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Certificates of Insurance-- ..,.. .:::'i•, y' „,-. -::' i v'•'-sr•' rL i f •�F!ua` ¢,, � ,. � •.i:: A,'y,G' ,YI•: Y'ii:�)i.•'.• i3 rl.1w.,.,.."y.�'�s;: R aryj I � } } r' a -I - ,FSI �3:�K'f + ea �- s%~ `iTsi.u" [i rF;�� •'-rx�$'ii�ara +. ,v ! .ti/ . Y >..yid%'r.•FJIt: i': �.t,• ( . r?•f.. `irkC'rI --.a-r., . >,;:_.13; :•'F'•r:::.:. •+..+I::i: �' �i+ 3f..v. � . ' Y- .Fan %G" y"�•i' rii:, f ��."^J;.';.». rrr„„y'•�:�:iF'• sit:+ :v. re. � ..1: ar' ti••:F?'. s:!i y.,. :+;r •:-'rvs, • L('!„ ita -.s Y �r! ,� i � .I :aii� \rr;. .. /r :•'•y-i! +^uv .a•!'F .Z •...r`i'-: x..i •' ).M;.' L• Na . r.n:•.i' . a •�,.r • ,(� �:;f/! .•F htac. �. /. Fv%:: i ...+vim`=F• f:, y%i''• .>✓,� Is>•' r:i. n`Y�...,:: 1. .•:rrr•9r1•?l•- i1•^ r •� .%•:!S,.Ys .� :•:•S,T:L%7 .IJ _-.9 'Kny .. aU:ri - �. X ::} ..: �. % J''`, 'Y., 3'^-rY'�i F% ii !; v� dy. �. .:fr:a,.�-�•>",,:s:•- . c. :n ;',.% fi-} iFvvf.:, >-;,.. :: k• . ,„ , :.,.. 1•: is% .5ytw: ,Ya. %3 ,�.� . %•-F a .r r.• ..vr ., .... .....,,rr,.v,'rii _a..'... ;• r.r,••.. .. r J-. .r..I .f%:-...r '%ilF:•:r •;r•6Y•.:1..'"S'S` y?iY-r t}...1 ..a In. .:. :a ' r\./ Yw vV•:%:tirw:::I!....v./ r •I.i T-•1I1.•..f r�•.r •' ,. ,• .. -• ..., .. v•:?tJ`✓tea.. f;;fv:: K F t _ ) y �i :s��3�� � .Zs� s'+•. �}��vi;"x+% .r :... ✓a:-r.�,',. :(>:.r i:.'.y.i>!;;-sl•}•d:crr:.x'It::�A?:;>.Sr::v i�s�ns:9:�r5Lifi iL�✓r.:�Av "s:4ir..:? i.a. :yrF7-,.. L�yJv .J 1. i f• .J ris > l•.?3, i'%Y '• PRODUCER ,. ar-.. j. �>� . F.a.y;: •,L. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Hays Companies DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE IDS Center Suite 700 POLICIES BELOW. 80 South 8 Street INSURERS AFFORDING COVERAGE NAIC # Minneapolis, MN 55402 INSURER A: Discover Property & Casualty Ins. Co. 36463 PHONE NO. 612-333-3323 FAX NO. 612-373-7270 INSURER B: Fidelity & Guaranty Ins. Co. 35386 INSURED G & K Services, Inc. &Its Subsidiaries INSURER C: United States Fidelity & Guaranty Company 25887 5995 Opus Parkway INSURER D: St. Paul Fire & Marine Insurance Company 24767 Minnetonka, MN 55343 INSURER E: INSURER F: INSURER G: 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. POLICY POLICY iT AWL TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION LTR MUDTYPE DATE LIMITS MM1DD/YY) MMlDD/YY) GENERAL LIABILITY EACH OCCURRENCE 00 A X X COMMERCIAL GENERAL LIABILITY D009L00049 12/01 /09 12/01 /10 PREMISES T RENTED oocurre�ce 1,000,000 CLAIMS MADE �X OCCUR MED EXP (Any one person) 10,000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2 0OOow PRODUCTS-COMP/OP AGG 2,000,000 POLICY PROJECT X LOC AUTOMOBILE LIABILITY A X ANY AUTO COMBINED SINGLE LIMIT 3,000,000 ALL OWNED AUTOS D009A00101 12/01 /09 12/01/10 (Ea Accident) SCHEDULED AUTOS BODILY INJURY(Per Person) X HIRED AUTOS X NON -OWNED INJURYWNED AUTOS (Per Accident) PROPERTY DAMAGE (Per Accident) GARAGE LIABILITY AUTO ONLY — EA ACCIDENT ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S,000 O00 D X OCCUR � CLAIMS MADE QK05501561 12/01 /09 12/01 /10 AGGREGATE 5,0001000 DEDUCTIBLE RETENTION WORKERS COMPENSATION AND WC STATIC OTI+ B EMPLOYERS' LIABILITY X TORY LIMITS ER A ANY PROPRIETORlPARTNERJEXECUTIVE D009W00194 (AOS) 12/01 /09 12/01 /10 E.L. EACH ACCIDENT 1,000,000 OFFICER/MEMBER EXCLUDED? D009WO0195 (NJ, NV) 12101 /09 12/01 /10 E.L. DISEASE — EA EMPLOYEE 1,000,0p0 C If yes, describe under p009W00196 SPECIAL PROVISION BELOW (AZ, MA, OR, WI) 12/01/09 12/01 /10 E.L. DISEASE —POLICY LIMIT 1,000,000 Note: Workers' Compensation coverage is not provided in Texas. Contact: Hays Companies for evidence of Workers' Compensation coverage or alternative coverage in the following state: Texas. Contact: G&K Services, Inc. for evidence of Workers' Compensation coverage in the following states: North Dakota, Ohio, Washington, West Virginia and Wyoming. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS: Certificate holder is named additional insured as respects general and automobile liability policies when required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS Monroe County Board of County Commissioners WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO Attention: Purchasing Dept DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS 1100 Simonton Street, Room 1-213 AGENTS OR REPRESENTATIVES. Key West, FL 330Q AUTHORIZED SIGNATURE: doA4 dm000� ACORD 25 (2001/08) C ACORD CORPORATION 1988 ACORD 25 (2009/09) DATE (MM/DD/YYY ACUR[a CERTIFICATE OF LIABILITY INSURANCE 11/22/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS DPC# 