The URL can be used to link to this page

Certificates of Insurance A�d CERTIFICATE OF LIABILITY INSURANCE DATE(MM`oo"YTY) 0/8/2020 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 have ADDITIONAL INSURED provisions or 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 c 1$cate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODJCa CONTACT Palmer&Cay, LLC RHwg,HONE -- _ 22 Barnard Street LAX No E . Suite 200 EMAIL Ern- G Net: soonest gssolutlonsiggpalmerandcey_corn Savannah GA 31401 INBURENS)AEFORDWG COVERAGE ryppa INSURER A:National Casualty Company 11991 INSURED 141 INSURER 8:Scottsdale Indemnity Company15580 Girl Scout Council of Tropical Florida, Inc. -, 11347 SW 150th Street INSURERC: _ Miami FL 33157-2703 INSLIRBR o: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1235890444 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. Lill TYPE OF INSURANCE WYDI POLICY NUMBER POIDDI 1F NVcoraF�T X80 'IMWD/2020Y1 IMMDDI021 MINTS B X 'CdAMERGAL GENERAL LIABILITY KKs24967$00 1w1no20 ip/12021 EACH OCCURRENCE 1 $1 000.000 CLAIMBMADE X OCCUR DAAAGE TO RENI ID R181 NET T PREMISESIEa copmneeej $1000.000_ . 1MEp E%P(My one person) IE10,000 --- BY iPERSONAL a ADV INJURY G_ENL AGGREGATE LIMIT APPLIES PER 55.000,000 X POLICY RAO' • DATE - GENERAL AGGREGATE —. __, JECT 'LOC WAIVER N/A YES_ PRODUCTS COMP:OP AUG S5.000.000 OTHER 4 A AUTOMOMLEUABIUTT KK024667600 10/1/2010 10/1,021 COMBINED SINGLE LIMIT ,f1.000.000 X ANY AUTO ffiexideND OODILY INJURY(Per person} �5 OWNED SCHEDULED i J lBODLY INJURY/Pe accident)ONLY �I AUTOS__ HIRED X OWNED - PP TY DAMAGE'AUTOS ONLY ; AUTOS ONLY 1Pr acoOril T - - $75,000 WB 1 $ I UMBRELLA ''.EXCESS UA6 ~A OCCUR EACH OCCURRENCE 1$ CWMS.MADE •---- ---- I AGGREGATE 5__ DEC RETENTIONS 1 I$ W A WORKEHSC0ENBA1pN 1,WC03316818 10/1/2020 10/1/2021 IX PLR - OTH AND EMPLOYERS'LIABILITYTIXSTATUTE 'ER AFYPRCPRIETOVPARTNENEKEDUIVE • r500,000 OFFIOERMEMBERE%CLUDEOt INrA E.L.LEACH ACCIDENT (MendMary In NH) l(y dosonbe unpx ALL DISEASE-EA EMPLOYEE E500,000 ICEBLRIPTION OF OPERATIONS bebw I i i E.L.DISEASE POLICY LIMIT I$500.000 DESCRIPTION OF OPERATION /LOCATIONS f VEHICLES (ACORD 101,AWIIbMI Renry.Schedule,moy be*toped a more yap to request The Certificate Holder named below is an Additional Insured on the policies listed above with respect to the use of its premises for Girl Scout activities of the insured Gill SCOW Counc I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of Commissioners ACCORDANCE WTI THE POLICY PROVISIONS. 1111-12th Street, Ste.408 Key West FL 33040 AUTHORIZED REPRESENTATIVE 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 20. n25 ' .�V CERTIFICATE OF LIABILITY INSURANCE ATE iMMIDDNYYV) r913012019 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: It the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or 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 Palmer & Cay, LLC 22 Barnard Street Suite 200 NAME: PHONE FAX 07 01 LamolutionsiMpalmerandcay.com INSURE AFFORDING COVERAGE NAICR Savannah GA 31401 INSURER A. National Casualty Company 11991 INSURED 1d1 INSURER B : Gid Scout Council of Tropical Florida, Inc. 11347 SW 160th Street INsuRERc: INSURER D: Miami FL 33157-2703 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:1114665845 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 REppDppULLC��EyyD BY CLAIMS. hLTR TYPE OF INSURANCE L� POLICY NUMBER .PAID MAAlEFF DDlYY I .t MP MONYI 1 LIAPIis A X COMMERCIAL GENERAL LIABILITY KK023596500 1011f2019 1011/2020 1 EACH OCCURRENCE S1.000,000 CLAIMS -MADE t�� }i OCCUR PREMISES Q zeitror S 1,000,000 MED EXP om wn . $10.000 PERSONAL & ADV INJURY $1.00D.000 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 5,900,000 X POLICY 0. jEOT L_._.i LoC PRODUCTS • COMP/OP AGG 1 $5,00D,000 s OTHER A AUTOMOBILELLABIUTY ) KKO23596800 10/1/2019 1011/2020 / I B pISINGLE LIMIT 51.00D,000 BODILY INJURYTer person) S ANY AUTO ? OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY 1j 1 { I Ix BODILYIWURY(Peracr�ent) $ PflOPERTYDAh9AGE P°r a a $75 D0p (j UMBRELLAUAB OCCUR 1 EACHOCCURRENCE s HCLAIMS-MADE AGGREGATE s EXCESS L1Aa DED RETENTIONS s A WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORPARtKRrEXECUTNE Y WCC33168113 1/111121111 10/1/2020 OTH- X I STATUTE ER E.L,EACH ACCIDENT &500,000 OFFICERIMEMBEREXCLUOED? (Mandatary In NIq NIA ELOISEASE-EAEMPLOYEd $ 500,0D0 fir , doscribe undsr 10RIPTION OF pPFAAT10N5 ebw t E L. OISFISE -POLICY LIMIT 9 500.00o i 1 DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD lal. Additional Remarks Schedule, may be rdie hed it mare apace la required) The Certificate Holder named below is an Additional Insured on the policies listed above with respect to the use of its premises for Girl Scout activities of the Insured Girt Scout Council. APPR VE DATE WAIVER N A Monroe County Board of Commissioners 1111-12th Street, Ste. 408 Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESEKTATIVE 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered I eft of ACORD 2 oI 2 118018 A� �® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/29/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Palmer & Ca , LLC CONTACT NAME: _ PHONE FAX C.. NO. FA0- o ' 22 Barnard Street Suite 200 __._. E-MAIL : gssolutions@palmerandcay.com INSURER(S) AFFORDING COVERAGE NAIC # Savannah GA 31401 _ INSURER A: National Casualty Compaq _ 11991 INSURED 141 INSURER B : INSURERC: Girl Scout Council of Tropical Florida, Inc. 11347 SW 160th Street Miami FL 33157-2703 INSURER D : ---------- -- — � INSURER E : INSURER F: COVERAGES CERTIFICATE NIIMRFR- 1694401151 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 ND BR_TYPE OF INSURANCE POLICY EFF POLICY EXP LTR I D WVD POLICY NUMBER MM/DD/YYYY MWDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � X 2 OCCUR KK021248900 10/1/2017 10/1/2018 EACH OCCURRENCE E1,000,000 AMAOE-TU RE D__ PREMISES_(Eaoccurrence) $1,000,000 MED EXP (Any one person) b10,000 PERSONAL & ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E5,000,000 GEN'L PRODUCTS -COMP/OP AGG ---- --_—_— E5'000,000 X POLICY JECOT- LOC � E OTHER: � A AUTOMOBILE LIABILITY KK021249000 10/1/2017 10/1/2018 COMBINED SINGLE LIMI 1 Ea accidern) — E1,000,000 BODILY INJURY (Per person) E X ANY AUTO AUTOSNED SCHEDULED AUTOS NON -OWNED X HIRED AUTOS X AUTOS BODILY INJURY (Per accident) E ROPEF�TY6ANfAGE — Per accident) 1 E75,000 ------ E - UMBRELLA LIAB OCCUR EACH OCCURRENCE E AGGREGATE y EXCESS LIAB CLAIMS -MADE DED RETENTION E E A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE —] WCC331681B 10/112017 10/1/2018 X STATUTE FOR E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE E500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA E.L. DISEASE • POLICY LIMIT $500,000 If yes describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) The Certificate Holder named below is an Additional Insured on the policies listed above With respect t the use of its premises for Girl Scout activities of the insured Girl Scout Council. B P V AGE�MgE�NTT �r WAV N/A� y. l CERTIFICATE HOLDER CANCELLATION Monroe County Board of Commissioners 1111-12th Street, Ste, 408 Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESE-NTTAATIIIVE Q�s��7G4� O�Grcwth....✓ ® 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SPEED MESSAGE FROM MONROE COUNTY ADMINISTRATIVE SERVICES To Wing III, Room 300, Public Service Building Stock island, Key West, Florida 33040 SUBJECT 19 DATE SIGNED 6/ 15/8 j f)NFERS iMEND, I j*, IT'iriN uT'Y COMPANY GIRL_ (z - -- .�(._CtJ_ C:CW'�tCIL. 0= TROPIC(-iL 1 FL.ORI I'EF� , , ; jC; , :1.1347 S;w 3 -�;:)'1'hl STREET MIAMI FL_ 33151, jy T- ; (1" 1 n( LICIES OF N SURANCE LISTEC B :L NOTW' 1 H . T, 1 HN' V' :IE( UIREME:NI , TERM OR CONDI'110 1 t )1= �, E , E "I T ja'� rite_ POLICY PERIOD INDICATED. f E IS51 E 1: C IA1 if; . !SIN THE INSUR ENCE AFFORDED 114 T 'f 1 Mg P '` '' f g'v O WHICH THIS CERTIFICATE MAY OtlS 4) a: F't :;lil £ EXCLUSIONS, AND CONDI- ! I ! - --- ;-- ---POLICY IB - N iEIhIF.I�'� . t' L,� _'MITS IN THOUSANDS IN! C E - ACH - �C'^URRENCE AGGREGAI A X I ;r1 IF I C+t_I685 i O:? ,.. -- — X 'It' L, I;,c:p,A IONS $ $ I X I !ND 01 #$501( BR01G LJRI RoI IY .)IMA �E t TOMOBILE i_ AB, PERSONAL INJU Uk ON N D 'd. -OS 'lIV 'AS )S F?;I TH N) oa Illy PA: i 1 HIgEJ A,! O` u � "JONOWNI D -U'OS PROPERTY -- r�ARA6T AB , I DAMAGE I $ -- EXCESS LIABILITY --- --- i COMBINED ` $ UMBRELLA FCF?M I OIHER q1 Jh1BREL.4 M FfI= 81&PD ._- I:;OMBINED�$ WORKERS COMPENSALON --- ---r- _.-1--- AND I ;TATiU TORY I — EACH ACCIDENTI EMPLOYERS'LIA,BILI'II $ ;DISEASE POLICY LIMIT, 0Tr1ER -- - ---- (DISEASEEACHEMPLOYEE; i -- l----- —_ - --- -- i ESCRIPTION OF OPERATIONS/l.C'CA1-IONSNEHICLES/SPECIAL IT,_IVIS GIRL. SCOUT ACTIVITIES __-- .. - ■II■II■■I�NI Monroe Ca. Parks & Recreation P.O, Box 1029 KeY West, F L o r i d a IIC'��C1��li !;i��19111111111111f lull■IIIII 41•IOULD Ah 109F''IIIH E', ABC. I/H DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- 112I11,II1 T��pppp�� : ,i1'1'Ei "'JI I!iRIE' piF, TI 11: ISSUING COMPANY WILL ENDEAVOR TO N°Ill("' 30 12/ V E: ' I'llIn,:JS1 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 1177, BUT F I 11RIE 1 C M AI . C 11 :H I'd0TICE SHALL IMPOSE NO OBLIGATION OR LI ITY I)I ANY KIII.I I�(b(:IH) 1 lii f: OI AN If ITS AGENTS OR REPRESENTA IXyFpS u I" I 'FIE f:',E' SI GI,TI IE r Y t Vy t SPEED MESSAGE ADMINISTRATIVE SERVICES Wing III, Room 300, Public Service Building Stock Island, Key West, Florida gcord® - � •0 P A ' 6/26/86 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS F�XTENDHTOR APT�ER THE OVERAGE AFFORpEDTHE CERTIFICATE HOLDER. HIS BYCTHEIFICATE POLIC ES BELOWT AMEND, COMPANIES AFFORDING COVERAGE COMPANY A LETTER Home Indemnity Company COMPANY B LETTER INSURED Girl Scout Council of Tropical COMPANY LETTER C Florida, Inc. 11347 SW 160th Street COMPANY D LETTER Miami, FL. 33157 COMPANY LETTER E THIS IS TO CERTIFY THAT POLICIES OF NOTWITHSTANDING ANY POLJCIEMENT, BE ISSUED OR MAY PERTAIN, THE INSURANCE TIONS OF SUCH POLICIES. INSURANCE LISTED BELOW HAVE TERM OR CONDITION OF ANY AFFORDED BY THE POLICIES POLICY NUMBER GL1686410 BEEN ISSUED ACT CONTRACT DESCRIBED TO THE INSURED OR OTHER DOCUMENT HEREIN IS SUBJECT NAMED ABOVE FOR WITH RESPECT TO ALL THE THE POLICY PERIOD INDICATED. TO WHICH THIS CERTIFICATE MAY TERMS, EXCLUSIONS, AND CONDI- POLICY EFFECTIVE DATE (MWDONY) POLICY EXPIRATION DATE (MM/DDNY) LIABILITY LIMITS IN THOUSANDS CO LT TYPE OF INSURANCE EACH OCCURRENCE AGGREGATE p 7/01/86 p 7/01/87 BODILY INJURY N �V $ A GENERAL LIABILITY COMPREHENSIVE FORM PREMISES/OPERATIONS UNDERGROUND EXPLOSION & COLLAPSE HAZARD X PROPERTY DAMAGE $ $ PRODUCTS/COMPLETED OPERATIONS CONTRACTUAL BI & PD COMBINED $ 1,000, $ 1,000, INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY $ 1, 000 PERSONAL INJURY AUTOMOBILE LIABILITY BODILY NJURY )PER PERSON) $ ANY AUTO ALL OWNED AUTOS (PRIV. PASS.) ALL OWNED AUTOS OTHER THAN) PASS BODILY NJURY )PER ACCIDENT) $ PRIV HIRED AUTOS PROPERTY DAMAGE DAMAGE NON -OWNED AUTOS GARAGE LIABILITY PID BI a COMBINED $ EXCESS LIABILITY UMBRELLA FORM BI 6 PD COMBINED $ $ OTHER THAN UMBRELLA FORM STATUTORY WORKERS' COMPENSATION $ (EACH ACCIDENT) $ (DISEASE -POLICY LIMIT) AND $ (DISEASEEACH EMPLOYEE) EMPLOYERS' LIABILITY OTHER ITEMS County Commissioners are for Girl Scout Activities. hereby named as additional insureds as DESCRIPTION Montoe respects OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL County Board of use of the premises Monroe County Board of County Commissioners Wing III Room 300 Public Service Bldg. Key West, Florida 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, FAILURE TO L UCH NOTICE IMPOSE NO OBLIGATION OR LIABILITY LF AN N ANY, ITS TS OR REPRESENTATIVES. AUTHO RE ENT y swe 5 C. CO LT v TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDDNY) POLICY EXPIRATION DATE (MM/DDNY) LIABILITY LIMITS IN THOUSANDS EACH OCCURRENCE AGGREGATE GENERAL LIABILITY COMPREHENSIVE FORM k PREMISES/OPERATIONS UNDERGROUND EXPLOSION & COLLAPSE HAZARD PRODUCTS/COMPLETED OPERATIONS CONTRACTUAL INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY I. �...16 ��{'s .�. ..::. .. di.rC) I!�{'; s' ,i. f �T .�.: BODILY INJURY $ $ $ .0 PROPERTY DAMAGE $ y� ��• COMBINED $ $ PERSONAL INJURY AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS (PRIV. PASS.) ALL OWNED -AUTOS (OTHER THAN PRIV. PASS. ` HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY {�/� 0 ins RECEIVED h - ` ROE CO� 5 ''.; a +r wl E bk INJURY INJURY (PER PERSON) $ eoD INJURRY Y )PER ACCIDENT) $ PROPERTY DAMAGE $ 81 & PD COMBINED $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM C,NTE — 3 —� _ " Ell & PD COMBINED $ $ WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY $ (EACH ACCIDENT) $ (DISEASE -POLICY LIMIT) $ (DISEASE --EACH EMPLOYEE) OTHER ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS PRODUCER THIS CERTIFICATE IS DOESE NOT AMEND, CERTIFICATE CERTIFICATE EXTEND OR APT�ER THE OVERAGE AFFORDED BY THEPOLIC ES BELOW. PAL_t�iF.'R Yt �. AY JC:� RSWE:.I...L_ r INC—, ., COMPANIES AFFORDING COVERAGTE COMPANY LETTER A A. Ti o`;• COMPANY B LETTER INSURED COMPANY C COUNCIL OF 'T'F�OP:I:t �- ... LETTER COMPANY D CT LETTER MT Am T. COMPANY E F'�.. '3x3):L :1'f LETTER • •, OF IM NSURED THER THE IDOCUM DOCUMENT NAMED ABOVE WITH RESPECT O WHICH THE LTHIS CERCY TIFICATE MAY THISISOCERTIFY NOTWITHSTANDING ANY REQUIREMENT, CONDITION C ANY CONTRACT AFFORDED IO THE POLICIES DESCRIBED OROED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI- BE ISSUED MAY PERTAIN, THE INSURANCE TIONS OF SUCH POLICIES. LIABILITY LIMITS IN THOUSANDS CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDDNY) POLICY EXPIRATION DATE (MMIDDNY) EACH OCCURRENCE AGGREGATE LT GENERAL LIABILITY { .' G A 6 01 14' 2 t../'t?:I.!'G i �C.J C?.L/.`.j BODILY $ INJURY A COMPREHENSIVE FORM ' PREMISES/OPERATIONS PROPERTY DAMAGE DAMAGE UNDERGROUND EXPLOSION & COLLAPSE HAZARD x• PRODUCTS/COMPLETED OPERATIONS BI & PD $ $ CONTRACTUAL COMBINED ` (}t•};.. 1,10001 �. r ` INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY $I ? PERSONAL INJURY ' BODILY AUTOMOBILE LIABILITY NJURY $ IPER PERSON) ANY AUTO BODILY ALL OWNED AUTOS (PRIV. PASS.) INJURY (PER AGODENT) $ ALL OWNED AUTOS OTHER THAN 1 PRIV. PASS. / HIRED AUTOS PROPERTY DAMAGE $ NON -OWNED AUTOS GARAGE LIABILITY C s PID COMBIBI NED EXCESS LIABILITY BI & PD $ $ UMBRELLA FORM COMBINED OTHER THAN UMBRELLA FORM STATUTORY WORKERS' COMPENSATION $ (EACH ACCIDENT) AND $ (DISEASE -POLICY LIMIT) EMPLOYERS' LIABILITY $ (DISEASEEACH EMPLOYEE) OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS 1:r? F11::4'a4:X:;Y Nfli"'L1.1 r1't t:OUN} Y 04=" i�iClt l«t:)4:::, :H'F'{f"4::: :I:NfaU{=it: it OF (MINTY +^I`!P'iTk�!:f.�3Ti�s",'T:1:t1i4 FiF:faF'ki:TL> lJ=iE: C)I" t"rllw PIiE::i1:I::a4::Ei 1 iJli t:i:t:tif... C;Clt.l ' in • • • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- O u -n -t Y Of M o Y• r o e? PIRATIft DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO TO THE Ca t? f CO o Ad im 1 T•I 1 a t r a t i f? N 1 MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED W I fig, 1: a :L k O o fn .J()o LEFT, BUT FAILU go, A& SUCH NOTICE SHALL IMPOSE SRE OBLIGATION R LIABILITY kib L I t_: :.7er v l C: e B U. I L d i ng OF ANY KIND -@ADM.GENTSF' AU H RIZE (}()()000 I�:t w ?