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Certificates of InsuranceCertificate insurance A C 0 R D CERTIFICATE OF INSURANCE ................................................... CONPAH~ES AFFORD~HG COVERAGE :'-',: ;s':"~:':~ ;;',':'~', .:-T ;. COVERAGES .................................................................................................................. ...... -.. ......... r-:',.: -:..::. ,... ;,~:';;:,: : ::':::- ::. M,'3 4~,OE COUI'4TY :,':ir -';', ,g:.::~.; :':¥ .'- . .INITIALS .................................................................................................................................... · ..;-,,.-.-:: ,.- :-... -:,: .... :::-::::::'.' :':: :::::::-::.:: : -...::': .::::.:' ::;::::-::1- :~':.: :: ' :: :,:":-::' ;:.- ;:':": ;5.::.": :; :: :: '::: CERTIFICATE HOLDER .....................CANCELLATION Donna J. Perez Risk Management 6ooridinator ]PRODUCER Oper. ID LA IThis certificate is issued as a matter cf information only and confers no i Van Brock!in-Sheekey Ins..inc. frights upon the certificate holder,This certificate does not amend,extend i 6I 52rd Street, Ocean [or alter the coverage afforded by the policies below. i Marathon FL 33050- i .................................................. ICOMPA#IES AFFORDINO ]iNSURED ICOMPANY LETTER A: Scottsdale Hreater Marathon Chamber of ICOMPANY LETTER 2320 Overseas Highway :COMPANY LETTER C: Marathon. FL 23050 ICOMPANY LETTER ATTN: Commerce ]COMPANY LETTER E: COVE{AGES .............................................................................................. JL< ............... This is to certify that policies of insurance listed below have been issued to the insured named above for the poiicy period indicated, notwithstanding any requirement, term or condition of any contract or other document with respect so 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, - .................................................................................. CO LTR ITYPE OF INSURANCE :POLICY NUMBER IEFF DATE [EXP DATE IALL LIMITS IN THOUSANDS IGENERAL LIABILITY ]COMMERCIAL GENERAL LIABILITY I MPS054639 ]I ICLAINS MADE !x]OCCURRENCE I }OWNER'S & CONTR. PROTECTIVE 50O 5OO IAUTOMOBILE LIABILITY :{ ]ANY AUTO :[ }ALL OWNED AUTOS CSL ,.'{ ]SCHEDULED AUTOS BODILY INJURY{PER PERSONI ii ]HIRED AUTOS HODILY tNJURYfPER ACCIDENT) ,.'[ .]WON-OWNED AUTOS PROPERTY DAMAHE '[ 1GARAGE LIABILITY }EXCESS LIABILITY ' : ,'f. ]UMBRELLA FORM ,' ,' ,~' /' ,' / ~ iEACH OCCURRENCE I[ ]OTHER THAN UMBRELLA FORM i I / / i / / IAGHREGATE : i STATUTORY :WORKER'S COMPENSATION i EACH ACCIDENT) ' AND ~ / ' ~ " DISEASE-POLICY LIMIT) :EMPLOYER'S LIABILITY ,~ / : ~ ,/ ~' DISEASE-EACH EMPLOYEE) :OTHER ; ,' A } Spec Event-Show of I MPH 054639 03/03/90 i 03/03/91 500 Liahiliuy ! OWS } / / ~ , , IDESCRIPTION OF OPERATIONS/LOuATIONb/VEHICLES/RESTRtCTIONS~SPECIAL ITEMS .......................................................... IGEWTIFIGA?E WOLBE{ .................... ~4[¢E~LATIO# ............................................................................... Monroe County Risk ~anagemed~houtd any of the above described policies be cancelled before the expiration date therecfl Wing II, Rm. 207, P.S.B. the issuing company will endeavor to mail 15 days written notice to the certificate holder 5825 Junior College Rd. named to the left,but failure to mail such notice shall impose no obligation or liability Key West, FL 33040 of any kind upon the company.~i~s age~ts or r~present, a;~ives. =:ACORD 25-S(II/85)=============: ................................... ................................ ~,~;;~Z:: ........................ :::::::::::::::::::::::::::: }GENERAL AOORE~ATE I PRODUCTS-COMP/OPE AGGREOATE : PERSONAL~ADVERTISING INJURY [EACH OCCURRENCE ',FIRE DAMAGE(ANY ONE FIRE) '.}{ED EXPENSEIANY ONE PERSON) iA C 0 R D CERTIFICATE OF INSURANCE .......... Date .......................................... 77 .................................................................. , ........ PRODUCEP O~er, ID SM ITn~s certificate is issued as a matter of Information only and confers nc VAN BROCKLIN INS AGENCY. INC. 'rights upon the certificate holder. This certificate does not amend.extend 61 53rd ST.-OCEAN :or alter the coveraqe afforded by the policies belo~. MARATHON FL 32050- , ' ' ' .................................................. i:O#PANIES AFFORDIN8 COVERAGE ....................... :INSURE~ ICOMPANY LETTER A' S¢ottsdale Insurance Compan) Greater Marathon Chamber of :COMPANY LETTER B: 3330 Overseas Highwa), ICOMPANY LETTER C: Marathon. FL 33050 'COMPANY LETTER D: ATTN: Commerce ICOMPANY LETTEP E: iCOVERAGE$ ................................................................................................................ This ~s So certify that oolicies of insurance listed below have been issued to the insured named above for the oot~cv der}od indicated, notwithstanding any requirement, term or condition of any contract or other document with respect to whici this certificate may be issued or may pertain.the insurance afforded by the Dolicies Oesoribed herein is sub.loOt to all the terms. exclusions.and condit)ons of such oolicies. ICO LTP ITYPE OF INSURANCE iPOLICY NUMBER ;EFF DATE IEXP DATE iALL LIMITS IN THOUSANDS IGENERAL LIABILIT) I ; iGENERAL AGGREGATE 500 A II×]COMMERCIAL GENERAL LIABILITY i MPS 054629 '03/03/91 03/03/92 IPRODUCTS-COMP/OPS AGGREGATE ,r l[ ]CLAIMS MADE IX]OCCURRENCE i ' / F ~ - , , , ,, :PERSONAL&ADVERTISING, INJURY ;[ ]OWNER'S & CONTR. PROTECTIVE I i / ; / iEACH OCCURRENCE 500 ~[ ]Multi Pert) Pckg I I / / / jFIRE DAMAGE(ANY ONE FIRE) 'r ! ~ iMED EXPENSE(ANY ONE PERSON) iAUTOMOBILE LIABILITY - ......i ............................ ~ ..........~ ................................................ i[ ]ANY AUTO , ' ~[ ]ALL OWNED AUTOS I ' .: .F.iSCHEDULED AUTOS ; ,' ;' ,'BODILY INJURY(PER PERSON, [ ]HIRED AUTOS : I , ~BODILY INJURY(PER ACCIDENT) [ ]NON-OWNED AUTOS i i : IPROPERTY DAMAGE [ ]GARAGE LIABILITY ' ........ :_: ............................. : ......................... +_' iEXCESS LIABILITY , ' --: ......... : ................................................ .' .Ir .iUMBRELLA FORM ~' /,' ~ ; iEACH OCCURRENCE I[ ]OTHER THAN UMBRELLA FORM i / " ' ; " IAGGREGATE 'STATUTORY IWORKER'S COMPENSATION ~' I .' ,' !'EACH ACCIDENT) ~ AND .' ,' ~ . , , ,/ " ' (DISEASE-POLICY LIMIT) 'EMPLOYER'S LIABILITY i I / ! . i (DISEASE-EACH EMPLOYEE) OTHER IDESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECiAL iTEMS ..... L .................. :ERTIFIOATE XOLBER .................... C4NCELLATION .................................................. ~__~: .... ':_: ...... ~:~°~a~Y;;~;~v~;nCOmm, ShouldanyoftheaDoveOescr,bedpo]iciesDecancel]ed~efoFethee~o~~ the issuing company wi)) e~ to mail l~ys written notice :o the certificate holder~ Wing II. Rm 207. P.S.B. named to the left.but f~qur~m~ ~u~}ce ~hall imoose no obliqation or liabilit~ ~ Stock ISland, Key West FL 33040 of any kind upon the o~m,~ ~~Jresentat,ves'. ' A~R' , AUTHOiIZED REPRESEN~T~ /~ .... :== ~u,u 25-S(11,85)::::::::::::::::::: ................... =~[~==~ ...... ~ Effective on and after 09/21 19 93 th{'- endorsement forms part of policy No. CPS007803 Issued to GRF.,AXE~ MARATHON CHAMBER OF COMMERCE ENDORSEMEN? 1 Additional Premium 100.00 + 5.00 tax Return Premium nil , 12:01 a.m. Standard Time Expiration Date 03/15/94 By Scottsdale Insurance 090010 Company In consideration of the additional premium shown above, it is understood and agree,: additional insured endorsement, CG2013, attached is added. 1~13~3 al SURPLUS LINES AGENT Frances L. Brovm LIC.I/O118267237 12'il Semoran Slva. Suite 227, Casselberry, FL. 32707 PROD AGT Key Ins. Agency CITY Marathon, Fl This Insurance is issued pursuant to the Florida SurpLus Lines Law. P~rsons insured by SurpLus Lines Carriers do not have the protection of the FLorida Insurance Guaranty Act to the extent of any of right of recovery for the obligation of any insolvent unlicensed insurer. FILE# 1052-92 4th Receiveo Risk Mi[mt. 8~ Loss C~:~:: .... All other terms and conditions of this policy remain unchanged. Crump Insurance Services of Florida, Inc. Authorized Representative % PRODUCER THIS CEmlPICATE IS i,~9~b AS A MA"~I:'~:'R' 0F'INF0~MATION ONLY AND ~ CONFERS NO RIG.S U~N THE CERTIFICATE HOLDER. THIS CE~IFICATE ~ES NOT AMEND, ~END OR ALTER THE ~VERAGE AFFORDED BY THE KEYS INSU~NCE AGENCY ~L~IES BELOW. ~.O. BOX 500080 COMPANIES AFFORDING COVERAGE ~THON FL 33050 ~""~ A SCOTTSDALE INSU~NCE CO INSURED ~n ~REATER ~THON ~v C Ki~k Mgic &~s~ntrol :H~BER OF CO~ERCE ~n ~,E~ , ///~/9~ ... 3330 OVERSEAS HIGHWAY ~MP~ O / ~THON, FL 33050 ~;; INITIAL , // ...... .... ~~::~::~:~::~::::::~::::::~::::::~::::~::::~::}::~::::::::~::~::~::::~::~:::.~::::::~[~::}~}~::~::~ ::~ ~ :: :~ ............................................................ THIS ms TO CE~I~T~T THE POLICIES OF INSU~NCE LISTED BELOW ~VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO~ffHSTANDING ANY REQUIREME~. TERM OR CONDmON OF A~ CO~CT OR OTHER DOCUME~ WffH RESPECT TO WHICH THIS CE~IFICATE MAY BE I~UED OR MAY PE~A N. THE INSU~NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU~ECT TO ALL THE TERMS ~CLUSIONS AND COND~ ONS OF SUCH POLICIES. ~ ~ EFF~ ~UCY ~l~! ~E OF I~U~E ~UCY NUMBER UMI~ ~ =,,~,u~ MPSll0814 03/03/92 03/03/93~'~'~u~. P~M~PE~S p~ ~E ~. $ ~N~ND ~NDEPEN~ ~N~O~ PE~L INJU~ ~G. AUTO~I~ ~BIU~ ~DI[Y ~ A~ (~r ~n) ~ ~ED A~ (PHv. Pm.) ~DILY INJU~ ~EDA~ ,~er~ ~ p~. P~. ) (Per ~clde~ ~IRED A~ ~ON-~ED A~ ~PE~ ~GE GAUGE ~1~ ~ODILY INJU~ & ~MBINED ~C~ ~IU~ ~H ~URRENCE FOSM / ~ER ~ UMB~ FORM ~::~::~:.~::~::~[~::~::~?:~::~:~::~[::~::~[~::~::~::~::~::~::~::~::~[~::[~::~::~::[~?: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: .,,.,_,,. ,, ............................... .........,...,....:....,:.: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::: EMPLOYS' ~BIU~ ~IS~E-~ ~E-~H EMPtO~E % omE~ROPERTY MPSll0814 03/03/92 03/03/93 50000 12000 ~i~lON OF OPE~ON~ON~HIC~PEC~ I~ :~:~:~:~ ~PI~TION DATE THEREOF. THE I~UING COMPANY WILL END~VOR TO ~ ~, ~00~ 207 ~.~.~. ~;~ LE~. B~ FAILURE TO ~IL SUCH NOTICE S~LL IMPOSE NO OSLi~ON OR 5100 CO~B~G~ RO~D ....... K~ ~S~ ~ 33040 ~:~: .RODUCER ........... ~i~ CERTIFICATE IS ISSUED AS A MATTER OF INFOIIMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THE JOHNSONS INS. AGCY. COMPANIES AFFORDING COVERAGE P.O. BOX 2346 MARATHON SHRS FL 33052 coS.ANY A LEITER U S F & G S BMC ............................................................................................................................... :: coM.ANY B APPROVE08¥ RISK MAN~G[h~ENI OF CO~ERCE ................................................................................ ~. .............. Z~:.,..Z ...... r.~/~. ......................... 3330 OVERSEAS HWY COMPANY ~ MARATHON FL 33050 ..~.i~.i~ ...... ~ ...................................................... WA[¥£R: ........ N/A,/, Y£$ .............. coMPANY S LEITER TI. tiS IS TO CERTIFY THAT TIlE POLICII~ OF INSURANCE LISTI~ BELOW HAVE BEI~N ISSUED TO TI. III INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATI~, NOT'Wn"HSTANDING ANY RF_~~, TERM OR. CONDITION OF ANY CONTRACT OP. OTH]~ DOCUMEI"~ WITH RE~?ECT TO V~ICH THIS CERTIFICATE MAY BE ISSUED OR MAY PlanTAIN, TI-IE INSURANCE AFFORDED BY THE POLICIES DF, SCRIBED HEREIN IS S~ TO ALL THE TI~,.MS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CI_~dNiS. co : POLICY ]gi~CTl~ :: POLICY R~PH~ATIOI~ [,TR: TYPE OF INSURANCE POLICY NUMBER DATE 0V[M/DD/Y30 DATE (MMdDD/Y~) LIMrI~ % CS~V.L,~Lrr~ BSP700506741 ~.2/21/93 i12/21/94 ..~.~C~.~ ............. ~.6.O0..e..9.9.0. .......... ........ CU~M,M~D~'X""~ O~. ,~O~L,~,~.~,~ '300 ~ 000 OWNS',, CO~,~O,',,,O~. ..~.~? ................. ~.3..9..0...~...0....0..0.. .......... ..~.D.~....~....~.~! .......... ? ..................................... MED.~SS(A~..~.~ $5 ~ 000 AUTOMOBILR LIABILITY COMBIN[~ SINGL~ ANY AUTO LIMIT ALL OWNI~ AUTOS BODILY INIURY ~EDULED AUTOS (P~t ~a) $ HIR]~ AUTOS BODILY INSURY NON-OWNED AUTO~ (Per ~m) GAP. AGE LIABILITY PROPERTY DAMAGE $ EXCE.q8 LIABILITY EACH OCCURRENCE $ R~cei red ......................................................................................... uMn~LU~ ~O~,M AC~.aAT~ Risk Miami, & Loss Control ': EACI{ ACCIDENT ! $ AND DI~EASF.-POUCY LIMIT i $ ~ OTI4~R DESCRI~ON OF O~O~/LOCA~O~~PE~ CHAMBER OF COMMERCE / CERTIFICATE HOLDER UNDER THE LIABILTIY POLICY IS ADDITIONAL INSD SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCmL~D BI~OP~ THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL I~NDEAVOR TO MAIL I 0 DAYS Vt/'l~l]'l'l~N NOTICE TO 'l~IE CERTIFICATE HOLDER NAMED TO THE MONROE COUNTY BD OF COMMISSION 5 oo COLLEGE RD OR REPRESENTATIVES. LINDA HOLMES (~Q-~L~/~}Q~-'~ ~ CERTIFICATE OF INSURANCE: GRTRM-1 CSR PC 11/27/95 PRODUCER The Johnsons Insurance Agency 13361 Overseas Highway Marathon FL 33050 305-289-0213 INSURED THIS CERTIFICATE ZS ISSUED AS A FLATTER OF INFORHATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AHEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOU. CO~IPANIES AFFORDING COVERAGE COMPANY A United Business Owners Greater Marathon Chamber of Commerce 2222 Overseas H_wy arathon FL 33050 > COVERAGES <========== CONPANY Receive~ B USF&G Companies ........................................... COMPANY C DATE /~//--c:? q ° q_5''~ COI4PANY IN ITIA L D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOg HAVE BEEN ISSUED TO THE INSURED NA~ED ABOVE FOR THE POLICY PERIOD INDICATED. NOTgITHSTANDING ANY REQUIRENENT, TERN OR CONDITION OF ANY CONTRACT OR OTHER DOCUNENT gITH RESPECT TO gHICH THIS CERTIFICATE HAY BE ISSUED OR HAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LINITS SHOUN HAY HAVE BEEN REDUCED BY PAID CLAINS. TYPE OF INSURANCE POLICY NUNBER POLICY EFF POLICY EXP LINITS GENERAL LIABILITY [,3{1 CONNERCIAL GEN LIABILITY [ I CLAINS NADE IX] OCC. ] OgNERS'S & CONTRACTOR'S PROTECTIVE ] AUTO~OB I LE LIABILITY [ ] ANY AUTO [ ] ALL 01dNED AUTOS [ ] SCHEDULED AUTOS [ ] HIRED AUTOS [ ] NON-ON, lED AUTOS [ ) [ ] GARAGE LIABILITY [ ] ANY AUTO [ ] [ ) EXCESS LIABILITY [ ) UNBRELLA FORH [ ) OTHER THAN UNBRELLA FORN gORKERS CONP. AND EHP. LIAB. THE PROPRIETOR/PARTNERS/ EXECUTIVE OFFICERS ARE: [ ] INCL. [ ] EXCL. OTHER BSP700506741 01 DATE WAJVER: N/A __ DATE (NN/DD/YY) DATE(NN/DD/YY) 12/21/94 12/21/95 495178032494 03/01/95 03/01/96 GENERAL AGGREGATE PROD-CONP/OP AGG. PERS. &ADV. INJURY EACH OCCURRENCE FIRE DAHAGE (ANY ONE FIRE) NED. EXPENSE (ANY ONE PERSON) COt, lB. SINGLE LINIT BODILY INJURY (PER PERSON) BODILY INJURY (PER ACCIDENT) PROPERTY DANAGE AUTO ONLY (EA ACC) OTHER / AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE 50,000 5,000 ]STATUTORY LINITS EACH ACCIDENT 000 DISEASE-POL. LINIT OOO DISEASE-EACH ENP. OOO CERTIFICATE HOLDER ====================================== CANCELLATION MONCO-3 onrge ~ognty Risk Management ey uahleoa ~ ~'II-~V 5100 Colleqe Road Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING CONPANY gILL ENDEAVOR TO HAIL 3 0 DAYS gRITTEN NOTICE TO THE CERTIFICATE HOLDER NA/4ED TO THE LEFT, BUT FAILURE TO HAIL SUCH NOTI, SHALL INPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON ,ITS AGENTS OR AUTHORIZED REPRE The Johns, To:~ KAY MILLER From: KEYS INSURANCE PRODUCER THIS OERTIFIOATE 18 18SUED A8 A MAmm,-m~ OF INFORMATION ONLY AND GONFER8 NO RiQHT$ UPON THE CEflTiFIGATE HOLDER. THIS GERTIFIOATE DOE~ NOT AMEND, EXTEND OR ALTER THE COVERAQE AFFORDED BY THE KEYS INSLTR~CE AGENCY POLICIES BELOW. P.O. BOX 500280 COMPANIES AFFORDING COVERAGE ,~RATI-[ON FL 33050 COM"A"¥A PHILADELPHIA INS CO LETTER COMPANY 3REATER 5~ARATHON COM~Y C ~Y" O,~ / 2143~ER OF COI~RCE C~.,A.yL~T~" DATE____~/--'~ ~5'--~7/ 12222 OVERSEAS I4IGI-t~Y O .....z "~' MARATHON, FL 33 050 ~r,. ..... ~ COMPANY e THIS 18 TO CERTIFY THAT THE POLIOIES OF INSURANCE LISTED BELOW HAVE BEEN I$~JED TO THE ~NSURED NAMED ABOVE FOR THE POLICY PERIOD NDICATED, NOTWITHSTANDING ANY REQLilFIEMENT, TEFIM OFi CONDITION OF ANY CONTBACT CFi OTHEFi DOCUMENT WITH FiESPECT T~ WHICH THIS OERTIFICATE MAY BE I~$UED OFt MAY PERTA N, THE INSURANCE AFFORDED BY THE POLICIES DE~CI~IBED HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SLICH POLICIES, LIMITS SHOWN MAY HAVE BEEN FIEDUCED BY PAID CLAIMS. POU~Y EFRI~-TIVE POUCY EXCRETION :0 TYRE OP IIBURANCE PCU~Y lUMBERI uMrr~ ~ DATE (MM/DD/YY) DATE (MM/DD/YY) (~NERAL UABIUTY 3ENEI~L AGGREGATE ~OMMERCIAJ. eENERAL LIAEILITY I ~'ROOUCTeCOMP/OP AGe. I MED.EXP. (Any one perlon) I AUTDMOBILE UABIUTY I COMBINED 91N~ILE 'ANY AUTO LIMIT (Per p~rm~n) HIRED AUTOG BC~ILY INJL.I~Y NON-OWNED AUTOS Per acdcle~) i PROPERTY DAMAGE I ~ACH OCC:URRL~JCE U MBRELLA FORM AG~GRG~ATE OTHERTHAN UMBRELLA FORM i i"iiihli[ ~" ' ~ ' OTATIJ~O~Y LI MITO i WORKER'~ COMPENSATION EACH AOOlDENT AND Di~A~E.POUCY U MIT ENB~'LOYERB' UABILn'Y -- DI~A~E-E~CH EMPLOYEE ~ om.