69 D', CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES N UTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTI ICATE HOLD - IMPORTANT: If the certificate holder is an ADDITIONAL I SURED, the p s �` orsed. If SU ROGATION IS WAIVED, subject to the terms and conditions of I policy, certain policies may require an endorsement. A s atemen I d confer rights to the certificate holder in lieu of such endorsemantlsl Pwnnl IrFv Hays Companies IDS Center, Suite 700 80 South 8`h Street Minneapolis, MN 55402 INSURED G & K Services, Inc. & Its Subsidiaries 5995 Opus Parkway Minnetonka, MN 55343 COVERAGES C TIa IC IC Tn rFDTIC runt r I t • AIC. No. EA 612-333-1323 (A/C, No): 612-373-7270 A RESS: ' &kcens ayscompanies.com PRODUCE CUSTOME ID #: G& .-1 Coll��_-- --� INSURER(S) AFFORDING COVERAGE NAIC # NSURER A: Discover Property & Casualty Ins. Co. 36463 R B: Fidelit & Guarani Ins. Co. 35386 INSURER C: United States Fidelity & Guaranty Company 25887 INSURER D: INSURER E: INSURER F: ATE NUMBER: REVISION NUMBER: NAMEDOCT VE PERD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR TFOR THEOHIS IC ITE OTHER DOCUMENT WITH RESPENbUKEL) TO WHICH CERTI ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN MAY BDE IS SUBJECT SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF INSR LTR TYPE OF INSURANCE ADDL INSD suBN WV0 POLICY NUMBER POLICY EFF POLICY EXP GENERAL LIABILITY (MMIDD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS -MADE [� OCCUR PREMISES Ea occurance $ 1,000,000 MED EXP (Any one person) $ 10,000 D009L00061 12/01/2010 12/01l2011 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 15,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 _ POLICY PRO X LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANY AUTO (Ea accident) $ 3,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODLY INJURY (Per accident) $ SCHEDULED AUTOS D009AO0117 12/01/2010 12/01 /2011 PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON -OWNED AUTOS X PHYSICAL DAMAGE - SELF -INSURED UMBRELLA LIAB OCCUR $ EACH OCCURANCE EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION X WCSTATU- OTH- AND EMPLOYERS' LIABILITY TORY LIMITS ER B Y/N D009WO0244(AOS) A E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETORIPARTNERIEXE:CUTIVE NIA D009WO0245(NV/NJ) 12/01/2010 C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) D009WO0246 (Retro) 12/01/2011 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under _ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 Note: Workers' Compensation coverage is not provided in Texas. Contact: Hays Companies for evidence of Workers' Compensation or alternative coverage for the state of Texas. Contact: G&K Services, Inc. for evidence of Workers' Compensation coverage in the following states: North Dakota, Ohio, Washington, and Wyoming. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is additional insured as respects general and automobile liability policies as required by written c ntrac Cc. TE HOLDER Monroe County Board Of County Commissioners Purchasing Dept 1100 Simonton Street, Room 1-213 Key West, FL 33040 t.4clu— ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CANCELLATION X SHOULD ANY OF THE ABOVE -DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE DATE (MWDD/YYYY) ACORD' CERTIFICATE OF � LIABILITY INSURANCE 11/29/2011 DPC# 89 07 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 certffcat0 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 olicies ma re uire an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER CONTACT NAME: Melod Kronbach or Dawn DeBuhr PHONE FAX (A/C. No. E:t: 612-3333323 (A/C, No): 612-373-7270 E-MAIL ADDRESS: g&kcerts@hayscompanies.com Hays Companies IDS Center, Suite 700 PRODUCER 80 South 8" Street CUSTOMER ID M: G&K-1 INSURER(S) AFFORDING COVERAGE NAIC # Minneapolis, MN 55402 INSURER A: TRAVELERS INDEMNITY COMPANY OF CONNECTICUT 25682 INSURED INSURER B: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA 25674 INSURER C: G & K Services, Inc. & Its Subsidiaries INSURER D: 6995 Opus Parkway INSURER E: Minnetonka, MN 55343 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 sues POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR wsu Wo (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1,000,000 PREMISES Ea occurrence CLAIMS -MADE �X OCCUR MED EXP (Any one person) $ 10,000 HC2EGLSA472M538311 12/01/2011 12/01/2012 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 15,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS — COMP/OP AGG $ 2,000,000 