<:> I , {::I_ ;�U4G C�i�1'� R F TLL, INC. SPEED TO f .S SUBJECT. MESSAGE FROM MONROE COUNTY ADMINISTRATIVE SERVICES Wing III, Room 300, Public Service Building Stock Island, Key West, Florida 33040 DATE 19 SIGNE NATIONAL LOOD INSURANCE PROGRA POLICY RENEWAL DECLARATIONS alwZ1..11bula UlOR3 P.O. BOX 619 LANHAM, MD. 20706 1-800-638-6620 POLICY NUMSER FL2-0096-1286-e POLICY TERM IS FROM nc/T5/87 TO 09/15/88 1201 A.H. TT4E AT THE TNSI)RFD PROPERTY LnCATION, PAYOR IS: INSURED COUNTY OF M9NPOt UFGICE OF CTY ADMINISTRATOk WING III ROAM 3wO 9U9LICSVC BLDG KEY WEST FL 33v4o 4364 3bSl13�Q :S.I�A"��..Al'1�..��aBESS GIRL SCOUT COUNCTL OF TRIP.ICAL FLORIDA TNC 11347 SW 16nTH ST MIAMI FL 33157 2703 TELEPHONE t3^5) 253-4841 �tlillil�IS_�_Gtl.Y.f8Yialt-- BUiLOING: $130,700 — IIE.RliLI181.�-a B u i L D I N G: $1, 0 0 0- �ES�,t��LAi�»DE..3�ut1.12t1�i..�Gtt2..�.IIptZ��iZS BUILDING: TWO FLOORS WITH NO BASEMENT NON—RESIDENTIAL. SMALL BUSINESS CONTENTS: CONTEN C 0Nj?" �� A __`< RECEIVED AUG 261987 COMMUNITY AREA: MONROE COUNTY * Cr7MM � REGULAR PROGRAM- TONE V R BUILDING WAS CONSTRUCTED Ok SUBSTANTIALLY 114PROVFD PRIOR TO BUILDING AND CONTENTS COVERAGE TN FORCE $0 01 : 12 51.29 8 1? l31174 ** * * * * BASIC * * * * * ** ** * * * ADDITIONAL * * * ** TOTAL COVERAGE RATE PREMIUM CJVERAr,E RATE PREMIUM PRFMIUM BLDG: 100#000 X 0*60 = %600.00 3OP700 X 0.75 - $230,00 $830900 CONT: 0 X 0.00 = $O..0 0 X 11vu = $0.110 $A*00 PBGEEBSx_A=AllS CAMP WISUMKEE KITCHEN DINING INFIRMARY W SUMMERLAND KE FL IOU04) 8SE1�Z=S_�1AL��_8�l�_AaQBf S� STEMBLER ADAMS R SwtET 14C 23U1 SW 27TH AVENUE P J BOX 450549 MIAMI FL 33145 TELEPHONE (305) 954-1330 ANNUAL.. SUBTrITAL: $830*00 (057) PR=MIUM DISrOUNT: — $42,00 FXPENSF CONtTANTs %45*00 TOTAL PREMIUM PAID= $834*00 THES= n-cCLARATIONS ARE AS OF AUGUST 19• 1987 01084 NATIONAL_ .-LOOD INSURANCE PROGRA.., P.O. BOX 619 POLICY RENEWAL DECLARATIONS LAN800-HAM, M-6620D. 6 1-800-638-6620 POLICY NUMBER FL2—flm96-1287-6 POLICY TERM IS FROM 09/15/87 TO 09/15/BB 12:01 A *M* TIME AT THE I4SURFD PROPERTY LOC4TTON* QAYOR TS: INSURED COUNTY OF MONROE OFFICE OF CTY ADMINISTRATOR WING III ROOM 300 PUBLICSVC BLDG KEY WEST FL 33040 4164 10ilU&TE2 l hAdE_AIIII_AIIIISf.IS GIRL SCOUT COUNCIL OF TP9PICAL FLnRIDA INC 11347 SW 16DTH ST MIAMI cL 13157 2703 TELEPHlNc (309) 753-4841 �MIIllOtl_IIF_CilY�BASz-- BUILDING: $16.10CY - CONTENT rn SO IIE12�1LII81t_O1�liL1S.IS-- BUILnTNG: $1.00(� - C�t4TE o Il�S�B,i�I1tlQ_DE_9SlILDir�tS_Atit2..GAOtlft�iSS � A BUILDING: ONE FLOOR WITH NO RAS=EMENT RECEIVED NON-RESIDENTIAL SMALL BUSINFSS g AUG 261987 CONTENTS: 8A11nS_IIA.I.� � COMMUNITY AREA: MONKOF COUNTY * COMIUNTTY N RfiGULAR PROGRAM— ZONE V 8 BUILDING WAS CONSTRUCTED OR SUBSTANTIALLY IMPROVED PRIOR TO BUILDING AND CONTENTS COVERAGE IN FORCE 12 5129 R 1?/31/74 ** * * * * RASIC * * * * * ** ** * * * AIDITIONAL * * * ** TOTAL COVERAGE RATE PREMIUM COVERAGE RATE PREMIUM PREMIUM BLDG: 16p 1J0 X V*60 = S47*t!0 0 X 0*75 - tt3*OA tg7oOQ CONT: 0 x 0600 = ¢C*00 0 X 0*0% _ $0*00 St 0#0 ��six_�►�szss CAMP WISUMKEE SHOWER HOUSR W SUMMERLA40 KE FL 1OU00 AS��iI_S_1�6bc_Al�II_9QQ LESS STEMBLEP ADAMS & SWtET TNC 23ii1 SW 27TH AVENUE P 0 BOX 450149 MIAMI FL 31145 TFL70HONE (305) R54-1330 ANNUAL SUBTOTALS S97.0;Ci (05'v) PREMIUM DIISCOUNT: - S5000 EXPENSE CONSTANTI S45s00 TOTAL PREMIUM PAIDS S137*00 THESE DECLARATIONS ARE 4C OF AUGUST 109 14M7 0�� nio85 NATIONAL_ .=LOOD INSURANCE PROGRE,.., / P.O. BOX 619 POLICY kENFWAL DECLARATIONS LAN800- M-6620 6 1-800-638-6620 POLICY NUMBER FL2—OU96-1288-4 POLICY TERM IS FROM 00/15/87 TO 09/15/88 12:01 A.M. TIME AT THE INSURFD PROPERTY LOCATION. PAY00 IS: INSURED AIdzB_L��Il1�3 COUNTY OF MUNROE OFFICE OF CTY ADMINISTRATOR WING TIl ROOM 3J4 PUBLICSVC BLDG KEY WEST FL 3304P 4164 I�S1P_R�S_b8�1�_A�12_lB�3ES= GIRL 'tCOUT CnUk'CTI- nF TROPICAL. FLORIDA INC '11347 SW 16OT4 ST MIAMI FL 33157 2703 TELEPHINE (305) 253-4141 ♦tlIIl1dS..IIf..L9Yi-.SJIS�E-- R U I L D I NG : $16 s l n o— r OrTrNrn $ J, flEII1tL?..tgLS_AbD11 S-- BUILDINt,: %1pooO - CI flFSLB1EIli,i>1..S3E_�lt7.lillb�,_ANQ_fl901I��tIS EIVED BUILDING: ONE FLOOK WITH NO BASEMENT 61987 NON-RESIOENTIAL SMALL RUSINESS CONTENTS: LAIINS_IlAIA ",�< COMMUNITY AREA: MONROF COUNTY * COMMUNITY NU REGULAR PROGRAM- ZONE V R BUILDING WAS C04STRUCTED OR SUBSTANTIALLY IMPRIVED PRIOR TO BUILDING AND CONTENTS COVERAGE IN FORCE : 12 5129 R 12/31/74 ** * * * * BASIC * * * * * ** ** * * * ADnITIONAL * * * ** TOTAL CUVERAG- RATE PREMIUM COVERAGE RATE PREMIUM PREMIUM BLDG. 16.100 X 0.60 = $97.00 0 X 0975 a $O.Ou $9,7000 CONT: 0 X v.00 = Snojo 0 X n*ut3 - $00on $0000 �BflP.zBLY..AflIIB SS CAMP WI SL1MKtE SHOWER HOUSE W SUMMERLAND KE FL 1000U AS�,�I�,S..d4ME�A"1fl..6IIt2�S� STEMBLER ADAMS & SWEET INC 2301 Sri 27TH AVENUE P 0 BOX 450549 MIA41 FL 33145 TELEPHONE (305) 854-1130 ANNUAL' SUBTOTAL! 197 a ou (o5Y) PREMIUM DISrnUNTI — %5.00 EXPENSF CONSTANT: R450op, TOTAL PktMIUM PAID: 113700 THesc OiCLARATIOMS ARE AS 9F AUGU'3T 19• 19407 NATIONAL. LOOD INSURANCE PROGRA. P.O. BOX619 LANHAM, MD. 20706 POLICY RENEWAL DECLARATIONS 1-800-638-6620 POLICY NUMBER FL2-096-1265-0 POLICY TERM It FROM 09/15/137 TO 09/1rl/Ei8 12sC1 A.M. TIME AT THE INSURFn PROPERTY LICATIUN. PAYOR TS: INSURED 21tir.9-LEliBil COUNTY OF MONROE OFFICE OF CTY ADMINISTRaTOR WING III ROOM 300 PUBLICSVC BLDG KEY WES i FL 33140 4364 GIRL SCOUT COUNCIL OF TROPICAL FLORIDA INC 11347 SW l f�JTH "ZT MIAMI FL 33157 2703 TFLFPHONE (305) 253-4841 ♦l�II I_DE_LL3YEi3�SzL-- BUILDING: $44,200 - COm L2FIIltLaL$Lt..QL"�li�la __ BUILDI++NG: TT $1.0on — C0 iL�Si�.ii�.i. ♦+i4L1_i/�.riiiiii�i%ii_A� iL rl.iiil ��iiiY BUILDTNG: TWO FLOORS WITH NO BASEMENT NON-RESTOENTIAL SMALL RUSINE'SS CONTENTS: BASt�_l3BI.A �' COMMUNITY AREA: MONROE COUNTY * COMMUNITY NUMBERS 1? 5129 B REGULAR PROGRAM- 70NF V 8 BUILDING WAS CONSTRUCTED OR SUBSTANTIALLY IMPQ]VFD PRIOR TO 12131/74 BUILDING AND CONTENTS COVERAGE IN FOKCE ** * * * * BASIC * * * * * ** ** * * * ADDITIONAL * * * ** T7TAL COVERAGE RATE PREMIUM COVERAGE RATE PREMIUM PkEMI11M BLOGI 44,200 X 0.60 = $265*00 4 X 0.75 = $0.00 S?65.00 CONTI 0 x 0.00 : 40.U0 n X J.un _ 190.00 s0.Q0 SBIIE�ZY_d��BESS CAMP WISUMKEF ASSEMBLY RLDG W SUMMERLAND KE FL 10000 STEMBLER ADAMS & SWrET 14C 2301 SW ?7TH AVENUE P V PDX 450549 MIAMI FL 33145 TELFPHnNF. (305) 854-133u ANNUAL. SU'PTnTAL:: A265.00 (05%) PREMIUM DISCOUNT; - S13900 EXPENSE CONSTANT: 1-45.00 TUTAL PREMIUM PAID: $?97.00 THESE DECLARATIONS ARE AS OF AUGUST 199 19R7 aml PRODUCER Stembler Adams & Sweet, Inc. 2301 S.W. 27th Avenue Miami, Florida 33145 INSURED Girl Scout Council of Tropical Florida, Inc. 11347 S.W. 160th Street Miami, Florida 33157 9/17/87 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANC' CCPJFER`.i NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NO AO i4E- EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY AFidelity & Guaranty Insurance Underwriters LETTER COMPANY LETTER BFlorida Windstorm Underwriting Assoc. COMPANY C LETTER -- ----- COMPANY D LETTER COMPANY E LETTER THIS IS TO CERTIFY THAT 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 CONDI- TIONS OF SUCH POLICIES. co I TYPE OF INSURANCE LTR GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCURRENCE OWNER S & CONTRACTORS PROTECTIVE AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY OTHER THAN UMBRELLA FORM WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE IMM,DDNYI DATE (MMiDD/W) ALL LIMITS IN THOUSANDS GENERAL AGGREGATE PRODUCTS-COMP%OPS AGGREGATE PERSONAL & ADVERTISING INJURY EACH OCCURRENCE FIRE DAMAGE (ANY ONE FIRD MEDICAL EXPENSE (ANY ONE PERSON CS Is BODILY INJURY iPER PERSON) $ HtH CCIDENTI PROPERTY DAMAGE EACH OCCURRENCE STATUTORY $Q W AGGREGATE )EACH ACCIDENT) (DISEASE -POLICY LIMIT) (DISEASEEACHEMPLOYEE` OTHER Renewal of: A Fire Insurance F022199562 7/1/87 7/1/88 $274,560. Fire - $500. Ded B Windstorm Insurance 76886 6/16/87 6/16/88 $253,000. - $500. Ded. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS Location: Camp Wesumkee County of Monroe Office of County Administrator Wing III, Room 300 Public Service Bldg. Key West, Fl. 33040 ATTN: DONNA J. PEREZ Insurance Specialist SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX. PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESEN AyIVE / /L/7 A PALMER & CAY/C(-RSWEI...L.., INC,. INSURED GIRL.. SCOUT COUNCIL OF TROPICAL FLORIDA, INC. 11.347 SW 160TH STREET MIAMI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Ck NO RIGNTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT A EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A LETTER a ma 'r rid E+In in i t y C: COMPANY B LETTER COMPANY C LETTER COMPANY D LETTER COMPANY E LETTER THIS IS TO CERTIFY THAT 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 CONDI- TIONS OF SUCH POLICIES. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM IXINY) POLICY EXPIRATION DATE (MWDDNY)JDAMAGE LIABILITY LIMITS IN THOUSANDS EACH OCCURRENCE AGGREGATE A GENERAL LIABILITY COMPREHENSIVE FORM .-� G4_.1h9nr53 1/O:�r'33 �./t)1.�£39 $ $ PREMISESIOPERATIONS UNDERGROUND $ $ EXPLOSION & COLLAPSE HAZARD PRODUCTS/COMPLETED OPERATIONS CONTRACTUAL COMBINED $ $ INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY PERSONAL INJURY & , 000, AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS (PRIV. PASS.) ALL OWNED AUTOS (OTHER PTHAN) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY PER PERSON) $, e' BODILY INJURY (PER ACCIDENT) $PRIV. PROPERTY DAMAGE $ GARAGE LIABILITY el 6 PD COMBINED $ T t r",b EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM fN ONROE nigrative Servic OUNTY s/Risk Mgmt. D V. COMBINED $ $ L STATUTORY �,?-. WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY DATE. 7�/ 2:1� U INI TIA�F IALS . Q $ (EACH ACCIDENT) is (DISEASE -POLICY LIMIT) ' $ (DISEASE -EACH EMPLOYEE) OTHER DESCHIPTIUN OF UF'LKA I IUN,ILUI:A I IVNWVr_"fl L=0/0rCIiIAL IICMO GIRL SCOUT ACTIVITIES M O nr o r C o . Parks & C.ec >- �a t i o n SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO F' >a + Box 10� MAIL 3�QQ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUTFAILURETO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West, F L o r i d a 33040 OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATNES. D RUIN ATIVE EMI E-4; i III 1 -1 r_W '41[slAl [_-j11j,1nqj=jELISSUE DATE (MM/DD/YY) 6/2/88 PRODUCER Stembler Adams & Sweet, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, 2301 S.W. 27th Avenue EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami, Florida 33145 COMPANIES AFFORDING COVERAGE LETTERNY A Florida Windstorm Underwriting Assoc. COMPANY B LETTER INSURED Girl Scout Council of Tropical Florida, Inc. COMPANY LETTER C 11347 S.W. 160th Street Miami, Florida 33157 COMPANY LETTER COMPANY E LETTER THIS IS TO CERTIFY THAT 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 CONDI- TIONS OF SUCH POLICIES. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCURRENCE PRODUCTS-COMP/OPS AGGREGATE $ PERSONAL & ADVERTISING INJURY $ OWNER'S & CONTRACTORS PROTECTIVE EACH OCCURRENCE $ FIRE DAMAGE (ANY ONE FIRE) $ MEDICAL EXPENSE (ANY ONE PERSON) $ AUTOMOBILE LIABILITY ANY AUTO CSL $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (PER PERSON) $ BODILY INJURY � CRDENT) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY GARAGE LIABILITY EXCESS LIABILITY *DAMAGE$ EACH OCCURRENCE $ AGGREGATE $ OTHER THAN UMBRELLA FORM WORKERS' COMPENSATION STATUTORY $ (EACH ACCIDENT) AND EMPLOYERS' LIABILITY $ (DISEASE -POLICY LIMIT) $ (DISEASE -EACH EMPLOYEE) OTHER A Windstorm Insurance 76886 6/16/88 6/16/89 $259,000. - $500. Ded. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS Location: Camp Wesumkee, W. Summerland Key, Monroe County, Fl. County Of Monroe SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX• Office of County Administrator PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Wing III, Room 300 MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Public Service Bldg. LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Key West, Fl . 33040 LIABILITY OF ANY'KIND UPON COMPANY ITS GENTS OR REPRESENTATIVES. Attn: Donna J. Perez, Insurance Special i AUTHORIZED REPRESENTATI 0r.. AOMORI), CERTIFICAT►.. OF NSUFM� ISSUE DATE (MM/DD/YY) PRODUCER 2/7/89 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Stembler Adams & Sweet, Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, 2301 S.W. 27th Avenue EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Miami, Florida 33145 CODE INSURED SUB -CODE Girl Scout Council of Tropical Florida, Inc. 11347 S.W. 160th Street Miami, Florida 33157 COMPANIES AFFORDING COVERAGE COMPANY LETTER A► Fidelity & Guaranty Insurance Underwriters COMPANY LETTER B Florida Windstorm Underwriting Assoc. COMPANY `. LETTER COMPANY D LETTER COMPANY E LETTER YCtIAUtu 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 LTR GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DD/YY) RECEIVED MOtJROE COUNTY ►ces/k►sk h1g^rt. �Ev. pdminia.ve Se DA'EE ALL LIMITS IN THOUSANDS GENERAL AGGREGATE $ PRODUCTS-COMP/OPS AGGREGATE $ PERSONAL & ADVERTISING INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MEDICAL EXPENSE (Any one person) $ COMBINED SINGLE $ LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ EACH AGGREGATE OCCURRENCE STATUTORY AND $ (EACH ACCIDENT) EMPLOYERS' LIABILITY $ (DISEASE —POLICY LIMIT) OTHER $ (DISEASE —EACH EMPLOYE A Fire Insurance F-099922801 7/1/88 7/l/89 $211,300.Fire - $500. Ded. (Renewal of) B Windstorm Insurance 76886 6/16/88 6/16/89 $259 000. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS — $500 • Deductibl Location: Camp Wesumkee, West Summerland Key, Monroe County, Florida n.cn I fP1%;n I E "UL€TER CA14CELLATWU County Of Monroe SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Public Service Bldg., Wing 2 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 5825 Junior College Road West MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Key West, Fl. 33040-4399 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Attn: DONNA J. PEREZ, RISK MANAGER LIABILITY OF ANY KIND U N THE COM AN , ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENT ACORD 25-S (3/88) 49111® I PRODL �R CERTIFICATE OF INSURANCE Stembler Adams & Sweet, Inc. 2301 S.W. 27th Avenue Miami, Florida 33145 CODE INSURED SUB -CODE Girl Scout Council of Tropical Florida, Inc. 11347 S.W. 160th Street Miami, Florida 33157 ISSUE DATE (MM/DD/YY) 5/4/89 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 LETTER A Florida Windstorm Underwriting Assoc. COMPANY B LETTER COMPANY `. LETTER COMPANY D LETTER COMPANY E LETTER 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. O TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION TR DATE (MM/DD/YY) DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER A Windstorm Insurance MO►JROE COUNTY Admini-Ara}iv Ser Ices/kisk NIgmt. Div DATE _ T IKIF GENERAL AGGREGATE $ PRODUCTS-COMP/OPS AGGREGATE $ PERSONAL & ADVERTISING INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MEDICAL EXPENSE (Any one person) $ COMBINED SINGLE $ LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY $ DAMAGE EACH AGGREGATE OCCURRENCE STATUTORY $ (EACH ACCIDENT) $ (DISEASE —POLICY LIMIT) $ (DISEASE —EACH EMPLO) 76886 6/16/89 6/16/90 $264,000. - $500. Deductibl DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS Camp Wesumkee, West Summerland Key, Monroe County, Florida County of Monroe Public Service Bldg., Wing 2 5825 Junior College Road West Key West, Fl. 33040-4399 Attn: Donna J. Perez, Risk Manager SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND U%aE COMPANY,IT AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENT471 do oil _ / i/ ACORD 25-S (3/88) 4V PF — —M— r ISSUE DATE (MMIDD/YY) A640119110. CERTIFICATE OF INSURANCE ONLY AND CONFERS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ODUCER NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW }•h4i .ih!