~D & O LIABILITY PHD0103260 10/07/95 10/07/96 300,000 , DI~CRIPTIO~ 0~ OI~RA'nO#~/LOCATIONSNEHICM~I~CIAL ITEMB .... S~L)i:.i) A~l~:'~i= ~F~:=,~'~ 'DE~Ri~=C ~L'iciE$ BE CANCELLED BEF. oFIE THE' ii:' EXPIFiATION DATE THEREOF, THE iSSUING COMPANY WILL ENDEAVOFi TO ~v~:O:N'~OE CO~Y RISK :~'"~TC-. !ii MAIL '1 ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ~ :1 0 0 (:~OT,LEG'~.. RO~Z~D W"~T i:i!ii LEFT, BUT FAILURE "rD MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ~' LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR FiEPRESENTATIVE$. KEY T FL 3304 i~ii T~ , .-. , ^~o.--,,.,,,.~ //-"-+-7/ //. .; Policy No. BSP 700506741 02 Renewal of BSP 700506741 01 1. NAMED INSURED AND MAILING ADDRESS: (No., Street, City, State, Zip Code) OCT2 GREATER MARATHON CHAMBER OF COMMERCE AND VISITOR CENTER 12222 OVERSEAS HIGHWAY MARATHON , FL 33050 2, POLICY PERIOD: From 12/21/95 to 12/21/96 12:01 A.M. standard time at your mailing address shown above. United States Fidelity and Guaranty Company Fidelityand Guarantylnsurance Underwriters,Inc. Fidelity and Guaranty Insurance Company (Each a Stock Insurance Company) The issuing company is designated above by the letter X. Branch Office: SOUTHEASF SBMC ,Agent' THE JOHNSONS INS AGENCY Address: P 0 BOX 2346 3. BUSINESS DESCRIPTION CHAMBER OF COMMERCE SIC-8611 MARATHON SHORES FL 33052 Agent's Code: 79-2042 Countersigned By: $ 300.00 Coverage Part(s) PROPERTY AND LIABILITY In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. This policy consists of the following Cow, rage Part(s) for which a premium is indicated. This premium may be subject to adjustment. The Annual Minimum Premium is INFORMATION TECHNOLOGY SYSTEMS EMERGENCY MGMT SURCHARGE DB #0014912511 CL #0001001574 Premium $ 1,077.08 $ 250.00 $ 4.00 $ $ $ $ Total Policy Premium . $ 1,331.08 At Inception $ Premium is payable: o FORMS AND ENDORSEMENTS APPLICABLE TO ALL COVERAGE PARTS: CLIBU 101 08 88 It. oo 17 11 85 Received CL/BU 103 11 92M Risk Mgmt. & Loss Control CL/EC 70 10 09 93 CL/O0 297 07 92 DATE CL/O0 99 07 07 92 INFLATION .GUARD APPLIES CL/BU 103 10/19/95 ~C£ '. 11 92M /~//-. E 7-jc~GENTS COPY POLICY NUM, BER~ USF&6 ® INSURANCE BSP 700506741 02 FLORIDA FIRE COLLEGE SURCHARGE Total Transaction Premium .......................................................................................... Florida .1% (.001) .......................................................................................................... Total Amount Due ......................................................................................................... 1,076.00 1.08 1,077.08 CL/OO 99 07 07 92 PROPERTY COVERAGE PART- DECLARATIONS Policy No. BSP 70050674! 02 [] Standard [] Special USF&6 INSURANCE DESCRIPTION OF PREMISES AND LIMITS OF INSURANCE: Prem. Location (Street, City, County, State & ZIP Code) No. Construction and Occupancy I 12222 OVERSEAS HIGHWAY MARATHON, MONROE, FL 33050 JOISTED MASONRY, CHAMBER OF COMMERCE Building 270,000 Business Personal Property 52,000 ADDITIONAL LIMITS OF INSURANCE: Accounts Receivable. The limit is $1,000 unless otherwise stated. Business Personal Property Off Premises. The limit is $5,000 unless otherwise stated. Outdoor Radio and Television Antennas (Standard form only). The limit is $5,000 unless otherwise stated. Valuable Papers and Records. The limit is $1,000 unless otherwise stated. VALUATION: Loss payment is on a replacement cost basis unless otherwise indicated. [] Actual Cash Value - Buildings; [] Actual Cash Value - Business Personal Property DEDUCTIBLE: The deductible is $250 unless otherwise stated. AUTOMATIC INCREASE IN BUILDING INSURANCE: % The increase is 4% unless otherwise stated. MORTGAGE HOLDERS:. Prem. No. 1 Name and Mailing Address AUGUSTA JOHNSON 215 SETTLERS ROAD ST. SIMONS ISLAND, GA 31522 FIRST NATIONAL BANK OF THE FLORIDA KEYS 12640 OVERSEAS HIGHWAY MARATHON, FL 33050 FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART: CL/BU 105 02 92M CL/BU 107 02 92M CL/BU O0 02 11 90 CL/EC 04 02 10 89 CL/EC 04 08 10 89 CL/EC 04 14 10 89 CL/EC 99 04 10 89 CL/EC 70 80 11 92 CL/BU i05 02 92M 250 $ PROPERTY COVERAGE PART - SUPPLEMENTAL DECLARATIONS Policy No. BSP 700506741 02 USF&G ® INSURANCE The insurance provided by the Property Coverage Part is changed wherever an "X" is shown in a box below. Changes indicated are effected by endorsement(s) forming a part of this Coverage Part, or an entry showing limits of insurance or an increased percentage. Where an endorsement number is shown, the change is described in that endorsement. ["l Accidental Breakdown (CL/EC 04 01) [] Alcoholic Beverages - Taxes and Custom Duties [] Building Ordinance or Law [] Burglary or Robbery (applicable only with Coverage Form CL/BU 00 01) [] Business Income and Extra Expense - Dependent Properties [] Business Income and Extra Expense - Off Premises Services [] Cameras [] Computer Fraud (CL/EC 10 02) [] Earthquake and Volcanic Eruption (CL/EC 10 07) ~% Deductible Limit of Insurance Replacement Cost see CL/BU 99 03 see CL/EC 04 02 see CL/EC 10 01 see CL/BU 04 03 see CL/EC 04 12 see CL/EC 04 04 see CL/EC 04 06 Replacement Cost Replacement Cost see CL/EC 101 see CL/EC 17 03 see CL/EC 17 03 see CL/EC 04 08 see CL/EC 04 09 Fidelity [] Employee Dishonesty (CL/EC 10 04) [] Depositors Forgery (CL/EC 10 03) [] ERISA (CL/EC 10 06) [] Fine Arts Glass (CL/EC 04 14) [] Exterior Grade Floor Glass [] All Exterior Glass [] Scheduled Interior Glass [] Loss Assessment (Condominium Unit-Owners) [] Miscellaneous Real Property (Condominium Unit-Owners) [] Money and Securities (applicable only with Coverage Form CL/BU O0 02) [] Outdoor Signs [] Personal Effects (Increased limit) - Scheduled Below. [] Seasonal Automatic Increase in Business Personal Property (increased percentage) - Scheduled Below. [] Spoilage, Refrigerant Leakage or Interruption [] Theft Exclusion (CL/EC 21 02) (appl!cable only with Coverage Form CL/BU 00 02) see (CL/BU 10 08) CL/BU 107 02 92M POLICY NUMBER: BSP 700506741 02 PROPERTY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE 'READ IT CAREFULLY. ADDITIONAL COVERAGE BUILDING ORDINANCE OR LAW This endorsement modifies insurance provided under the following: PROPERTY COVERAGE PART. SCHEDULE Premises No. Exclusion l.a. of COVERAGE (Section I) does not apply. The following is added to Coverage Provided of COVERAGE (Section I): Building Ordinance or Law. a. If a Covered Cause of Loss occurs to covered Building property at the premises designated in the Schedule, we will pay: (1) For loss or damage caused by enforce- ment of any ordinance or law that: (a) Requires the demolition of parts of the same property not damaged by a Covered Cause of Loss; (b) Regulates the construction or repair of buildings, or establishes zoning or land use requirements at the de- scribed premises; and (c) Is in force at the time of loss. (2) The increased cost to repair, rebuild or construct the property caused by enforcement of building, zoning or land use ordinance or law. If the property is repaired or rebuilt, it must be intended for similar occupancy as the current property, unless otherwise required by zoning or land use ordinance or law. (3) The cost to demolish and clear the site of undamaged parts of the property caused by enforcement of the building, zoning or land use ordinance or law. b0 We will not pay for the costs associated with the enforcement of any ordinance or law which requires any insured or others to test Ce for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of "pollutants." We will not pay for increased construction costs: (1) Until the property is actually repaired or replaced, at the same premises or else- where; and (2) Unless the repairs or replacement are made as soon as reasonably possible after the loss or damage, not to exceed 2 years. We may extend this period in writing during the 2 years. d. We will not pay more: (1) If the property is repaired or replaced on the same premises, than the amount you actually spend to: (a) Demolish and clear the site; and (b) Repair, rebuild or construct the property but not for more than property of the same height, floor area and style on the same prem- ises. (2) If the property is not repaired or re- placed on the same premises, than: (a) The amount you actually spend to demolish and clear the site of the described premises; and (b) The cost to replace, on the same premises, the damaged or de- stroyed property with other prop- erty: CL/EC 04 02 10 89 Includes copyrighted material of Insurance Services Office, Inc. with Its permission. Copyright, Insurance Services Office, Inc., 1984, 1985 Page I of 2 POLICY NUMBER: BSP 700506741 02 PROPERTY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXTENSION OF COVERAGE GLASS This endorsement modifies insurance provided under the following: PROPERTY COVERAGE PART. The following coverage extensions are provided un- der this Coverage Part when designated by an 'X~ in the box(es) below or in the Supplemental Declara- tions. Coverage under this endorsement supersedes all limitations in this Coverage Part that apply to building glass. 1. [] Exterior Grade Floor Glass. a. We will pay for direct physical loss of or damage to all exterior grade floor and base- ment glass, including all lettering and ornamentation, located at the premises de- scribed in the Declarations and: (1) Owned by you; or (2) Owned by others but in your care, cus- tody or control. b. We will also pay for necessary: (1) Expenses incurred to put up temporary plates or board up openings; (2) Repair or replacement of encasing frames; and (3) Expense incurred to remove or replace obstructions. c. Paragraph B. Covered Causes of Loss and Paragraph C. Exclusions of COVERAGE (Section I) do not apply except for: (1) Paragraph C.l.c. Government Action; (2) Paragraph C.l.d. Nuclear Hazard; and (3) Paragraph C.l.f. War And Military Action. The following additional exclusion applies. We will not pay for loss or damage caused by or resulting from: (1) Wear and tear; (2) Hidden or latent defect; (3) Corrosion; or (4) Rust. [] All Exterior Glass. Coverage provided for Exterior Grade Floor Glass in paragraph 1. above is extended to apply to all exterior glass. [] Interior Glass. We will pay for direct physical loss of or damage to the interior glass, including all lettering and ornamentation, described in the Interior Glass Schedule which also applies to this Coverage Part. Paragraphs 1.b., 1.c. and 1.d. above apply to this coverage. CL/EC 04 14 10 89 Includes copyrighted material of Insurance Services Office, Inc. with Its permission. Copyright, Insurance Services Office, inc., 1984, 1985 2S~ POLICY NUMBER: BSP 700506741 02 PROPERTY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BURGLARY AND ROBBERY PROTECTIVE SYSTEMS This endorsement modifies insurance provided under the following: PROPERTY COVERAGE PART. SCHEDULE Premises No. Protective Systems Symbols Applicable I K-lA Describe any other protective system: Coverage for burglary, robbery or theft under this Coverage Part will be automatically suspended at the involved premises if you fail to notify us immediately when you: a. Know of any suspension or impairment in the protective systems; or Fail to maintain the protective systems, over which you have control, in complete working order. Explanation of Symbols. The protective systems to which this endorsement applies are identified in the Schedule by symbols. These symbols may reflect information shown in your Underwriters' Laboratories, Inc. certificate for the listed prem- ises alarm system. If any change in the system is made, report the change to us immediately. The symbol groups represent: Premises Burglar Alarm System: (1) For which you have an unexpired Underwriters' Laboratories, Inc. certif- icate; and (2) That signals to an outside central sta- tion. Initial symbol "C" means that the central station does not have keys to the property the alarm system protects. Initial symbol "K" means that the central station does have keys to the property. Numbers '1," "2" and "3" refer to the type of installation. Letters "A," "B" and "C" after these numbers refer to the grade of alarm system. Example: Symbol "K-lC" means a premises burglar alarm signaling to an outside central station with keys to the property, installation type 1, grade C. List of Possible Symbols: C-lA, C-lB, C-lC, C-2A, C-2B C-2C, C-3A, C-3B, C-3C, K-lA K-lB, K-lC, K-2A, K-2B, K-2C K-3A, K-3B, K-3C b. Loud Sounding Gong: (1) For which you have an unexpired Underwriters' Laboratories, Inc. certif- icate; and (2) That is on the outside of the building containing the property the alarm sys- tem protects. Initial symbol "L" means that there is a loud sounding gong. Numbers "2" and "3" refer to the type of in- stallation. Letters "A,# 'B" and 'C~ after these numbers refer to the grade of alarm system. Example: Symbol "L-3A" means a loud sounding alarm outside the build- ing, installation type 3, grade A. List of Possible Symbols: L-2A, L-2B, L-2C, L-3A, L-3B, L-3C Security Service making hourly rounds cov- ering the entire building when the premises are not in actual operation. CL/EC 99 04 10 89 Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Services Office, Inc., 1984, 1985 Page 1 of 2 ~50 13 LIABILITY COVERAGE PART - DECLARATIONS Policy No. BSP 700506741 02 USF&G ® INSURANCE LIMITS OF INSURANCE: $ 600~000 $ 600~000 $ 300~000 $ 5~000 $ 50~000 General Aggregate Limit (Other than Products-Completed Operations) Products-Completed Operations Aggregate Limit Liability and Medical Expenses Limit Medical Expenses Limit (Any One Person) Tenant Liability Limit FORM OF BUSINESS: [] Individual [] Partnership [] Other NON-PROFIT ORGANIZATION OPTIONS: [] Non-Owned Auto Liability [] Other: [] Joint Venture [] Corporation FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART: CL/BU 109 02 92M CL/BU O0 03 11 90 CL/EC O0 21 08 88 CL/BU 04 16 08 88 CL/EC 20 01 10 89 CL/BU 109 02 92M POLICY NUMBER: BSP 700506741 02 LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE 'READ IT CAREFULLY. ADDITIONAL INSURED CONTROLLING INTEREST This endorsement modifies insurance provided under the following: LIABILITY COVERAGE PART. SCHEDULE Name of Person(s) or Organization(s): MONROE CO. BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE RD, KEY WEST, FL 33040 1. WHO IS AN INSURED (Section II) is amended to include as an insured the person(s) or organization(s) shown in the Schedule, but only with respect to their liability arising out of: a. Their financial control of you; or b. Premises they own, maintain or control while you lease or occupy the premises. This insurance does not apply to structural alter- ations, new construction and demolition oper- ations performed by or for the person(s) or organization(s) shown in the Schedule. CL/EC 20 01 10 89 Includes copyrighted material of Insurance Services Office, Inc. with Its permission. Copyright, Insurance Services Office, Inc., 1984 FORMS PULL LIST BUSlNESSOWNERS