POLICY PET X LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 3,000,000 (Ea accident) BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED AUTOS BODLIY INJURY (Per accident) $ SCHEDULED AUTOS HC2ECAP472M537111 12/01/2011 12/01/2012 PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON -OWNED AUTOS A E BY RISK MAIVI313M $ B $ X PHYSICAL DAMAGE —SELF -INSURED UMBRELLA LIAB OCCUR c erl EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE ` ` p L AGGREGATE $ DEDUCTIBLE $ �(f�� —44&y RETENTION $ $ WORKERS COMPENSATION OTH- X we Y LIMITATU- Ell TORY LIMITS Ell AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 YIN HC2JUB472M535811 B B ANY PROPRIETORIPARTNER/EXECUTIVE N/A (AOS) HRJUB472M536A11 12/01/2011 12/01/2012 OFFICER/MEMBEREXCLUDED? F E.L. DISEASE — EA EMPLOYEE $ 1,000,000 (Mandatory in NH) (MA, WI) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE — POLICY LIMIT $ 1,000,000 Note: Workers' Compensation coverage is not provided in Texas. Contact: Hays Companies for evidence of Workers' Compensation or alternative coverage for the state of Texas. Contact: G&K Services, Inc. for evidence of Workers' Compensation coverage in the following states: North Dakota, Ohio, Washington, and Wyoming. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, d more space is required) Certificate holder is additional insured as respects general and automobile liability policies as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE Purchasing Dept 1100 Simonton Street, Room 1-213 d ()a, �- Key West, FL 33040 �� • �y � ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD DATE (MM/DDNYYY) ACORV* CERTIFICATE OF LIABILITY INSURANCE 11/29/2012 DPC#069 D7 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 IMPORTANT: If the certificate holder Is an AlDITI( I HI must be an orsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endo mer A s atedoes not onfer ri hts to the certificate holder in lieu of such endorsements . PRODUCER co CT NAM Melody Kronbach or Dawn DeBuhr PHO FAX Hays Companies IDS Center, Suite 700 « ��,, ` (A/C. o. Ext: 612-333-3323 (A/C, No): 612-373-7270 E-M ADD SS: &kcert hayscompanies.com PRO CER 80 South 8`" Street cus MER ID #: G&K-1 INSURER(S) AFFORDING COVERAGE NAIC If Minneapolis, MN 55402 �OZ�iNW IN RER A: ZURICH AMERICAN INSURANCE COMPANY 16535 INSURED WOWRER B: AMERICAN ZURICH INSURANCE COMPANY 40142 INSURER C: G & K Services, Inc. & Its Subsidiaries INSURER D: 5995 Opus Parkway INSURER E: Minnetonka, MN 55343 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 sueln POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD Wo (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1,000,000 PREMISES Ea occurrence CLAIMS -MADE ❑X OCCUR MED EXP (Any one person) $ 10,000 GLO585230300 12/01/2012 12/01/2013 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 15,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO X L. JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 3,000,000 (Ea accident) BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED AUTOS BODLIY INJURY (Per accident) $ SCHEDULED AUTOS BAP585230400 12/01/2012 12/01/2013 PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON -OWNED AUTOS $ X PHYSICAL DAMAGE -SELF -INSURED $ UMBRELLA LIAB OCCUR W EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE rGV' `� AGGREGATE $ c c I �,�I DEDUCTIBLE $ RETENTION $ vn, - V�/ $ WORKER`; COMPENSATION X I WC STATU- OTH- TORY L!MITS ER AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 v/N B A ANV PROPRIETOR/PARTNER/EXECUTIVE N / A WC585230100 WC585230200 (RETRO) 12/01 /2012 12/01 /2013 OFFICER/MEMBER EXCLUDED? N E.L. DISEASE — EA EMPLOYEE $ 1,000,000 (Mandatory in NH) yes, describe under D DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 Note: Workers' Compensation coverage is not provided in Texas. Contact: Hays Companies for evidence of Workers' Compensation or alternative coverage for the state of Texas. Contact: G&K Services, Inc. for evidence of Workers' Compensation coverage in the following states: North Dakota, Ohio, Washington, and Wyoming. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is additional insured as respects general and automobile liability policies, as required by written contract. t.CK I Ir it.A I C MULUCK Monroe County Board of County Commissioners Public Works Division, Facilities Maintenance Dept. 1100 Simonton Street, Room#,20284 Key West, FL 33040 . CLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE dcw. 4twl— ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD