q~.i.fi.qlti::flPkP~ftm:::j:j:j:j:mmm:jm~~j~:::~~:::::::::j:::}::::::mmj:j:::::j:j~j:~:j::m:::::~:m::j::::::::::m::::t:~m:::t:::::m:::::::::::::::::::::::::~:::gl~p_II9N:::::I::::~::::::t:::m:~::::::::::::::::j::::::::::I:::::::::t:I:::::j:::j::::::::::Imj:::::~::::::::~:::::::~::j:t}:::m::::j~j::II:::j:j:::::::::::::::::::::::::m::::::::::::::::::;:::;:;:::::;:;:;:;j::::::::::;:::
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
.... EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
.... THE
MONROE COUNTY RISK MANAGEMENT MAIL -*L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
.... REPRESENTATIVES.
5100 COLLEGE RD .. LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
KEY WEST, PL 33 040 !!'!:::: AUTHORIZED REPRESENTATIVE
Ac.ORb'2$$ '(1.l9Ot:::: ::/.::t$4::::'(,:::tii:2R,2Sr:::::::::{:.:,:,,:;:,,::,::.:::.::,:'::::::':: ';";~~;;:Ii;~;:;;}',,~~ 1~
1=/IY~
P/~
A CORDTM CER-r-IFIGA"\.-OFI..IJ.\B.II.ITVINStJRf ~.4GEi~~I~~1 DATE (MM/DDIYY)
04/08/96
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Haake Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
3101 Broadway, Suite 650 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Kansas City MO 64111-9203 COMPANIES AFFORDING COVERAGE
Henry J. Haake, Jr. COMPANY
A Vigilant Insurance Company
Phone No. 816-753-1999 Fax No.
INSURED COMPANY
B Federal Insurance Cc:'mpany
Freilich, Leitner & Carlisle h.eCCCI vc:u
A Partnership of Professional COMPANY Control
Corporation, eta1 C Risk Mgmr y/
-
4600 Madison . q-I.~ -7-
COMPANY D:\T}, _...,...:-;::.....- '--,
Kansas City MO 64112-3012 0 '/-///1 /
.. - INITIAL
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DD/YY) DATE (MM/DDIYY)
GENERAL LIABILITY GENERAL AGGREGATE $1,000,000
f---
A X COMMERCIAL GENERAL LIABILITY 35308303 04/05/96 04/05/97 PRODUCTS. COMP/OP AGG $1,000,000
i----o- =:J CLAIMS MADE ~ OCCUR
I----- NAGfMENI PERSONAL & ADV INJURY $1,000,000
OWNER'S & CONTRACTOR'S PROT AP~.-::BY RISK M ~ J ,.t1~~ EACH OCCURRENCE $1,000,000
f--- BY "A..-l ~ "~/C.
FIRE DAMAGE (Anyone fire) $ * 50,000
r I r/~~ MED EXP (Anyone personl $ 5,000
AUTOMOBILE LIABILITY ~.Tr __~~- J '" -7~
- COMBINED SINGLE LIMIT $1,000,000
ANY AUTO /
- V'"
ALL OWNED AUTOS ~ \' ... ,''''-r
- BODILY INJURY $
SCHEDULED AUTOS iPer person)
-
A ~ HIRED AUTOS BAP9673200746 04/05/96 04/05/97 BODILY INJURY
$
~ NON-OWNED AUTOS iPer accident)
- PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
-
ANY AUTO OTHER THAN AUTO ONLY: .........
i----o-
EACH ACCIDENT $
f---
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $4,000,000
A M UMBRELLA FORM 9679739201 04/05/96 04/05/97 AGGREGATE $4,000,000
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND X I f"cfR~TL~~WS ! 10TH- ....
ER
EMPLOYERS' LIABILITY 500,000
EL EACH ACCIDENT $
B THE PROPRIETOR/ RINCL 9671624118 04/05/96 04/05/97 EL DISEASE. POLICY LIMIT $ 500,000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ 500,000
OTHER
DESCRIPTION OF OPERATIONS/lOCATIONSNEHICLES/SPECIAL ITEMS
AGGREGATE LIMITS AT INCEPTION
*100,000. FIRE LEGAL LIABILITY APPLIES TO KANSAS CITY LOCATION
Monroe County Board of County Commissioners is recognized as Additional
Insured.
< .... ..... ATlnl". ..... > ....
KAYBAHE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Kay Baheeda EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Risk Management .1.Q.... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
County of Monroe BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
1500 Co11ege Road OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESE~ES.
Key West FL 33040
AUTHORIZED REPRESENTATIVE y/~ ~
J. Haake, Jr.,
ACOR025.SJ1/951. Gl.: . SA-xJ~~~/.c::.4" -.,........ ONt988
FfLI!6" )~ r
!:'i'i:..:.:.::.::.:.:.:.::::.:..:.:..:.::::::.::...::"iii:::!!:!:i:::::::::;:;:::::;::;::;}::::::::i;i::::::!:::::'::::i:::i::::::::::;:::::;;;:,:::::::::';i!i:::i!::::::::;:;:;iii:i::::;:::::w.::::iii::::::::::::}:i::::::::::::;:;:::::::::::::::f:::::\:::::f:::::::::::::::}:::::::::::::;:::;:::;:i:!::i::!:i:::!:i!:::i:!i:!i:ii::;iiiii;i::;::::ii!:!i:i::iii:i:i.i::i::i;i:i::::i::i::;i:i::::::::::::::!!i:;i:!:!:i;i;i::::::::::::!::::!::i:i!:iin 12/29/95
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
Interstate Insurance Group, LTD CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
6321 Blue Ridge Blvd POLICIES BELOW.
Ray town, MO 64133 COMPANIES AFFORDING COVERAGE
COMPANY A GR.B'A T AJlIlRI~/I~ /CO
LETTER
/ 7 I 'i'7
COMPANY B /p/ WI~INI
INSURED LETTER
l"reilicb, Lei tner " Carlisle, A Partnersbi COMPANY :i.LVU
C
4600 Madison Ave LETTER SS(n X> 'lW~W }{sr)l
1000 Pla.a West COMPANY D PdA!;)Jdll
Kansas Ci ty, MO 64112 LETTER
COMPANY E
LETTER
::_~"lIff:::::l:f::::fmlm::::f::f::::::::f!I:::::f:l::l:::::::::::::ff!I::::::I:f:::l:::ff:l{:f!:ff!{mi{{I:::!{:f::!I:f::::::::::f::::f!{{{:::fff!:!{{:f!{:::::f:::m!:fm:!I:!{:!:!:!{:::::f!:!{{:!{{{::::::{::::::::::!i:::!:::f:{:::fi::::!i::::rr{:fir::::::{:::!::{:f::ff!::{{mf::!:!:fff}!{:::
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DD/YY) DATE (MMJDD/YY)
~ERAL UABILlTY GENERAL AGGREGATE $
COMMERCIAL GENERAL UABIUTY PRODUCTS-COMP/OP AGG. $
/ I CLAIMS MADED OCCUR. PERSONAL & ADV. INJURY $
- OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $
- FIRE DAMAGE (Any one fire) $
MED, EXPENSE (Any one person $
I AUTOMOBILE LIABILITY A~BY RISK M NAGEM'~ COMBINED SINGLE
I/J/J UMIT $
I--- ANY AUTO BY _ U'IU.A-P V/ ~ /~.; ole I ~
ALL OWNED AUTOS Cc.~1c-. BODILY INJURY
~ C?-7/ $
SCHEDULED AUTOS - 9 ? (per person)
I--- DATE
I--- HIRED AUTOS / BODILY INJURY
(Per accident) $
~ NON-OWNED AUTOS WAIVER: N/A YES
I--- GARAGE UABIUTY
PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $
R UMBRELlA FORM ~GATE -
OTHER THAN UMBRELLA FORM
STATUTORY UMITS >//
WORKER'S COMPENSATION
EACH ACCIDENT $
AND
DISEASE-PQUCY UMIT $
EMPLOYERS' LIABILITY
DISEASE-EACH EMPLOYEE $
A OTHER
[ XPROl"llSSIONAL LIABILI LPL739413303 01/01/96 01/01/97 PIlR CLAIM 5, 000, 000
AGGRIlGATIl 5, 000, 000
DESCRIPTION OF OPERATlONSILOCATIONSNEHICLES/SPECIAL ITEMS
LAWYIlRS PROl"llSSIONAL LIABILITY
:p..lBlim::~'lmm::::::}::m::::::::::::::::::mm::{:m:::mm}m::::::::::::::::::::::::m::::m::::::m:}::::::::::::::::::::::::::::}::::::::::i::::::maU::l.n9R:::r::::::::::::::::::::r'::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::}::::}::::}}mm::::::::m::::::::::::::::::::::::::::rr::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::}::::
::::::' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
....
MONROIl COUNTY RISK MANAG1lMIlNT .... MAIL JJL.. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
..,
.... LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
....
5100 COLLIlGIl RD LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
lCllY WIlST, l"L 33040 .... AUTHORIZED REPRESENTATIVE
Allbilil~+_~"1!lI1t:,~~~~),,~~
7'
F/c-f
-.____ ______ _-L-__.__ _________________ _ ___ _"__ _ ________ '_'_ _ ___
DATE (MMlDDNY)
1/28/97
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
Van Gilder Agency Co Inc . COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
6700 Antioch, Suite 330 --~-~-------_._---------
COMPANY
Merriam, KS 66204 A Security Insurance Co of Hartford
IINS';;,":iliCh, Leitner & Carlisle 00"':;'" u A~V~U u_ u
Et~~~~~;e:: 64112-3012 =::: ~~ ,j. .? [;..~.... ()rc~U;E~ \
, "'AI',[R' N '^ YFS C C - HOB fI~f'1~
I COVERAGES n y. ' . ( c...-F1k
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PtRlOD
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.
]POLICY EFFECTIVE POLICY EXPIRATION i,
TYPE OF INSURANCE POLICY NUMBER DATE (MMlDDNY) , DATE (MMlDDNY) LIMITS
--...-.-----.----.-.- ,,-,,--,,-,_.~._---_...---.,.-_._"._-
c--
I At~tMllt.
I
! PRODUCER
CERTIFICA.. f OF INSURANCE
I
I
913 671 7877
CO
i LTR
GENERAL LIABILITY
.-.+.
GENERAL AGGREGATE $
PRODUCTS.COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
-...--.-....-...-- "'-'-'--"------,,-,-
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per Person)
BODILY INJURY $
(Per Accident)
PROPERTY DAMAGE $
- _._--_._..._---....~..,_.._._----~-
AUTO ONLY. EAACCIDENT $
OTHER THAN AUTO ONLY:
OCCUR
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
':'1
~'u~r~~
GARAGE LIABILITY
ANY AUTO
EACH ACCIDENT $
AGGREGATE $
.._-_...__._._----~_._.._.._.__._-
EACH OCCURRENCE $
AGGREGATE $
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
I EMPLOYERS' LIABILITY
--------~-,_.._~-----_..._._-._------"_._-
,_----1~____.__..~"
STATUTORY LIMITS
EACH ACCIDENT
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
r- --,
I '
1---,
I
INCL
EXCL
DISEASE. POLICY LIMIT $
DISEASE. EACH EMPLOYEE $
A Lawyers Professional:
Liability I LP931456
1/01/97
$5,000,000 ea.clm./ann.agg.
1/01/98 w/$15,000 deduct. ea. elm.
I
DESCRIPTION OF OPERATIONSlLOCATlONSNEHICLESlSPECIAL ITEMS
CERTIFICATE HOLDER
CANCELLATION
Monroe County Planning Department
2798 Overseas Highway, #410
Marathon, FL 33050-2227
Attn: Robert L. Herman
Director of Growth Management Divn
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL .3Q... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES,
AUTHOR~ED nv
ACORD 25-S (3/93)
- -- -" - --- - - ~---- .~-_. -~. ~ '--,..-'- .-,'- -- --. .-- -~ ~ -. - - ~ -..--
PRODUCER
A CORDTMC.ER...I.P.,..C.lJ.l....._.......a..r=.......I.I.IJ..SI.1.I....V. ...,..N.S.U..fo1.~...~....4.C.E.......i:;I~.J...... DA;:;;;;;~ ....
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
Haake Insurance Agency
3101 Broadway, Suite 650
Kansas City MO 64111-9203
Henry J. Haake, Jr.
Phone No, 816 -753 -1999 Fax No. 816 -753 - 0088
INSURED
COMPANY
A
Chubb Group of Ins. Companies
Freilich, Leitner & Carlisle \It .
A Partnership of Professional \\\, COMPANY PlI'H ~t;;) U iyi\l::5 - t'u:.f\~!: \,;UN IA(; I
Corporation, etal C Ll~ At,
4600 Madison COMPANY)
Kansas City MO 64112-3012 0 (816 753~i999
COVERAGES .... .......< ........ .... .....< ............... ....................
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REOUIREMENT, 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.
COMPANY
B
,/
.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYYI DATE (MM/DDIYYI
LIMITS
GENERAL LIABILITY
r--
A X COMMERCIAL GENERAL LIABILITY 35308303
I CLAIMS MADE [i] OCCUR
OWNER'S & CONTRACTOR'S PROT
04/05/97
GENERAL AGGREGATE $ 1, 000, 000
04/05/98 PRODUCTS. COMP/OP AGG $ 1,000,000
PERSONAL & ADV INJURY $ 1, 000 , 000
EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ INCLUDED
MED EXP (Anyone person) $ 5 , 000
I
-
AUTOMOBILE LIABILITY
-
ANY AUTO
-
ALL OWNED AUTOS
-
SCHEDULED AUTOS
-
A X HIRED AUTOS
-
X NON.OWNED AUTOS
r--
r--
GARAGE LIABILITY
-
ANY AUTO
r--
BAP9773200746
04/05/97
04/05/98
COMBINED SINGLE LIMIT
$1,000,000
~PPROVED~Rl~K~A~AGEM NT
BY Ii\. /.JJ/jW
DATE q-'--ILt - Cf1
(jAil )
0l1) . \.j:J() U5o""
c.c' ',&{ I~./rr~
~~
BODILY INJURY
IPer person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
W~ 'VF~:
N/A /
VfS
AUTO ONLY. EA ACCIDENT $
OTHER THAN AUTO ONLY: <i<
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $4,000,000
A M UMBRELLA FORM 9679739201 04/05/97 04/05/98 AGGREGATE $4,000,000
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND X I ~OCR~TLt~WS I 10l~'I>.<<<..
EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 500,000
A THE PROPRIETOR/ RINCL 9771624118 04/05/97 04/05/98 EL DISEASE. POLICY LIMIT $ 500,000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE. EA EMPLOYEE $ 500,000
OTHER
DESCRIPTION OF OPERATIONSiLOCATIONSNEHICLES/SPECIAL ITEMS
AGGREGATE LIMITS AT INCEPTION
*100,000. FIRE LEGAL LIABILITY APPLIES TO KANSAS CITY LOCATION
Monroe County Board of County Commissioners is recognized as Additional
Insured.
.... . .... · ... ..<<i<<
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT. FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBU~ OR LIABILITY
, ,,- OF.ANY KIND UPON THE COMPANY, ITS AGENTS OR RE~ATlVES. /,~:1':?
, 1(9- ~q ~ AUTHORIZED REPRESENTATIVE ./"
"1.-:J.:2. "-"~..r J. Haake, .T..... t. .'"'.c.....c-....
.......~...;::p .-. .....< ............-
.;,
Kay Baheeda
Risk Management
County of Monroe
1500 College Road
Key West FL 33040
KAYBAHE
. . .
ACORDNCeetII=IOA'.
.
-
....
..O.F=......I..IAa.I..I..I........I..f4.B.t.J..~r....~.fiI..~...~i~I[~.1........ DA~:;~~D~Y~
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.