POLICY COMMON FORMS BRANCH: 03 OPERATOR: B1DAZ NAME INSURED GREATER MARATHON CHAMBER OF COMMERCE AND VISITOR CENTER 12222 OVERSEAS HIGHWAY MARATHON , FL 33050 POLICY NUMBER: BSP 700506741 02 DATE ENTERED: 10/18/1995 FORM NBR CL/BU 103 11 92M CL/EC 70 10 09 93 CL/O0 297 07 92 CL/O0 99 07 07 92 FORM NAME BOP COMMON POLICY DEC FLORIDA CHANGES FL NOTICE-FIRE COLLEGE SURCHARGE FL FIRE COLLEGE SURCHARGE SYSTEM GENERATED Y Y Y Y FILL IN Y N N Y BRANCH OFFICE COPY FORMS PULL LIST BUSINESSOWNERS POLICY COMMERCIAL PROPERTY BRANCH: 03 OPERATOR: B1DAZ NAME INSURED GREATER MARATHON CHAMBER OF COMMERCE AND VISITOR CENTER 12222 OVERSEAS HIGHWAY MARATHON , FL 33050 POLICY NUMBER: BSP 700506741 02 DATE ENTERED: 10/18/1995 FORM NBR CL/SU 116 11 90 CL CL CL CL CL CL CL CL /BU 105 02 92M /BU 107 02 92M /BU O0 02 11 90 /EC 04 02 10 89 /EC 04 08 10 89 /EC O4 14 10 89 /EC 99 O4 10 89 /EC 7O 80 11 92 FORM NAME QUICK REF PROP COV PART (SPECIAL) BOP PROPERTY DEC BOP SUPPLEMENTAL DEC PROPERTY COVERAGE FORM (SPECIAL) ADDL COV BUILDING ORDINANCE OR LAW ADDL COV MONEY & SECURITIES EXTENSION OF COVERAGE - GLASS BURGLARY & ROBBERY PROTECTIVE SYS EXCL WINDSTORM OR HAIL SYSTEM GENERATED Y Y Y Y Y Y Y Y Y FILL IN N Y Y N Y N Y Y N BRANCH OFFICE COPY 25O 3 FORMS PULL LIST BUSlNESSOWNERS POLICY GENERAL LIABILITY BRANCH: 03 OPERATOR: BIDAZ NAME INSURED GREATER MARATHON CHAMBER OF COMMERCE ANB VISITOR CENTER 12222 OVERSEAS HIGHWAY MARATHON , FL 33050 POLICY NUMBER: BSP 700506741 02 DATE ENTERED: 10/18/1995 FORM NBR CL/BU 117 08 88 CL/BU 109 02 92M CL/BU O0 03 11 90 CL/EC O0 21 08 88 CL/BU 04 16 08 88 CL/EC 20 01 10 89 FORM NAME SYSTEM GENERATED QUICK REF LIABILITY COV PART BOP LIABILITY DEC LIABILITY COVERAGE FORM NUCLEAR ENERGY LIAB EXCL EXTNSION OF COV NONOWNED AUTO LIAB ADDL INSURED CONTROLLING INTEREST Y Y Y Y Y Y FILL IN N Y N N N Y BRANCH OFFICE COPY INFORMATION TECHNOLOGY COVERAGE PART FOR SMALLER SYSTEMS - DECLARATIONS Policy No. BSP 700506741 02 U S INSURANCE LOCATION OF PREMISES: Premises No. Location 1 12222 OVERSEAS HIGEWA¥, M~d~ON, ~ 33050] LIMITS OF INSURANCE: Premises No. "ITS* Equipment" Limit "Communication Equipment" Limit ~ $ z4,ooo. $ $ $ $ $ $ $ $ $ *ITS = Information Technology Systems The following limits apply unless an "X" is indicated in the box below, CL/CM 80 01 is attached, and an increased limit is shown in the Schedule: "Data" and "Media" Combined Limit: the lesser of 20% of the "ITS Equipment" limit at the applicable location or $100,000. "Extra Expense" Limit: the lesser of 20% of the "ITS Equipment" limit at the applicable location or $100,000. "Business Income" Limit: $10,000 in any one occurrence. [] CL/CM 80 01 is attached. Increased limit(s) apply. DEDUCTIBLE: 500. $ Deductible amount. FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART: CUCM 816 09 93 CL/CM O0 80 09 93, CL/CM 814 09 93, CL/CM 138 09 93, CL/CM 99 13 09 93, CM O0 O1 10 91, CM O1 16 04 89, IL O1 75 09 93, IL 02 55 07 94, CL/CM 80 Oi 09 93 PREMIUMS FOR THIS COVERAGE PART: Policy Premium $ 250o Minimum Premium $ 250. CL/CM 816 09 93 .' AGENT'S COPY CERTIFICATE OF INSURANCE: GRTRM-1 CSR PC 02/28/95 PR~UCER The Johnsons In~r~nce Agency 13361 Overseas Hlgnway Marathon FL 33050 Re~ived 305-289-0213 Risk Mgmt. & Loss Cont~ ........................ ;;;;' .... .... INITIAL ~ Greater Marathon Chamber of Commerce 12222 Overseas Hwy Marathon FL 33050 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORNATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENO OR ALTER THE COVERAGE AFFOROEO BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A United Business Owners COMPANY a USF&G Companies .............................. ~VEB ~% ~-MA~Ae~.I,,,+SN~F ..... ~--- COMPANY , . / ..,4 '///'~ tS't/ O DATE '.~ ~,~ THIS I$ TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THEWCN~I~ED N~ID~THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT~ TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE NAY BE ISSUED OR NAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHO~N MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS OATE (MM/OD/YY) OATE(MM/OO/YY) GENERAL LIABILITY GENERAL AGGREGATE ,000 rX] COMMERCIAL GEN LIABIL]TY BSP700506741 01 12/21/94 12/21/95 PROO-COMP/OP AGG. ,000 [ ] CLAIMS MADE EX] OtC. PERS. & ADV. INJURY ~ 000 [ ] OWNERS'S & CONTRACTOR'S EACH OCCURRENCE r 000 PROTECTIVE FIRE DAMAGE [ ] (ANY ONE FIRE) 50~000 [ ] MED. EXPENSE (ANY ONE PERSON) 5 ~ 000 AUTOMOBILE LIABILITY [ ] ANY AUTO ] ALL OWNED AUTOS ] SCHEDULED AUTOS ]HIREO AUTOS ] NON-OWNED AUTOS ] ] COMB. SINGLE LIMIT BOOILY INJURY (PER PERSON) BDOILY INJURY (PER ACCIDENT) PROPERTY DAMAGE GARAGE LIABILITY ] ANY AUTO ] ] EXCESS LIABILITY [ ] UMBRELLA FORM [ ] OTHER THAN UMBRELLA FORM AUTO ONLY (EA ACC) OTHER / AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE WORKERS COMP. AND ENP. LIAB. THE PROPRIETOR/PARTNERS/ EXECUTIVE OFFICERS ARE: [ ] INCL. [ ] EXCL. OTHER 495178032494 11/14/94 11/14/95 ]STATUTORY LIMITS EACH ACCIDENT ~ 000 DISEASE-POL. LIMIT ~000 DZSEASE'EACH EMP. r 000 -DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ...................................................................... · CERTIFICATE HOLDER :::::::::::::::::::::::::::::::::::::: CANCELLATION ======================================================== MONCO-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE onr_oe..Cou. nty Risk Management e¥ ~anleaa 5100 College Road Key West FT. 33040 _ACORD 25-S (3/93), EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO NAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT, BUT FAILURE TO NAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY~ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE The Johnsons Insurance Aqency 4712-1996 I:41PM FROM JOHNSONS INSURANCE 3E~:32890213 The Johnsons Insurance Agency A336~. Overseas Highway mare=non FL 33050 305-289-0213 Marathon Chamber Commerce ~erseas ~ FL 33050 CONFERS lid RIGHTS UPOR THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE ~¢IES BEL~. COIIPANZ ES A~FORDIHG t~NPANY A USF&G CONI)ANY B ~,;;2~t~- &;: Loss Control ........ .......................... COH~ANy THIS IS TO CERTIFY THAT THE POLICIES OF INSUI~UJCE LISTED BELOW HAVE BEEN ISSL/ED TO THE INSURED MANED ABOVE ;OR THE POLICY PERIOO INDICATED. NOTWITHSTANDING ANY REGUZRENE#T, TERN OR CC~DilION Of ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO I/HICK THIS C~RTIFICATE HAY BE ISSUED OR HAT PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNS, EXCLUSIONS, AND CONDITIONS OF ~UCH POLICIES. LIMITS SHO4M HAY HAVE BEEN REDUCED BY PAID CLAIHS. ,Y. o, ,.----.CE ! ,.ICT E. ' mL= .P ............ ;.;,;;;.; .............. °ATE C..,*DO,.) BSPT0050674102 IX ] COHHERCIAL GEN LIABILITY I ] CLAIMS HADE tX] ~. ] MERS'S & ~T~C~'S PROTECTIVE £ ] C ! AUT(34OSI LE LIABILITY ] ANY AUTO ] ALL CRJNED AUTOS ] SCHEDULED AUTOS ] HIRED AUTOS '£ ] NON-CXdNEO AUTOS [ ] w~!VER: ~ LI~ILITY [ [ ] [ ] EXCES~ LIABILITY f ] UI4BRELLA FCJN [ ] OTHER TKAN UMBRELLA FORM WORKERS CiX), AND EPa). LZAB. THE PROPRIETOR/PARTNERS/ EXECUTIVE OFFICERS ARE: [ ] INCL. [ ] EXCL. APPROVED BY RISK ........ DATE MANAGEMENT YES ~ 12/21/96 OTHER GENERAL AGGREGATE PROD-CONP/OP AGO. PERS. & ADV. INJU~' EACH OCCURRENCE FIRE DAMAGE (ANY ONE FIRE) NED. EXPENSE O00,OOC 000,00¢ 1,000, '50000 ¢~Y ORE PERSON) 5000 COHB. SINGLE LIHIT BOO ILY INJURY CPER PERSGII) BODILY l N,JLMY (PER ACCIDENT) PROPERTY DAMAGE AL/TO ONLY CEA ACC) OTHER / AUTO ONLY: EAON ACC]DENT AGGREGATE EACH OCCURRENCE AGGREGATE ]STATUTORY L[#ITS EACH ACCIDENT D~SEASE-POL. LIMIT DISEASE-EAC# ENP. WS/L~AT loNS/~H I CLES/SPEC IAL ITEMS ............ $5 TO PRESERVE THE COMPETITIVE ENTERPRISE SYSTEM OF BUSINESS PROMOTE BUSINESS & COMMUNITY GROWTH & DEVELOPMENT MONCO-3 B go~nty Risk Management ahleaa Colleqe Road West FL 33040 25-S (3/93) SHOULD ~y OF THE ~ DE~IBED ~JClES BE ~CELLED 'E'~ T~ EXPIRAT,. DATE THEREOF, T,E ISLING ~ANY VILL END.~ TO ~'L ~ 0 DAYS ~,TTE, NOT]. TO T~ 'RTIFJ~TE HOLDER ~ TO THE LEFT, ~T FAILURE TO ~]L ~CH ~TZ. S~LL Z~E NO MLJ~TZ~ ~ LJABJL,, OF ~Y KIND ~~Y,JTS AGENTS ~ RE"~TATI~S. POLICY NUMBER: BSP 70050F"4.1 02 LIABILITY THIS ENDORSEMENT CHANGE8 THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTROLLING INTEREST This endorsement modifies insurance provided under the following: LIABILITY COVERAGE PART. SCHEDULE Name of Person(s) or Organization(s): NONROE CO. BOARD OF COUNTY CONN[SS[ONERS 5100 COLLEGE RD, KEY WEST, FL 33040 1. WHO IS AN INSURED (Section II) is amended to Include as an Insured the person(s) or organization(s) shown in the Schedule, but only with respect to their liability arising out of.' 2. a. Their financial control of you; or b. Premises they own, maintain or control while you lease or occupy the premises. This insurance does not apply to structural alter- ations, new construction and demolition oper- ations performed by or for the person(s) or organization(s) shown in the Schedule. CL/EC 20 01 10 89 Includes copyrighted material of Insurance Services Office, Inc. with Its permission. Copyright, Insurance Services Of/Ice, Inc., 1984 4-!2-1996 I:&2F"N FROM JOHNSONS INSdRANCE 3~2890213 P. 3 PROOUCER Thei Johnsons Insurance Agency .1.336.1. Overseas Highway ~ara=non FL 33050 305-289-0213 II/SUItED CSR PC 04/11/9~ TKIS CERTIFICATE IS ISSUED AS A NAYTEk OF ]NFC~HATiO# G#LY ~ ~FERS ~ RIGHTS ~ T~ ~RTIFI~TE ~LD~. THIS CERTIFICATE D~S NOT ~D, E~E~ ~ ~TER THE ~ AFF~EO BY THE POLICIES KLm. ~ANIES AFF~DI~G ~R~ C~Y A United Businessowners Self Ins CGvJ)AMY Received Marathon Chamber ..... ............. :: :.': :a =:. :"L :~'. i:,,.-:: ~cgt~. ................... 12222 c Overseas H~ .................. THIS IS TO CERTIFY THAT T~ ~ICIES OF IN~NCE LIST~ ~L~ ~ BEEH IS~ TO T~ I~SUR~ ~D A~ F~ T~ ~LICY PERI~ I~i~TED. NOTWITHSTANDING ~ K~IREHEHT, 'TERN ~ ~ITI~ OF ANY C~T~CT ~ OTHER ~NT glTH RE~CT TO ~ICH THI~ CERTIFI~TE ~y BE I~U~ ~ ~y PERTAIN, THE ]N~AHCE AFF~ED BY ~fl~ ~ICIES DE~RIB~ HEREIN IS ~dECT TO TYPE OF INSU~CE "~ .............................. ' .................... T ......................................... ~ICY ~ER I ~LICY EFF [ ~ICY ~P ~ LIN%Tm ................................ ~,~uc u~iu. .......................... i ............... J .............. ' .................................. [ ] M~S~S & C~TRACT~S PERS. & ~V. PROTECTI~ ~CH ~R~ [ ] FIRE D~ .............................. ~PP~Ov~ ( ] ~Y ~TO ~Y- ~B. SINGLE [ ] ALL ~ED ~ ~ILY ENJOY [ ] SCHEDUL~ ~T~ ~T~ ~ {PER PERG) ~ ~ ,~ILY INit, .......................................................... ~RTY D~GE ~OE LI~ILITY [ ] ANY ~TO ~0 ~Y C~ [ ] OTHEE / ~TO [ ] EACH ~CIDENT A~E~TE EX.SS LI~JLITY ................... [ ] OTHER T~ ~BREL~ F~ A~RE~TE THE PR~RIET~/P~TNER~ ]STAT~T~Y LIHITS E~H ACCIOENT ~ 000 E~TI~ OFFI~R$ ARE: 495178032496 03/01/96 03/01/97 DIS~SE-~. LIMIT ,000 ~ ~ z~cc. r ] ~XCL. ~:S~S~-e~C~ ~. ,000 OTHER > CERTIFICATE HOLDER <"'"~'"'"~==~z"a'"'=====~-zza~.--=====szm, CANCELLATION MONCO-3 ~onrge goqnty Risk Management ~e¥ uahle=a 5100 Collie Roa~ Key West FL 33040 SHOULD ANY OF THE ABO~ DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COHPAHY "ILL ENOEAVO~ TO NAIL 30 DAYS T,~fTTEH KOTICE TO THE CERTIFICATE HOL~ER NaJ4ED TO THE _EFT,BUT FAILURE TO HAIL SUCN NOTICE SHALL IMPOSE NO O~LIG~L~ION OR lABILiTY OF ANY KiND UPOH~ THE/~CONPAH¥,ITS AG~#TS OR R,~PRE?E~pA~IVES. The Johnsons Zn~u~/ance Aqe~¢y CERTIFICATEpRoDUCER OF INSURANCE: GREAT-1 CSR PC 04/11/96 The Johnsons Insurance Agency .1.3361. Overseas Highway Marathon FL 33050 305-289-0213 INSURED 3reater Marathon Chamber of Commerce 2222 Overseas H_wy arathon FL 33050 THIS CERTIFICATE IS ISSUED AS A HATTER OF INFORHATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT N4END, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOg. COMPANIES AFFORDING COVERAGE COMPANY A United Businessowners Self Ins COMPANY B Received COMPANY if;': i,:;~' i~,,~:~'~::, ,:~;~ ;,.,.;.,;:.:, ,,.'.~,~ ..................... .... .c ........... '- cOMPANY D ,:., , t,~l > COVERAGES :::::::::::::::::::::::::: .......... = .................. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOIJ HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REGUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT ~ITH RESPECT TO UHICH THIS CERTIFICATE HAY BE ISSUED OR HAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHO~N HAY HAVE BEEN BY PAID CLAIMS TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP DATE (I~4/DD/YY) DATE(HN/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE [ ] COMMERCIAL GEM LIABILITY ~[ ] CLAIMS MADE £ ] OCC. PROD-COMP/DP AGG. PERS. &ADV. INJURY [ ] O~NER$~S & CONTRACTOR'S PROTECTIVE EACH OCCURRENCE [ ] FIRE DAMAGE [ ] (ANY ONE FIRE) MED. EXPENSE (ANY ONE PERSON) AUTOMOB]LE LIABILITY [ ] ANY AUTO [ ] ALL OUNED AUTOS £ ] SCHEDULED AUTOS [ ] HIRED AUTOS [ ~ NON-OUNED AUTOS [ ] GARAGE LIABILITY [ ] ANY AUTO [ ] r ] EXCESS LIABILITY [ ] LMBRELLA FORM [ ] OTHER THAN UMBRELLA FORM I, IORKERS COltlp. AND EMP. LIAB. THE PROPRIETOR/PARTNERS/ EXECUTIVE OFFICERS ARE: [ ] INCL. [ ] EXCL. OTHER APPROVED BY RISK 495178032496 NT COMB. SINGLE LIMIT BODILY INJURY (PER PERSON) ~-0"'~ BODILY INJURY (PER ACCIDENT) LINITS 03/01/96 03/01/97 PROPERTY DAMAGE AUTO ONLY (EA ACC) OTHER / AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE ]STATUTORY LIMITS EACH ACCIDENT ,000 DISEASE-POL. LIMIT ~ 000 DISEASE-EACH EMP. ~ 000 -DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECiAL ITEMS ...................................................................... ESTABLISHED 1945 TO PRESERVE THE COMPETITIVE ENTERPRISE SYSTEM OF BUSINESS & PROMOTE BUSINESS & COMMUNITY GROWTH & DEVELOPMENT CERTIFICATE HOLDER :::::::::::::::::::::::::::::::::::::: MONCO-3 onroe County Risk Management e¥ Bahleda 5100 College Road Key West FL 33040 CANCELLATION :::::::::::::::::::::::::::::::::::::::::::::::::::::::: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT]ON DATE THEREOF~ THE ISSUING COMPANY &tILL ENDEAVOR TO MAIL 30 DAYS I,/RITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO HAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON. THE~COMPANY, ITS.~ '--"/~ 7% AGENTS OR, ,~J~PRE .S .E .N .%. T ]VES. The Johnsons InSurance Aqenc¥ CERTIFICATE OF INSURANCE: GREAT-1 PRODUCER The Johnsons Insurance Agency 13361 Overseas Highway Marathon FL 33050 305-289-0213 INSURED ~reater Marathon Chamber of Commerce 2222 Overseas H_wy arathon FL 33050 CSR PC 04/23/96 THIS CERTIFICATE IS ISSUED AS A HATTER OF INFORHATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOM. CONPANIES AFFORDING COVERAGE CONPANY A United Businessowners Self Ins COMPANY B .................................. ....................... D · COVERAGES<= .................................................. == = = == = = ======= ===:====:. ==;=-;-j;= == .......... = = THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOM HAVE BEEN ISSUED TO THE INSURED NAILED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REGUIRENENTo TERN OR CONDITION OF ANY CONTRACT OR OTHER DOCUNENT WITH RESPECT TO WHICH THiS CERTIFICATE HAY BE ISSUED OR HAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNS, EXCLUSioNS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHONN HAY HAVE BEEN BY D TYPI OF POLICY NUMBER POLICY EFF POLICY EXP LI#ITS .................. DATE (HN/DD/YY) DATE(HN/DD/Yy) GENERAL LIABILITY .................................. [ ] COMMERCIAL SEN LIABILITY GENERAL AGGREGATE [ ] CLAIMS NADE [ ] OCC. PROD'COI4P/OP AGG. [ ] OUNERSIS & CONTRACTORIS PERS. & ADV. INJURY PROTECTIVE EACH OCCURRENCE [ ] FIRE DANAOE [ ] (ANY ONE FIRE) MED. EXPENSE 4uL%r~.. (ANY ONE PERSON) AUTONOBI LE LIABILITY '"" [ ] ANY AUTO ~, COHB. SINGLE LIMIT [ ] ALL OUNED AUTOS ~ BODILY INJURY [ ] SCHEDULED AUTOS ~ (PER PERSON) ] HIRED AUTOS ] NON-OUNED AUTOS BODILY INJURY [ ] · ,"~: N//~ ": (PER ACCIDENT) I ] -- PROPERTY DAMAGE GARAGE LIABILITY [ ] ANY AUTO AUTO ONLY (EA ACC) [ ] OTHER / AUTO ONLY: [ ] EACH ACC]DEN' ............................... AGGREGATI EXCESS LIABILITY [ ] U#BRELLA FORM EACH OCCURREHCE [ ] OTHER THAN LINBRELLA FORM AGGREGATE gORKERS COMP. AND ENP. LIAB. THE PROPRiETOR/PARTNERS/ ]STATUTORY LIMITS EACH ACCIDENT EXECUTIVE OFFICERS ARE: 4951'78032496 03/01/96 03/01/9'7 DISEASE-POL. LIMIT [ ] INCL. [ ] EXCL. DISEASE-EACH ENP. OTHER -DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ................................... , ................... - .............. ESTABLISHED 1945 TO PRESERVE THE COMPETITIVE ENTERPRISE SYSTEM OF BUSINESS PROMOTE BUSINESS & COMMUNITY GROWTH & DEVELOPMENT**ADDITIONAL INSURED TO READ MONROE COUNTY RISK MANAGEMENT 5100 COLLEGE RD KEY WEST FL 33040 **THE AMOUNT OF COVERAGE ON THIS CERTIFICATE APPLIES FOR THE TOTAL AMOUNT OF COVERAGE AVAILABLE FOR ALL JOBS & LOCATIONS · CERTIFICATE HOLDER ===:m=:==:=::====:=::================= CANCELLATION MONCO-3 onroe Coqnty Risk Management e¥ Bahleaa 5100 Colleqe Road Key West FL 33040 _ACORD 25-S (3/93).. ~C' ', 7--~)~ /~//_~.