^!:� #:{1Y.'t+f�{- ;yLaE ....!_.) j `?' COMPANIES AFFORDING COVERAGE COMPANY A LETTER ODE SUB -CODE COMPANY B LETTER 4SURED COMPANY C ls`.I... 's_I�T t:l.!!S;�ti';'!:':... �.��... •`'s;i_�t:t.i•�w.. LETTER k1 COMPANY D I^ I...LIR 1:1: i LETTER SW 607 COMPANY E MIAMI LETTER COVERAGESIENT WITH RESPECT TO T TERM OR CONDITION OF ANY CONTRACT ORRDESCRIBED HEROCUIV IS SUB ECT TO ALL THE TERMS, CH THIS THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED , NOTWITHSTANDING ANY REQUIREM LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES CO LTR CERTFFI EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. ALL LIMITS IN THOUSANDS__ POLICY DATE (MMFDD YIY) VE POLICY (MMIDDIY EXPIRATION POLICY NUMBER TYPE OF INSURANCE GENERAL AGGREGATE GENERAL LIABILITY {� X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ;; OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER .. .................. z..' .r . .. Received Risk M mt. 1.�s Control PATE INITIAL PRODUCTS-COMPIOPS AGGREGATE $ PERSONAL & ADVERTISING INJURY $ $ " EACH OCCURRENCE FIRE DAMAGE (Any one fire) MEDICAL EXPENSE (Any one person) $ .. y COMBINED SINGLE $ LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY $ DAMAGE EACH AGGREGATE OCCURRENCE $ $ i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMSASP - (.:Cium r KEY WE'ST, STATUTORY q $ (EACH ACCIDENT) $ (DISEASE —POLICY LIMIT) $ (DISEASE —EACH EMPLOYEE CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAN BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL _� DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BdIl"FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. TIVE i ES•'s AUTHORIZED REP Q •r�°�° - CACORD CORPORATION 1981 J"N n a. inn" aSORIO PRODUCER STEMBLER ADAMS & SWEET, INC. 2301 S. W. 27 AVENUE MIAMI,. FLORIDA 33145 :ODE SUB -CODE ISSUE DATE (MM/DD/YY) OF INSM 5/8/90 ER OF INFORMATION ONLY AND CONFERS NSURItIRL SCOUT COUNCIL OF TROPICAL FLORIDA, INC. 11347 S. W. 160TH STREET MIAMI, FLORIDA 33157 THIS CERTIFICATE IS ISSUED AS A MATTATE ENO RIGHT'S UON THE CERTIFICATE HOLDER. THIS XTEND OR ALTTER THE COVERAGE AFFORDED BY ECERTIFIC BELOW NOT AMEND, COMPANIES COMPANIES AFFORDING COVERAGE COMPANY A FLORIDA WINDSTORM UNDERWRITING ASSOC. LETTER COMPANY B fLeCCIVCd LETTER Risk NIgint, &)�ss Control {ir j t COMPANY C DATE LETTER COMPANY D INITIAL LETTER / COMPANY E LETTER IERAGES WHICH THIS THIS IS TO CERTIFY THAT THE POLICIES REQUIREM REQUIREMENT, TERM OR CONDITION OFANYCONTRACT OR OTHER DESCRIBED OHE MEN INT S ECT TO ALLTHETHE TERMS INDICATED, NOTWITHSTAEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POL NDING CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. HO_ THOUSANDS CY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN T CO TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY POLI POLICY NUMBER DATE (MMIDD/YY) DATE (MM/DD/YY) EXCESS LIABILITY ( ✓ / { OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND D EPT. EMPLOYERS' LIABILITY OTHER ay, 6/16/90 A Windstorm Insurance 140106 GENERAL AGGREGATE $ PRODUCTS-COMP/OPS AGGREGATE $ PERSONAL & ADVERTISING INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one tire) $ MEDICAL EXPENSE (Any one person) $ COMBINED SINGLE $ LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY $ DAMAGE EACH AGGREGATE OCCURRENCE $ $ 4 STATUTORY $ (EACH ACCIDENT) $ (DISEASE —POLICY LIMIT) $ (DISEASE —EACH EMPLOYEE $78,000- $500. deductiblefl, 6/16/91 subject to policy forms ar.d conditions. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS CAMP WESUMKEE, WEST SU14 ERLAND KEY, MONROE COUNTY, FLORIDA COUNTY OF MONROE PUBLIC SERVICE BLDG., WING 2 5825 JUNIOR COLLEGE ROAD WEST KEY WEST, FL. 33040-4399 ATTN: DONNALD PEREZ, RISK MANAGER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAILl 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER- NAWOEDTO-THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S (3188) _ ._ TACO PORATION 1988 ISSUE DATE (MM/DD/YY) CEMFICTE OF INSURANM5 / 8 / 90 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS EXTEND OR ALCERTIFICATE ALTER THE COVERAGE AFFORDED BY THE BELOW NOT AMEND, STEMBLER ADAMS & SWEET, INC. 2301 S. W. 27 AVENUE COMPANIES AFFORDING COVERAGE MIAMI, FLORIDA 33145 COMPAN LETTER Y A FLORIDA WINDSTORM UNDERWRITING ASSOC. ;ODE SUB -CODE COMPANY B LETTER Received NSURED Disk Mgmt. Loss ntfol GIRL SCOUT COUNCIL OF TROPICAL COMPANY `. // 7 1 FLORIDA, INC. LETTER DAT- ✓ �! CL 11347 S . W. 160TH STREET COMPANY L LETTER D INITIAL MIAMI, FLORIDA 33157 COMPANY E LETTER fERAGES NAMED THIS IS TO CERTIFY THAINDICATED, OTW THSTAT THE NDINGPERIOD HAVE BEEN ISSUED TO THE INSURED OANYIREQUIR MENTNTERM OR CONDES OF INSURACE LISTED BELOITION OF ANY CONTRACT OR OTHER DOCUMENT WIDTH REOSPECT TOTHE LWHICH 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 ALL LIMITS IN THOUSANDS CO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) _TR GENERAL AGGREGATE $ GENERAL LIABILITY PRODUCTS-COMPIOPS AGGREGATE $ COMMERCIAL GENERAL LIABILITY PERSONAL & ADVERTISING INJURY $ CLAIMS MADE OCCUR. EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT. FIRE DAMAGE (Any one fire) $ MEDICAL EXPENSE (Any one person) $ COMBINED AUTOMOBILE LIABILITY SINGLE $ LIMIT ANY AUTO BODILY ALL OWNED AUTOS INJURY $ (Per person) SCHEDULED AUTOS BODILY HIRED AUTOS INJURY $ (Per accident) NON -OWNED AUTOS PROPERTY $ GARAGE LIABILITY DAMAGE EACH AGGREGATE OCCURRENCE EXCESS LIABILITY $ $ OTHER THAN UMBRELLA FORM STATUTORY WORKER'S COMPENSATION $ (EACH ACCIDENT) AND $ (DISEASE —POLICY LIMIT) EMPLOYERS' LIABILITY $ (DISEASE —EACH EMPLOYEI OTHER A Windstorm Insurance 76886 6/16/90 6/16/91 $192,000. - $500. deductib subject to policy forms and conditions. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS CAMP WESUMKEE, WEST SUMMERLAND KEY, MONROE COUNTY, FLORIDA 'IFiCATE HOLDER CANCELLATION COUNTY OF MONROE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PUBLIC SERVICE BLDG. , WING 2 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO P UBL JUNIOR COLLEGE ROAD WEST MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE KEY WEST, FL. 3304E-4 A LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ATYN' WEST, DONFL P33040EREZ, RISK MANAGER LIABILITY OF ANY KIND UPON THE C ANY ITS A E OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE CACO�RPORATION 1988 ACORO 25-S (3/88) +� ISSUE DATE (MM/DDIYY) A411401UP. MC> 1 FML OF INSUF M 11/29/90 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Palmer & Cay/Carswell , Inc . NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 25 Bull Street P.O. Box 847 COMPANIES AFFORDING COVERAGE Savannah, GA 31402 { C4 COMPANY A LETTER Home Insurance Company COMPANY B LETTER IINSURED 4 COMPANY `+ Girl Scout Council of Tropical LETTER Florida, Inc. COMPANY D 1147 SW 160th Street 3 LETTER Miami, FL 33157 COMPANY E LETTER COVERAGES ' ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION THE HEREIN IS SUBJECT TO ALL THE TERMS, REDUCPOLICIES CERTIFICATE MAY BE ISSUED OR MAY LIMITS RANCE ASHOWN MAOYRDAVE BEENREDUCED BY PAID CLAIMS. ! EXCLUSIONS AND OF UCH POLICIES. C POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS 0 R POLICY NUMBER TYPE OF INSURANCE DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL AGGREGATE $ 5,000 (;GENERAL LIABILITY GLRF720309 01 /01 /91 01 f 01 / PRODUCTS-COMP/OPS AGGREGATE $ 1,000 X COMMERCIAL GENERAL LIABILITY PERSONAL & ADVERTISING INJURY $ 1,000, CLAIMS MADE X OCCUR. EACH OCCURRENCE $ 1 , ow, OWNER'S & CONTRACTOR'S PROT. FIRE DAMAGE (Any one fire) $ 100, MEDICAL EXPENSE (Any one person) $ 5,s COMBINED I AUTOMOBILE LIABILITY SINGLE $ LIMIT ANY AUTO i BODILY ALL OWNED AUTOS INJURY $ F SCHEDULED AUTOS (Per person) BODILY HIRED AUTOS INJURY $ is NON -OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE DAMAGE EACH AGGREGATE EXCESS LIABILITY OCCURRENCE $ $ OTHER THAN UMBRELLA FORM STATUTORY WORKER'S COMPENSATION $ (EACH ACCIDENT) i AND $ (DISEASE —POLICY LIMIT) EMPLOYERS' LIABILITY $ (DISEASE —EACH EMPLOYEE) Received OTHER Risk Mg t. & ss Control DATE Iq DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS INITIAL a` I Scout activities Gam, As respects the use of premises for Girl %JJ/ } r- ccYI�C- M CERTIFICATE HOLDER CANCELLATION a SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE County of Monroe EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO ' Gf ice of CO. Administration MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE z Wing III Room 300 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Public Service Building LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 0 Key West, FL 33040 Q AUTHORIZED I RE;PRINT LL ACORD 25 S (11189) �ACORD CORPORATION 1989 ISSUE DATE (MM/DD/YY) CEI T F � T' INSURANCE5/7/91 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND S CERTIFICATE DOES NOT AMEND, EXTEND XTEND OR ALTER S UPON THE I THE CATE HOLDER. I CONFERS NO HE COVERAGE AFFORDED BY THE STEMBLER ADAMS & SWEET, INC. POLICIES BELOW. 2301 S .W. 27 AVENUE COMPANIES AFFORDING COVERAGE MIAMI, FLORIDA. 33145 COMPAN LETTER Y A FLORIDA WINDSTORM UNDERWRITING ASSOC. COMPANY B LETTER INSURED Received GIRL SCOUT COUNCIL OF TROPICAL COMPANY C RI gTTI\. &Loss Control FLORIDA, INC. LETTER 11347 S . W. 160th STREET COMPANY D DATE l �'' MIAMI, FLORIDA 33157 LETTER IMTIAL ' COMPANY E LETTER COVERAGES TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY DESCRIBED EIN IS SUBJECT TO ALL THE TERMS, INSURANCECERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE AFFORDED POLICIES LIM TSHOWN MAYEHAVE BEEN BY PA CLAIMS. EXCLUS ONS AND CONDIITIONS OF SUCH POLICIES. POLICY EFFECTIVE POLICY EXPIRATION LIMITS CO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LTR GENERAL AGGREGATE $ GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ COMMERCIAL GENERAL LIABILITY PERSONAL & ADV. INJURY $ CLAIMS MADE OCCUR, EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT. FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ i COMBINED SINGLE $ AUTOMOBILE LIABILITY LIMIT ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS (Per accident) NON -OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE $ EACH OCCURRENCE $ EXCESS LIABILITY AGGREGATE $ UMBRELLA FORM nTHFR THAN UMBRELLA FORM _ WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER A WINDSTORM INSURANCE 76886 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 6/16/91 JIHIUIVni uIrvi EACH ACCIDENT $ DISEASE —POLICY LIMIT $ DISEASE —EACH EMPLOYEE $ 0, 00- 500. deductible SUBJECT TO POLICY FORMS, 6/16/92 CONDITIONS, AND EXCLUSIONS. CAMP WESUMKEE, [NEST SUMMERLAND KEY, MONROE COUNTY, FLORIDA CERTIFICATE HOI DER CANCELI.A710N COUNTY OF MONROE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PUBLIC SERVICE BLDG. , WING 2 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 5825 JUNIOR COLLEGE ROAD [,BEST MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE KEY WEST, FL. 33040-4399 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ATTN: DONALD PERE7, RISK MANAGER LIABILITY OF ANY KIND UPON THE COMPANX ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE " • OACORD C ATION 1990 25 S (7/90) Ar CERTIFICATk PRODUCER STEMBLER A.DAMS & SWEET, INC. 2301 S.W. 27 AVENUE MIAMI, FLORIDA. 33145 INSURED GIRL SCOUT COUNCIL OF TROPICAL FLORIDA, INC. 11347 S.W. 160TH STREET MIAMI, FLORIDA 33157 : IN URANCE ISSUE DATE (MO 1 DD/YY) 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 COMPANY A LETTER COMPANY B LETTER COMPANY G. LETTER COMPANY D LETTER COMPANY E LETTER COMPANIES AFFORDING COVERAGE FLORIDA WINDSTORM UNDERWRITING ASSOC. Received Ris�L_ M9mt. & Loss Control DATE IlVfIIAL \-��' 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. POLICY EFFECTIVE POLICY EXPIRATION LIMITS CO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LTR GENERAL AGGREGATE $ GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ COMMERCIAL GENERAL LIABILITY PERSONAL & ADV. INJURY $ CLAIMS MADE OCCUR. EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT. FIRE DAMAGE (Any one fire) $ I MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS COMBINED SINGLE $ LIMIT BODILY INJURY $ (Per person) HIRED AUTOS UUt ILr $ (Per accident) NON -OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT $ AND DISEASE —POLICY LIMIT $ i EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE $ — $500. Deductible OTHER , SUBJECT TO POLICY FORMS, �A WINDSTORM INSURANCE 140106 6/16/91 6/16/92 CONDITIONS AND EXCLUSIONS. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CAMP WESUMKEE, WEST SUMMERLAND I KEY, MONROE COUNTY, FLORIDA CERTIFICATE HOLDER CANCELLATION COUNTY OF MONROE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PUBLIC SERVICE BLDG. WIND 2 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO , 5825 JUNIOR COLLEGE "ROAD WEST MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE KEY WEST, FL. 33040-4399 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ATTN: DONALD PEREZ RISK MANAGER. LIABILITY OF ANY KIND UPON THE COMPANY, IT AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE y ACORD 25-S (7190) 4(DACFO'RQD CORP$I^WN 1990 »«wp^*vA LETTER Home Insurance Company COMPANY INSURED LETTER= 8SC of Trop i ca{ F� or � da, Inc . cmwmm'�� LETTER 1134T SW 160 3treet M � am { FL 33157 LETTER «mw��' D oowpmN� LETTERCOVERASES *OCCURRENCE * OTHER THAN UMBRELLA FORM � WORKER'S COMPENSATION orATonnn, AND $ - (Exo*^Cmosnr EMPLOYERS' LIABILITY ° (DISEASE —POLICY LIMIT) OTHER $ (DISEASE -EACH EMPLOYE] Received DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESISPECIAL ITEMS Risk Mgmt. & Loss Control 09RTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE C,-.) u n t v- EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL - DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE t V S, :4 t LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTAT =" ^"^ 00915 / THE AETNA CASUALTY AND SURETY COMPANY AN POLICY DECLARATIONS RENEWAL POLICY09TERMS /TOF0EC IVE 12:01 AM POLICY NUMBER PREMIUM PAYOR INSURED AE 2-0096-1286-8 AGENT NAME AND ADDRESS STEMBLER—ADAMS & SWEET INC 2301 SW 27TH AVENUE PO BOX 450549 MIAMI FL 33145 TELEPHONE (305) 854-1330 PROPERTY DESCRIPTION BUILDING TWO FLOORS WITH NO BASEMENT NON—RESIDENTIAL SMALL BUSINESS NON ELEVATED BUILDING COMMUNITY LOCATION MONROE COUNTY RATING INFORMATION: REGULAR PROGRAM FRM ZNE CNST DTE AE PRIOR TO 12/31/74 BUILDING AND CONTENTS COVERAGEGEND RATING BUILDING g215,000 CONTENTS $0 RATES:B — 00.65/00.30 C — 00.00/00.00 INSURED PROPERTY ADDRESS CAMP- WESUMKEE KITCHEN DINING INFIRMARY W SUMMERLAND KE FL 10000 LENDER NAME AND ADDRESS COUNTY OF MONROE OFFICE OF CTY ADMINISTRATOR WING III ROOM 300 PUBLICSVC BLDG KEY WEST FL 33040 436 AEtna Flood Insurance Program P.O. Box 34272 Bethesda, MD 20817-0272 800-356-6670 Rea ivtC! kJs;c ML.^nL. is Loss f_�ntcea DATE TiAL. INSURED NAME AND ADDRESS GIRL SCOUT COUNCIL OF TROPICAL FLORIDA INC 11347 SW 160TH S MIAMI FL 33157 2703 TELEPHONE (305) 253-4841 CONTENTS COMMUNITY NUMBER 12 5129 B LOW ELV DEDUCTIBLE BASE ELV CLASS PERCENT 9 05 $1,000 $0 ANNUAL SUBTOTAL: DEDUCTIBLE DISCOUNT: COMMUNITY DISCOUNT: EXPENSE CONSTANT: TOTAL WRITTEN PREMIUM: FEDERAL POLICY SERVICE FEE: TOTAL PREMIUM PAID: ELV RIFF TOTAL PREMIUM $1,100.00 $0.00 $1,100.00 $55.00 $52.00 $45.00 $1,038.00 $25.00 $1,063.00 THESE DECLARATIONS ARE AS OF AUGUST 21, 1992 01914 M"5192s" THE AETNA CASUALTY AND SURETY COMPANY 9. POLICY DECLARATIONS RENEWAL P0LIC09TERMS /TOF0EC IVE 12:01 AM POLICY NUMBER PREMIUM PAYOR INSURED AE 2-0096-1285-0 AGENT NAME AND ADDRESS STEMBLER—ADAMS & SWEET INC 2301 SW 27TH AVENUE PO BOX 450549 MIAMI FL 33145 TELEPHONE (305) 854-1330 PROPERTY DESCRIPTION BUILDING TWO FLOORS WITH NO BASEMENT NON—RESIDENTIAL SMALL BUSINESS NON ELEVATED BUILDING COMMUNITY LOCATION MONROE COUNTY RATING INFORMATION: REGULAR PROGRAM FIRM ZNE CNST DTE AE PRIOR TO 12/31/74 BUILDING AND CONTENTS COVERAGEGEND RATING COVERA BUILDING $63,000 $1,000 CONTENTS $O $O RATES:B — 00.65/00.30 ANNUAL SUBTOTAL: C — 00.00/00.00 DEDUCTIBLE DISCOUNT: COMMUNITY DISCOUNT: EXPENSE CONSTANT: TOTAL WRITTEN PREMIUM: FEDERAL POLICY SERVICE FEE: AEtna Flood Insurance Program P.O. Box 34272 Bethesda, MD 20817-0272 800-356-6670 INSURED NAME AND ADDRESS GIRL SCOUT COUNCIL OF TROPICAL FLORIDA INC 11347 SW 160TH SF MIAMI L 33157 2703 TELEPHONE (305) 253-4841 CONTENTS COMMUNITY NUMBER CLASS PERCENT 12 5129 B 9 LOW ELV BASE ELV INSURED PROPERTY ADDRESS CAMP- WESUMKEE ASSEMBLY BLDG W SUMMERLAND KE FL 10000 LENDER NAME AND ADDRESS COUNTY OF MONROE OFFICE OF CTY ADMINISTRATOR WING III ROOM 300 PUBLICSVC BLDG KEY WEST FL 33040 436 DEDUCTIBLE TOTAL PREMIUM PAID: ELV DIFF TOTAL PREMIUM $410.00 $0.00 $410.00 $21.00 $19.00 $45.00 $415.00 $25.00 $440.00 THESE DECLARATIONS ARE AS OF AUGUST 21, 1992 00916 / THE AETNA CASUALTY AND SURETY COMPANY POLICY DECLARATIONS RENEWAL POLICY TERMS / EFFECTIVE 12:01 AM 09/15/92 TO 09/15/93 POLICY NUMBER PREMIUM PAYOR AE 2-0096-1287-6 INSURED AGENT NAME AND ADDRESS STEMBLER—ADAMS & SWEET INC 2301 SW 27TH AVENUE PO BOX 450549 MIAMI FL 33145 TELEPHONE (305) 854-1330 PROPERTY DESCRIPTION BUILDING ONE FLOOR WITH NO BASEMENT NON—RESIDENTIAL SMALL BUSINESS NON ELEVATED BUILDING COMMUNITY LOCATION MONROE COUNTY RATING INFORMATION: REGULAR PROGRAM FRM ZNE CNST DTE AE PRIOR TO 12/31/74 BUILDING AND CONTENTS COVERAGEGEND RATING BUILDING CONTENTS RATES:B — 00.65/00.30 C — 00.00/00.00 AEtna Flood Insurance Program P.O. Box 34272 Bethesda, MD 20817-0272 800-356-6670 INSURED NAME AND ADDRESS GIRL SCOUT COUNCIL OF TROPICAL FLORIDA INC 11347 SW 160TH ST MIAMI FL 33157 2703 TELEPHONE (305) 253-4841 CONTENTS COMMUNITY NUMBER 12 5129 B LOW ELV DEDUCTIBLE BASE ELV CLASS PERCENT 9 05 ELV RIFF $19,500 $1,000 $0 $0 ANNUAL SUBTOTAL: DEDUCTIBLE DISCOUNT: — COMMUNITY DISCOUNT: — EXPENSE CONSTANT: INSURED PROPERTY ADDRESS CAMP- WESUMKEE SHOWER HOUSR W SUMMERLAND KE FL 10000 LENDER NAME AND ADDRESS COUNTY OF MONROE OFFICE OF CTY ADMINISTRATOR WING III ROOM 300 PUBLICSVC BLDG KEY WEST FL 33040 436 TOTAL WRITTEN PREMIUM: FEDERAL POLICY SERVICE FEE: TOTAL PREMIUM PAID: TOTAL PREMIUM $127.00 $0.00 $127.00 $06.00 $06.00 $45.00 $160.00 $25.00 $185.00 THESE DECLARATIONS ARE AS OF AUGUST 21, 1992 00,917 , THE AETNA CASUALTY AND SURETY COMPANY • POLICY DECLARATIONS RENEWAL POLICY TERMS / EFFECTIVE 12:01 AM 09/15/92 TO 09/15/93 POLICY NUMBER PREMIUM PAYOR AE 2-0096-1288-4 INSURED AGENT NAME AND ADDRESS STEMBLER—ADAMS & SWEET INC 2301 SW 27TH AVENUE PO BOX 450549 MIAMI FL 33145 TELEPHONE (305) 854-1330 PROPERTY DESCRIPTION BUILDING ONE FLOOR WITH NO BASEMENT NON—RESIDENTIAL SMALL BUSINESS NON ELEVATED BUILDING COMMUNITY LOCATION MONROE COUNTY RATING INFORMATION: REGULAR PROGRAM FRM ZNE CNST DTE AE PRIOR TO 12/31/74 BUILDING AND CONTENTS COVERAGEGEND RATING BUILDING $19,500 $1,000 CONTENTS $0 $0 RATES:B — 00.65/00.30 ANNUAL SUBTOTAL: C — 00.00/00.00 DEDUCTIBLE DISCOUNT: COMMUNITY DISCOUNT: EXPENSE CONSTANT: TOTAL WRITTEN PREMIUM: FEDERAL POLICY SERVICE FEE: AEtna Flood Insurance Program P.O. Box 34272 Bethesda, MD 20817-0272 800-356-6670 INSURED NAME AND ADDRESS GIRL SCOUT COUNCIL OF TROPICAL FLORIDA INC 11347 SW 160TH ST MIAMI FL 33157 2703 TELEPHONE (305) 253-4841 CONTENTS COMMUNITY NUMBER 12 5129 B LOW ELV BASE ELV CLASS PERCENT 9 05 INSURED PROPERTY ADDRESS CAMP- WESUMKEE SHOWER HOUSE W SUMMERLAND KE FL 10000 LENDER NAME AND ADDRESS COUNTY OF MONROE OFFICE OF CTY ADMINISTRATOR WING III ROOM 300 PUBLICSVC BLDG KEY WEST FL 33040 436 DEDUCTIBLE ELV DIFF TOTAL PREMIUM $127.00 $0.00 $127.00 $06.00 $06.00 $45.00 $160.00 $25.00 TOTAL PREMIUM PAID: $185.00 THESE DECLARATIONS ARE AS OF AUGUST 21, 1992 COMPANY A Home Insurance Company LETTER CODE SUB -CODE COMPANY B APPROVED BY RISK MANAGEMENT INSURED LETTER COMPANY C BY LETTER GSC of Tropical Florida, Inc. COMPANY D DATE 5 5555 SW 99th Court LETTER Miami FL 33165 COMPANY E WAIVER N/A YES LETTER COYERAG:ES 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 ALL LIMITS IN THOUSANDS LTF DATE (MM/DD/YY) DATE (MM/DD/YY) A GENERAL LIABILITY GLRF859556 1/01/93 1/01/94 GENERAL AGGREGATE 5000 401WNER'S MMERCIAL GENERAL LIABILITY 1000 rE CLAIMS MADE❑X OCCUR. PA A 1000 6 CONTRACTOR'S PROT EACH OCCURRENCE 1000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS DATE.. HIRED AUTOS NON -OWNED AUTOS WAM GARAGE LIABILITY FIRE DAMAGE 100 MRIFffiRSE 5 (ANY ONE �ERSQNI COMBINED SINGLE JxFl�- LIMIT BODILY �• INJURY (PR. PER.) BODILY INJURY YES (PR. ACC.) PROPERTY DAMAGE EXCESS LIABILITY Received EACH AGGREGATE 0 C C U R R E N C Risk Mgmt. & Loss C ntrol OTHER THAN UMBR. FORM ..................... DATE STATUTORY WORKERS' COMPENSATION IMT[Ai ��V (EACH ACCIDENT) AND EMPLOYERS' LIABILITY (DISEASE-POL. LIM.) (DISEASE -EA. EMPL.) OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS As respects use of premises for Girl Scout activities. County of Monroe Office of Co. Admin. Public Service Building 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 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTI E SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE �� NYAl OR REPRESENTATIVES. /� it OUNTY joNROE KEY WESTLORIDA 33040 (305)294-4641 Monroe County Risk Management 5100 College Road Key West, FL 33040 August 10, 1993 Girl Scout Council of Tropical Florida 11347 S.W. 160th Street Miami, FL 33157-2703 BOARD OF COUNTY COMMISSIONERS MAYOR, Jack London, District 2 Mayor Pro Tem, A Earl Cheal, District 4 Wilhelmina Harvey, District 1 Shirley Freeman, District 3 Mary Kay Reich, District 5 AUG 16 jg93 Re: Certificate of Insurance -General Liability-2ND REQUEST Dear Sir/Madam: On July 16th, I wrote you requesting a renewal certificate for your General Liability policy (expiration date 1/1/93). To date I have received no communication from your organization. Please forward a current certificate of insurance to the Risk Management office at above address as soon as possible. If you have any questions, or need assistance, please contact me at 305) 292-4542. Sincerely, Kay Bahleda Risk Management cc: Wendy Key -Buxton LEGIRLSC/txtbahl 2ND PRODUCER STEMBLER ADAMS & SWEET, INC. 2301 S.W.27 AVENUE MIAMI, FLORIDA 33145 INSURED GIRL SCOUT COUNCIL OF TROPICAL FLORIDA, INC. 11347 S. W. 160TH STREET MIAMI, FLORIDA 33157 CO LTR ISSUE DATE (MM/DD/YY) 6/3/93 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 FLORIDA WINDSTORM UNDERWRITING ASSOCIATION LETTER A. COMPANY B LETTER COMPANY LETTER C' 1 sk %44g"`Y Gr �' Control COMPAN LETTER Y D u_ rr COMPANY E LETTER l� 1'E�tAt�iES , 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. POLICY EFFECTIVE POLICY EXPIRATION LIMITS TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER A WINDSTORM INSURANCE GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ COMBINED SINGLE $ LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE $ STATUTORY LIMITS EACH ACCIDENT $ DISEASE —POLICY LIMIT $ DISEASE —EACH EMPLOYEE $ $323,000- $500. deductible 6/16/93 6/16/94 SUBJECT TO POLICY FORMS, 76886 CONDITIONS AND EXCLUSIONS. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CAMP WESUMKEE, WEST SUNMERLAND KEY, MONROE COUNTY, FLORIDA :RTL< CATS HOLDER' COUNTY OF MONROE PUBLIC SERVICE BLDG., WING 2 5825 JUNIOR COLLEGE ROAD WEST KEY WEST, FL. 33040-4399 ATTN: DONALD PEREZ, RISK MANAGER CpMI:L tATON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE F PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIVN VNL,r AINU CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE STEMBLER ADAMS & SVEET, INC. POLICIES BELOW. 2301 S. Y.27 AVENUE COMPANIES AFFORDING COVERAGE MIAMI, FLORIDA 33145 COMPANY LETTER A FLORIDA WINDSTORM UNDERVRITING ASSOCIATION COMPANY B LETTER INSURED APPROVED BY RICK McNA�,EMFMT GIRL SCOUT COUNCIL OF TROPICAL COMPANY (�. FLORIDA, INC. LETTER BY _ 11347 S. Td. 160TH STREET COMPANY D // MIAMI, FL. 33157 LETTER DATE COMPANY E WArVER: WA _ LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER LTR GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ COMBINED SINGLE $ LIMIT EXCESS LIABILITY K&ew'ed UMBRELLA FORM Sk kI n3it. LOSS ontrOi OTHER THAN UMBRELLA FORM V G WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER A VTINDSTORM INSURANCE 140106 6/16/94 6/16/95 DESCRIPTION OF OP.._ ERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CAMP VESU14KEE, LEST SU14fERLAND KEY, MONROE COUNTY, FLORIDA CERTIFICATE HOLDER CANCELLATION COUNTY OF MONROE OFFICE OF COUNTY ADMINISTRATOR VTNG III, ROOM 300 PU FLIC SERVICE FLVD. KEY VEST, FL. 33040 ACORD 25-S (7/90) BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE $ STATUTORY LIMITS EACH ACCIDENT $ DISEASE —POLICY LIMIT $ DISEASE —EACH EMPLOYEE $ 110,000- $500. deductible SUBJECT TO POLICY FORMS, CONDITIONS AND EXCLUSIONS. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPO HE C MPA Y, I S AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTAT SS'�"RD CORPORATION 1990 CERTIFICQTL OF INSURANCE ISSUE DATE (MM/DD/YY) 4/26/ 94 _ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE STEMBLER ADAMS & SVIEET, INC. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 2301 S. W. 27 AVENUE POLICIES BELOW. MIAMI, FLORIDA 33145 COMPANIES AFFORDING COVERAGE INSURED GIRL SCOUT COUNCIL OF TROPICAL FLOPIDA, INC. 11347 S. I,% 160TH STREET MIAMI, FL. 33157 COMPANY LETTER A► FLORIDA_ V?INDSTORM UNDERVRITING ASSOCIATION COMPANY B LETTER APPROVED By ISK MANAGEMENT COMPANY (+. LETTER�� By COMPANY D LETTERDATE COMPANY LETTER E WAIVER: N/A � YES _ ._ _ .._..._ _....,.w .... _. v .__ M _._ _ . 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. T TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ CLAIMS MADE OCCUR. PRODUCTS-COMP/OP AGG. $ OWNER'S &CONTRACTOR'S PROT. PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one tire) $ AUTOMOBILE LIABILITY — __ - . MED. EXPENSE (Any one person) $ ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY _.. UMBRELLA FORM Received EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM {� ,. ' .OSS Control AGGREGATE $ WORKER'S COMPENSATION -- — — STATUTORY LIMITS AND 6�/ ` EACH ACCIDENT $ EMPLOYERS' LIABILITY DISEASE —POLICY LIMIT $ OTHER DISEASE —EACH EMPLOYEE $ 4129000- $1,000, deductiFle A TTNDSTORM 76886 6/16/94 6/16/95 SURTECT TO POLICY FORMS, CONDITIONS AND EXCLUSIONS. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CAMP GESUMKEE, LEST SUMMERLAND KEY, MONROE COUNTY,FLORIDA CERTIFICATE HOLDER CANCELLATION "LL COUNTY OF MONROE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PUBLIC SERVICE BLDG. , V.'ING 2 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 5825 JUNIOR COLLEGE ROAD VEST MAIL 1_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE KEY kEST, FL, 33040-4399 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ATTN: DONALD PEP_EZ, RISK MANAGER LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTAT � ACORD 25-S cc _ ©ACORD CORPORATION 1990 (Z.X s. .G�_�-o(�L�fC �.r ____._- __. 00271 THE STANDARD FIRE INSURANCE COMPANY AEtna Flood Insurance Program P.O. Box 34272 Bethesda, MD 20817-0272 800-356-6670 POLICY DECLARATIONS RENEWAL POLICY TERMS i EFFECTIVE 12:01 AM 08/17/94 TO 08/17/95 POLICY NUMBER AE 2-0286-0025-8 AGENT NAME AND ADDRESS STEMBLER-ADAMS 8 SWEET INC 2301 SW 27TH AVENUE PO BOX 450549 MIAMI FL 33145 TELEPHONE (305) 854-1330 PROPERTY DESCRIPTION BUILDING TWO FLOORS WITH NO BASEMENT A SINGLE FAMILY RESIDENCE NON ELEVATED BUILDING COMMUNITY LOCATION MONROE COUNTY* RATING INFORMATION: REGULAR PROGRAM FRM ZNE CNST DTE A10 AFTER 12/31/74 BUILDING REPLACEMENT COST $110,000 BUILDING AND CONTENTS COVERAGE AND RATING COVERAGE BUILDING $121,000 CONTENTS $0 RATES:B - 00.15/00.07 C - 00.21/00.12 INSURED PROPERTY ADDRESS CAMP WESUMKEE CARETAKER HOUSE W SUMMERLAND FL 33040 LENDER NAME AND ADDRESS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE RD KEY WEST FL 33040 PREMIUM PAYOR INSURED APPROVED BY RISK MANAGEMENT BY _ DATE t � G WAIVER: N/A_ YES INSURED NAME AND ADDRESS GIRL SCOUT COUNCIL OF TROPICAL FLORIDA INC 11347 SW 160TH ST MIAMI FL 33157 TELEPHONE (305) 253-4841 CONTENTS COMMUNITY NUMBER CLASS PERCENT 12 5129 0000 G 9 05 LOW ELV BASE ELV ELV DIFF +15.0 RklvPd +5 Disk ?fit , & LOSS Control !, Nkr1?AL DEDUCTIBLE TOTAL PREMIUM $50 $ SO $125.00 $0.00 ANNUAL DEDUCTIBLE SUBTOTAL: DISCOUNT: - $125.00 COMMUNITY DISCOUNT: - $00.00 $06.00 EXPENSE CONSTANT: $45.00 FEDERALTPOLICY AL TSERVICE TEN MFEE: $ $25.00 $25.00 TOTAL PREMIUM PAID: $189.00 THESE DECLARATIONS ARE AS OF JULY 31, 1994 INSURANCE SHOWING MORTGAGEE INTEREST Date 8/9/94 Owner: Girl Scout Council of Tropical Florida, Inc. Property: Camp Wesumkee, Caretaker House, W. Summerland, Fl. Company and Policy No.: The Standard Fire Ins. Co. POL# AE2-0286-0025-8 Amount: $121,000 Bldg. Effective Date: 8/17/94 Term: 1 yr. The enclosure checked below protects your interest in the above property in accordance with the policy provisions. Please advise if any corrections are necessary. Enclosed: Q Original Policy, KI Renewal Policy, Q Certificate of Insurance, F1 Renewal Certificate, a Endorsement [3 Other. F Monroe County Board STEMBLER-ADAMS & SWEET, INC. TO of County Commissioners POST OFFICE BOX 450549 5100 College Road Key West, Fl . 33040 MIAMI, FLORIDA 33145 L Phone: (305) 854-1330 Ilk A air mI"';"® DATE (MM/DDIYY) ir,401111. CWTIRCATE IMURANM THIS CENTIFICITE IS IM A§ A MATTER OF INFORMATION ONLY AND PRODUCER CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ITI !-�r DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE ia", c, o POLICIES BELOW. 0 o x 847 COMPANIES AFFORDING COVERAGE COMPANY A LETTER COMPANY INSURED LETTER COMPANY c S C L LETTER COMPANY D iyi --j.L JLETTER COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LIMITS POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LTR GENERAL LIABILITY tj AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE X OCCUR. PERSONAL & ADV. INJURY $ OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ C FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ LIMIT ANY AUTO Revel' eAc ALL OWNED AUTOS RiSk �,'Tmt & lk,?ss Control BODILY INJURY $ (Per person) SCHEDULED AUTOS DAT HIRED AUTOS BODILY INJURY $ (Per accident) NON -OWNED AUTOS IM;111A.L GARAGE LIABILITY PROPERTY DAMAGE $ MANAGEMENI EXCESS LIABILITY lRISK EACH OCCURRENCE $ UMBRELLA FORM B AGGREGATE $ OTHER THAN UMBRELLA FORM 56 cl DATE t I I STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT $ AND WAIVER: NIA YES DISEASE —POLICY LIMIT $ EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS v CERTIFICATE HOLDER CANCELLATION. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT19P DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL - DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE il- LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR b LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Y AUTHORIZED,AiflRESf.N7*T4VE ACORD 25-S (7190) e�e'A%691RD CORPORATION IM -Part 2: THIS AMENDED DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF AN`TY ISSUED TO FORM A PART THEREOF, COMPLETE TT BELOW NUMBERED FLORIDA WINDSTORM UNDF XITING ASSOCIATION POLICY. FLORIDti'WINDSTORM UNDERWRITING ASoOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED'S NAME AND ADDRESS " CHANGE NO. 2 THIS IS AN AMENDED GIRL SCOUT COUNCIL OF TROPICAL FLORIDA, I c DWELLING 11347 SW 160TH ST DECLARATIONS PAGE MIAMI, FL 33157-2703 THIS CHANGE IS EFFECTIVE 11/20/94 POLICY TERM 11/20/94 TO 11/20/95 AT 12:01 A.M. (STANDARD TIME) POLICY NO. 662523 INCEPTION DATE EXPIRATION DATE PAGE 1 * THIS STATEM NO OF COVERAGE G ITIONAL OR RE 1 TENANT OCCUPIED ONE STORY MA 9950 OLD CUTLER RD MIAMI, 67,600 CONTENTS OF ABOVE 20,800 i i 21 TENANT OCCUPIED ONE STORY MA STILTS/PILINGS LOC: WEST SUMMERLAND KEY KEY WES 75,878 i CONTENTS OF ABOVE 10,400 Risk DATE _ INITIAL i THE STATUS OF+ YOUR F PREMIUM RESULTED FRC ONRY 1 UNIT DWELLING LOG: ADE FL 33156-4212 1,000 90 i i 1,000 90 i IONRY 1 UNIT DWELLING ON MONROE FL 33043 1,000 90 i 1,000 90 & Loss i...t r„ixcu ICY AFTER THE RECENT THIS CHANGE(S) (S). T-32 67 •0 i T-32 25 .0 T-07 179 .0 T-07 29 .0 APPROVED BY RISK MANAGEMENT BY_ DATE-- V17 TUTAL Rmvutvl yr .- applicable to Automatic Other For Automatic For Other or Reinsurance Increase Provision Increase Provision 0 174,678 .00 300.00 45.00 Subject to Form NO(s): FWUA 10-10 (ED 11/93) FWUA 10-52 (ED 02-94) FWUA 0444 (ED 11-93) Mortgagee/Loss Payee * COUNTY OF MONROE 5100 COLLEGE RD KEY WEST, FL 33040 ITEM #2 Producer: Payor: PALMER&CAY/CARSWELL OF FL 0973 INSURED 1650 PRUDENTIAL DRIVE - SUITE 304 P 0 BOX 1257 JACKSONVILLE, FL 32201-1257 8/07/95 FWUA 3(ED. 7/87) 0973 JJM CC / ` COPY P - A JOY 2664 oC! co c-ai lt- 345.00 1968 ' Part 2: THIS AMENDED DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE T: ELOW NUMBERED FLORIDA WINDSTORM UNDI RITING ASSOCIATION POLICY. FLORIDA VVINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED'S NAME AND ADDRESS CHANGE NO. 3 THIS IS AN AMENDED GIRL SCOUT COUNCIL OF TROPICAL FLORIDA, I GENERAL BUSINESS 11347 SOUTHWEST 160TH STREET W. DECLARATIONS PAGE MIAMI, FL 33157-2703 - THIS CHANGE IS EFFECTIVE 11/20/94 POLICY TERM 11/20/94 TO 11/20/95 AT 12:01 A.M. (STANDARD TIME) POLICY NO. 662524 INCEPTION DATE EXPIRATION DATE PAGE 1 s$ $ $ $ I$ j * THIS STATEMENT OF COVERAGE GIVES THE STATUS OF YOUR PbLICY AFTER 2HE RECENT URN PRENTIUM RESULTED FROM THIS CHANGES) i NO ADDITIONAL OR RET i 1� ONE STORY MASONRY CAMP BUILDINGS LOC MIAMI, I DADE �L 33156 4212 9950 OLD CUTLER ROAD 80 1,000 90 .432 19,968 CONTENTS OF IBOVE 2,080 80 1,000 90 .432 2 ONE STORY MASONRY CAMP BUILDING 90 19,968 80 1,000 .432 i CONTENTS OF ABOVE 2,080 ! 80 1,000 90 .432 3 ONE STORY MASONRY CAMP BUILDINGS 90 j 19,968 80 1000 , .432 CONTENTS OF ABOVE 2,080 80 1,000 90 .432 4; ONE STORY MASONRY CAMP BUILDINGS 90 19,968 80 1,000 .432 CONTENTS OF ABOVE k 2,080 € 80 1,000 90 .432 TUT&L liMvu- . -- \pplicable to Automatic Other For Automatic For Other or Reinsurance Increase Provision Increase Provision $ $ $ Subject to Form No(s): Mortgagee/Loss Payee * COUNTY OF MONROE 5100 COLLEGE RD KEY WEST, FL 33040 ITEM #'S 17-34 Producer: PALMER&CAY/CARSWELL OF FL 0973 1650 PRUDENTIAL DRIVE SUITE 304 P O BOX 1257 JACKSONVILLE, FL 32201-1257 FWUA 3(ED. 7/87) 0973 JJM Payor: INSURED 86 9 86 9 86 9 86 9 .0 .0 .0 .0 .0 .0 .0 .0 I Date: 8/07/95 MORTGAGEE COPY JOY 2664 1975 Part 2: THIS AMENDED DECLARATION PAGE, WITH POLICY PROVISIONS -PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE BELOW NUMBERED FLORIDA WINDSTORM UNI NRITING ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED'S NAME AND ADDRESS CHANGE NO. 3 THIS IS AN AMENDED GIRL SCOUT COUNCIL OF TROPICAL FLORIDA, I GENERAL BUSINESS 11347 SOUTHWEST 160TH STREET DECLARATIONS PAGE MIAMI, FL 33157-2703 THIS CHANGE IS EFFECTIVE 11/20/94 POLICY TERM 11/20/94 TO 11/20/95 AT 12:01 A.M. (STANDARD TIME) POLICY NO. 662524 INCEPTION DATE EXPIRATION DATE PAGE 2 $ 8 $ 51 ONE STORY MASONRY CAMP BUILDINGS 19,968 i 80 j 1,000 CONTENTS OF ABOVE 2,080 80 1,000 I 6' ONE STORY � MASONRY j CAMP BUILDINGS j 19,968 i 80 j 1,000 CONTENTS OF ABOVE 2,080 80 ! 1,000 I 71 ONE STORY MASONRY CAMP BUILDINGS 19,968 80 1,000 CONTENTS OF 1BOVE 2,080 80 1,000 8! ONE STORY MASONRY CAMP BUILDINGS 19,968 80 1,000 CONTENTS OF ABOVE 2,080 80 1,000 91 ONE STORY MASONRY I LODGE/GALLERY BLDGLOC: I 153,504 80 1,000 CONTENTS OF *BOVE j 40,000 80 1,000 AppliIncrease Provision Other 6 $ Subject to Form NO(S): Mortgagee/Loss Payee For Automatic For Increase Provision $ 1 $ Producer: PALMER&CAY/CARSWELL OF FL 0973 1650 PRUDENTIAL DRIVE SUITE 304 P O BOX 1257 JACKSONVILLE, FL 32201-1257 FWUA 3(ED. 7/87) 0973 JJM 90 .432 86 .0 90 .432 9 .0 90 .432 i 86 •0 90 .432 9 .0 90 .432 86 .0 90 .432 9 .0 90 .432 86 .0 90 .432 9 .0 90 .432 663 .0 90 .432 173 .0 Reinsurance Payor: INSURED I Date: 8/07/95 MORTGAGEE COPY JOY 2664 1976 Part 2: THIS AMENDED DECLARATION ^ AGE, WITH POLICY PROVISIONS - PART 1 AND E1,-RSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE FLORIDA WINDSTORM RED UNDERWRITING ASSOCIATIONORIDA WINDSTORM UNL -WRITING POLICY. 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED'S NAME AND ADDRESS CHANGE NO. 3 THIS IS AN AMENDED GIRL SCOUT COUNCIL OF TROPICAL FLORIDA, I GENERAL BUSINESS 11347 SOUTHWEST 16OTH STREET DECLARATIONS PAGE MIAMI, FL 33157-2703 THIS CHANGE IS EFFECTIVE 11/20/94 —i POLICY TERM 11/20/94 TO 11/20/95 AT 12:01 A.M. (STANDARD TIME) POLICY NO. 662524 INCEPTION DATE EXPIRATION DATE PAGE 3 $ $ ! $ $ $ % I 10 j ONE STORY MASONRY SHOWERHOUSE 80 1,000 90 + .432 584 •0 135,200 0 lli ONE STORY FRAME RED HUT UTILITY BLDG! 90 i 61 •0 12,230 0 80 5,000 .500 121 ONE STORY MASONRY STORAGE BLQG 90 104 •0 1 i 23,962 ; 80 1,000 .432 i CONTENTS OF ABOVE 6,240? 80 1,000 90 .432 27 .0 i 13, ONE STORY FRAME SHED 80 1,000 90 .588 15 •0 2,600 CONTENTS OF ABOVE 2,080 80 1,000 90 .588 12 .0 14� ONE STORY FRAME SHED 80 1,000 90 .588 15 .0 2,600 CONTENTS OF ABOVE 2,080 80 1,000 90 •588 12 •0 15 I ONE STORY MASONRY PUMP HOUSE' 80 1,000 90 .432 13 •0 3,120 I 0 APPIiIncrease Provision Other $ $ Subject to Form NO(S): Mortgagee/Loss Payee For Automatic Other For Reinsurance Increase Provision $ $ F—For Producer: PALMER&CAY/CARSWELL OF..FL 0973 1650 PRUDENTIAL DRIVE SUITE 304 P 0 BOX 1257 JACKSONVILLE, FL 32201-1257 FWUA 3(ED. 7/87) 0973 JJM Payor: INSURED I Date; 8/07/95 MORTGAGEE COPY JOY 2664 1977 Part 2: THIS AMENDED DECLARATION P AGE, WITH POLICY PROVISIONS - PART 1 AND ENDnRSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE I JELOW NUMBERED FLORIDA WINDSTORM UND IRITING ASSOCIATION POLICY. FLOFJDA WINDSTORM UNDERWRITING ASSOCIATION - Suite 500, Jacksonville, Florida 32216-6064 7077 Bonneval Road THIS IS AN AMENDED INSURED'S NAME AND ADDRESS CHANGE NO. 3 GIRL SCOUT COUNCIL OF TROPICAL FLORIDA, I GENERAL BUSINESS 11347 SOUTHWEST 160TH STREET DECLARATIONS PAGE MIAMI, FL 33157-2703 - THIS CHANGE IS EFFECTIVE 11/20/94 POLICY TERM 11/20/94 TO 11/20/95 AT 12:01 A.M. (STANDARD TIME) POLICY NO. 662524 INCEPTION DATE EXPIRATION DATE PAGE 4 $ $ I $ $ ' $' $ I � I 161 * CHAIN LINK AI4D WOOD FENCE i 1,000 90 1.634 667 40,814 I 0 i 17 ONE STORY FRAME CHICKEE WITH ';GRASS COVERED ROOF LOC. SUMMERLAND'KEY, MONROE FL 33043 1,000 90 5.975 246 4 117 i ' 0 80 18 ONE STORY FRAME CHICKEE WITH'GRASS COVERED ROOF LOC: 5.975 246 i 4,117 0 80 1,000 90 f 19i ONE STORY FRAME CHICKEE WITHZGRASS COVERED ROOF 5.975 246 4,117 i 0 80 1,000 90 20 ONE STORY FRAME CHICKEE WITH;GRASS COVERED ROOF 5.975 246 4,117 0 80 1,000 90 211 ONE STORY FRAME CHICKEE WITHGRASS COVERED ROOF 90 5.975 246 4,117 0 i 80 1,000 22t ONE STORY FRAME CHICKEE WITHGRASS COVERED ROOF 90 5.975 246 4,117 0 80 1,000 23 ONE STORY FRAME CHICKEE WITHGRASS COVERED ROOF 90 5.975 246 4,117 i I 0 80 1,000 O MO N CO Other i M M MI M For Automatic For Other P M UM For Reinsurance Applicable to Automatic Increase provision Increase Provision $ Subject to Form No(s): Mortgagee/Loss Payee * Producer: PALMER&CAY/CARSWELL OF FL 0973 1650 PRUDENTIAL DRIVE ` SUITE 304 P 0 BOX 1257 JACKSONVILLE, FL 32201-1257 FWUA 3(ED. 7/87) 0973 JJM Payor: INSURED 8/07/95 MORTGAGEE COPY JOY 2664 • Part 2: THIS AMENDED DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMEINTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE I 3ELOW NUMBERED FLORIDA WINDSTORM UNE WfTNG ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ANSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED'S NAME AND ADDRESS CHANGE NO. 3 THIS IS AN AMENDED GIRL SCOUT COUNCIL OF TROPICAL FLORIDA, I GENERAL BUSINESS 11347 SOUTHWEST 160TH STREET DECLARATIONS PAGE MIAMI, FL 33157-2703 A. THIS CHANGE IS EFFECTIVE 11/20/94 POLICY TERM 11/20/94 TO 1 1/20/95 AT 12:01 A.M. (STANDARD TIME) POLICY NO. 662524 INCEPTION DATE EXPIRATION DATE PAGE 5 $ % $ $ $ 241 ONE STORY FRAME CHICKEE WITHIGRASS COVERED ROOF 1,000 90 5.975 246 0 4,117 80 1 251 ONE STORY FRAME CHICKEE WITH GRASS i COVERED ROOF 1 90 5. 975 246 4,117 0 80 000 26� ONE STORY FRAME CHICKEE WITH'GRASS COVERED ROOF 1 90 5.975 246 4,117 0 80 000 271 ONE STORY FRAME CHICKEE WITH';GRASS COVERED x0yr 1 90 5.975 246 80 4,117 0 1,000 28: ONE STORY FRAME CHICKEE WITH , COVERED ROOF 1,000 90 5.975 246I 4, 11 0 80 29 TWO STORY FRAME ASSEMBLY BLDG 80 1,000 1 90 .818 2,058 251,597 CONTENTS OF ABOVE 10,400 80 1,000 90 .818 85 30i TWO STORY MA�§ONRY KITCHEN BLPG 9 0 1,708 285,542 80 000 .598 CONTENTS OF ABOVE 80 50,000000 90 .598 299 M M M M PRE I M 0 O Applicable to Automatic Other For Automatic For Other Increase Provision For Reinsurance $ Increase Provision Subject to Form No(s): Mortgagee/Loss Payee Producer: PALMER&CAY/CARSWELL OF FL 0973 Payor: INSURED 1650 PRUDENTIAL DRIVE SUITE 304 P 0 BOX 1257 JACKSONVILLE, FL 32201-1257 8/07/95 FWUA 3(ED. 7/87) 0973 JJM MORTGAGEE COPY JOY 2664 Part 2: THIS AMENDED DECLARATION— GE, WITH POLICY PROVISIONS -PART 1 AND ENT- - ISEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETET. BELOW NUMBERED FLORIDA WINDSTORM UNDi__ v'RITTNG ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED'S NAME AND ADDRESS CHANGE NO. 3 THIS IS AN AMENDED GIRL SCOUT COUNCIL OF TROPICAL FLORIDA, I GENERAL BUSINESS N_ 11347 SOUTHWEST 160TH STREET DECLARATIONS PAGE THIS CHANGE IS EFFECTIVE MIAMI, FL 33157-2703 11/20/94 POLICY TERM 11/20/94 TO 11/20/95 AT 12:01 A.M. (STANDARD TIME) POLICY NO. 662524 PAGE 6 INCEPTION DATE ENPI EXPIRATION DATE as I p $ % $ % $ % $ 31� ONE STORY M"ONRY SHOWER HOUSE 80 1 1,000 go .598 318 .0 53,248 0 32! ONE STORY MASONRY SHOWER HOUSE so 1,000 90 .598 318 .0 53,248 0 331 ONE STORY FRAME STORAGE SHED; 80 1,000 90 .818 70 . 0 8,500 CONTENTS OF ABOVE 5,200 80 000 90 .818 43 .0 341 CHAIN LINK FENCE 0 80 1,000 90 1.130 200 .0 17,738 M P MIUM PREMIUM TO 0 0. CO For Automatic For Other For Reinsurance Applicableto Automatic her Increase Provision Increase Provision $ $ 0 1,385,691 -00 11,157.00 1,674.00 Subject to Form No(s): FWUA 10-10 (ED 11/93) FWUA 10-52 (ED 02-94) GB2 04/95 Mortgagee/Loss Payee * COUNTY OF MONROE 5100 COLLEGE RD KEY WEST, FL 33040 ITEM #'S 17-34 Other e Payor: DINSURED Producer: PALMER&CAY/CARSWELL oF_FL 0973 1650 PRUDENTIAL DRIVE SUITE 304 P 0 BOX 1257 FL 32201-1257 8/07/95 JACKSONVILLE, Date; FWUA 3(ED. 7/87) 0973 JJM MORTGAGEE COPY JOY P - A 12,831.00 2664 198C ISSUE DATE (MM/DD/YY) 3/27/95 PRODUCER INSURED Palmer & Cay/Carswell, Inc. Girl Scout Accounts P. 0. Box 847 Received Risk Mgmt. & Loss Coot Savannah, GA 314022AT/�j GSC of Tropical Florida Attn: Maria Tejera 11347 SW 160 St Miami FL 33157-2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY A ND 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 LETTER A St. Paul Fire & Marine Ins. Co COMPANY r l-MR COMPANY C LETTER Py _ c�[.LT/• IL - COMPANY D _ LETTER DATE COMPANY E W.'A VER: N/A YES LETTER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN'MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF. POLICY EXP. LIMITS CO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) ,TR 1/01/95 1/01/96 GENERAL AGGREGATE 10000000 A GENERAL LIABILITY CK06804585 PROD-COMP/OP AGG. lOOOOOO X COMM. GENERAL LIABILITY PERS. & ADV. INJURY 1000000 CLAIMS MADE ®OCC. EACH OCCURRENCE 1000000 OWNER'S & CONTRACT'S PROT FIRE DAMAGE(One Fire) 250000 MED. EXP. (One Per) 5000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY UMBRELLA FORM OTHRR THAN UMBRELLA FORM WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY OTHER DESCRIPTION OF OPERATIONS/LOCATTONS/VEHICLES/SPECIAL ITEMS Certificate holder is hereby named additional insured as respects use of premises for Girl Scout activities. County of Monroe Office of Co. Admin. Public Service Building Key West, FL 33040 COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE EACH OCCURRENCE AGGREGATE STATUTORY LIMITS EACH ACCIDENT DISEASE -POLICY LIMIT DISEASE -EACH EMP. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF *4Y UPOWE'FOMPAVY, ITS AGENTS OR REPRESENTATIVES. i/,li�;Lf'r'yrAKM,LI � CC .................::....::..::::::::::..:.>:::::::.;;::.;::.::::::::i::i:.i2:i:::::i::::::>:2::i::::::ist:::i::<::;:::::::::::::3:` a ISSUEDAT$(MM/DD/YY) 12/0 7/95 ::::::::•............ ............. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY A ND PRODUCER CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Palmer & Cay/Carswell, Inc. DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Girl Scout Accounts COMPANIES AFFORDING COVERAGE P. O. BOX 847 COMPANY A St. Paul Fire & Marine Ins. Co Savannah, GA 31402 LETTER COMPANY LETTER A INSURED GSC of Tropical Florida COMPANY LETTER C RY_ .. GLcr�- Attn: Maria Tejera COMPANY PATE D LETTER 11347 SW 160 St COMPANY WAIVER: N/A YES E Miami FL 33157-2 LETTER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF. POLICY EXP. LIMITS CO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) TR 1/01/96 1/01/97 GENERAL AGGREGATE 1000000 A GENERAL LIABILITY CK06805021 PROD-COMP/OP AGG. 1000000 X COMM. GENERAL LIABILITY PERS. & ADV. INJURY lOOOOOO CLAIMS MADE ®OCC. EACH OCCURRENCE 1000000 OWNRR'S & CONTRACr'S PROT FIRE DAMAGE(One Fire) 250000 MED. EXP. One Per 5000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO Received ALL OWNED AUTOS BODILY INJURY Risk M mt. & Loss ntro (Per person) SCHEDULED AUTOS HIRED AUTOS DATE'aa' BODILY INJURY (Per accident) NON -OWNED AUTOS INITIAL GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE RM OTHER THAN UMBRELLA FO ,,, . STATUTORY LIMITS'<';:?;'i:<:<; WORKERS' COMPENSATION EACH ACCIDENT AND DISEASE -POLICY LIMIT EMPLOYER'S LIABILITY DISEASE -EACH EMP. OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Certificate holder is hereby named additional insured as respects use of premises for Girl Scout activities. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE County of Monroe LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Office of Co. Admin. Public Service Building AUTHORIZED REPRESENTATIVE Key West, FL 33040 �t,� ::::::::::::::::.;:.;;:>:.;:::::::::::::;.;:.;:.:>:.;:<:.::::::::::.;.;::::::.:::.::::......:.;.;.......:.. ...:: •::;:::.:::::::::::.;::.:»::;::.:.::::::::.;:.;:.::::;: DATE MRAIDD ORD IVOE 12/2 019 1. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOV.N PRooucER 912 234-6621 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Palmer & Cay of Georgia, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Girl Scout Accounts ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 847 COMPANIES AFFORDING COVERAGE Savannah, GA 31402 COMPANY St. Paul Fire & Marine Ins. Co INSURED COMPANY B Tropical Florida, Inc., GSC of Attn: Maria Tejera COMPANY 11347 SW 160 St ✓ C Miami FL 33157-2703 COMPANY ....POLICY TO THE INSURED NAMED ABOVE FOR THE PO I Y PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,LHE INSURANCE AFFORDED BY THE IMITS SHOWN MAY HAVE BEEN RED CEDBY PAD CLAIMS. CIES• EXCLUSIONS AND CONDITIONS OF POLICY EFFECTIVE POLICY EXPIRATION LIMITS c0 TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDNY) DATE (MM/DD/YY) LTR CK06805021 1 /01 /99 1 /01 /0O GENERAL AGGREGATE $ 2000000 A GENERAL LIABILITY PRODUCTS - COMP/OPAGG $ 2000000 X COMMERCIAL GENERAL LIABILITY PERSONAL & ADV INJURY $ 1000000 CLAIMS MADE OCCUR EACH OCCURRENCE $ 1000000 OWNER'S & CONTRACTOR'S PRO. FIRE DAMAGE (Any one fire) $ 250000 MED EXP (Any one person) $ 5000 AUTOMOBILE LIABILITY . .