COMPANIES AFFORDING COVERAGE
PRODUCER
Haake Insurance Agency
3101 Broadway, Suite 650
Kansas City MO 64111-9203
Gerald C. Haake
Phone No, 816 -753 -19 99 Fax No. 816 -753 - 0088
INSURED
COMPANY
A
Chubb Group of Ins. Companies
Freilich, Leitner & Carlisle
Mr. Steve Moore
4600 Madison
Kansas City MO 64112-3012
COMPANY
B
COMPANY
C
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOlWlTHSTANDING 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 SHOVlIN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MM/DDIYY)
GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY 35308303 04/05/98 04/05/99 PRODUCTS. COMP/OP AGG $ 1,000,000
CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ Included
MED EXP (Anyone person) $ 10,000
AUTOMOBILE LIABILITY
04/05/98 04/05/99 COMBINED SINGLE LIMIT $1,000,000
A ANY AUTO 73200746
ALL OWNED AUTOS BODILY INJURY
(Per person) $
SCHEDULED AUTOS
X HIRED AUTOS BODILY INJURY
(Per accident) $
X NON.OWNED AUTOS
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE 4,000,000
A X UMBRELLA FORM 79739201 04/05/98 04/05/99 AGGREGATE 4,000,000
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY 500,000
$
A THE PROPRIETOR/ INCL 71624118 04/05/98 04/05/99 EL DISEASE. POLICY LIMIT $ 500,000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE. EA EMPLOYEE $ 500,000
OTHER
DESCRIPTION OF OPERA TIONSlLOCA TIONSlVEHICLESlSPECIAL ITEMS
AGGREGATE LIMITS AT INCEPTION
$100,000 FIRE LEGAL LIABILITY APPLIES TO KANSAS CITY LOCATION. MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS IS RECOGNIZED AS ADDITIONAL INSURED.
Kay Baheeda
Risk Management
County of Monroe
1500 College Road
Key West FL 33040
KAYBAHE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE;~ALL IMPOSE NO OBLIGATION OR L'IBILITY
OF ANY KIND UPON THE COMPANY, ,is AGENTS OR REPRESENTATIV
AUTHORIZED REPRESENTATIVE
1- -------------~-------
- -- ------- -- - -- - ----- - -~-- - --- ---
I At~ttlllt"
I PRODUCER
I Van Gilder Agency Co.
6700 Antioch, Suite 330
Merriam, KS 66204
CERTIFICA~. IE OF INSURANCE
913-671-7877
DATE (MMlDDIYV)
2/13/98
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.
COMPANIES AFFORDING COVERAGE
COMPANY
A
Security Ins. Co. Of Hartford
i IN~Bch, Leitner & Carlisle
1000 Plaza West
4600 Madison
Kansas City, MO 64112-3012
I COMPANY
I COM~ANY
I C
I
i---
I COMPANY
I 0
i
\l Lt
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
1
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMlDDIYV) DATE (MMlDDIYV)
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
OWNER'S & CONT PROT
BY
GENERAL AGGREGATE
PRODUCTS.COMP/OP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
, MED EXP (Anyone person)
$
$
I $
$
$
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
I COMBINED SINGLE LIMIT ! $
I BODILY INJURY $
! (Per Person)
W~IVfR:
N/^
f-
BODILY INJURY
(Per Accident)
$
GARAGE LIABILITY
I ANY AUTO
,-------~
i
:-.----;~---_.-
i
, I
! .e2<CESS LIABILITY
UMBRELLA FORM
PROPERTY DAMAGE $
~
AUTO ONLY. EAACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDEN $
AGGREGAT $
i[ EACH OCCURRENCE ~. .!------___J
AGGREGATE 1 $ .
r---------~---r--T------_.----"
I
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
I
1
INCL I
EXCL
STATUTORY LIMITS
THE PROPRIETOR!
PARTNERSIEXECUTIVE
OFFICERS ARE:
QTHER
A Lawyers
Professional Liability
LP931456
1/1/98
I $
I --.---------__
'I DISEASE. POLICY LIMIT I $
DISEASE. EACH EMPLOYEE i $
$5,000,000 ea.clm./ann.agg.
r/$15,000 deduct.ea.c1m.
1
I
I
I
---,
i
i I I
I DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlSPECIAL ITEMS
CERTIFICATE HOLDER
ACORD26..s (3198)
IJAll:
.J:l~
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
TH~exPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Ii
MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE I
I
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR !
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. I
~~1!~Al1ON1~
Attn: Maria del Rio
Monroe County Risk Management
5100 College Road
Key West, FL 33040
ACORDTM
bER.'lIIIGA.aOI=IIiBW.IiOE
P~ELEI
PRODUCER
Van Gilder Agency Co. (KS)
6700 Antioch, Suite 330
Merriam, KS 66214
DATE (MM/DDIYV)
12/31/98
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.