~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATZON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO HAIL 3 0 DAYS gRITTEN NOTICE TO THE CERTIFICATE HOLDER NAHED TO THE LEFT, BUT FA]LURE TO HAIL SUCH NOT]CE SHALL iMPOSE NO OBL-~ON OR LIABZLITY OF ANY KIND UP.O~_~C_.ORPANY, ZTS AGENTS ?R~EPRESENI~TIVES. ...... The Johnsons Insurance Aqenc¥ CERTIFICATE OF INSURANCE: GREAT-1 PRODUCER The Johnsons Insurance Agency 13361 Overseas Highway Marathon FL 33050 305-289-0213 INSURED Marathon Chamber Commerce 12222 Overseas H_wy ton FL 33050 CSR PC 04/23/96 THIS CERTIFICATE IS ISSUED AS A HATTER OF INFORHATIC)N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AHEND, EXTEND OR ALTER THE COVERAOE AFFORDED BY THE POLICIES BELOU. CCNPANIES AFFORDING COVERAGE COHPANY A USF&G ...................................... ~%~%i~ ................... CONPANY ................... ........ ........ ........................... I~ITI&[ ...................... COHPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOU HAVE BEEN ISSUED TO THE INSURED NANED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REGUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUNENT WITH RESPECT TO WHICH THiS CERTIFICATE HAY BE ISSUED OR HAy PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN HAY RAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE GENERAL LIABILITY rX ] CONNERC]AL GEN LIABILITY [ ] CLAIMS HADE iX) OCC. ] OWNERS' S & CONTRACTOR" S PROTECTIVE ] ] ~TONOBILE LI~ILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED ~TOS NOR-OWNED ~TOS GARAGE LIABZLITY [ ] ANY AUTO ] EXCESS LIABILITY [ ] UNBRELLA FORM [ ] OTHER THAN UNBRELLA FORM POLICY NUNBER BSP70050674102 3¥ED BY ! POL ICY E F F POLI CY EXP DATE (NN/DD/YY) DATE(NN/DD/YY) 12/21/95 12/21/96 LIMITS GENERAL AGGREGATE 12,000,00 PROD-CO#P/OP AGG. 12,000,00( PERS. & ~V. IN*IURYI EACH OCCURRENCE I1,000, OOC F l RE DANA, GE I (ANY ONE FIRE) 150000 NED. EXPENSE (ANY ONE PERSON) 5000 CONB. SINGLE LINIT BODILY INJURY (PER PERSON) BODILY INJURY (PER ACCIDENT) PROPERTY DAHAGE AUTO ONLY (EA ACC) OTHER / AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE UORKERS COHP. AND ENP. LZAB. THE PROPRZETOR/PARTNERS/ EXECUTIVE OFFZCERS ARE: [ ] INCL. [ ] EXCL. OTHER ]STATUTORY LINITS EACH ACCIDENT DZSEASE-POL. LIN[T DISEASE-EACH ENP. -DESCRIPTION.,OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ZTENS ................ & P_ROMOTE BUSINESS & COMMUNITY GROWTH & DEVELOPMENTW*ADDITIONAL INSURRn READ MONROE COUNTY RISK MANAGEMENT 5100 COLLEGE ROAD KEY WEST FL 3~40 **THE AMOUNT OF COVERAGE ON THIS CERTIFICATE APPLIES FOR THE TOTAL AMOUNT COVERAGE AVAILABLE FOR ALL JOBS & LOCATIONS · CERTIFICATE HOLDER :::::::::::::::::::::::::::::::::::::: CANCELLATION <================= ............. = .... MONCO-3 County Risk Management Bahleda Colleqe Road West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING CONPANY WILL ENDEAVOR TO NAIL .~-0 DAYS ~RITTEN NOTICE TO THE CERTIFICATE HOLDER NANED TO THE LEFT, BUT FAILURE TONAIL SUCH NOTICE SHALL INPOSE NOORL~rGATIONOR LIABILITY OF ANY KIND UPON TH~*CONPANY, ITS AGENTS OLREPRES~JTATIVES. The Johnsons Insurance Aqenc¥ UNITED BUShNESS OWNERS UNITED BUSINESS OWNERS SELF INSURERS FUND ISSUE DATE (MM/DD/YY} 6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER 646 The Johnsons Insurance Agency PO Box 5223¢6 Marathon Shores FL 33052-2346 INSURED GREATER HARATHON CHAHBER OF !2222 OVERSEAS HWY I~I~RATHON FL 33050 ATTENTION CERTIFICATE HOLDER: If you have any questions, please contact MELODY MORGAN, UBO 1-800-420-5252, 2601 Cattlemen Road, Sarasota, FI 34232-6249 COMPANIES AFFORDING COVERAGE Company Letter A UNITED BUSINESS OWNERS Company Letter B: Company Letter C: THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH ::i .~o ~,c~111 ii ~1~ ~Y ~E 15SUED OR ~AY PERTAIN, ~HE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. CO POLICY POLICY LT¢ TYPE IN INSURANCE POLICY NUMBER [ EFFECTIVE EXPIRATION ALL LIMIT~ IN TH~H~A~mC ' DATE (MM/DD/YY) DATE (MM/DOIYY) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ~ - ~ : ~'~ -- PROOUCTS-COMP/OPS AGGREGATE ~ APPROVED B~ R~SK MAN~CEM~NT GENERAL AGGREGATE S PERSONAL & ADVERTISING INJURY ~ OWNERS & CONTRACTORS P~OTECTIVE~/~~~~ ~ I - ~ ~ EACH OCCURRENCE ........ ~ FIRE DAMAGE (ANY ONE FIRE) S ANY AUTO ' ' ...... :: :: ::':':: ALL OWNED AUTOS ~ BODILY ~: :::::. ~::~ ~ ~ ~ INJURY ::':: SCHEDULE, AUTOS ~ ~~ ~ ~;~R.~., ~ HIRED AUTOS~~ B~D~'iNJURY UNI~D BUS.ESS OWNE~ (,E~ .0.-0w.~0 ~0T0S GARAGE LIABILITY SELF INSU~ FUND ~CC,D~.T) ~ ~ PROP~RT~ DAMAGE ~xc~ss u~mu~y S , ~ OCCUrreNCE ' AGGREGATE 'i OTHER THAN UMBRELLA FORM WORKERS' COMPENSATION _ ST~TUTOR~ ::: ::::: :: :: ::: :: :: :: :::::: :: ::: ::: ~.o ~9S-17-8032~-96 ~ 03/01/96 03/01/97 S EMPLOYERS' LIABILITY ~ S 500 (DISEASE-POLICY LIMIT) OTHER ~ $ 100 {DISEASE-EACH EMPLOYEE) DESCRIPTION 0F 0PERATIONS/LOCATIONS/VEHI~LES/RESTRiCTiONS/SPECiAL ITEMS '~ :~¢;~c ~m~, ~ Loss MONROE COUNTY RISK MGM? KEY BAHLEDA 5100 COLLEGE RD KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO SEND 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABII ITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVE. THIS CERTIFICATE IS ISSUED AS A MA1TER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas H i ghway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 The Johnsons Insurance Agency ?COMPANY COMPANIES AFFORDING COVERAGE 305-289-0213 i A United Businessowners Self Ins INSURED B USF&G Greater Marathon Chamber k COMPANY of Commerce C/C,' c 12222 Overseas Hwy Marathon FL 33050 COMPANY D CoVERAGES THIS iS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOw HAvE BEEN ISSUED T° THE iNSURED NAMED ABOVE FOR THE POLicy PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDI lION 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 EXPIRATIOb I.TR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/Yy) DATE (MM/DD/Yy) LIMITS I GENERAl. LIABILITY -- i GENERAL AGGREGATE $ 1,000,000 B , COMMERCIAL GENERAl., _IJABILITY] BSPT0050674103 12/21/96 12/21/97 PRODUCTS-COMP/OPAGG $ 1,000,000 [ ] CLAIMS MADE i X OCCUR ~ L ~ ~ PERSONAL & ADV INJURY $ ~--- OWNER'S & CONTRAC~OR'S PROT i -- i EACH OCCURRENCE $ 500,000 , ....... FIRE DAMAGE (Any one fire) $ 50,000 ~OMOBILE LIABILITY MED EXP (Any one person) $ 5000 ANY AUTO . R0vt v, s,lS, COMBINED S,NOLE L,M,T : B . ' BODILY INJURY -- SCIIEDULED AUTOS ,(Per person) $ i~ NON-OWNED AUTOS (Per accident) $ i,..',,,,r_o. ¢,I/1 / ~,,, PROPERTY DAMAGE $ ] ALYFO ONLY - EA ACClDEbfr $ --i ........ ::' EACHACC'DE AGGREGATE $ EXCESS LIABILITY I EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM $ A WORKERS COMPENSATION AND $ EMPLOYERS' LIABILITY i J I STATUTORY LIMITS r - · r I EACHACCIDEN~F $ 100,000 THE PROI'RIITI'OR/PARTNERS/F. XECUTiVE 'l : ~NCl. I 495178032496 I 03/01/97 03/01/98 DISEASE - POLICY LIM1T $ 500,000 OFFICERS ARE: [ ]EXCL! OTHER i DISEASE - EACH EMPLOYEE $ 100,000 a , Com Application ] 8SP70050674103 12/21/96 12/21/97 DESCRIPTION OE OPERATIONS/LOCATIONS/V'EHICLES/SPECIAL ITEMS Non Profit Organization *The Certificate HoLder is aLso additional insured under the Gert Liability* CERTIHCATE HOLDER MON RO-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAlL Monroe County BOCC R i s k Management . 10 _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFF, 5100 Col lege Road /~ ~ t/~fl-: '. BUT FAILURE TO MAIL SUCH NOT1CE SHALL IMPOSE NO OBLiGATiON OR LiABiLITY Key West FL 33040 ~Jl ~-~ ~/~.~g] '---~' OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. [, ~ I. ~ ~ AUTHORIZED REPRESENTATIVE ACORD 25-S (3/93) ~.Z "'-"~ .......... ._.,.~The Johnsons Insurance Agency PRODUCER THIS CERTIFICATE IS ISSUED AS A MATI'ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The dohnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES RELOW. , Marathon FL 33050 COMPANIES AFFORDING COVERAGE The Johnsons Insurance Agency COMPANY 305-289-0213 A USF&G INSURED COMPANY Greater Marathon Chamber COMPANY of Commerce C 12222 Overseas Hwy Marathon FL 33050 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DD/YY LIMITS GENERAL LIABILITY ' IGENERAL AGGREGATE $1,000,000 A X COMMERCIAL GENERAL LIABILITY] CLAIMS MADE J--~ BSPTO050674103 12/2t/97 12/21/98 : PRODUCTS-COMP/OPAGG $ 1,000,000 OCCUR I I~ I PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 FIRE DAMAGE (Any one fire) $ 50,000 ' ' MED EXP (Any one person) $ 5000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS ~ ~ :~31~i~,', BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS .... '/' NON-OWNED AUTOS/ BODILY INIURY _ .~,' , Ac (Per accident) $ ~. ~.~~QI ~ ~ fl'4Al~ .t., PROPERTY DAMAGE $ GARAGE LIABILITY -- AUTO ONLY. EA ACCIDENT $ ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESSUMBRELLA LIABILITY FORM .~ '~ ~ "~_~j~ ~;~'~' ~ . ~ ','~EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM ' '. AGGREGATE $ WORICIZIJg COMPENSATION AND $ EMPLOYERS' LIABILITY I STATUTORY LIMITS ~ EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE W/~tVFp: I~' ~' V ,~ DISEASE- POLICY L1MIT ! $ OFFICERS ARE: EXCL ' ' ~ ' ' ~ DISEASE - EACH EMPLOYEE $ ' T'C c DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECiAL ITEMS Non Profit Organization *The Certificate Holder is also additional insured under the Gert Liability* INCLUDING: PIRATES IN PARADISE FESTIVAL "BANNER" US HIGHWAY //1, MARATHON FL FLOR 110 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County R i s k Managers .EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Key Bah Ieda 10 _ DAYS WR/TTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFF, 51 O0 Co l l ere Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key k/est FL 33040 , OF ANY KIND UPON THE COMPANY, ITS AG~FS OR REPRF~ql~NTA'I~FVES J ~ ~ J ~ ~ AUTHOI~tZI~D REPRESENTATIVE , ~' ~ '~ PRODUCER ..................................... i ....... 12/15/97 TtlIS CERTIFICATE IS ISSUED AS A MATI'ER oF INFORMATION The Johnsons Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13361 Overseas H i ghway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER TH~ COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 COMPANIES AFFORDING COVERAGE The Johnsons Insurance Agency / COMPANY 305 - 289- 0213 A US F&G INSURED COMPANY B Greater Marathon Chamber Y~ COMPANY Of Commerce C 12222 Overseas H~ry Marathon FL 33050 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 CONDITIONOF ~Ny 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 LTl{ TYPE OF INSURANCE POLICY NUMBER POI,ICY EFFECTIVE I POLICY EXPIRATIOi~ DATE (MMfDD/YY DATE ~IM/DDFffY) L~VlITS GENERAL LIARILITY GENERAL AGGREGATE $ 1,000. 000 A X COMMERCIAL GENERAL LIABILFTY BSP?0050674103 12/21/97 12/21/98 PRODUCTS-COMP/OPAGG $ 1,000,000 [ CLAIMS MADE [~ OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ SOO, 000 FIRE DAMAGE (Any one fire) $ 50 t [}OD MED EXP (Any one person) $ 5000 AUTOMOBILE LIABILITY SCHEDULED AUTOS (per person) $ HIRED AUTOS ~ . ~ BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO .-. OTHER THAN AUTO ONLY: ~ ~ EACH ACCIDENT $ EXCESS LIABILITY ~ AGGREGATE $ ' AGGREGATE $ ~ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND $ EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE DISEASE. POLICY LIMIT $ ~ OFFICERS ARE: ~ OTHER DISEASE - EACH EMPLOYEE $ DESCRIlrFION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Non Profit Organization *?he Certificate Hotder is atso additionat insured under the r, en Liabit~ty* M0N CO-'~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County and Monroe EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL County BOCC 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LgFT. 5100 CO [ [ ege Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key Idest FL 33040 /l ~ i ~ ~ OF ANY KIND UPON THE COMP~NY, ITS AGENTS OR RF~R£,qI~,~ATIVES ~/~~ I ~UTHO~'~ ~r~SENTATIV~ ~,.~X~_. C~_~ ii_ ~/~-- ' a ncy PRODUCER ;:: :: : :::: r i. EX 06/05/98 TItlS CER'I1FICATE IS ISSUED AS A MA'Fr~'.R OF' INFORMATION The dohnsons Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER TI-IE COVERAGE AFFORDED BY TH~ POLICIES BELOW. Marathon FL 33050 COMPANIES AFFORDING COVERAGE The Johnsons Insurance Agency COMPANY 305-289-0213 A United 8usinessowners Self Ins INSURED r COMPANY Greater Marathon Chamber COMPANY of Commerce C 12222 Overseas Hwy _ Marathon FL 33050 COMPANY D COVERAG~ T'IS IS TO CERTIFY THA'f THE POLICIES OF INSURANCE LISTED BELoW HAVE BEEN IssUED T° THE iNSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFIFECTIV}IPOLICY EXPIRATIOb DATE (MM/DD/Yy} DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITYI GENERAL AGGREGATE PRODUCTS - COMP/OP AGG 1 I CLAIMS MADE [~OCCUR PERSONAL & ADV INJURY $ __ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ ~,~l It t, .'"'"~. MED EXP (Any one person) $ _A._~TOMOB ILE LIABILITY ~.,y~ 1ANY AUTO [Ib_lq K COMB'NEDS'NGLEL'M' ALL OWNED AUTOS B~T[ ...... - ~/ BODILY iNJURY SCHEDULED AUTOS . (Per person) $ HIRED AUTOS . ~ . '" ~ ---- (,~ ~ ~,~ BODILY iNJURY NON-OWNED AUTOS (Per accident) $ GARAGE LIABILITY ' AUTO ONLY _ EA ACCIDENT $ ANY AUTO : OTHER THAN AUTO ONLY: EACH ACCIDENT $ I EXCESS LIAI~ILI'I y : AGGREGATE $ ~] EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WOR~RS COMP~SnTiON a~r~ EMPLOYERS' UABILrrY I STATUrORV LIMrrs I ~ EACH ACCIDENT $ 100,000 THE FROPmETOR/ INCL 49517803;>496 03/01/98 06/30/98 DISEASE- ~OUCY LiMit $ 500,000 PARTNERS/EXECUTiVE OFFICERS ARE: EXCL -- i OTHER DISEASE - EACH EMPLOYEE $ 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS I ir l.I~ SHOULD a2~V OF THE ABOVe DESCRISeD POLICieS Be CANCELLED BEeO~ THE letephone 8, lourist ~ EXPIRATION DATe THE~Or, Tm ISSUING COMPANY WILL e~eaVOR TO ~aAIL I nforma t ~ on Serv ices- 10 C 30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Monroe Coutny Risk Man~l[l~t .... 5100 Cortege Rd ~____._~ BUTFAILURETOMAILSUCHNOTiCESHALLiMPOSENOOBLiGATiON,ORLiABiLiTY ~ OF ANY KIND UPON THE COMPANY, itS A~E~TS OR REPRESENTa/rdES Key t4est FI. 33040 INI'r~t~l. ~ AUT"ORIZeDREPRESENTATIVE '.-.,L/' ' .~ ,/ ' ~-~' / PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ~e Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 COMPANIES AFFORDING COVERAGE ~e Johnsons Insurance Agency COMPANY PhoneNo. 305-289-0213 FaxNo. A Interstate Insurance Services INSURED COMPANY Greater Marathon Chamber \'~{ i COMPANY of Con~nerce C 12222 Overseas Hwy COMPANY Marathon FL 33050 O INDICATED, NO~ITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE ~Y BE ISSUED OR ~Y PERTAIN, THE INSU~NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN ~Y HAVE BEEN REDUCED BY PND C~M$. CO ~ POLICY EFFEC~VE POLICY ~PIRA~ON , L~ ~PE OF INSURANCE POLICY NUMBER DATE (M~DD~ DATE (M~DD~ LIMITS GENERAL LIABILI~ GENERAL AGGREGA~ COMMERCIAL GENERAL LIABIL~ PRODUCTS. COMPIOP AGG $ ?;:; ;:::~ C~IMS MADE OCCUR PERSONAL & ADV INJURY $ OWNER'S & CO--ACTOR'S PROT ' ~ .... FIRE DAMAGE (Any one tim) $ ~ ~ . ~ -- ~ ~'~ ' MED ~P (Any one pemon) $ · - ~ ANY A~O / COMBINED 8INGLE LIM~ $ ALL OWNED AUTOS Wf, ulF~. [~. ;~ ~ BODILY INJURY SCHEDULED AUTOS .~ ~ (Per pemon) $ H~.EO AUTOS ~'. ~OD~LY ~NJU.Y NON'OWNEDA~OS ~C ~. ,~ ~_'. ~ (Per accident) $ . PROPER~ DAMAGE $ ~ GARAGE LIABIL~ EACH ACCIDE~ $ AGGREGA~ ~CESS LIABILI~ EACH OCCURRENCE $ UMBREL~ FORM AGGREGATE O~ER ~AN UMBREL~ FORM $ WORKERS COMPENSATION AND WC STA~- OTH- : EL EACH ACCIDE~ , $ [00000 A ~EPROPRI~O~PARTNERS/~ECUTiVE ~ INCL ~C980[007 06/30/98 06/30/99 ELDISEASE- POLICYLIMff i$ 500000 OFFICERS ARE:~ ~ ~CL EL DISEASE - EA EMPLOYEE $ ~ 00000 O~ER DESCRI~ION OF OPERATION~OCA~ON~EHICLE~SPEClAL ffEMS Non Profit Organization · ~e Certificate Holder is also ad~tional insured under the ~n Li~ility* INCL~ING: PI~S IN P~ISE ~STIV~ "~R" US HIG~AY 91, ~THON FL ~O~[ ~ 0 SHOULD ANY OF ~E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ~E ~PIRA~ON DATE THEREOF, ~E I~UING COMPA~ WILL ENDEAVOR TO MAIL Monroe County ~ sk Managers 10 DAYS WRI~N NO~CE TO THE CER~FICA~ HOLDER NAMED TO ~E LE~, Maria del ~o BUT FAILURE TO MAIL SUCH NO~CE SHALL IMPOSE NO OBLIGATION OR LIABIL~ 5100 CCi leg. ~oa~ O~ ANY KIND~.O. ~E~"~MP~, .S AGE.S OR "EP"ESE~A~VES. Key .es~ FL 33040 OA~ ~~ENT~[ /~A ~ITIAL _ ~ne- Johnsons ~surance Agency THIS CERTIFICATE IS ISSUED AS A MA¥iI=I:{ OF INFORMATION '" ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance ~g'ency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 COMPANIES AFFORDING COVERAGE The Johnsons Insurance Agency COMPANY Phone No, 305--289--0213 Fax No. A USF&G INSURED COMPANY B Interstate Insurance Services Greater Marathon Ch~m~er COMPANY of Coma~rce C 12222 Overseas Hwy Marathon FL 33050 COMPANY D COVE~GES 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 O TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY F--XPIRATIOh DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIAL GENERAL LIABiLiTY 1~30142351801 12/21/98 12/21/99 PRODUCTS-COMP/OPAGG $2,0001000 ~:,~ J c~Ms MADE ~ occur PERSONAL & ADV INJURY $ i, 000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $ 50~000 AUTOMOBILE LIABILITY MHD EXP (Any one person) $ 5~000 (Per pemon) $ HIRED AUTOS [- ATF. ' __ NON-OWNEDAUTOS (~ ;; --~ BOD,LY,NJURY ~,~, rp. [~, ;'- ./VFC (Per accident) $ ANY AUTO AUTO ONLY . EA ACCIDENT $ -- OTHER THAN AUTO ONLY: EACH ACCIDENT EXCESS LIABILrFY AGGREGATE $ U UMBRELLA FORM EACH OCCURRENCE $ ~ ~ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKERS COMPENSATION AND $ EL EACH ACCIDENT $100000 B THEPROPRIEI'OR/ INCL FHFLWC9801007 06/30/98 06/30/99 EL DISEASE - POLICY LIMIT $ 500000 PARTNERS/EXECUTIVE ~ OFFICERS ARE: OTHER EL DISEASE- EA EMPLOYEE $ 100000 J DESCRIPTION OF OPERATIONS/LocATIONS/VEHICLES/SPECIAL ITEMS Pro.mote Florida Keys & functions / certificate holder zs also additional insured ' CERtiFiCaTE HOEDER MONRO 1 ~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County, Board. of County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Commissioners Ka thy Mravic 10 DAYS WRFTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 3583 South Roosevelt Blvd _- / , BUT FAILL RE TO MAIL SUCH NOTIC E SHALLjj~/iPOSE NO OBLiGATION OR LiABiLiTY Key West E~. 33040 ' ('~ ~/~'//~'~" OFA~Y~nK'~DUP-ONTHECOMPAN~ rrSAei~NTSO~REPRESENTATIVES D~__ ' AUTHOR , E RP*~ TIVE ACORD::2~$:~ !NITIA~. e Johnsons Insurance Agency ACORn. CERTIFICATE OF LIAB Iblit:¥ INSURANCEC,.K0 pATE PRODUCER : : : : : : : :: : GREAT~I 06/11/99 THIS CERTIFICATE IS ISSUED AS AMA'~ I ER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE ~e Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 ~erseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 COMPANIES AFFORDING COVERAGE ~e Joh~o~ I~~e A~e~y COMPANY Phone No. 305-289-0213 Fax No. A USF&G INSURED COMPANY B Greater Marathon Cheer COMPANY of Corette ~ ~ C ~2222 ~erseas ~ Marathon FL 33050 COMPANY D ~O~GES THIS IS TO CERTI~ THAT THE POLICIES OF INSU~NCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N~ED ABOVE F°R THE pOLicY pERi°D INDICATED, NO~ITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE ~y BE ISSUED OR ~y PERTAIN, THE INSU~NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN ~y HAVE BEEN REDUCED BY PAID CLAIMS. co LTR ~PE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY ~PIRATIOA DATE (MM/DD~ DATE (MM/DD~ LIMITS GENERAL LIABILI~ ~ GENERAL AGGREGATE $ 2 ~ 000 ~ 000 A X COMMERCIAL GENERAL LIABILI~ 1~P3014235180~ 12/2~/98 12/21/99 PRODUCTS-COMP/OPAGG $2,000,000 ~ CLAIMSMADE ~ OCCUR PERSONAL&ADVlNJURy $ ~,000 ,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ ~, 000,000 ~ F~RE DAMAGE (Any one fire) $ 50~000 MED ~P (Any one person) $ 5 ~ 000 AUTOMOBILE LIABILI~ A I ANY AUTO 1~3014235~801 12/21/98 ~2/2~/99 COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY -- (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ ANY AUTO ~,~ ._ L AUTO ONLY. EA ACCIDENT $ D'~T~ ....... EACH ACCIDENT $ C~' AGGREGATE $ UMBRELLA FORM O~ER THAN UMBRELLA FORM AGGREGATE $ WORKERS COMPENSATION AND $ WC STATU- EMPLOYERS' LIABILI~ TORY LIMITS ~ OTH- ER EL EACH ACCIDENT $ THE PROPRI~OR/ INCL PARTNERS/EXECUTIVE EL DISEASE. POLICY LIMIT $ ~ OFFICERS ARE: OTHER EL DISEASE. EA EMPLOYEE $ DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESiSPECiAL ITEMS CERtIFiCaTE HOLDER ~~ ~0~0--2 SHOULD ANY OF THE ABOVE DESCRIBED POLIClSS BE CANCELLED BEFORE THE Monroe Count~ ~ ' EXPIRATION DATE THEREOF, THEISSUING COMPANY WILL ENDEAVOR TO MAlL Kay ~ 1 ler 10 DAYS WRI~N NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LE~, 5100 Co~ege Roa~ BUT FAILURE TO MA~H NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILI~ Key West FL 33040 ~F ANY KIND UPON ]HE~MPANY, IT~ AGEN~ OR REPRESENTATIVES. ~e Johnsons I~surance Agency ACORD2~S (1t95) AGORDCORPORATiONt9~ I Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policies listed below. Named Insured(s): Gevity HR, Inc and its wholly owned subsidiaries including but not limited to Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, M A R S H LP; Gevity HR XI, LLC; Gevity HR XII Corp. 301 Boulevard West Bradenton, Florida 34205I Insurer Affording Coverage American Home Assurance Co., Coverages: Member of American International Group, Inc. (AIG) The policy(les) of insurance listed below have been issued to the insured named above for the policy period indicated. The insurance afforded by the policy(les) described herein is subject to all the terms, exclusions and conditions of such policy(les). Certificate Exp. Date Type of Insurance [] Continuous Policy Number Limits [] Extended *[5] Policy Term Employers Liability Workers' 1-1-2005 RMWC2633886 Bodily Injury By Accident Compensation RMWC2633892 $ 2,000,000 Each Accident RMWC2633912 Bodily Injury By Disease RMWC2633913 $ 2,000,000 Policy Limit RMWC2633920 Bodily Injury By Disease $ 2,000,000 Each Person Other: Employees Leased To: Effective Date: 1/1/04 _ The above referenced workers* compensation policy(les) provide(s) statutory benefits only to the luyccS of the Named Ensured(s) on such policy(les), not to the employees of any other employer. *If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of the continuation of coverage. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: Monroe County Attn Maria/Risk Management 1100 Simonton St Key West, FL 33040-3110 I,,11,,,11,11,,,,I,,111,,,,,11,,,,11,,,1111,,,11,,,11,,,,I,1,1 Michael C. Weiss Authorized Representative of Marsh USA Inc. (866) 443-8489 1/1/2004 Phone Date Issued CERTIFICATE OF LIABILITY INSURANCE ~743-0494 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Keys Insurance Services, Inc. P.O. Box 500280 Marathon, FL 33050-0280 Commerce 12222 Overseas H~ghway Marathon, FL 33050 ER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ~D-E-D' ~TY-THE POLIC INSURERS AFFORDING COVERAGE -------------- NSURERA: Burlington Ins. Co TNSURER B: ~-NSURER C: INSURER D: NSURER E: OR ES BELOW. NAIC # THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN~ ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THiS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN iS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS TYPE OF INSURANCE POLICY NUMBER GEHERAL LIABILITY 53." -- COMMERCIAL GENERAL UAB~LITV -- CLAIMS MADE ~-~ OCCUR 2/21/2003 12/21/200' H OCCURRENCE RENTED ~ny one person) GEN'L AGGREGATE LIMIT APPLIES PER: AUTOMOBILE LIABlUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY -- OCCUR [~ CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRiETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WA ! V E,' P $ 1,0( 100 5,( :.RSONAL & ADV INJURY $ 1, ( ERAL AGGREGATE PRODUCTS - COMP/OP AGG I COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) :~OPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT EAACC [THAN AUTO ONLY: AGG $ OCCURRENCE $ f -'.L. EACH ACCIDENT $ C{~ -~ E.L. DISEASE DISEASE - POLICY LIMIT $ D~C~PTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEME~ I SPECIAL PROVISIONS n-Owned Auto L~m~t: $300,000, L~quor L~abil~ty: $1,000,000 COUNTY BOCC IS AODITIONAL INSURED AS WELL AS CERTIFICATE HOLDER. ~ROMOTS LOCAL BUSINESS. SEAFOOO FEST/VAL AT MARATHON AIRPORT INCLUDES HOST LIQUOR LIABILITY FOR SERVING ER. Monroe County BOCC MONRO-6 1100 S~monton Street Key West, FL 33040 ~,CORD 25 (20/01/0.8) FAX: (.305)289-6071 CORPORATION 1988 ACORD. PRODUCER (305)743-0494 FAX Keys Insurance Services, Inc. P.O. Box 500280 Marathon, FL 33050-0280 (305)743-0582 Affn INSURED Ext Greater Marathon Chamber of Commerce 12222 Overseas Highway Marathon, FL 33050 DATE (MM/DD/YY) 03/01/2004 THIS CERTIFICATE IS ISSUED AS A MAI i ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE A 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 PAI~.~!~: POLICY EFFECTIVE POUCY EXPIRATION COVERED PROPERTY LIMITS CO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LTR X :PROPERTY BU02808 12/21/2003 12/21/2004 X BUILDING $ 285 CAUSES OF LOSS BASIC BROAD SPECIAL EARTHQUAKE FLOOD PERSONAL PROPERTY $ 50,000 BUSINESS INCOME $ EXTRA EXPENSE $ BLANKET BUILDING $ BLANKET PERS PROP $ BLANKET BLDG & PP $ $ INLAND MARINE TYPE OF POLICY CAUSES OF LOSS NAMED PERILS OTHER .... CRIME TYPE OF POLICY BOILER & MACHINERY X OTHER LIQUOR LIABILITY $ $ $ $ $ $ $ 1,O00,OOI OFPREMISE~DESCRIPTIONOFPROPERTY COUNTY BOCC LISTED AS ADDITIONAL INSURED AUTO LIMIT:$300,O00 ~ROMOTES LOCAL BUSINESS. SEAFOOD FESTIVAL AT MARATHON AIRPORT INCLUDES HOST LIQUOR LIABILITY FOR !RVING BEER. ;PECIAL CONDITIONS/OTHER COVERAGES 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, Mon roe County BOCC MONR0-6 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 Si monton St reet OF ANY KIND UP~ON THE COMPANY, I~.S AGENTS OR REPRESENTATIVES. West FL 33040 I AUTHOmZEDREP~NTATIVE ~/..7 ~/'. ~. Key , Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policies listed below. Named Insured(s): Cavity HR, Inc and its wholly owned subsidiaries including but not limited to Gevity HR, LP; Cavity HR II, LP; Cavity HR III, LP; Cavity HR IV, LP; Cavity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Cavity HR 'X, LP; Cavity HR X, LP; Gevity HR Xl, LLC; Cavity HR Xll Corp. M A R S H 600 301 Boulev ~ W Bradenton, Florida 34205 Insurer Affording Coverage Coverages: American Home Assurance Co., Member of American International Group,lnc.(AIG) The policy(les) of insurance listed below have been issued to the insured named above for the policy period indicated. The insurance afforded by the policy(les) described herein is subject to all the terms, exclusions and conditions of such policy(les). Certificate Exp. Date Type of Insurance [] CO.T~NUOUS Policy Number Limits [] EXTENDED . [] POLICY TERM Employers Liability Workers' 1-1-2005 RMWC2633886 Bodily Injury By Accident Compensation RMWC2633892 $2,000,000 Each Accident RMWC2633912 RMWC2633913 Bodily Injury By Disease RMWC2633920 $2,000,000 Policy Limit Bodily Injury By Disease APPP, D~ ,~'~'~.~ twA~EM~N-f $2,000,000 Each Person Other: BY~~ WAIVER N/A ~ YES__ Employees Leased To: Effective Date: 01-j..~q-2004 32703.Greater Marathon Chamber of Commerce The above referenced workers' compensation policy(les) provide(s) statutory benefits only to employees of the Named Insured(s) on such policy(les), not to the employees of any other employer. e expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of the continuation of coverage. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder MONROE COUNTY Board of County Commissioners 1100 SIMONTON STREET Key West, F/L 33040 Michael C. Weiss Authorized Representative of Marsh USA Inc. (866)443-8489 17 - MAP, - 2 0 0 4 Phone Dale Issued Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policies listed below. Named Insured(s): Gevity HR, Inc and its wholly owned subsidiaries including but not limited to Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, M A E S H LP; Gevity HR XI, LLC; Gevity HR XII Corp. 600 301 Boulevard West [ ] Insurer Affording Coverage American Home Assurance Co., Coverages: Member of American International Group, Inc. (AIG) The policy(ies) of insurance listed below have been issued to the insured named above for the policy period indicated. The insurance afforded by the policy(ies) described herein is subject to all the terms, exclusions and conditions of such policy(les). Certificate Exp. Date Type of Insurance [] Continuous Policy Number Limits [] Extended * [] Policy Term Employers Liability Workers' 1-1-2006 RMWC330470 Bodily Injury By Accident Compensation RMWC330495 $ 2,000,000 Each Accident Bodily Injury By Disease $ 2,000,000 Policy Limit Bodily Injury By Disease $ 2,000,000 Each Person Other: Employees Leased To: Effective Date: 1/1/05 32703 Greater Marathon Chamber of Commerce ~-_ (.~ '. ~ BY'DATE ~l__ WAIVER tq/g .............. YES ----------- The above referenced workers' compensation policy(les) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(les), not to the employees of any other employer. *If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of the continuation of coverage. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: Monroe Co~ Beard of County Commissioners 1100 Si~ St Key West, F~L 33040-3110 Michael C. Weiss Authorized Representative of Marsh USA Inc. (866) 443-8489 1/1/2005 Phone Date Issued PRODUCER (305) 743 -0494 CERTIFICATE OF LIABILITY INSURANCEI OATE(MM/OO/~)OZ/OZ/ZO05 FAX (305) 743-0582 THIS CEt~HFICATE IS ISSUED AS A MATTER OF INFORMATION ]:nc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Keys ]:nsurance Services, P.O. Box 500280 Marathon, FL 33050-0280 INSURED Greater Marathon Chamber 12222 Overseas Highway Marathon, FL 33050 of Coiiiiierce, Thc. INSURERS AFFORDING COVERAGE INSURER A: INSURER B: INSURER C: INSURER D: Burlington ]:ns. Co NAIC # INSURER E: COVERAGE~ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'TYPE OF INSURANCE GENERAL LIABIUTY COMMERCIAL GENERAL LIABILITY ' CLAIMS MADE OCCUR __ Liquor Liability GEN'L AGGREGATE LIMIT APPLIES AUTOMOBILE UABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS G~d~AGE MABIUTY ANY AUTO EXCESS/UMBRELLA LIABILITY __ OCCUR I I CLAIMS MADE DEDUCTIBLE POLICY NUMBER 535B006548 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' UABILITY ANY PROPRIETOR/PARTNER/EXECUTiVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below POLICY EFFECTIVE DATE IMM/DD/YYI 12/21/2004 POLICY EXPIRATION DATE (MM/13D/YyI 12/21/2005 N T OTHER d~'~ ~'~g~ ~ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSION "'~.4- 4 4e4 ~4. AL__~ .