- OvE - q( "1 r rr .l `� COMBINED SINGLE LIMIT $ t:. ANY AUTO ALL OWNED AUTOS JY BODILY INJURY $ (Per person) n I� SCHEDULED AUTOS HIRED AUTOS DATE ] BO DILY INJURY S (Per accident) NON -OWNED AUTOS S VY�AI'IER' ��` • PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ AGE LIABILITY OTHER THAN AUTO ONLY: ANY AUTO I EACH ACCIDENT $ C` `v lr AGGREGATE $ EACH OCCURRENCE $ EXCESS LIABILITY /� (ll4(.\In��1("IL1i AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WC STATU- OTH- ' WORKERS COMPENSATION AND T RY LIMITS I ER EMPLOYERS' LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR/ INCL EL DISEASE - POLICY LIMIT $ PARTNERS/EXECUTIVE EL DISEASE - EA EMPLOYEE $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS The certificate holder is named additional insured with regards to Girl Scout activites. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County BOCC EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 5100 College Road 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, West, FL 33040 PVBUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. DATE__QL ' AUTHORI7JO RES ATIVE — INITIAI. I ..................... ::::::::::.......::::::::::::....:.::::::::::.:::......:::::::::::......:::::::::::::.......:::.:.:::.......:::::::::::.....::::::::::::....:::..1I��C: fit................... ::. Eiil..................... ED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMITH C RITIF CATE MAYIBESSSUEED OR MAYEPERIREMENT, TERM OR TAIN, HE INSURANCE NA AFON FORDED BY THE POLICIES DESCRIBED OF ANY CONTRACT OR OTHER OHEREINN IS SUBJECT PTOTALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS CO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LTR GENERAL AGGREGATE $ 2000001 A GENERAL LIABILITY CK06805021 1 /01 /01 1 /01 /02 PRODUCTS - COMP/OP AGG $ 2000001 X COMMERCIAL GENERAL LIABILITY PERSONAL & ADV INJURY $ CLAIMS MADE OCCUR EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) S MED EXP (Any one person) $ COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY g ALL OWNED AUTOS (Per person) a �! SCHEDULED AUTOS C^ •�/,,,V/�► BODILY INJURY $ HIRED AUTOS 1 I` (Per accident) — NON -OWNED AUTOS S PROPERTY DAMAGE AUTO ONLY - EA ACCIDENT S GARAGE LIABILITY.` ., i OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE S EACH OCCURRENCE $ EXCESS LIABILITY AGGREGATE S UMBRELLA FORM S OTHER THAN UMBRELLA FORM WC STATU- OTH• TORY LIMITS ER -' WORKERS COMPENSATION AND EL EACH ACCIDENT $ EMPLOYERS' LIABILITY EL DISEASE -POLICY LIMIT $ THE PROPRIETOR/ INCL EL DISEASE - EA EMPLOYEE $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS The certificate holder is named additional insured with regards to Girl Scout activites. 10 0 00 THE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 5100 College Road 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Key West, FL 33040 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KAND UPCVA THE COMPANY ITS AGENTS OR REPRESENTATIVES. .................:.:::::::::::::::::.::.:;:.::.::.:::::......::::;:5;;::;:;:::::;i::;;;;::r,;:::::::;:::. Y ::::::::...........:::::::::::.......:.::::......:.......:...:..:::.:::::.:::..;:::: ::.::.;:.:::::';:::;:;;:;::<;: ':::::`G :ti;:<::?; : ;$_;:;: DATE (MM/DD/Y 1 ....:................. 2 15/99 ACMD :::.;:•::.;:•;;:<;•::.;:.::<.;:;<.:;;•:;:.;:•;:.>:•;:»:<>::»<::»:<:::»:.;:.;;:.;:.::.;;::.;:.;;;:.:::::::::::::::::............... THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATI ON PRODUCER 912-234-6621 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE EXTEND OR Palmer & Cay of Georgia, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, BY THE POLICIES BELOW. ALTER THE COVERAGE AFFORDED Girl Scout Accounts COMPANIES AFFORDING COVERAGE P. O. Box 847 Savannah, GA 31402 COMPANY St. Paul Fire & Marine Ins. Co A INSURED COMPANY B Tropical Florida, Inc., GSC of Attn: Maria Tejera COMPANY 11347 SW 160 St C Miami FL 33157-2703 COMPANY XX tea, ..:::::: H E PO LIC IOD .POLICY I Y PER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED To THE INSURED NAMED ABOVE FO CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY I ES DESCRIBED IS SUBJECT TO ALL THE TERMS, PERTAIN,CERTIFICATE MAY BE ISSUED OR MAY T LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.HEREIN EXCLUSIONS AND COND T ONS OF SUCH POLICIES. POLICY EFFECTIVE POLICY EXPIRATION LIMITS c0 TYPE OF INSURAiNCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LTR CK06805021 1 /01 /00 1 /01 /01 GENERAL AGGREGATE $ 2000000 A GENERAL LIABILITY PRODUCTS-COMP/OPAGG $ 2000000 X COMMERCIAL GENERAL LIABILITY PERSONAL & ADV INJURY $ 1 OOOOOO CLAIMS MADE a OCCUR EACH OCCURRENCE $ 1000000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 2$0000 MED EXP (Any one person) $ 5000 E LIABILITY COMBINED SINGLE LIMIT $ UTO `; "ry:" e�;: ^;,;.s.4'?NED BODILY INJURY S AUTOS (Per person) ULED AUTOSAUTOS `!Y ?E- ��BODILY INJURY(Per accident) WNED AUTOSPROPERTY DAMAGE 77 ;EXCESS Y,Er AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ABILITY • EACH ACCIDENT $ UTO AGGREGATE $ EACH OCCURRENCE $ BILITYAGGREGATE ELLA FORM F` S OTHER THAN UMBRELLA FORM WC STATU- OTH- ,v T RYLIMITS WORKERS COMPENSATION AND EL EACH ACCIDENT S EMPLOYERS' LIABILITY EL DISEASE -POLICY LIMIT S PARTNERS/EXECUTIVE THE PROPRIETOR/ LINCL EL DISEASE - EA EMOFFICERS ARE: OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Certificate holder is hereby named additional insured as respects use of premises for Girl Scout activities. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE County of Monroe EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Office of Co. Admin. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Public Service Building OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIIPI ES ATIVE • I ........................... ................::::::.............:.:::::::::::::................:.:::::::::::.:... ftftC .:..:.. -omair Holdings, Inc. et al Insurance Company Schedule of Insurers November 1, 1999-2000 Policy Number American Home Assurance Company Al 338 7431-02 per AIG Aviation, Inc. Atlanta, Georgia Underwriters at Lloyds, London ADA 1674 and certain British and other companies as held on file with Willis Global Aviation London, England The subscribing Insurers' obligations under policies to which they subscribe are limited solely to the extent of their individual participation. Each of the Insurers, individually for its policy only, has authorized Willis Global Aviation to issue this Certificate on its behalf as a matter of convenience. Willis Global Aviation is not an Insurer and has no liability as an Insurer as a result of issuing this Certificate or under the above policies. 95 �#DATE (MMIDDNY) 9 2 1 / 912 234 6621 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. INSURED Tropical Florida, Inc., GSC of Attn: Maria Tejera 11347 SW 160 St Miami FL 33157-2703 COMPANY St. Paul Fire & Marine Ins. Co A COMPANY B COMPANY C COMPANY D PERIOD :..;.:.....:..;.....:;::.::.;:.:::.::.;::;:.;::::::.;;:.:::::::::::.;;:;:;:.::::::.;:.;::.:::.:::::.;:.;:.;:.::::<:.::::::::::::::..:.,.,::::.::,.................. VE FOR THE POLICY PE R P1' �S`:`•>::::>::>E<:>i>;<>i>i::::<[:i::;::t:>:<::<... ....... ;;:;:::;::; E BEEN ISSUED TO THE INSURED NAMED ABO THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE TO WH INDICATED, NOTWITHSTANDING OR MAYEQUIIRE NE THE ITERNSURANCE OR C ENAFFIORDON OED BY THE POLICIES DESCRIBED F ANY CONTRACT OR OTHER OHEREIN S SUBJECT TOTALL THE TERMS, CERTIFICATE MAY BE Y PAID CLAIMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE B EFFECTIVE REDUCED POLBCY EXPIRATION LIMITS CO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DDNY) LTR 1/O1IO1 GENERAL AGGREGATE $ 200000( 1 /01 /00 A GENERAL LIABILITY CK06805021 PRODUCTS -COMP/OP AGG $ 200000I X COMMERCIAL GENERAL LIABILITY CLAIMS MADE AI OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY 7 ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERSIEXECUTIVE EXCL OFFICERS ARE: OTHER PERSONAL & ADV INJURY $ EACH OCCURRENCE S FIRE DAMAGE (Any one fire) S MED EXP (Any one person) $ COMBINED SINGLE LIMIT I $ URY $ ) JURY Snt) DAMAGELY %AGGREGATE - EA ACCIDENT SAN AUTO ONLY: '. PATE EACH ACCIDENT $ Y�r — AGGREGATE S EACH OCCURRENCE S AGGREGATE S S WCSTATU- OTH- 'I T Y `•/1` EL EACH ACCIDENT $ /1 /1 I /'ln V IN 1 O LIMIT EL DISEASE- EALEMPLOYE $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS The certificate holder is named additional insured with regards to Girl Scout activites. Monroe County BOCC 5100 College Road Key West, FL 33040 (DATE INITIAL ............... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T HE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, HOpIi.Y 4ES ATIVE //�� ACORDrM PRODUCER.::......... _...... INSURED Palmer & Cay of Georgia, Inc. National Accounts P. 0. Box 847 Savannah, GA 31402 GSC of Tropical Florida, Inc. Attn: Maria Tejera 11347 SW 160 St Miami FL 33157-2703 V F li 1ABIL11L. � � �i :: .. DATE l 129/01 /1/19/01 912-234-6621 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 St Paul Fire & Marine Ins Cc 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, 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 POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS LTR DATE (MMlDDlYY) DATE (MMlDD/YY) ` A GENERAL LIABILITY CK06805021 1 /01 /02 �1 /01 /03 GENERAL AGGREGATE S 2000000 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 2000000 CLAIMS MADE 7 OCCUR PERSONAL & AOV INJURY $ 1000000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one fire) $ 500000 MED EXP (Any one person) $ 5000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CK06805021 APB © R� BY DATE � NIA K AN A" YES fi I COMBINED SINGLE LIMIT $ inoonnn BODILY INJURY (Per person) $ 1000000 i~ BODILY INJURY (Per accident) $ 1000000 PROPERTY DAMAGE $ 1000000 GARAGE LIABILITY ANY A'JTO WAIVER AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL I ORY LIMT OER EL EACH ACCIDENT 9 EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS The Certificate Holder named below is an ADDITIONAL INSURED for the use of its premises for Girl Scout activities of the insured Girl Scout Council. Date of Activity for One -Time Event: A] 1 Year (if "annual", so indicate) G� Monroe County Board of County Comissioners Risk Management 1100 Simonton St 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 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON• THE COMPANY. ITS AGENTS OR REPRESENTATIVES. CORD A rm PRO DUCER UCER INSURED Palmer & Cay of Georgia, Inc. Girl Scout Accounts P. 0. Box 847 Savannah, GA 31402 Tropical Florida, Inc., GSC of Attn: Executive Director 11347 SW 160 St Miami FL 33157-2703 CLAIMS MADE u OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO ...-R,„;, .ww!. ip., .:.,.�,''%%1�:::. � DATE (MM/DDNY) .:..:.:;.:. :. .:::::.::.>:.>:.:;:::::;:.>:.: 01 /0 1 i0 3 912-234-6621 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 St. Paul Fire & Marine Ins. CO COMPANY B COMPANY C EXCESS LIABILITY UMBRELLA FORM APP S OTHER THAN UMBRELLA FORM BY WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DATE THE PROPRIETOR/ WAIVER NSA PARTNERS/EXECUTIVE INCL OFFICERS ARE: EXCL OTHER I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS The certificate holder is named additional insured with regards to Girl Scout activites. Monroe County BOCC 5100 College Road Key West, FL 33040 PRODUCTS - COMP/OP AGGE$2PERSONAL& ADVINJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE I $ AUTO ONLY - EA ACCIDENT S OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE S EACH OCCURRENCE S AGGREGATE S S TO LIMITS ri IEL EACH ACCIDENT $ EL DISEASE -POLICY LIMIT S EL DISEASE - EA EMPLOYEE I $ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPrawN. THE C'NY'ITS AGENTS HORIZED RFCCu OR REPRESENTATIVES. Client#: 20326 TROPIFLO ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE 12/03/03D) PRODUCER Savannah - Girl Scouts Program Palmer & Ca ,Inc. 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. 25 Bull Street Savannah, GA 31401 INSURERS AFFORDING COVERAGE NAIC # INSURED GSC of Tropical Florida, Inc. 11347 SW 160th St. Miami, FL 33157-2703 INSURERA: St Paul Fire & Marine Ins Co INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRDD LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY CK06805021 01/01/04 01/01/05 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGES I E.RENTED $500 000 CLAIIdS MADE Fx-1 OCCUR MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2,0001000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2 000 000 POLICY JE� LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY A (�AN\ M E T AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO BY $ EXCESS/UMBRELLA LIABILITY DATE EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ; TWOTH SLIMITTATU- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The certificate holder is named additional insured with regards to Girl Scout activites. Monroe County BOCC 5100 College Road Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An 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 E. L ACORD 25 (2001108) 1 of 1 #M77740 10SCS © ACORD CORPORATION 1988 S —3 DATE ACORD- CERTIFICATE OF LIABILITY INSURANCE 12/03103D PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Savannah - Girl Scouts Program ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Palmer S Cay, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 25 Bull Street Savannah, GA 31401 INSURED GSC of Tropical Florida, Inc. 11347 SW 160th St. Miami, FL 33157-2703 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURERA: St Paul Fire 8r Marine Ins Co INSURER B: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MWDD/YY LIMITS A GENERAL LIABILITY CK06805021 01/01/04 01 /01105 EACH OCCURRENCE $1 000 000 DAMAGE TO RENTED $500000 MERCIAL GENERAL LIABILITY MED EXP (Anyone person) $rj000 N:C-0:1M CLAIMS MADEEROCCUR PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 [GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY 7 PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS F1 PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO A D 1 K MN UEMEI AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ BY AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY DAI E EACH OCCURRENCE $ AGGREGATE $ OCCUR El CLAIMS MADE --- i— $ WAVER NIA . ___ YES $ DEDUCTIBLE $ RETENTION $ WC STATUS OTH- WORKERS COMPENSATION ANDTORYEMPLOYERS' E.L. EACH ACCIDENT $ LIABILITY �k&) ANY PROPRIETORIPARTNERIEXECUTI E OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT 1 $ If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is hereby named additional insured as respects use of premises for Girl Scout activities. County of Monroe Office of Co. Admin. Public Service Building Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An _ 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 ACORD 25 (2001/08) A of 1 #M77740 GO 10SCS © AGUKD GUKFUKAIIUN IVtftf DATE ACORDTM CERTIFICATE OF LIABILITY INSURANCE 12/15/04D) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Savannah - Girl Scouts Program ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Palmer & Cay, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 25 Bull Street Savannah, GA 31401 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: St Paul Fire & Marine Ins Co GSC of Tropical Florida, Inc. INSURER B: 11347 SW 160th St. INSURER C: Miami, FL 33157-2703 1 INSURER D: INSURER E: COVERAGE5 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. FNSRPOLICY LTR A NSR TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR POLDD'dICY NUMBER CK06805021 EFFECTIVE DATE MWDD 01/01/05 POLICY EXPIRATION DATE M DD 01/01/06 LIMBS AMAGETOCH RENTE $1,000,000 DAMAGE TO RENTED DAMAGE PREMISE (Ea occurrence) $500 000 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP/OP AGG s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO El LOC JECT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 19 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO BY �_---- -- t .... AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY'S OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below �+� �"? "' % �. ny (`..h! _ EACH OCCURRENCE $ AGGREGATE $ $ WCSTATU- OTH- $ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The Certificate Holder named below is an Additional Insured for the use of its premises for Girl Scout activities of the insured Girl Scout Council. nv�uerc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County BOCC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL A0_ DAYS WRITTEN 5100 College Rd. 