COMPANIES AFFORDING COVERAGE
INSURED
COMPANY
ASecurity Ins Co/L/PLS+Lawyers
Freilich, Leitner & Carlisle
1000 Plaza West
4600 Madison
Kansas City, MO 64112
COMPANY
B
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOlWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYV) DATE (MM/DDIYV)
LIMITS
GENERAL LIABILITY
I COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
OWNER'S & CONTRACTOR'S PROT
GENERAL AGGREGATE $
PRODUCTS-COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
AUTOMOBILE LIABILITY
ANY AUTO
All OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
..,Y
COMBINED SINGLE LIMIT $
BODilY INJURY
(Per person)
$
DATE
BODilY INJURY
(Per accident)
$
W~!Vm:
,- /
1Il.:-' .__VF',
PROPERTY DAMAGE
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY -EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
SLP935871
01/01/99 01/01/00
STATUTORY LIMITS
EACH ACCIDENT $
I
DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
$10,000,000 ea. clm./
ann. aggregate w/ a
$25,000 deductible
each claim.
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
A OTHER Lawyers
Professional
Liability
INCl
EXCl
DESCRIPTION OF OPERA TlONS/LOCA TIONSNEHICLES/SPECIAL ITEMS
Monroe County Risk Management
Attn: Maria del Rio
5100 College Road
Key West, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
..3..0...... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
ACl1Rll.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YY)
06/30/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Agency Co. (KS) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
6700 Antioch, Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
Merriam, KS 66214
913 671-7877 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Philadelphia Indemnity Insurance
Freilich, Leitner & Carlisle INSURER B:Admirallnsurance Company
4435 Main Street INSURER c:
Suite 1150 INSURER D:
I Kansas City, MO 64111-1858 INSURER E:
Client#: 11543
FRELEI
COVERAGES
THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING
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 UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
l~fA' TYPE OF INSURANCE POLICY NUMBER Pgk!fl'~~~DCJ~ POLICY E}lJ'IRATION LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
r----
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire $
I CLAIMS MADED OCCUR MED EXP (Anyone person) $ -
PERSONAL & ADV INJURY $
-
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT AnSPER: PRODUCTS-COMP/OP AGG $
I POLICY n P,~~T LOC
AUTOMOBILE LIABILITY A 1l\-Ji I:~;W~AGEM ~BINED SINGLE LIMIT
- accident) $
ANY AUTO
r- B' I,. ., ._.._._._,_
ALL OWNED AUTOS ~IL Y INJURY
r- -t-::l)~____ $
SCHEDULED AUTOS DI 1 E: ".__,...~~, (Per person)
c-- --.
HIRED AUTOS BODIL Y INJURY
r-- W IVER Nit, Y: ,'}';S (per accident) $
NON -OWNE 0 AUTOS ..... '-'-~'. " ",~,-, --- -'--.
1---
r---- PROPERTY DAMAGE $
(per accident)
GARAGE LIABILITY AUTO ONL Y - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONL Y: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
=:]- OCCUR D CLAIMS MADE AGGREGATE $
$
q DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATlO'N AND I T"Xg 9! ~JM-~ I 10J~-
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
+---~-~-
E.L.DISEASE-EAEMPLOYEd $
E.L. DISEASE-POLICY L1MI~ $
A OTHER Lawyers Prof PHS0075226 01/01/04 01/01/05 $5,000,000/$5,000,000
8 Excess Profe 9612245 01/01104 01/01/05 $5,000,000 Excess
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER I I ADDmoNALlNSURED'lNSURER LETTER: CANCELLATION
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRA110N
Monroe County Growth Management DATETHEREOF,THE ISSUING INSURER WILLENDEAVORTOMAI~ DAYSWRlITEN
AUn: Kelly Papa NOTICE TO THE CERTlFICAlC HOLDER NAMED TO TI-E LEFT, BUT FAILURE TO DO so SHALL
2798 Overseas Highway IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITSAGENTS OR
Suite 400 REPRESENTATIVES.
Marathon, FL 33050 AUTll'~~~;/~VE~
I
,- -
ACORD 25- S (7/97)1 of 1
#S372059/M368163
OAK
@ ACORD CORPORATION 1988
ACORDN CERTIFICATE OF LIABILITY INSURANCE OP ID s~ DATE (MMIDDIYYYY)
FREIL-1 08/27/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Haake Companies HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4650 College Blvd.,Suite #300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Overland Park KS 66211-1626
Phone: 913-491-1999 Fax: 913-906-0088 . INSURERS AFFORDING COVERAGE NAIC#
'lNSlIRED ----- -----" -- ------ -
INSURER A: The Hartford ITT
---_.---- ------- -..-----
INSURER B:
Freilich, Leitner & Carlisle ----.. n_-At' IISK ...:MENT
1150 One Main Plaza INSURER c: ,~~,Dlllt
- ..- BY 01 L" '"
4435 Main Street INSURER D: lit lJ-::; .-'
Kansas City MO 64111-7727 i-INSURER E: ~ _ I U --
~,-- /
COVERAGES lJr <-
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDlcWMV(;l'AvITHSf4.fAl~ YES __
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~ rtfs~~ .- ! PD~'4~lJ~fJ8~~ pgk~1r/~~tb'1,A~~N _____ .__ -0 _
TYPE OF INSURANCE POLICY NUMBER LIMITS
1_ GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A .. :x: t~~MERCIAL GENE~IABILlTY 37SBAAM5833 04/05/04 04/05/05 ~~~~~~s.lE'a occurence) $ 300,000
__ I CLAIMS MADE lJcJ OCCUR MED EXP (Anyone person) $10,000
I I PERSONAL & ADV INJURY $ 1,000 000
1-- --- - ----- - .- _..~
f-.....J _n___ _. GENERAL AGGREGATE $2,000,000
--
GEN'L AGGREGATE LIMIT APPLIES PER: , PRODUCTS - COMP/OP AGG $ 2,000,000
, ! --
:--1 n PRO Ii i
POLICY JEcT I LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
A J~=O 37DBAAM5833 04/05/04 04/05/05 (Ea accident) $ 1,000,000
- --~._---------
ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
----- -----
X HIRED AUTOS ANY QUESTIONS-P EASE CONTI CT ! BODILY INJURY
-X- NON-OWNED AUTOS (Per accident) $
---,
- -- -------- SHELLEY ~ EWMAN PROPERTY DAMAGE $
. (Per accident)
GARAGE LIABILITY (913) 491 - 1999 AUTO ONLY - EA ACCIDENT $
'~l ANY AUTO -..-- -------- .
OTHER THAN EA ACC $
_n - ._____u.___...__ ___
AUTO ONLY: AGG $
i EX~ESS/UMBRELLA~ABILITY EACH OCCURRENCE $ 4,000,000
~---------- .-
A IX- ' OCCUR I'.! CLAIMS MADE I 37SBAAM5833 04/05/04 04/05/05 AGGREGATE $ ~QOO 1009
I $
I --- I ---------- - -
I DEDUCTIBLE $
----- n - ----..- ------
RETENTION $ I $
1 WORKERS COMPENSATION AND I 37WECPA1689 .1 WC STATU- I IUJ~-
EMPLOYERS' LIABILITY .:x: TORY LIMITS ~----
A I ANY PROPRIETOR/PARTNER/EXECUTIVE 04/05/04 04/05/05 E.L. EACH ACCIDENT $ .?0j),_000'
I I ~,~~-;;ISEASE .EA-EMPLOYEEI $
! OFFICER/MEMBER EXCLUDED? I I 500,000
III ~es, describe under -- -.
S ECIAL PROVISIONS below E.L. DISEASE. POLICY LIMIT $ 500,000
I OTHER I ,
!
i I I .~~
I III- I
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
AGGREGATE LIMITS AT INCEPTION- MONROE COUNT BOARD OF COUNTY COMMISSIONERS IS
NAMED AS AN ADDITIONAL INSURED BUT ONLY AS THEIR INTEREST MAY APPEAR TO THE SEP 02 2004
NAMED INSURED.
MONROE COUNTY ATTORNEY
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
MAYRA/FAX: 305-289-2854
2798 OVERSEAS HIGHWAY, STE 400
MARATHON FL 33050
CANCELLATION
GROWTHM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ....!Q.... DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED RESENTATIVE
c CORD CORPORATION 1988
CERTIFICATE HOLDER
ACORD 25 (2001/08)