~____ _' __ -- dP ..... IS. ADDED B.Y EN. DOR.SEMENT / SPECIAL PROVISIONS ~-~--,~-~e,,u/uer ~$ aeel[lonal insure, as their interest may appear LIMIT EACH OCCURRENCE DAMAGE TO RENTED MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/DP AG( COMBINED SINGLE LIMIT (La accident) $ BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ 'AUTO ONLY: -- AGG $ EACH OCCURRENCE $ AGGREGATE $ $ 1,000,00(~ o O:oOoO 1,000,001~ 2,000,00(~ 1,000,000~ WC STATU- OTH- TORY M TR IFR E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ CERTIFICATE HOLDE;F~ Monroe County Board of County CommJssioners R~sk Management Dept 1100 SJmenton Street Key ~est, FL 33040 ACORD 25 (2001108) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUINJ~fl~iURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN ~ICE TO T ~CER~IFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUSHi. NOTIC,/~J/IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INb-~IEER .J~F, EI~GF~NTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE /J~ L ©ACORD CORPORATION 1988 CERTIFICATE OF LIABILITY INSURANCE I DATE,MM,DDt) 02/02/2005 PRODUCER (305) 743-0494 FAX (305) 743-0582 THIS CER¥iHCATE IS ISSUED AS A MATTER OF INFORMATION Keys Tnsurance Services, Tnc. ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 500280 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Marathon, FL 33050-0280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Greater Marathon Chamber of CO,T.T~rce, ThC. INSURERA: Burlington Tns. Co 12222 Overseas Highway INSURER B: Marathon, FL 33050 INSURERC: INSURER D: INSURER E: ~ C_~O~ERAG ES ~ 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 ADD'I LTR INSRD TYPE OF INSURANCE POUCY NUMBER POLICY EFFE. Ciil/E POUCY EXPIRATION DATE IMMIDDIYY1 DATE IMMIDD/YYt LIMITS GENERAL LIABILITY 535B006548 12/21/2004 12/21/2005 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED J CLAIMS MADE ~-~ OCCUR PRFMIRFR ~'F .......... ) $ 100,00( MED EXP (Any one person) $ 5, OOC A X Liquor Liability PERSONAL&ADVINJURY $ 1,000,00~ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/DP AGG $ 1,000,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ .... PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY D,Z¥j '~: ~__~.~-~_~ '~-'~-' AUTO ONLY- EA ACCIDENT $ t ANYAUTO ......... ~'~~ --~__.~ OTHERTHAN EAACC $ WA I ~'./~.[~ r,~ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY ........ J [~ EACH OCCURRENCE $ OCCUR CLAIMS MADE ~/~~ AGGREGATE $ I DEDUCTIBLE ~ $ RETENTION $ $ WORKERS COMPENSATION AND ~ ~ WC STATU_--T~--['~-~_ $ EMPLOYERS' LIABILITY ~ TORY LIMITS I I ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE. EA EMPLOYEE $ SPECIAL PROVISIONS below OTHER E.L DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDO~$r-MENT I SPECIAL PROVISIONS Certificateholder Js additional Jnsured as their interest may appear ~DER .............. Monroe County Board of County Commissioners Risk Management Dept IlO0 Simonton Street Key West, FL 33040 ACORD 2S (200t/~08) SHOULD ANY OF THE ABOVE DESCRI~ICIES BE CANCELLED BEFORE THE EXPIRATION DATE THER~OF, THE/SUING I~URER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN~OTIC~/~O~E C~TIFIOATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MRIL ~H ~O_~ALL IMPOSE NO OBLIGRTION OR LIABILITY OF ANY KIND UPON THE I _N~/I~rR~ IT~ AGE~TS OR REPRESENTATIVES. AUTHORIZED REP~eNTATIV~ ©ACORD CORPORATION 1988 AcoRDM CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/OD/YYW)02/02/2005 PRODUCER (305) 743-0494 FAX (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Tnsurance Services, ]:nc. ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 500280 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33050-0280 INSURERS AFFORDING COVERAGE NAIC # INSURED Greater Marathon Chamber of Commerce, Inc. INSURERA: Burlington Ins. Co 12222 Overseas Highway INSURER B: Marathon, FL 33050 INSURERC: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ~,DD'L LTR NsRr TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE IMM/DD/YY) DATE IMMIOD/YY) UMITS GENERAl_LIABILITY 535B006548 12/21/2004 12/21/2005 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 I CLAIMS MHD EXP (Any one person) $ 5,000 MADE OCCUR A X Liquor Liability PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000, OOC GEN'L AGGREGATE LIMIT APPLIES PER I POLICY ~]JEcTPRO' ~'~ LOC PRODUCTS- COMP/DP AGG $ 1,000,00~ AUTOMOBILE MABIUTY COMBINED SINGLE LIMIT ANY AUTO (Fa accident) $ ALL OWNED AUTOS SCHEDULED AUTOS APP~~,....._ B~ ~ BODILY INJURY (Per person) $ ~ ~_ .~ BODILY INJURY (Per accident) NON-OWNED AUTOS DATE PROPERTY DAMAGE WAIVER ~/A -~¥~S (Per accident) $ GARAGE UABIUTY i ~ AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHERTHAN EAACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABIUTY EACH OCCURRENCE $ [OCCUR ~'] CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABIMTY I ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Ifyes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below , OTHER E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHIC. m ~ I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS :ertificateholder is additio6~-i insured as their interest may appear Monroe County Board of County Commissioners Risk Management Dept 1100 Simonton Street Key West, FL 33040 ACORD 25 (2001/~O~) ~ 0ER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTIC~TO~THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILL~RE TO MAIL suc~o~:;E SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY K~ND UPON THE I.~SU~R, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED ~~ '-" ©ACORD CORPORATION 1981 CERTIFICATE OF LIABILITY INSURANCE PRODUCER (305) 743-0494 FAX (305) 743-0582 Keys Insurance Services, Inc. P.O. Box 500280 Marathon, FL 33050-0280 Me1Montagne I~SURED Greater Marathon Chaeber of Cor, a;~rce, Thc. 12222 Overseas Highway Marathon, FL 33050 COVERAGg$ DATE (MM/DD/YYYy) 01/11/2006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURERA: Burlington Tns. Co INSURER B: NAIC # 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. TYPE OF INSURANCE ¢-""[;-"RAL LIABIUTY COMMERCIAL GENERAL LIABILITY __ CLAIMS MADE IX1 OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: AUTOMOBILE L!~!LITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXC ESS/U.~-=-~.~Lt a, LIABILITY [.. J CLAIMS MADE OCCUR DEDUCTIBLE RETENTION $ WORKERS CC='~..~NSATION AND EMPLOYERS' MABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER POLICY 535B00890~ WA l\/r: ..~ 12/21/2005 POLICY EXPIRATION 12/21/2006 DESCRiPTiON OF O~lq=i~,TIONS I LOCATIONS I VEH~L~ I EXCLUSIONS ADDED BY ENDoRsEMENT I SPECIAL PROVISIONS LIMITS EACH OCCURRENCE DAMAGE TO RENTED MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/DP AGO COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA AC( $ s 1,000,0~ $ 100,000 $ 5,00~ $ 1,O00,OO0 s 2,000,OOn s 1,O00,OOI AUTO ONLY: AGO EACH OCCURRENCE AGGREGATE WC STATU- OTF TORY LIMIT~; ER E.L. EACH ACCIDENT E,L DISEASE - EA EMPLOYEI E,L. DISEASE - POLICY LIMIT F T R Monroe County Board of County Commissioners PO Box 1026 Key Nest, FL 33040 ACORD 25 (2001/08) FAX: (305)289-6007 SHOULD ANy OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ~ ITS AGENTS OR R;:I~r:~r:NTATiVES AUTHORIZED RE;-;~&~-NT TIVE ,.~ r -- - ©ACORD CORPORATION 1888 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder other than those provided by this policy. This certificate does not amend, extend, or alter the coverage afforded by the policies described herein. Named Insured(s): Gevity HR, Inc and its wholly owned subsidiaries including but not limited to Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity M A R 5 H HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp. 600 301 Boulevard West I Bradenton, Florida 34205j Insurer Affording Coverage American Home Assurance Co., Coverages: Member of American International Group, Inc. (AIG) This is to certify that the policy(les) of insurance described herein have been issued to the insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policy(les)described herein is subject to all the terms, conditions and exclusions of such policy(les). (Aggregate) Limits shown may have been reduced by paid claims. Type of Insurance Certificate Exp. Date Policy Number Limits Employers Liability Workers' 1-1-2007 RMWC9426922 Bodily Injury By Accident Compensation RMWC9431313 $ 2,000,000 Each Accident Bodily Injury By Disease $ 2,000,000 Policy Limit Bodily Injury By Disease $ 2,000,000 Each Person Other: Employees Leased To: Effective Date: 1/1/06 The above referenced workers' compensation policy(les) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(les), ~6~t0 the employees of any other employer. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: Monroe County Board of County Commissioners 1100 Simonton St Key West, FL 33040-3110 h,lh,,Ihlh,,,h,llh,.,Ih,,,ih,,lllh,,Ih,,Ih,,,hhl Michael C. Weiss Authorized Representative of Marsh USA Inc. (866) 443-8489 12/15/2005 Phone Date Issued ACORD. INSURANCE BINDER This supersedes and corrects I DATE Binder B06031701047 I 03/17/2006 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. PRODUCER IPHONE (~C, No, Ext): (305)743-0494 FAX (305)743-0582 Keys [nsurance Services, ]:nc. P.O. Box 500280 Marathon, FL 33050-0280 I CODE: I SUB CODE: AGENCY CUSTOMER ID.00000711 INSURED Greater Marathon Chamber of Commerce, ]:nc. 12222 Overseas Highway Marathon, FL 33050 COVERAGES COMPANY BINDER # Mount Vernon Fire Ins. Co B06031701048 EFFECTIVE I EXPIRATION DATEI TIME~ ~: I DATE/X~12:01AMTIME 03/I7/2006 12 :O1 04/16/2006 I IN°°N THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY PER EXPIRING POLICY #: DESCRIPTION OF OPERATIONS/VEHICLES/PROPERTY (Including Location) Seafood Festiva] at Marathon Airport LIMIT,' TYPE OF INSURANCE I COVERAGE/FORMS DEDUCTIBLE COINS % AMOUNT I PROPERTY CAUSES OF LOSS BASIC [~] BROAD ~ SPEC GENERAL LIABILITY EACH OCCURRENCE $ I, 000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 100 ~ 000 I CLAIMS MADE xL~j OCCUR MHD EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X Liquor Liability GENERAL AGGREGATE $ 1,000,000 RETRO DATE FOR CLAIMS MADE: PRODUCTS - COMP/DP AGG $ Exc]uded AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS MEDICAL PAYMENTS $ NON-OWNED AUTOS PERSONAL INJURY PROT $ UNINSURED MOTORIST $ $ AUTO PHYSICAL DAMAGE DEDUCTIBLE I ALL VEHICLES I I SCHEDULED VEHICLES ACTUAL CASH VALUE l COLLISION: STATED AMOUNT $ OTHER THAN COL: OTHER GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ I UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $ WORKER'S COMPENSATION ~-g~/L'~-...-_. E..;;L. EACH ACCIDENT $ AND ~ EMPLOYER'S LIABILITY ~?-~ ~ ..... E.L. DISEASE - EA EMPLOYEE $ -I~L. DISEASE - POLICY LIMIT $ WAIVF. R ,'q/A -----YES FEES $ SPECIAL ~ CONDITIONS/ ~(/~ ~ ~ TAXES $ COVERAGEsOTHER ~"~ ESTIMATED TOTAL PREMIUM $ NAME & ADDRESS Monroe County BOCC ---{LossMORTGAGEEpAYEEI~ ADDITIONAL INSURED LOAN # 1100 Simnton Street Key West, FL 33040 Me] Montagne I '" / ~A ORD~ORP '--'~'/C'--~ORA NOTE: IMPORTANT STATE INFORMATION ONR~VERSE SIDE TION 1993 ACORD 75~./?_8)_ _ Certificate of Insurance This certificate is issued as a matter ofinformation only and confers no rights the Certificate Holder other than those provided by this policy. This certificate does not amend, extend, or alter the coverage afforded by the p licies desc . Named Insured(s): Gevity HR, Inc and its wholly owned subsidiaries including but not limited to Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; G"vity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp, 9000 Town Center Parkway Bradenton, Florida 34202 DEe 2 2 2006 MONROE COUNTY RISK MANAGEMENT J\R H Insurer Affordin Coverages: American Home Assurance Co., Member of American International Group, Inc. (AIG) This is to certify that the policy(ies) ofinsurance described herein have been issued to the insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policy(ies)described herein is subject to all the terms, conditions and exclusions of such policy(ies). (Aggregate) Limits shown may have been reduced by paid claims. T e of Insurance Certificate Exp. Date Polk Number Limits Ern 10 ers Liabilit Bodily Injwy By Accident $ 2,000,000 Each Accident Workers' Compensation 1-1-2008 RMWC9719932 RMWC9719957 Bodily Injwy By Disease $ 2,000,000 Policy Limit DATE Bodily Injwy By Disease $ 2,000,000 Each Person Other: Employees Leased To: Effective Date: 111107 32703 Great'" Marathon Chamber of Commerce The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will "ndeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives, ce', ~"'Q."'C.Q..., Certificate Holder: ~~e.Itat~~- Monroe County Board of County Commissioners 1100 Simonton St Key West, FL 33040-3110 1"11",11,11""1"111,,,,,11",,11,"1111,"11,"11,,,,1,1,1 Michael C. Weiss Authorized Representative of Marsh USA Inc. (866) 443-8489 Phone 0110112007 Date Issued ACOHQ, CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDDIYYYY) 02/13/2007 PROOUCER (305)743-0494 FAX (305)743-0582 THIS CERTIFICATE IS ISSUED AS A MAHER OF INFORMATION Keys Insurance Serv;(:es, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ~pLDER. TH~~~ERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 500280 RAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL H050-0Z80 REC L~fDRS AFFO~' DING COVERAGE NAIC# " INSURED Greater Marathe,n Chamber of Comm rce, Inc. INSURER A: BL Irlin ton Ins. Co 12222 Overseas Highway FEB ~ Marathon, FL H050 I su : INSURER D. "nNon, ~. RISK MANAGEMENT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING ANY REQUIREMENT, TERM OH 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 DO' TYPE OF INSURANCE POLICY NUMBER POLlCY EFFECTIVE P~~!f.r,EXPIRATlON LIMITS GENERAL LIABILITY 535B012052 12/21/2006 12/21/2007 EACH OCCURRENCE $ 1,000,000 ~ DAMAGE TO RENTED lOO,Oll() X COMMERCIAL GENEHAl LIABILITY $ I CLAIMS MADE ICKJ OCCUR MED EXP (Anyone person) $ -: IS lOOO A PERSONAL & ADV INJURY $ i .~-;Obo I----' 2,0(l0,000 GENERAL AGGREGATE $ I-- GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ I,OO(},OOU n ,nPRO- n, POLICY JEer LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I-- (Eaaccident) $ ANY AUTO I-- I-- ALL OWNED AUTOS BOOIL Y INJURY .i1\~ l....j)~_ , (Per person) $ I-- SCHEDULED AUTOS HIRED AUTOS BODlL Y INJURY - $ NON-OWNED AUTOS v.:J~1" (Peraccidenl) - PROPERTY DAMAGE $ _.,~-~ (Per accident) ;;;,:.i,',,:,,: GARAGE LIABILITY ~ RIA: {(hi AUTO ONLY - EA ACCIDENT $ '!::i)'-'! ~ -ANY AUTO 1,- OTHER THAN EA Ace $ jl'TY AUTO ONLY: AGG $ :=J~SSfUMBRELLA LIAEIILlTY rt/1,'O, EACH OCCURRENCE $ , ;;0\) \J\i. OCCUR 0 CLAIMS MADE AGGREGATE $ \ J,. '~l(;': -" , \Dc $ ==1 ~EDUCTIBLE -' $ ,- U':t:, ,- RETENTION $ $ ',j WORKERS COMPENSATION AND we STATU- IqTH- if EMPLOYERS' LIABILITY E.l. EACH ACCIDENT ANY PRQPRIETORIPARTNERlEXECUTIVE $ " OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE $ If~, describe under S EClAL PROVISIONS below E.l. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF 8PERATIONS f LOCAT~NS f VEHICLES f ~LUSlfS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS e: 9400 verseas H-, g way, Marat on L H040 ertificateholder is listed as additional insured as their interest may appear ^-.~- -.". Monroe County Iloard of County Commi ssioners 1100 Simonton Street Key West, FL 3'1040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ---.!!!..... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE:LEF'J, ' BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLlGA110N OR LIABILITY OFANYKINDU NT AUTHORIZED REPRE ACORD 25 (2001/08) I. . c.c..:~~ ACOBLt CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 03/07/2007 PRODUCER (305)743-0494 FAX (305)743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Servi CE~S I Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 500280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. FL 33050-02:10 - .-~...^---_. --'-..- ._-. = Marathon, , ,-r'. . iMl~~~RS AFFORplNG COVERAGE Mel Montagne I i( , NAIC# " .., 'NSURED Greater Marathon Chamber of co~rce'IInc. INSURERA,il~rlinilton Ins. Co 12222 Overseas Highway INSURER B: Marathon, FL 33050 I I MAR IliIsuOOllIt, , , L_ INSURER 0: , '_.-.'~.' -,....~. 1fI!:!!~Ri'!:~~-~J i "OVERAGE" R!S!\ r':~A:": "''';:-~~'.-~r'' , THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSORam OR 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. If"I~~ ~'1.~~ TYPE OF INSURANC:E POLICY NUMBER POLICY EFFECTIVE P2~ICY EXPIRATION LIMITS GENERAL LIABILITY TBA 03/09/2007 03/12/2007 EACH OCCURRENCE $ 1,000,000 Y COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100 . 000 I CLAIMS MADE C~ OCCUR MED EXP (Anyone person) $ 5,OO! A X PERSONAL & ADV INJURY $ 1,000,000 I- GENERAL AGGREGATE $ 2,000,000 I- GEN'l AGG~EnE LIMIT AI~nS PER: PRODUCTS - COMPfOP AGG $ 1,000,000 h PRO- POLICY JECT lOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Eaaccidenl) I- ALL OWNED AUTOS BODilY INJURY I- $ SCHEDULED AUTOS (Per person) I- ,("n ( I- HIRED AUTOS '6'n ') BODILY INJURY $ NON-OWNED AUTOS (Peraccidenl) - '--" 3' (de. 7 PROPERTY DAMAGE $ (Peraccidenl) ~",:,GE LIABILITY 1 AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ :=J~SS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ ==i ~EDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I T'1,~JT~T,'4::.1 IDJ",' EMPLOYERS' lIABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE E.l. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE $ ~~~~I~~s~~vl~16~s below E.l. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 007 Marathon Seafood Festival Community Park 200 36th Street Marathon,FL T Monroe County BOCC 1100 Simonton S1treet Key West, FL 33040 i4-X' .. J-9) - 1f.0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL ~ 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 KINO UPON THE I AUTHORIZED REPRESENT VE Mel Monta ne PORA TION 1988 ACORD 25 (2001/0~ . e-c. ~~ rc I Inc. DEe 1 DATE (MMIDDNYYY) 12/11/2007 THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMA nON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR VERAGE AFFORDED BY THE POLICIES BELOW. ACORQ, CERTIFICATE OF LIABILITY INSURANCE PRODUCER (305) 743-0494 Keys Insurance Services, P.O. Box 500280 Marathon, FL 33050-0280 FAX (305)743-0582 Inc. INSURED Greater Marat on C a er 12222 Overseas Highway Marathon, FL 331050 AFF RDING COVERAGE urli gton Ins. Co NAIC# "nV~RAGE" - THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING 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. IIN~:I ~~~r TYPE OF INSUR..!l,NCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY TBA 12/21/2007 12/21/2008 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE T9",~:NTED $ 100,000 I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 5,000 A X PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $ 2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ Included I In PRO, n POLICY JECT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Eaaccidenl) - ALL OVVNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - HIRED AUTOS BODilY INJURY - $ NON-OVv'NED AUTOS (Per accident) - - /\ PROPERTY DAMAGE $ (Per accident) ==iAGE LIABILITY 1) all ~~ {;/u,"j AUTO ONLY - EA ACCIDENT $ ANY AUTO . . EA ACC $ OTHER THAN '1 AUTO ONLY: AGG $ =SESSIUMBRELLA lIAIiILITY 10 -fO-,' EACH OCCURRENCE $ OCCUR D CLAIMS MADE .. AGGREGATE $ --.. $ ==i DEDUCTIBLE Ot $ RETENTION $ <' A , $ WORKERS COMPENSATION AND \7 V' ')}'-"I) I we STATU. I IOJ~- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Ci. y.. (~ EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOC:ATlONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS TFI Monroe County 130ard of County COllll1i ssioners PO Box 1026 Key West, FL 3:1040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL JL 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 KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Mel Monta ne ACORD 25 (2J!D1/D8) FAX: (305)289-6007 C<:.:~ @ACORDCORPORATION 1988 ~. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMJDDIYYYY) 03/05/2008 PRODUCER (305) 743-0494 FAX (305)743-0582 THIS CER'I"IFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 500280 HE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 3305;0-0280 RECEIVED ,..eIlRER AFFORDING COVERAGE NAIC# INSURED Greater Mar"thon Chamber 0 Con nerce, Inc. INSU ERA: Burlington Ins. Co 12222 OversE!as Highway MAR 1 4 ~NSU ERB: Marathon, Fl. 33050 INSU ERC: INSU ERO: MONROE COUNTY INSURER E: C"'VE THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTlMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WIHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSUHANCE 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 DD' TYPE OF INSURANCE POLICY NUMBER PRH~~ EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY TBA 03/14/2008 03/18/2008 EACH OCCURRENCE . l,OOO,OO( f7.= X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED . 100,OO( I CLAIMS MJl,OE 0 OCCUR MED EXP (Anyone person) . 5,OO~ A X c!- Liquor Liab PERSONAL & ADV INJURY . l,OOO.OO~ GENERAL AGGREGATE . 2,OOO,OOC I-- Included GEN'L AGGREGATE LIMIT APPLIES PER: PROOUCTS-COMP/OPAGG . I ,nPRO' n POLICY JI::CT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - (Ea accident) . - ANY AUTO - ALL OWNED AUlOS BOall Y INJURY (Per person) . SCHEDULED AUTOS - f- HIRED AUTOS BODILY INJURY :/~' (Peraccidenl) , f- NON-OWNED AUTOS ~OD~' I-- .~ f\ l~ . ", PROPERTY DAMAGE . , .-"-- .- (Peraccidenl) ~RAGE LIABILITY " .. ..&l~ lil)~--'" AUTO ONLY. EA ACCIDENT . ANY AUTO OTHER THAN EAACC . ".. , . , \-'j; ~ -.- .----~-- AUTO ONLY: AGG . ~ESS'UMBRELLA LIABILITY \, \",,, .r~a EACH OCCURRENCE . OCCUR [] CLAIMS MADE ~'~ AGGREGATE . , ==i DEDUCTIBLE . RETENTION , I/'f . WORKERS COMPENSATION AND \l I TV'f!i STATU" I IOJ,\" EMPLOYERS' LIABILITY lG ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT . OFFICERlMEMBER EXCLUDED? E.l_ DISEASE. EA EMPLOYE , If yes, describe under E.L, DISEASE - POLICY LIMIT SPECIAL PROVISIONS below . OTHER DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS "4T,nN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL JL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Monroe County Bacc BUT FAILURE Tb MAIL SUCH NonCE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 Simonton Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPR!ESENTA TIVE Mel Montaane ACORD 25 (200):(08) . C Co: ~<L-- @ACORDCORPORATION 1988 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder other than those provided by this policy. This certificate does not amend, extend, or alter the coverage afforded by the policies described herein. Named Insured(s): Gevity HR, Inc; Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; MARSH Gevity HR XII Corp; Gevity XIV, LLC. 9000 Town Center Parkwy Insurer Affording Coverage Bradenton, FL 34202 American Home Assurance Co., Coverages: Member of American International Group,lnc.(AIG) This is to certify that the policy(ies) of insurance described herein have been issued to the insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policy(ies) described herein is subject to all the terms, conditions and exclusions of such policy(ies). (Aggregate) Limits shown may have been reduced by paid claims. Type of Insurance Certificate Exp. Policy Number Limits Date RMWC4402574 Employers Liability Workers' 1-1-2009 Bodily Injury By Accident Compensation RMWC4275667 $2,000,000 Each Accident Bodily Injury By Disease rn,,~ .., ,..'." $2,000,000 Policy Limit ,~ .----..~-' Bodily Injury By Disease $2,000,000 Each Person \Vi -' " lll..() Other: , __n_~'- ., jt0 L .r[)L./ Employees Leased To: Effective Date : 01-JAN-2008 32703.Greater Marathon Chamber of Commerce The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer. c,~, ~~~ Notice of Cancellation; Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail ~ days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder /H('.J.Re U/Au.- Monroe County Board of County Commissioners 1100 Simonton St Michael C. Weiss Authorized Representative of Marsh USA Inc. (866)443-8489 29-SEP-2008 Key West, FL 33040 Phone Date Issued Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder other than those provided by this policy. This certificate does not amend, extend, or alter the coverage afforded by th . . scribedltemD. Named Insured(s): r l~tC;tIVEU , Gevity HR, Inc; Gevity HR, LP; Gevity HR II, LP; Gevity HR III, I >co~A LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; I RSH Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp.; Gevity XIV, LLC. 1.- -'- .. .NAGEMENT 9000 Town Center Parkway - Bradenton, Florida 34202 Insurer Affordine: Coverae:e (A) Commerce & Industry Insurance Company Coverages: (B) New Hampshire Insurance Company This is to certify that the policy(ies) of insurance described herein have been issued to the insured named herein for the policy period indicated. Notwithstanding any requirement, tenn or condition of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policy(ies)described herein is subject to all the tenns, conditions and exclusions of such policy(ies). (Aggregate) Limits shown may have been reduced by paid claims. Tvpe of Insurance Certificate Exp. Date Policy Number* Limits Emnlovers Liability Workers' 1-1-2010 (A) RMWC7095050 Bodily Injury By Accident Compensation $ 2,000,000 Each Accident (B) RMWC7095051 Bodily Injury By Disease $ 2,000,000 Policy Limit Bodily Injury By Disease $ 2,000,000 Each Person Other: Employees Leased To: Effective Date: 01/01/09 32703 Greater Marathon Chamber of Commerce The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer. Certificate Holder: Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or re~n 'ves. 'policy numbers may vary depending on jurisdiction. ~ '" ~ .~. ." V'O [C), ~",jL\l ._~__ ~. I "... . ".. d:-~<1:___ "" ."-. I ..-...----/JJ{~e.U441- ~ ';,,, . ,-~; Monroe County Board of County Commissioners 1100 Simonton St Key West, FL 33040-3110 I"II",II,U< ,,,I,,111,,,,,11,,,,11,,,1111,,,11,,,11,,1,1,1,1 c.eo :~ Michael C. Weiss Authorized Representative of Marsh USA Inc. (866) 443-8489 Phone 0110112009 Date Issued - ACDBQ. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDO/YVYY) 12/11/2008 ~ER (305)743-0494 FAX (305) 743 -0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ODES NOT AMEND. EXTEND OR P.O. Box 500280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33050-0280 INSURERS AFFORDING COVERAGE NAIC# .IURED Greater Marathon Cha....er of Commerce, Inc. INSURER A. Burlington Ins. Co 12222 Overseas Highway llllSURERB Marathon, FL 33050 INSURER C .......R 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 CONDIT1ONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS R TV,e OF INSURANCE POUCV NUMBER ~ EfFEC'IWE POLICY EXPIRATION LIIIlTI GENERAL UAa.ITY 535BROO059 12/21/2008 12/21/2009 EACH OCCURRENCE $ 1,000,000 -=- _TORENl'ED 100 00 X CQUMERCW. GENERAl UABLITY $ I ClANS MADE ill OCCUR MEO EXP CMr ON J*'IO") $ 5,OO! A X PERSONAL & KN INJURY $ 1,000.001 - GENERAL AGGREGATE $ 2 000,000 - PRODUCTS - COMPIOP AGG $ Includeo GEHl~nUMtT APri51PER ""I POlICY ~ LDC AUTOMOBILE LIA8ILIT'I COMBINED SlNGt.f LIMIT - (E.aecidenI) . .... AUTO - ~JA' 11 <; - ALL. OWNED AUTOS 'b1\~ BODk. Y INAJRY (1'00'_' $ c- SCHEDUlED AUTOS ~ ., ,.- HIRED AUTOS BODl.V INJURy $ NON-OWNED AUTOS , . ~;" 1 ~Dg CPer8CCidllr&) - .' r- '. PROPERlY DNMGE . . (PeraccidllnQ . R~UA8ILnY ,'".f-' ~L " (0/1 /"' AlITO ONLY. EA ACCGENT . AH'fAUTO r\lJ 0'- THAN EA ACe $ j, AUTO ONlY AGG $ exCESSlUMBREUA LIABlU11r t3. Ii ~ EACH OCCURRENCE $ i=J DCeUR 0 ClAIMS MADE C ,"='"" AGGREGAre . $ ~ ~DUCTIBLE . RETENTION . ~ . WORKERS COMPENSAtION AND I VVC STAID. EMPLOYERS" 1JA8ILJTY NfV PAOPRtETORIPARTNeRI!XEClrrNE E.L. EACH ACCIDENT $ OFFtCEM.EUBER EXCLUDED" E.L OtSEASE . EA EWIlOYEE 5 ~'_.-. CIAL PROVISIONS below E L DISEASE w POLICY LMT 5 OTHER DESCRIPTION OF OPERATIONS' LOCATIONS/VEHICLES' EXCLUSIONS ADDED BY ENDORSEMENT I SPECW. PROYI8fONS CG. h' v\ Q/V1 L.L CERTIFICATE HOLDER Monroe County Board of County Commissioners Risk Management 1100 Simonton Street Key West, FL 33040 R NAMEO TO THE LEFT, OBUQATION OR LIA8IUTY OR REPRESENTATIVES. ACORD 25 (2001/0B) ClACQRD CORPORATION 198B ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) TM 12/11/2008 PRODUCER (305) 743-0494 FAX (305)743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 500280 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33050-0280 INSURERS AFFORDING COVERAGE NAIC# INSURED Greater Marathon Chamber of Commerce, Inc. INSURER A Burlington Ins. Co 12222 Overseas Highway INSURER B Marathon, FL 33050 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 ~~~a TYPE OF INSURANCE POLICY NUMBER P6'l-+~Y EFFECTIVE Pg~!f: EXPIRATION LIMITS LTR GENERAL LIABILITY 535BROO059 12/21/2008 12/21/2009 EACH OCCURRENCE $ 1,000,000 - X COMMERCIAL GENERAL LIABILITY DAMAGE TO~ RENTED $ 100,000 LJ CLAIMS MADE [~OCCUR MED EXP (Anyone person) ~--- -------~-~ ---- --'--- A X PERSONAL & ADV INJURY $ 1,000,000 f-- GENERAL AGGREGATE $ 2,000,000 f--- GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ Included n n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f--- $ ANY AUTO (Ea accident) I-- ALL OWNED AUTOS BODIL Y INJURY f--- -~\\\ \ $ SCHEDULED AUTOS (Per person) 1--- HIRED AUTOS f--- , ",) , ~/ BODIL Y INJURY $ NON-OWNED AUTOS \r<~. (Per accident) I-- '\ 1\ -. PROPERTY DAMAGE - $ \, (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ =1 ANY AUTO ( i,~'.~ ) --- OTHER THAN EA ACC $ /,.' AUTO ONLY t AGG $ EXCESS/UMBRELLA LIABILITY \ /,) , EACH OCCURRENCE $ ~ OCCUR [J CLAIMS MADE AGGREGATE $ I I " $ 1 DEDUCTIBLE $ RETENTION $ , $ WORKERS COMPENSATION AND . ~ I TVX~1T ~II~~ I IOl~- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E,L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners Risk Management 1100 Simonton Street Key West, FL 33040 ACORD 25 (2001/08) @ACORD CORPORATION 1988 Certificate of Insurance 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 described herein. Named Insured(s): 9000 Town Center Parkway Bradenton, FL 34202 TriNet HR Corporation Gevity HR, Inc and all its affiliates & subsidiaries. Greater Marathon Chamber of Commerce (Endorsed as a ernat 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 the Certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. Type of Insurer Policy Number State Effective Insurance Date Expiration Date Limits IE we Statutory Limits Workrs' Compensation (A) 023259191 FL 07-01-2009 07-01-2010 Employers Liability Bodily Injury By Accident $ 2,000,000 Each Accident Bodily Injury By Disease $ 2,000,000 Policy Limit Bodily Injury By Disease $ 2,000,000 Each Person ~: ({ ~ Other: Client Number 32703 The above referenced workers' compensation policies provide statutory benefits only to the employees of the Named Insured(s) on such policies, not to the employees of any other employer. * Gevity HR, Ine; Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp.; Gevity XIV, LLC Ca ncellation: Should any of the above described policies be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder Monroe County Board of County Commissioners 1100 Simonton St Key West, FL 33040-3110 ) 11111111111111111111111111 d 1111111111111111 dill d 1111 d d d :A.ON'Risk Services Northeast, Inc. AON Risk Services Northeast, Inc. Authorized Representative of AON Risk Services (866) 443-8489 Phone 09/16/2009 Date Issued 027306 Services. Inc. Fax No. INSURERS AFFORD1NG COVERAGE INSURER A: STP ~ St. Paul Fire and Marine Ins. CO. INSURER B: INSURER C: INSURER 0: INSURER E: NAIC# Phone No. Fax No. 305 743..0582 INSURED Greater Marathcm Chamber of Commerce, Inc 3:1050 STP EW06115891 03/1212010 03/15/2010 MED EX? (An one PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS~COMProPAGG TP AUTOMOBILE L1ABtUTY ANY AUTO ALL O'WNED AUTOS SCHEDULED AUTOS HtRED AUTOS NON-O'WNED AU-roS COMBINED SINGLE LIMIT lEa IllXlident) 1,000,000 EW06115891 03/12/2010 03/15/2010 Included STP SODIL Y INJURY (Per a<<:ldent) $ Included 125,000 2 000 000 PROPERTY DAMAGE"'"'- $ (Per accident) MaleIoGl"""," M8REl.LA LIABILITY OCCUR [J CLAIMS MADE EX061 0261 0 03/1212010 03/15/2010 AUTO ONLY. EA OTHeR THAN AUTO ONLY: EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS' UABILITY "CUTlve ~L~9:tt6cclt?I2~L~_ e.L, DISEASE S.L, DISEASE. POLICY LIMIT Cov..gill Deductlble Coverage Location: United States & Canada The Original Marathon Seafood Festival County BOCC onton Street FL ates 0 America CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCf:Ll..ED BEFORE THE EXPIRATlON DATE THEREOF, THE lSSUING INSURER WILL ENDEAVOR TO MAIL --1- DAYS WRITTEN Nonce TO THE ceRnFlCA TE HOLDER NAMED TO THE lEfT, BUT FAILURE TO DO so SHALL IMPOSE NO OBI..IGA nON OR LIABII..ITY OF ANY IOND UPON THE INSURER, ITS AGENTS OR REPREeNTA TIVI$. AUTHORIZED REPRESENTAnVE All coverages expire at 12:01 a.m. Standard Time. to $1,000 minimum and a $7,500 maximum The Certificate negligence of t as Additional Insured, but only as respects to claims arising out of the lilured. C C' .~ , 1--1 YJ tZ. n t:..I2-J CERTIFICA TE HOLDER Phone No, Fax No. ACORD 25 (2001/08) 206030~395538-267824 This certificate of insurance does not affirmatively or negatively amend. extend, or alter the coverage afforded by the insurance policy. AC� ® DATE (MMIDD/YYYY) L.--- CERTIFICATE OF LIABILITY INSURANCE 12/28/2011 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 INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: • If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lourdes Monta ne NAME: g Keys Insurance Services, Inc. PO NNo.Ext): (305)743 -0494 FAX No): (305)743-0582 5800 Overseas Hwy #43 ADD RESS : lmontagne @keysinsurance.com P.O. Box 500280 PRODUCER 000 00711 CUSTOMER ID #: Marathon FL 33050 -0280 INSURER(S) AFFORDING COVERAGE NAIC# qq INSURED INSURER A:BUrlingtOn Ins. Co i INSURER B : Greater Marathon Chamber of Commerce, Inc. INSURERC: 12222 Overseas Highway INSURERD: INSURER E : Marathon FL 33050 INSURER COVERAGES CERTIFICATE NUMBER:Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD • INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR �NSR WVD POLICY NUMBER (MM /DD/YYYY) (MM /DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 1 , 000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ r. A CLAIMS -MADE X OCCUR X 535B020314 12/21/201112/21 /2012 MED $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ Included X POLICY .1 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON -OWNED AUTOS _ $ $ UMBRELLA LIAB I OCCUR (` EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE �i AGGREGATE $ DEDUCTIBLE JJ ,.- 3 ( $ RETENTION $ , Q]1 $ WORKERS COMPENSATION WC STATU- OTH- k AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER k ANY PROPRIETOR /PARTNER/EXECUTIVE II 1 - ° E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N /Acd -- - - - -- - - -- - - -- -- ----------_.._- - (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below _ E.L. DISEASE - POLICY LIMIT $ C-- "1 I , DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CERTIFICATE HOLDER CANCELLATION (305) 289 - 6 0 0 7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissione ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1026 Key West, FL 33040 AUTHORIZED REPRESENTATIVE C G za - vc Lourdes Montagne /XM ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. INS025 mows) The ACORD name and logo are registered marks of ACORD AC RD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/01/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIV E HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL�kganIcalcy(ies) m`st be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the polipr, certain policies may require an ends 'sement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER JUN ? T R s Management Department Aon Risk Services Northeast, Inc. PHONE FAX New York NY Office (A/C, No, Ext): (8601443-8489 (A/C, No): (800) 889 -0021 E -MAIL 199 Water Street s wor .comp(D�trinet.com New York, NY 10038 - 3551 1►RONROE OORRRR RISK MANA. EMENT d#SURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Commerce & Industry Ins Co 19410 TriNet HR Corporation and all its affiliates and subsidiaries* INSURER B: Illinois National Ins Co 23817 Greater Marathon Chamber of Commerce (Endorsed as alternate employer) INSURER C: Ins Co State of Penn 19429 INSURER D: Nat'l Union Fire Ins Co 19445 9000 Town Center Parkway INSURER E: New Hampshire Ins Co 23841 Bradenton, FL 34202 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: S THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD d 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, i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR TYPE OF INSURANCE INSRL SUBR POLICY NUMBER (POLICY MM /DDIYYYY EFF (MM /DD/YYYY LIMITS ) GENERAL LIABILITY EACH OCCURRENCE $ ' - DAMAGE TO RENTED $ COIv(MERCIAL GENERAL LIABILITY APL■v PREMISES (Ea occurrence) • CLAIMS -MADE CCUR B M A • GE T MED EXP (Any one person) arg/ PERSONAL 8 ADV INJURY $ , GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: a 00 G , � ri •-� PRODUCTS - COMP /OP AGG $ POLICY n PROJECT nLOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Each accident) BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per $ - AUTOS AUTOS accident) HIRED AUTOS NON -OWNED PROPERTY DAMAGE (Per $ I - AUTOS accident) H UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION 060516169 FL 07 -01 -2012 07 -01 -2013 XI WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER f ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $2,000,000 OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L.DISEASE- EA EMPLOYEE $2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required): 9178 / 7QQ • TriNet HR II, Inc. and TriNet HR V, Inc. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, Monroe County NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE Board of County Commissioners POLICY PROVISIONS. 1100 Simonton St Key West, FL 33040-3110 AUTHORIZED REPRESENTATIVE 11111111 I U IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII � .L. 004665 ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD © 1988-2010 ACORD CORPORATION. All rights reserved. i Received I -,•''''''''" Finance Wept A CORO ® W CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDmrrv) 12/10/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR 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 thls certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lourdes Monta e NAME: 9n Keys Insurance Services PHONE n. Ext.) (305) 743 - 0494 A FAX /C. No): (305) 743 -0582 5800 Overseas Hwy #43 Bl a ss : lmontagne @keysinsurance.com P.O. Box 500280 INSURER(S) AFFORDING COVERAGE NAIC 8 Marathon FL 33050 -0280 lNsuRERA:Canopius US Insurance, Inc. INSURED INSURER B : Greater Marathon Chamber of Commerce, Inc. INSURERC: 12222 Overseas Highway INSURER D : INSURER E : Marathon FL 33050 INSURERF: COVERAGES CERTIFICATE NUMBER:CL12121004006 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM /DD/YYYY) (MM /DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ A CLAIMS -MADE X OCCUR X OUS018009676 12/21/2012 12/21/2013 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 $ Included • A I POLICY n P n LOC , $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT AP• • 4'Y • GEMENT ' ' MEM' (Ea accident) _3_ ANY AUTO BY A. —.. Are_ BODILY INJURY (Per person) $ ALL OWNED SCHEDULED DA — 1 g� �1� 1 :kit /c - BODILY INJURY (Per accident) $ AUTOS AUTOS rr , , I NON -OWNED WA -- .J . w PROPERTY accident) TY DAMAGE $ HIRED AUTOS AUTOS "CI rye. — 1) U $ — UMBRELLA LIAB OCCUR EACH OCCURRENCE _$ • EXCESS LIAB CLAIMS -MADE AGGREGATE $ _ DED 1 RETENTION $ $ WORKERS COMPENSATION WC STATU OTH AND EMPLOYERS' LIABILITY Y / N I TORY LIMITS I ER ANY PROPRIETOR/PARTNER/EXECUTIVE I N / A E.L. EACH ACCIDENT $ • OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ • DESCRIPTION OF OPERATIONS/LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CERTIFICATE HOLDER CANCELLATION (305) 289 -6007 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissions ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1026 Key West, FL 33040 AUTHORIZED REPRESENTATIVE C. 4(4 c, Mel Montagne ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 mmnnsi m Tho ARr1Rn names and Innn aro ronieferori marks of Atr1Rn I �•"" GREAMAR -02 MIJ2 ACOROE CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DDIYYYY) 7/1/2013 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 CONTACT NAME: Automatic Data Processing Insurance Agency, Inc PHONE FAX 1 ADP Boulevard (A/C, No, E-MAIL Ext): (A /C, No): Roseland, NJ 07068 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Travelers Indemnity Company of America (TI25666 INSURED Greater Marathon Chamber INSURER B : 12222 Overseas Hwy INSURER C : Marathon, FL 33050 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR S POLICY EFF POLICY EXP TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDIYYYY) (MMIDD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO REN I ED COMMERCIAL GENERAL LIABILITY s PREMISES (Ea occurrence) $ CLAIMS -MADE OCCUR B i4�;, r r. 'GE 1 MED EXP (Any one person) $ D • Min& ' 15.-1.Cite PERSONAL & ADV INJURY $ WAI • • ' �. GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: LPi PRODUCTS - COMP /OP AGG $ 7 POLICY PFD LOC I� �.1[, - ! PC/ $ - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ - ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS NON -OWNED PROPERTY DAMAGE $ AUTOS (Per accident) i i UMBRELLA LIAR _ OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS -MADE AGGREGATE _ $ DED 1 RETENTION $ $ WORKERS COMPENSATION WC S TATU- OTH- AND EMPLOYERS' LIABILITY X TOR LIMITS ER Y A AFYIPRO ER EXCLUDED? ECUTIVE Y N / A IHUB0C83283513 7/6/2013 7/6/2014 E.L. EACH ACCIDENT $ 500,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040- AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. • ACORD 25 (201405) . The ACORD name and logo are registered marks of ACORD GL. ACCPRD CERTIFICATE OF LIABILITY INSURANCE Y) 1/29/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Angel Yarbrough Keys Insurance Services (PAHONrE Exfr (305) 743 -0494 1 (AIC.No): (305)743 -0582 5800 Overseas Hwy n DR : ayarbrough @keysinsurance.com P.O. Box 500280 INSURER(S) AFFORDING COVERAGE NAIC # Marathon FL 33050 INSURER A :Covington Specialty Ins. INSURED INSURER B : Greater Marathon Chamber of Commerce, Inc. INSURER C : 12222 Overseas Highway INSURER D : INSURER E : Marathon FL 33050 INSURERF: COVERAGES CERTIFICATE NUMBER:2014 - 2015 Master GL REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM /DD/YYYY) (MM /DD /YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X 100, 000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ A CLAIMS -MADE l X 1 OCCUR X 0US018022964 12/21/2014 12/21/2015 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 $ Included POLICY n PRO- LOC $ IFCT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) _$ — ANY AUTO BODILY INJURY (Per person) $ — ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS _ AUTOS NON -OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ _ DED I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N T()RY I IMITS I FR ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks j ed , if m• –twit rmairt Itil c ' rie - j DC CERTIFICATE HOLDER d 1 1,11'410j 3Q»1NOW CANCELLATION . t 1 '810 �1:1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOC * H r ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Strbdt•UI W■ C ��t �� Z Key West, FL 33040 AUTHORIZED REPRESENTATIVE 080338 0311.1 Mel Montagne ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. 1NS025 (2010os).01 The ACORD name and logo are registered marks of ACORD 7 DATE (MMIDOIYYYY) AC Ro CERTIFICATE OF LIABILITY INSURANCE 02/26(2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: - PHONE A�X Automatic Data Processing Insurance Agency, Inc. _{nrc Ext); I (A/C, No): EMAIL 1 Adp Boulevard ADDRESS; _._____._..—__.... ___..__.._......_._...__..___._ Roseland, NJ 07068 INSURER(S) AFFORDING COVERAGE NAIC a IN SURER A: Travelers Indemnity Company 25658 INSURED INSURER B : ____ _ _ _ •..... ____,� „� ____ GREATER MARATHON CHAMBER OF COMMERC •_ ,.. _,..__ INSURER C : 12222 OVERSEAS HWY ,_ _ Marathon, FL 33050 INSURER 0 : _ - -- -_ -- INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 315976 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' �•��•••_�-- _ - _.__ EDETSUsR— PO ICY EXP LICY EFF PO LTR I TYPE OF INSURANCE I INSO I WVD: POLICY NUMBER (MM/DO/YYYY) (MM(00/YYYY) : LIMITS COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE 5 I 6AlGi)CGETD'REHTED CLAIMS -MADE � OCCUR 1 i PREMISES (Ea occurrence) I S MED EXP (Any one person) I $ I T --_ _ rt-- • I • PERSONAL & ADV INJURY - $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE Ls POLICY I l J P E O r 1 LOC ' PRODUCTS - COMPIOP AGG I S ..___... OTHER: COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY ' (Ea accident },. ,_. „_.._......_._...,. _..._.....,._ ._._......._.,..._....___... — � I- -- 1 ANY AUTO BODILY INJURY (Per person) $ I ALL OWNED I SCHEDULED j BODILY INJURY (Per accident) 5 AUTOS _ -_, AUTOS I t- --- - -- --- NON -OWNED • PROPERTY DAMAGE $ ,— HIRED AUTOS ..__ j AUTOS (Per acci dent,,__.,, I UMBRELLA LiAB OCCUR EACH OCCURRENCE $ - EXCESS LIAR CLAIMS -MADE AGGREGATE i $ DED I RETENTIONS i I $ WORKERS COMPENSATION ( X I STATUT EH E ER AND EMPLOYERS' LIABILITY YIN 500,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT 5 OFFICEPJMEMBER EXCLUDED? I Y NIA N UB0083283514 07/06/20 07/06/2015 = = --- 500 �(Mandatory InNH) tt - E.L.DISEASE - EAEMPLOYE $ if ye s, describe under E E.L. DISEASE •POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS J LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedute, may be attached if more space Is re• fired) c'PROV : • MEN' • O' • _NISP;7L41I WAIV ' /A' ' CC ' 'CI / t../ TO CERTIFICATE HOLDER 'A '-t CANCELLATION V 13 'A1N11OJ 3OJNOW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE •t 1 •8J3 -Inn THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE 68 :ZI Nd LZ 833 SIOZ -- 1(...,. / ‘ ))t - ) 1 L., l t� a� �o�l A© 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) e A name and Togo are registered marks of ACORD f ACORD • CERTIFICATE OF LIABILITY INSURANCE DATE(MWOOIYYYY) L......'" 1 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 POUCIES 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. U 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 Ueu of such endorsement(s). PRODUCER CWACT David Sheppard NAME: Keys Insurance Services {A o• Estl: (305) 743 -0494 [ re No: nos) 743 -0562 5800 Overseas Hwy E @keysinsurance.com P.O. Box 500280 INSURERS) AFFORDING COVERAGE NAM* Marathon FL 33050 seiURER :Lloyds of London INSURED INSURER B: Greater Marathon Chamber of Commerce, Inc. INSURER C: 12222 Overseas Highway INSURER D: INSURER E: Marathon FL 33050 INSURER F: COVERAGES CERTIFICATE NUMBER:2016 -2017 Master GL REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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. en y 1 ,, TYPE OF INSURANCE r ^i .i. f !''(: r � . 1 . ' el 1 UNITS El COMMERCIAL MURAL UABILrTY EACH OCCURRENCE S 1,000,000 A S■ CLABJS•MADE © OCCUR ,�r DAMAGE _ _ S 100, 000 i X B0rSL2II 090 12/21/2016 12/21/2017 MEDEXP (eat one person) S 5,000 PERSONAL 6ADVINJURY $ 1,000,000 GENE AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE S 2, 000, 000 © POLICY 01oT 0 LOC PRODUCTS- COMP/OP AGG S Included OTHER ` Hb ad 8 Noe-Owned Auto S Included AUTOMOBILEUABIUTY I CG�s+IGLS $ _ ANY AUTO BODILY INJURY (Per person) S AUTOS AUTOS BODILY INJURY (Pa accident) S NON. PROPERTY HIRED AUTOS AUTOS Claw aorJdardl DAMAGE S $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S — EXCESS LAB 1 CLAIMS -MADE $Y SIf GEMENT AGGREGATE ' s DE0 1 1 RETENTIONS 1 r DV � R� r+ ANA s WORKERS COMPENSATION TH- AND ANY PROPRIE 1 1 � ERIEXECUTIVE Y / N DATE. '-"' A R OFFICER/MEMBER EXCLUDED? N/ A '� E.L EACH ACGOENT S (Msndamry In MME) WAIVER IW ES_.. E.L DISEASE • EA EMPLOYER S 11yes desu u ndo DESCRIPTION OF OPERATION50Ibr E.L DISEASE. POUCY LIMIT S DESCRIPTION OF OPERATIONS 1 LOCATIONS/ VEHICLES (ACORD 101, Additional Remake Schedule, nay be sladad B ma. specs Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POUCY PROVISIONS. Key West, FL 33040 , AUTHORIZED REPRESENTATIVE Mel Montagne ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 1sou91)