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 ACORD 25 (20 AI08) 1 of 1 #M151839 105C5 tv GC- AA_DTM CERTIFICATE OF PRODUCER TROPIFLO (MM/DD/YYYY) LIABILITY INSURANCE Savannah - Girl Scouts Program 12/' 5/04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Palmer & Cay, Inc. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES 25 Bull Street NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Savannah, GA 31401 POLICIES BELOW. INSURED INSURERS AFFORDING COVERAGE GSC of Tropical Florida, Inc. INSURER A: St PaUI Flre & Illlar7ne Ins Co NAIC # 11347 SW 160th St. INSURERB: Miami, FL 33157-2703 INSURER C: INSURER D: COVERAGES 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 MAY PERTAIN, THE INSURANCE AFFORDED BY THE THIS CERTIFICATE MAY BE ISSUED OR POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH .TR NSR TYPE POLICY NUMBER OF INSURANCE A GENERAL LIABILITY CK06805021 POLICY EFFECTIVE POLICY EXPIRATION /DD DATE MMD DATE MM D/YY LIMITS X COMMERCIAL GENERAL LIABILITY 01/01/05 01/01/06 EACH OCCURRENCE $1 OOO OOO CLAIMS MADE X OCCUR TO D I DAMAGERENTEencel I $500-000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n PRO- ECT I I LOC AUTOMOBILE LIABILITY ]ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS I LIABILITY AUTO MBRELLA LIABILITY UR CLAIMS MADE CTIBLE NTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERJEXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER DATE �. ...._ DESCRIPTION OF OPERATIONS !LOCATIONS !VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The Certificate Holder named below is an Additional Insured for the use of its premises for Girl Scout activities of the insured Girl Scout Council. 1,C'`-,9 ," County of Monroe Office of Co. Admin. Public Service Building Key West, FL 33040 ACORD 25 (2001/08) 1 of 1 #M151839 MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OPAGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY- EA ACCIDEN OTHER THAN EA AC AUTO ONLY: - - E.L. EACH ACC E.L. DISEASE - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS ITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAIL— URE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPPrAPUTA-1. 10SCS © ACORD CORPORATION 1988 Client#: 20326 TROPIFLO ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMID 12/28/05DNYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Savannah - Girl Scouts Program Palmer 8r Ca ,Inc. y ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 25 Bull Street Savannah, GA 31401 INSURERS AFFORDING COVERAGE NAIC # INSURED Girl Scout Council of Tropical Florida, Inc. 11347 SW 160th St. Miami, FL 33157-2703 INSURER A: Travelers Property Casualty Co of Am INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD' NSR TYPE OF INSURANCE POLICY NUMBER DATYM /DDr VE P DATE IM PI D TION LIMITS A GENERAL LIABILITY 6601268C314 01/01/06 01/01/07 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RSES (E.ENTEDREM occurrencel $500 000 CLAIMS MADE F_x1 OCCUR MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 PRO- POLICY LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ f'i,k/.=1At AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE' - -. $ $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY r ^, f TTLIMITWC STATU- OTH- I ER ANY PROPRIETOR/PARTNER/EXECUTIVE u .L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? Use describe under SPECIAL PROVISIONS below .L. DISEASE - POLICY LIMIT Is OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The Certificate Holder named below is an Additional Insured for the use of its premises for Girl Scout activities of the insured Girl Scout Council. County of Monroe Office of Co. Admin. Public Service Building �y West, FL 33040 cC ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL I0_ 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 A"VKU L* tzUUI/U0) 1 Of 1 #M228210 10SMA © ACORD CORPORATION 1988 Client#' 214838 TROPFLO ACORD- CERTIFICATE OF LIABILITY INSURANCE 12104/06°YYY" PRODUCER Wachovia Insurance ServSA, GA 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 25 Bull Street ------------ - - ----- "ALTER TF14 COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 847 i Savannah, GA 31401_ 1111SURERSA FORDING COVERAGE NAIC# INSURED GSC of Tropical Florida, Inc. f F E wsuRE A Tr velers Proparty Casualty Co of Am 25674 uREk B: T velers Casualty and Surety Compan 19038 11347 SW 160th St. 1 INSUREI C: Miami, FL 33157-2703 E: V 1� fJ' M 1" I(INSURER i____-_ 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. LTR um R TYPE OF INSURANCE POLICY NUMBER POLICY EFFEp TWE POLICYM"DNY) LIMITS A GENERAL LIABILITY L X COMMERCIAGENERAL LIABILITY 660126BC314 01/01/07 01/01/08 EACH OCCURRENCE $1000000 DAMAGE TO RENTED — $50O 000 MED EXP (Anyone pyon,.) $$ 000 CLAIMS MADE a OCCUR PERSONAL B ADV INJURY $1000000 GENERA -AGGREGATE s2.000.000 GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2000000 POLICY M LOG A AUTOMOBILE LIABILITY ANY AUTO BA2087C328 01101/07 01/01/08 COMBINED SINGLE LIMIT ec (Ea ul.ni) $1,000,000 X BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Peraccident) $ HIRED AUTOS NON -OWNED AUTOS r X PROPERTY DAMAGE (Per am ent) $ _ - / •� / GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY OCCUR El CLAIMS MADE pC, EACH OCCURRENCE $ AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND UB3076Y589 01/01/07 01101/06 WC STAMTjTU- OTH- E.L. EACH ACCIDENT $500000 EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE OFHCERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $500000 EL.DISEASE - POLICY LIM IT $500,000 If yes. tleacrfba antler SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The Certificate Holder named below is an Additional Insured with respect to General Liability Coverage for the use of its premises for Girl Scout activities of the insured Girl Scout Council. Monroe County Board of County Commissioners Monroe County Risk Management 1100 Simonton Street Key West, FL 33040 M ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'in DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR ACORD 25 (2001108) 1 of 2 #1115704 5ANU4 W Au Umu wrtrvl I Ivry 0000 C9entr: 2149M TROPFLO ACORD. CERTIFICATE OF LIABILITY INSURANCE I out =am M rRDoucMt Wachovla Insurance Serv-SA, GA 25 Bull Street PO Box $47 Savannah, GA 31401 —_.. r �'t N THIS BNOn -At?"tT VE ISSUED AS A MATTER OF INFORMATION rTTE DOES NOT AMEND,FUGHTS UPON THE EXTEND OR P.AFFORDED BY THE POLICIES BELOW. 1141MAIIIII RDINC COVERAGE HARD INNuaO 080 of Tropical FlorWa, Inc. f 1347 sw 1sm St Miami, FL 33157-2703 M�"iR0 RISK IbiAf r leq B: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE ASH ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER= INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BB M8UBO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIO= DESCRIBED HEREIN M SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE UMR88MOWN MAY HAVE SEEN REDUCED BY PAID CLAMS, TWaO►ELLURANCS POLICY MSMM{ I" A MEML LINBnY 6801268C314 01/01/08 01101/09 rADM oaunnn $1.000,000 kn1ar.=1 2600000 X OOMLMLCRLOSNEmA L.IIY MAW MACE ©OCOUR INDEWWNaMwmv $6,000 PERWMLBAW MAMY OM9tMLAGLUMM 02,000,000 OnfL RBMTELREIr"KluP91L• Psomers-OO,IRWA00 $2,000,000 POLICY LOC A AVTONOBLB X LIAMLM ANYAUTO DA20SICS28 01/01/08 01/01/09 Opq gM01L LIMIT ,1,000,000 SOMLYIPL RY PR PrN,Ni I ALLOLMMAUms acM EOAYTDB X X HMEOAAOS NOI40NWE0 AVIOs 8001LV MARY (PPr AmYNiO t (PROPEWDAMA09 f i, � 1 9ARAO9 LJNRIIY AUTOOMLY-GAOCIDNMf oT1MR Tww MAcc Av1ocMLY. AGO AxrAuro - _ ____. _. --...___.. I NXWn$MMMMLLA LIABILITY OCCUR CLAW was 64 62 _.'--_,__, BVMocr Rmai AGGREGATE t OEOVCRKE , , 11111TRINTICH 8 A maNMM cownts TMN Aso UB30TOYS89 01/01/08 01/0IM9 OIPLGY LIMLRY AMYPROMIBTORIPARTNESIMM vm OPFX>71RI,MNq EIICLVDEOT L ewMMln LLFAcx ADDNaIIT ,s00 OOO LLa"As a-M BAVMLJQMY EE 500000 OYLMR ,30O 00D OIMNR OMCILIF"m OP OI I LDMTMMI I VWAM l=melon ADDEDn BNOOR mw IsmO FROLNMMs Reference contract number PYB-CYFC-01. The Cartiscafe Holder named below Is an Additional Insured for the use of Its promises for GIN Scout activities of the insured GM Seoul Council. Monroe County Board of County C Monroe County Risk Management 1100 Simonton Street Key Kest, FL 33040 01301920 CG � c_a�►�-cciwrti INMIRMWNLSNMAVORTONAIL ,--1fl- MVeW "Ind MOLDER NAMM TOTME LSR, SOT FROM T000 BO SMALL NOOaLMATIONMLWRm0IANYMNOUNWMN RER,fIIMBRSOR ACORM CERTIFICATE OF LIABILITY INSURANCE 211=8 '� PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wachovla Insurance Serv-SA, GA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 28 Bull Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE3 BELOW. . PO Box 847 Savannah, GA 31401 INSURERS AFFORDING COVERAGE NAIC S INSURED WBURERA: Travelers GSC of Tropical Florida, Inc. 11347 SW 160th St. NVURERe Miami, FL 33157.2703 a R c; O: VNKNWA I--- COVFRAG rs THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANONG ANY RECVJffU DENT. 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 E SMECT TO ALL THE TERMS, EI=810101 AND CONDITIONS OF SUCH POLICIES. ANTE L*AT8 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAI M& TYPB Ole INSURANN POLICY NUMBER2=01wmmm 0 01/10 Lam A G7ENERAL LIABILR1r COM�RCIAL UDWAL LIABILITY CLAM MATE ® OCCUR W12UC314 01/01109 11KCH OCCURNSM $1,000,000 MED IMP on. : 35.000 PERSONAL a ADV BI, M 61 000 000 GENERAL AGIOREGATM: Q 000 GM AGGREGATE LINT MPLUM PER. Patter Loc PRODUCT*-10=140P AGG $2 000 000 A AUTONODU LIASR.ITY MY AM ALL OWNED, AUTOS SCHEDULED AUTOS HIRM:D AUTOS: NON-aII�NED Auras BA2087C328 01/01/09 ` 01/01/10 ai�xEL��r $1,000,000 X BODLYMJURY X SOOLY r i X PROMM" I DAUAGe : GARAGE 1 LIABILRY ANY AUTO 7j -Z:� rq-i- - AUTO ONLY - EA ACC OM $ OTHER THAN EA ADC AUTO ONLY. AOG S i 11=88SAINBRELLA LIABNJff oecta C LANIM MADE OEDUCTNU RETENTION i V EACH OCCURRENCE I AGGREGATE _ A wORxwm oDMAPENBA'rim AND 01MAYOW LlAeamr ANY PROPRLETORIVE OFFICENMaABER EXCxtX>I` N E . d Ibs YIldK UB3076YS89 01/01109 01/01110 ILL. EACH pxrx NT $500 000 E.L. DISEASE - EA EMPLOYN $3O0 000 E.L. DISEASE - POLICY LIMIT s500 OOO OTNER DESCR"CNt OF OPERATIOpi i LOCATIO110 I VONCI.MM I E XCLUSIO148 ADDED BY EIIOOIgEMENT i SPECIAL PROVISMS, The Certificate Holder named below is an Additional insured with respect to General UabUity Coverage for the use of its premises for Girl Scout activities of the insured Girl Scout Council. Activity: Grant for Migrant after school academic program. (See Attached Descriptions) Monroe County Board of County Commissioners Risk Management 1100 Simonton St. Key West, FL 33040 LD ANY OF THE ADM DEs CVMD POLICWA BE CANCELLED BORE THE EXPIRATION TIIERMBDF. THE ISSUING INSURE: WnL ENDEAVOR TO MAIL _. All DAY: WRTTTEN X TO THE CERTWICATE TNOLDER NAtYIRD TO THE LEFT, BUT FAILURE TO DO 50 SHALL It NO OBLIGATION OR LIABILITY OF ANY WND UPON THE IIMURER. ITS AGENTS OR ACORD 25�t IAIII)1 of 3 #1428490 CG. 6AN04 0 ACORD CORPORATION 198 TROPFLO ACORUm CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 /25/2010 PRODUCER Commercial Lines... (912) 234-6621 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CO NO RIGHTS UPON THE CERTIFICATE Wells Fargo Insurance Services USA, Inc R_. HM. THIS 7CERFICATE DOES NOT AMEND, EXTEND OR HE COGE AFFORDED BY THE POLICIES BELOW. 25 Bull Street __( Savannah, GA 31401 INSURERS AFTers RDIN COVERAGE NAIC # INSURED Girl Scout Council of Tropical Florida, Inc. INSURE hearter�ak Fire Ins. Co 25615 INSURER B: TravPr erty Casualty Company of America 25674 11347 SW 160th St. -INS RERr,-Travelers Ca ualty and Surety Company 19038 Miami, FL 33157 2703 ENSURER-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. LTR NSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MWDD/YY LIMITS A GENERAL LIABILITY 6601268C314 01 /01 /10 01 /01 /11 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FRIOCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO- F_]LOC JECT B AUTOMOBILE LIABILITY ANY AUTO BA2087C328 01 /01 /10 01 /01 /1 1 COMBINED SINGLE LIMIT (Ea accident) $ 1 �� X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY. oo AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY FIOCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ _ $ $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE U B3076Y589 01 /01 /10 01 /01 /1 1 X I WC STATU- I OTH- E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,E OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The Certificate Holder named below is an additional insured on the general liability policy with respect to the use of its premises for Girl Scout activities of the insured Girl Scout Council. �C� 0, CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners Monroe County Risk Management 1100 Simonton St. Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08)1 of 2 1148450 0 ACORD CORPORATION 1988 .4c'c�rr� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/20/2010 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polk lea may re r p ant. A kdoment on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Commercial Lines — (912) 234-6621 Wells Fargo Insurance Services USA, Inc 25 Bull Street ------ TACT----1 NAME: PHONE j FAX AIc No): 1 D PRODUCER TROPFLO Savannah, GA 31401 _. ----- - INS RER S AFFORDING COVERAGE NAIC p INSURED ' `orb - Girl Scout Council of Tropical Florida, Inc. R6'c '' A; The C arter Oak Fire Ins. Co 25615 rs Property Casualty Company of America 25674 INSURER C : Travelers Casualty and Surety Company 19038 11347 SW 160th St. INSURER D : INSURER E : Miami, FL 33157 2703 INSURER F : rnVGaer_lPc rFRTIFIr_ATF NIIMRFR• 2137119 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 6601268C314 01l01/11 01/01/12 _ a EACH OCCURRENCE $ 1,000,000 IMAGE T RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO LOC POLICY JECT PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BA2087C328 r^ J � 01/01/11 ' �'! r-y ' 'mil i.� 01/01/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X UMBRELLA LIAR EXCESS LIAR OCCUR J/ ) `'/ EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA` UB3076Y589 01/01/11 01/01/12 U- OTH- X I WC STATTER TORY LIA E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 7 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) The Certificate Holder named below is an additional insured on the general liability policy with respect to the use of its premises for Girl Scout activities of the insured Girl Scout Council. G G rc a,,-) C CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. Key West, FL 33040 AUTHORIZED REPRESENTATIVE oo,o„ The ACORD name and logo are registered marks of ACORD 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 111111111111111111111111111111111111111111 III III 1111111111111111 oraoiA2aaooaoe ovovaao.o TROPFLO ACORDi`® CERTIFICATE OF LIABILITY INSURANCE DATE D//20/ 12/20/2011 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 INSURANCECT REPRESENTATIVE OR PRODUCER, AND THE BETWEEN THE ISSUING INSURER(S), AUTHORIZED RTIFICA E IMPORTANT: If the certificate holder Is an AD ITIONAL INSURED, the policy(ies) m st be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain I olicies may require an endorsement. statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements PFG ', r PRODUCER Commercial Lines - (973) 437-2300 Wells Fargo Insurance Services USA, Inc. MONROECO CONTACT NAME: — PHONE _W-C. No. Ext): FAX _-- (A/C, No): ---- _ I RESS:_.- ENT INSURERIS) AFFORDING COVERAGE NAIC # 7 Giralda Farms, 2nd Floor IL RISK MANAGE _ INSURER A : The Charter Oak Fire Ins. Co 25615 Madison, NJ 07940-1027 INSURED INSURER B : Travelers Property Casualty Co of America 25674 INSURER C : Travelers Casualty and Surety Company 19038 Girl Scout Council of Tropical Florida, Inc. INSURER D 11347 SW 160th St. INSURER E : INSURER F : Miami, FL 33157 2703 COVERAGES CERTIFICATE NUMBER: 3660114 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR NUMBER M DIDY EFF POLPOLICY POIICY Df EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 6601268C314 01/01/2012 01/01/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 CLAIMS -MADE FXI OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ POLICY PRO LOC B AUTOMOBILE LIABILITY BA2087C328 01/01/2012 01/01/2013 EeaccideMBINEDISINGLELIMIT 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOSPANAGE ALIX HIRED TSAUTOS X NON -OWNED AUTOSDA B R Per PROPERTY YaccidenlDAMAGE $ $ - UMBRELLA LIAB OCCUR oy� f K EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE Cc AGGREGATE $ DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE U63076Y589 01/01/2012 01/01/2013 X WC STATU- OTH- I E.L. EACH ACCIDENT - $ 500,000 OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) N / A E.L. DISEASE - EA EMPLOYEd $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The Certificate Holder named below is an additional insured on the general liability policy with respect to the use of its premises for Girl Scout activities of the insured Girl Scout Council. CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. Key West, FL 33040 AUTHORIZED REPRESENTATIVE ooarae The ACORD name and logo are registered marks of ACORD ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 11111111 III IIIIIII IN 11111111111 IIII 11111111111111111111 IIIII IIIII IIIII IIIII 11111 IIII IIII TROPFLO AC<>R'V CERTIFICATE OF LIABILITY INSURANCE DATE 1/11/013(MM/2013 Y) 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 INSURAN TRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ERTIFIC IMPORTANT: If the certificate holder is an A DITIONAL irsye(m mu be -endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certai policies may require an t. tatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement ). PRODUCER i H *, 1JCommercial Lines - (973) 437-2300FAX A/C No : Wells Fargo Insurance Services USA, Inc. 7 Giralda Farms, 2nd Floor INSURERS AFFORDING COVERAGE NAIC # Madison, NJ 07940-1027 S NRFRharter Oak Fire Insurance Co. 25615 INSURED INSURER B : Travelers Property Casualty Co of America 25674 Girl Scout Council of Tropical Florida, Inc. INSURER C : Navigators Insurance Company 42307 11347 SW 160th St. INSURER D : Travelers Casualty and Surety Company 19038 INSURER E : Miami, FL 33157 2703 I INSURER F : CAVFRAGFS CFRTIFICATF N1111 • 5477128 RFVICInIJ h1I IIIARFR• 0-- k-1—., 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. ILTRR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMILDDY EFF POLICMMIDD� LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR 6601268C314 01/01/2013 01/01/2014 EACH OCCURRENCE $ 1,000,000 DAMAGERENTED PREMISESS ( Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ B C AUTOMOBILE Ix LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS LX NON -OWNED AUTOS BA2Q$7C32$ NY13EXR7645281V 01/01/2013 01/01/2013 Ol/Ol/2014 01/01/2014 COMBINED SINGLE LIMIT Ea accident 2,000,000 BODILYINJURY(Perperson) $ (er accen)BODILY INJURY Pidt $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAR EXCESS LIAB H OCCUR CLAIMS -MADE f EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH)and If yes, describe under DESCRIPTION OF OPERATIONS below N / A U133076Y589 sy MAN �r DA • 01/01/2013 ','j , „ / ��/�V 01/01/2014 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The Certificate Holder named below is an additional insured on the general liability policy with respect to the use of its premises for Girl Scout activities of the insured Girl Scout Council. CFRTIFICATF Mnl nFR rAkIrC1 I ATIl1W Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. Key West, FL 33040 AUTHORIZED REPRESENTATIVE I he ACORD name and logo are registered marks of ACORD ACORD 25 (2010/05) (T , cersr eb replaces catek 5032601 issuetl on 1221I2012) C t: IJ 1983-2010 ACORD CORPORATION. All rights reserved. 183643 Ill CERTIFICATE OF LIABILITY INSURANCE �-' DAT2/19/D/13 12/19/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Commercial Lines - (973) 437-2300 Wells Fargo Insurance Services USA, Inc. CONTACT NAME: PHONE FAX AIC No Ex A/C No): E-MAIL ADDRESS: 7 Giralda Farms, 2nd Floor INSURERS AFFORDING COVERAGE NAIC # INSURER A: Charter Oak Fire Insurance Co. 25615 Madison, NJ 07940-1027 INSURED Girl Scout Council of Tropical Florida, Inc. INSURER B : Travelers Property Casualty Co of America 25674 INSURER C : Navigators Insurance Company 42307 11347 SW 160th St. INSURER D : Travelers Casualty and Surety Company 19038 INSURER E : Miami, FL 33157 2703 INSURER F : COVERAGES CERTIFICATE NUMBER: f=3bbZ RFVISION NI IMRFR- coo holm•, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP MMIDWYYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY �� CLAIMS -MADE X 'I OCCUR 6301268C314 01/01/2014I 01/01/2015 EACH OCCURRENCE $ 1,000,000 DAMAGES ( Ea R PREMISES EocNcuTEDrrence) $ 1.000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ B AUTOMOBILE LIABILITY BA2087C328 01/01/2014 01/01/2015 EaeBcdeDtSINGLELIMIT 2,000.000 BODILY INJURY (Per person) $ C X ANY AUTO NY13EXR7645281V 01/01/2014 01/01/2015 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ X NON-OWNED HIRED AUTOS EAUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTIONS $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFCER/MEMBER EXCLUDED? ❑ N / A UB3076Y589 01/01/2014 01/01/2015 X WC STATU- OTH- R LIMITS E.L. EACH ACCIDENT 500,000 $ E.L. DISEASE - EA EMPLOYE $ 500,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The Certificate Holder named below is an additional insured on the general liability policy with respect to the use of its premises for Girl Scout activities of the insured Girl Scout Council. I pR 21SI GWENT ^��/ WAIVE A —,� " (J `'/ CERTIFICATE HOLDER C:ANC`FI I ATHON CJ C Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL -ME DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. y, 1100 Simonton St. Key West, FL 33040 AUTHORIZED REPRESENTATIVE % ~ Ca The ACORD name and logo are registered marks of ACORD © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) te3an3 Ace CERTIFICATE OP LIABILITY INSURANCE GATE (MM/OO/YYYY) 1 2/26/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANU CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORUEU BY THE POLICIES BELOW_ THIS CERTIFICATE OF INsu RANGE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AU TH ORIZEU REPRESENTATIVE OR PRODUCER, ANU THE CERTIFICATE HOLUE R_ IMPORTANT: If the ce Klflcate holder is an AO UITIO NAL INSURED, the pollcy(les) must be endorsed_ If SUBROGATION IS WAIVED, subject to the terms and condltlons of the policy, ca Kain polidas may r¢q ulra an ¢ndors¢m¢nt_ A statam¢nt on this c¢Klflcata does not confer rights to th¢ c¢Klllcat¢ holrt¢r In 11¢u of such ¢ndors¢m¢nt(s). UCER PROD CONTACT Commercial Liners - (973) 437-2300 EXV` SA/c, Ney Wells Fargo Insurance Services USA, Inc. Mq�`' 7 Giralda Farms, 2nd FIOOr INSV RER(5) AFFORDING COVERAGE NAIL i( Madison, NJ 07940-1027 wsu RER A: Charter OaK Rre Insurance Go. 25615 INSURED INSURER B Tra VOI05 IndOmnity CO Oi Am Orlca 2rJ666 pica a, --- --_-- - -- - - - _ msuRER c Navigators Insur nee Company 42307 11347 SW 160th St_ INsu RER o_: Travelers Casualty and Surety Company 1903E INSURER E _ _ Miami. FL 331572703 INSVRER F COVERAGES CERTIFICATE NUMBER: 8546207 REVISION NUMBER= Sae below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 INDICATED_ NOTWITHSTANDINC3 ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES UE S CRIBEU HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. INSR � AUOL SUER LTR TypEOF INSURANCE POLICY NUMBER MM/OO/YYYY MM/OO/YYYY LIMITS A X GOMMERCU\L GENERAL LIABILITY 6301268C314 01/01/2015 01/01/2016 EACH OCCV RRENCE S 1.000,000 I T_urr_y __J CLAIMS MADE LX f OCOUR PREM SES EREN cal _ _ 5 i 000,000 MEO EXP (A y pBt On) 5 10,000 - PERSONAL d AOV NJURY s 1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER= GENERAL AGGREGATE S 5,000,000 _ POLICY I _ ] PRO- �_ � LOG _ JECT PRODUCTS -COMP/OP AGG S 2,aoU,OUo OTHER: 5 B T MOBILE uABlul"Y BA6C4/b' — Ol/Ol/2015 Ol/OL2016 oHLiN �otswGLE uMIT 5 2000,occ C 't ANV AUTO NYI4EXFt7645281V 0110112015 Ol/Ol/2016 BODILY INJVRY (Par person) 5 ALL OWNED SCHEDULED BODILY INJURY (Pat aooltlant) 5 _ AUTOS AUTOS 5 X X NON -OWNED PROPERTY DAMAGE UMBRELLA LIAB OCCVR EACH OCCURRENCE S AGGREGATE S EXCESS LIAB _CLAI M_5_-MADE DEo RETENTION s 5 O WORKERS COMPENSATION UB3076Y589 01/01/2015 01/01/2016 X STATUTE ERH ANO EMPLOYERS' LIABILITY YO - ANY PROPRIETOR/PARTNER/EXECV TIVE I E_L EACH ACCIOE NT 5 500,000 OFFICER/MEM9ER EXGL.VnEn9 N / A (Mantla�oty In NN) i EL DISEASE - EA EMPLOYEEl 5 SO_O 000 I Yas. dascnbg under _ _ _ _ __ 500,000 DESCRIPTION OF OPERATIONS below E_L DISEASE -POLICY LIMIT 5 DESCRIPTION OF OPERATIONS /LOCATIONS / VERIC LES (ACORO 101. Atltlltlenal RaTatNi Scbrtlula. may ba attacbad II meta apace If raqutrotl) Tho Certificate Holder n ed below is an additional insured on the general liability policy with respect to the use oT its premises for Girl Scout activities of the insured Girl Scout Council. PR A AGEMF�1?Q CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners SHOD LO ANY OF T.............. POLIG IES BE GANG ELLEO BEFORE Monroe County Risk Mana ement THE EXPIRATION DATE THEREOF, NOTICE WILL BE OELIV EREO IN y ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton SC Kay West, FL 33040 AUTNORIZEO REPRESENTATIVE 'J t"`Y 9� The ACORO Hama and logo are ragistarad marks of ACORU ©'1988-20'14 ACORO CORPORATION. All rtg hts r¢s¢rv¢d_ ACORN 26 (20,4,0,) 11111111 III 11111II IN Hill 111111 IN 111111111111 Hill Hill 11111111111111111111 Hill 1111 IN .1,.d...-1-1711, ® DATE (MM/DD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 1 /19/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . CONTACT PRODUCER NAME: - Palmer & Cay, LLC PHONE FAX 22 Barnard Street E-MAIL Suite 200 ADDRESS,gssolutions@palmerandcay.com Savannah GA 31401 INSURERS AFFORDING COVERAGE NAIC # INSURED 141 Girl Scout Council of Tropical Florida, Inc. 11347 SW 160th Street Miami FL 33157-2703 National E: F: -__-..ACC.I OAlYYCO DC\IICIAaI&IN laaQCO• 1991 %1THIStIS TO CERTIFY THAT THE POLICIES IOF 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 I LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY KKO5997200 1/1/2016 1/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR DAMAGES( RENTED PREMISES Ea occurrence) $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 PRODUCTS - COMP/OP AGG $5,000,000 X POLICY 0 JECTPRO- ❑ LOC OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL NED SCHEDULED AAUTOS 0 NON -OWNED PROPERTY DAMAGE Per accident $ HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAR DID RETENTION $ $ PER _ WORKERS COMPENSATION STATUTE ER AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNEWEXECUTIVE E.L. DISEASE - EA EMPLOYE $ _ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N / A E.L. DISEASE - POLICY LIMIT H yes, describe under DESCRIPTION OF OPERATIONS below $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder named below is an Additional Insured on the general liability policy with respect to the use of its premises for Girl Scout activities of the insured Girl Scout Council. APPR AGEMENT p OY L Y G �� WAIVE /A4— YES_ f� / L,tK I It- ILA It: t1VLUtrC 11 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 77 Q�}! THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of &tl,�cl ners ACCORDANCE WITH THE POLICY PROVISIONS. 1111-12th Street, Ste.{,408 Tv Q Key West FL 33040 v(yU'? .%l�� AUTHORIZED REPRESENTATIVE CJ .y (c� 1ARR-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD DATE (MMIDDIYYYY) ,acoRo> CERTIFICATE OF LIABILITY INSURANCE 3/8/2016 kb.� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . CONTACT PRODUCER NAME: FAX Palmer & Cay, LLC PHONE 22 Barnard Street E-MAIL . gssolutions@palmerandcay.com Suite 200 nccnenwr.rnVFRAGE NAIC!< Savannah GA 31401 INSURER A INSURED 141 Girl Scout Council of Tropical Florida, Inc. 11347 SW 160th Street Miami FL 33157-2703 INSURER B INSURER C INSURER D 1NSURERE 1991 ;OVERAGES CERTIFICATE NUMBER: 1837758335 K1-V1n1V1% 1rUmCG R. 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. _ POLICY EFF POLICY EXP LIMITS ISR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD MM/DDIYYYY TR A X COMMERCIAL GENERAL LIABILITY KK05997200 1 /1 /2016 1 /1 /2017 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $1,000,000 PREMISES Ea occurrence CLAIMS -MADE X OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $5,000,000 G��GEN'L AGGREGATE LIMIT APPLIES PER: X I POLICY JEC ❑ T LOC — OTHER: AUTOMOBILE LIABILITY IX ANY AUTO AUTOS NED SCHEDULED AUTOS NON -OWNED HIRED AUTOS H AUTOS UMBRELLA LIAB I I OCCUR EXCESS LIAB H CLAIMS A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECLMVE nLA PRODUCTS - COMP/OP AGG $5,000,0 KK05997200 1/1/2016 1/1/2017 Ea accident $1,000,C BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $75,000 Per accident EACH OCCURRENCE $ WCC331681A 11/1/2016 11/1/2017 -EA (Mandatory In NH) Ifyes, descr be under E.L. DISEASE -POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Fhe Certificate Holder named below is an Additional Insured on the policies listed above with respect to the use of its premises for Girl Scout activities of the insured Girl Scout Council. A WAIVER N/A 7E$_ GC '.ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1111-12th Street, Ste. 40$ Key West FL 33040 — C d 6 - 66 91OZ AUTHORIZED RJEEPPRESENTATIVE '"' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD