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Certificates of Insurance
DATE(MM,DD/YYYY) A �® CERTIFICATE OF LIABILITY INSURANCE oa,oz,zozo 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain !7-� p y, 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 'a NAME: Aon Risk Services Northeast, Inc. PHONE O FAX W C/o Aon Client Services (A/C.No.Ezt): (866) 283-7122 (A/C.No.): (800) 363-0105 'a 4 Overlook Point E-MAIL 2 Lincolnshire IL 60069 USA ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: National Union Fire Ins CO Of Pittsburgh 19445 Greyhound Lines, Inc. INSURER B: New Hampshire Insurance Company 23841 350 N Saint Paul St Dallas TX 75201 USA INSURERC: American Home Assurance Co. 19380 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570081312455 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, Limits shown are as requested INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (POLICY (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GL3629887 047072020 04 01 2021 EACH OCCURRENCE $10,000,000 CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $5,000,000 MED EXP(Any one person) EXCI uded PERSONAL&ADV INJURY $10,000,000 M'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $10,000,000POLICY ❑ ECT PRO ❑LOC PRODUCTS-COMP/OPAGG $10,000,000 ro OTHER: o r A CA1921794 04/01/2020 04/01/2021 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $10,000,000 ADS (Ea accident) $10,000,000 A X ANYAUTO CA1921796 04/01/2020 04/01/2021 BODILY INJURY(Per person) 0 OWNED SCHEDULED VA BODILY INJURY(Per accident) Z A AUTOS ONLY AUTOS CA1921795 04/01/2020 04/01/2021 PROPERTY DAMAGE R HIREDAUTOS NON-OWNED ONLY AUTOS ONLY MA (Per acciden t) U 'C W UMBRELLA LIAB OCCUR EACH OCCURRENCE U EXCESS LIAB CLAIMS-MADE AGGREGATE DED I RETENTION B WORKERS COMPENSATION AND wc014649556 04/01/2020 04/01/2021 X PER STATUTE ORTH- EMPLOYERS'LIABILITY B YIN WC014649552 04/01/2020 04/01/2021 C PROPRIETORANY /PART N N/A wc014649553 04/01/2020 04/01/2021 E.L.EACH ACCIDENT $5,000,000 EXECUTIVEEOFFICER/MEMBER OFFICER/MEMBERBEE B (Mandatory inNH) wc014649554 04/01/2020 04/01/2021 E.L.DISEASE-EA EMPLOYEE $5,000,000 B DESs,describe under CRIPTION OF OPERATIONS below wc014649 5 5 5 04/01/2020 04/01/2021 E.L.DISEASE-POLICY LIMIT $S,OOO,OOO 4L DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) s'ei Monroe County Board of County Commissioners is included as Additional Insured in accordance with the policy provisions of the W General Liability and Automobile Liability policies. x s.� I' J 4/3/2020 �■� � .,w���" .LATION ' CERTIFICATE HOLDER A WAW I D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 4} '" �— HEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. y'= Zy Monroe County Board AUTHORIZED REPRESENTATIVE iJ of County Commissioners 1100 Simonton St. Key West FL 33040 USA v/�',(/' rsatt t�/ryya JOE ©1988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016/03) The ACORD name and logo are registered marks ofACORD Aco CERTIFICATE OF LIABILITY INSURANCE .12/19/2018 : °ATE`MM/°°rYYYY' THIS.CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE.HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE. COVERAGE.AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)'must have ADDITIONAL INSURED provisions or be:endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate'holder in lieu of such'endorsement(s). PRODUCER CONTACT Arthur J. Gallagher Risk Management Services, Inc: NAME: Tanya D.Stephenson 1 FAX 250 Park Avenue rAfcslo.Ext1:2127994-7085 ... .I(Arc,No):.212-994-7047. . . . E-MAIL 3rd Floor ADDRESS: Tanya_Stephensontajg.com New York NY 10177 INSURER(S)AFFORDING'COVERAGE NAIC# ' • . INSURER A:New.Hampshire Insurance•Company . . 23841 INSURED INSURERS:National Union•Fire Insurance Company of Pittsburg 19445 Gr350 N. St PaulLiu St.Inc, INSURER • C:American Home Assurance Company 19380 350 N. St. p y Dallas, TX 75201 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:'1868635739 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."ISO J ° WVD. POLICY NUMBER (MMIDDIYYYY}. (MM/DD/YYYY) B X I COMMERCIALGENERAL LIABILITY GL 3629887 12/31/2018 12/31/2019 EACH OCCURRENCE . $5,000,000 DAMAGE-TO FE(TTE-D CLAIMS-MADE I X1 OCCUR APP VE B f?l EMT PREMISES(Ea occurrence). , $5,000,000 , X Contractual BY MED EXP(Any one,person) $ X LiabWAIVER A Incl. DATE PERSONAL&ADV INJURY $5,000,000. GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 POLICY X JE X LOC PRODUCTS-.COMP/OP AGG $5,000;000 OTHER: $ B AUTOMOBILE LIABILITY CA 1921794(AOS) 12/31/2018 12/31/2019 COMBINED.SINGLE LIMIT $5;000,000 a CA1921795(MA) 12/31/2018 12/31/2019 '(Ea accident) B X ANY'AUTO CA1921796(VA) 12/31/2018 12/31/2019 BODILY INJURY(Per person) $ ' OWNED — SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY •, AUTOS ONLY _ I (Per accident) •• . • UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS'LIAB CLAIMS-MADE AGGREGATE $ DED . ' RETENTION$ $ '. A WORKERS COMPENSATION WC'014649556(AOS) 12/31/2018 .12/31/2019 X STATUTE ERH' ' ' A AND EMPLOYERS!LIABILITY Y r N WC 014649555(WI,MA) 12/31/2018 12/31/2019 • - A ANYPROPRIETORIPARTNERIEXECUTIVE WC 014649552(FL) 12/31/2018 12/31/2019 E.L.EACH ACCIDENT $5;000,000 A OFFICER/MEMBEREXCLUDE07 II NIA WC 014649557(MN) 12/31/2018 12/31/2019 C (Mandatory In NH) WC'014649553(CA) 12/31/2018 12/31/2019 E.L.DISEASE-EA EMPLOYEE $5;000,000 ' • If yes,describe under - DESCRIPTION OF-OPERATIONS below E.L.DISEASE-POLICY LIMIT $5,000,000 _. DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) Workers Compensation: . . Policy#:WC 014649554(AZ,IL,KY,NC,NH,NJ,PA,UT,VA,VT) Policy Term:12/31/1'8 to 12/31/19 Carrier Name:NEW HAMPSHIRE INS CO(NAIC#:23841) Limits:E.L.Each Accident/E.L.Disease-Ea Employee/E.L.Disease-Policy Limit $5,000,000 The Certificate Holder is included as Additional Insured as required by written contract subject•to policy terms, conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE -DELIVERED IN.'. Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. • Keywest FL 33040 AUTHORIZED REPRESENTATIVE USA =1 ..� IC"- —.-- • � . ©1988-2015.ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are-registered marks of ACORD 3of3 14483' • ACCORD CERTIFICATE; OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/19/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES • BELOW. THIS-CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If.SUBROGATION.IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on. this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Tanya D.Stephenson Arthur J. Gallagher Risk Management Services, Inc. AHOO"f o.Ex»:212-994=7085 (A/�c;Ne):212-994-7047 250 Park Avenue E-MAIL • 3rd Floor ADDRESS: Tanya_Stephenson@ajg.com NewYork'NY'10177 INSURER(S)AFFORDING COVERAGE • NAIC# INSURER A:New Hampshire Insurance Company 23841 INSURED • INSURER B:National Union Fire Insurance Company of Pittsburg_ 19445 Gr350 N.St:PaulLiu Street Inc. INSURER C:American Home Assurance Company . .. 19380 350 N.St: y Dallas,TX 75201 INSURER D: INSURER E: INSURER F: ... _ . . _. COVERAGES CERTIFICATE NUMBER:841370461 '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 REDUCEDBY PAID-CLAIMS. INSR TYPE OF INSURANCE ADDL.-WO POLICY EFF •I POLICY EXP • INSD WVD• POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY GL 3629887 12/31/2018 12/31/2019 EACH OCCURRENCE $5,000,000 —0-AIWGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea o cu rear ce). $5,000,000 MED EXP(Any.one person) $ PERSONAL 8 ADV INJURY' $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 POLICY I X l JE X LOC AP R V D 8, WENT PRODUCTS COMP/OP AGG $5,000,000 BY OTHER: DA $ AUTOMOBILE LIABILITY WAIVER / h ..r • COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $' OWNED — ' SCHEDULED BODILY INJURY(Per accident) $ AUTOS•ONLY AUTOS HIRED NON-OWNED' PROPERTY DAMAGE $ ' AUTOS ONLY _ AUTOS ONLY _Leer accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ • I DED . I RETENTION$• . . $ • A WORKERS COMPENSATION WC'014649556(AOS) 12/31/2018 '12/31/2019 X ;MUTE ERH C •AND EMPLOYERS'LIABILITY YIN WC 014649553 (CA) 12/31/2018 12/31/2019 A ANYPROPRIETOR/PARTNER/EXECUTIVE WC 014649552(FL) 12/31/2018 12/31/2019 E.L.EACH ACCIDENT $5,000,000 A OFFICER/MEMBEREXCLUDED? N/A WC 014649555 WI,MA 12/31/2018 12/31/2019 A )(Mandatory In NH) WC 014649557(MN) 12/31/2018 12/31/2019 E.L.DISEASE-EA EMPLOYEE $5,000,000 If yes,describe.under DESCRIPTION OF OPERATIONS below • E.L.DISEASE-POLICY.LIMIT $5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Workers Compensation: Policy#: WC 014649554(AZ,IL,KY,NC,NJ,PA,UT,VA,VT) Policy Term:12/31/18 to 12/31/19 Carrier Name:NEW HAMPSHIRE INS CO(NAIC#:2.3841) Limits:E.L.Each Accident/E.L.Disease-Ea Employee/E.L.Disease-Policy.Limit-$5,000,000 RE:615 1/2 Dual Street South,Key West,.FL • Monroe County Board of County Commissioners is included as additional insured(blanket endorsement)solely with respect • to General Liability-coverage as evidenced herein as required by written contract with respect to the above premises. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE:DESCRIBED POLICIES BE CANCELLED BEFORE. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE.WITHTHE•POLICY PROVISIONS. 1100 Simonton St'. Key West FL 33040 AUTHORIZED REPRESENTATIVE USA ('` ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo areregistered marks of ACORD • 2 of 3 14483 A ® DATE(01/0320/20� CERTIFICATE OF LIABILITY INSURANCE 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 have ADDITIONAL INSURED provisions or be endorsed. m If.SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on :a this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CD MNTACT 'O PRODUCER Cp NAE: Aon Risk Services Northeast, Inc. PHONE FAX c/o Aon Client Services (a/C.Ne.Ext): (866) 283-7122 (ac.No.): (800) 363-0105 v 4 Overlook Point - — Lincolnshi re IL 60069 USA —�'^ ��J/ E-MAILADDRESS: _ \REC___,11v/ D INSURER(S)AFFORDING COVERAGE NAIC 0 INSURED INSURER A: National Union Fire Ins Co of Pittsburgh 19445 Greyhound Lines, Inc. 2020 INSURERS: New Hampshire Insurance Company 23841 350 N Saint Paul St JAN 10 Dallas TX 75201 USA INSURER C: American Home Assurance Co. 19380 INSURER D: Finance Dept. INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 570080061980 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, pD g� R ;MDT,.E P Limits shown are as requested ILTR TYPE OF INSURANCE AIN3D WVBD POUCY NUMBER IYYY) (MMIODIYYYPY) LIMITS A X COMMERCIAL GENERAL LIABILITY GL3629887 12/31/2018 04/01/2020 EACH OCCURRENCE $5,000,000 DGE TO RENTED . CLAIMS-MADE I r x I OCCUR PREMISES(Ea occurrence) / $5,000,000 i 11 MED EXP(Any one person) Excluded PERSONAL SADVINJURY $5,000,000 0 rn GEN'LAGGREGATE UNIT APPLIES PER GENERAL AGGREGATE $10,000,000 w�C,er�' X POLICY ❑JECT ❑LOC Arr iSK WACiEi lT PRODUCTS-COMP/OP AGG $5,000,000 tO rr r 0 OTHER0 AUTOMOBILE LIABILITY �1 t . � COMBINED SINGLE LIMIT u DATE � (Ea accident) DA 1 I� WAIVER ../1 v fl� 80DILY INJURY(Per person) ANY AUTO — SCHEDULED WAIVER N/ iEE1_, BODILY INJURY(Per accident) 0 OVVNED AUTOS NLY AUTOS a PROPERTY DAMAGE HIREDAUTOS 1 AUTOS ONLY R (Per accident) ONLY _ 0 a UMBRELLA LIAB OCCUR EACH OCCURRENCE 0 EXCESS UAB CLAIMS-MADE AGGREGATE DED RETENTION B WORKERS COMPENSATION AND WC014649556 12/31/2019 04/01/2020 x I PER STATUTE I IgH- EMPLOYERS'LIABILITY e YY/NTT WC014649552 12/31/2019 04/01/2020 E.L.EACH ACCIDENT $5,000,000 ANY EXECUTIVE OFFICER/MEMBER N 1 N/A WC014649553 12/31/2019 04/01/2020 C E andat Vy in OFFICER/MEMBER IE.L.DISEASE-EA EMPLOYEE $5,000,000 e (MyyandatoryinNH) WC014649554 12/31/2019 04/01/2020 B DES0IR11411 OF OPERATIONS below WC014649555 12/31/2019 04/01/2020 E.L.DISEASE-POLICY LIMIT $5,000,000, ME DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) RE: 615 1/2 Dual Street South, Key West, FL. Monroe County Board of County Commissioners is included as Additional Insured in accordance with the policy provisions of the General Liability policy. i • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board AUTHORIZED REPRESENTATIVE of County Commissioners , 1100 Simonton St. Key West FL 33040 USA `��� Z LLIl ©1988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016iO3) The ACORD name and logo are registered marks of ACO A�R CERTIFICATE OF LIABILITY INSURANCE DATE o n"Zo' 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 have ADDITIONAL INSURED provisions or be endorsed. m If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on m to this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). m PRODUCER parr 9 EE 0) Aon Risk Services Northeast, Inc. P1{ONE FAX c/o Aon Client Services (A/C.No.Ext): (866)'283-7122 (A/c.No.): (800) 363-0105 v 4 Overlook Point o Lincolnshire IL 60069 USA ADDRESS: _ INSURED H�©,. ���,r✓�-�]_��.�.�J��7] INSURER(S)AFFORDING COVERAGE NAIL D ' INSURERA: National Union Fire Ins Co of Pittsburgh 19445 Greyhound Lines, Inc. INSURER B: New Hampshire Insurance Company 23841 350 N Saint Paul St Dallas TX 75201 USA JAN 1 0 2020 INSURERc: American Home Assurance Co. 19380 INSURER D: INSURER E: Finance Dept. INSURER F: COVERAGES 570080061964 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, ' Limits shown are as requested 1 LTR TYPE OF INSURANCE AINSD WVD POLICY NUMBER (MMNDriyEyFyFY) (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITYGL3629887 APP 04/01/2020�♦ �� EACH OCCURRENCE -$5,000,000 CLAIMS-MADE I X I OCCUR BY St<MANAGEMENT DpRREM13ES(ERa oNc uED nce) $5,000,000 l By ��\\ MED EXP(Any one person) EXcl uded 1 111 (}�� �^� PERSONAL B ADV INJURY $5,000,000. a GEN'LAGGREGATE UMITAPPUES PER DATE '+7 �Ld�/ GENERALAGGREGATE $10,000,000 0 too X POLICY JECT I�LOC WAIVEP W. YES__,_ PRODUCTS-COMP/OP AGG $5,000,000 m 0 OTHER o is A CA 192-17-94 12/31/2018 04/01/2020 COMBINED SINGLE LIMIT N AUTOMOBILE LIABILITY (Ea accident) $5,000,000 AOS A X- ANY AUTO CA 192-17-96 12/31/2018 04/01/2020 BODILY INJURY(Per person) C SCHEDULED VA BODILY INJURY(Per accident) 2 OWNED AUTOS 2A _ AUTOS ONLY CA 192-17-95 12/31/2018 04/01/2020 PROPERTY DAMAGE 10 HIRED AUTOS AUTOS NON-OWNEDNY MA (Per accident) 113 ONLY d7 UMBRELLA UAB_i I OCCUR EACH OCCURRENCE 0EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION li B WORKERS COMPENSATION AND WC014649556 12/31/2019 04/01/2020 x I PER STATUTE I OTH- EMPLOYERS'LIABILITY ER B YIN WC014649552 12/31/2019 04/01/2020 • C ANY PROPRIETOR!PARTNER I N N/A WC014649553 12/31/2019 04/01/2020 E.L.EACH ACCIDENT $5,000,000 EXECUTIVE Oin NICERIMEMBER E.L.DISEASE-EA EMPLOYEE $5,000,000 B (MyyandatorylnNH) WC014649554 12/31/2019 04/01/2020 B DEStRIP11ON OF OPERATIONS below WC014649555 12/31/2019 04/01/2020 E.L.DISEASE-POLICY LIMIT $5,000,000 NM DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) Monroe County Board of County Commissioners is included as Additional Insured in accordance with the policy provisions of the. General Liability and Automobile Liability policies. L CERTIFICATE HOLDER CANCELLATION L SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Seta■ , Mon roe County Board AUTHORIZED REPRESENTATIVE of County Commissioners 1100 Simonton St. gft Key West FL 33040 USA CZ `� _Q� �_ Zt a fl e�o7b �G�D� �� - 01988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016103) The ACORD name and logo are registered marks of ACO Co CERTIFICATE OF LIABILITY INSURANCE 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Arthur J . Gallagher Risk Management Services, Inc. . 212 -994 -7085 ( 250 Park Avenue PHONE .�: 212- 994 -7047 NAME Tanya D. Steph enson E -MAIL 3rd Floor . Tanya_Stephenson@ajg.com New York NY 10177 INSURER AFFORDING COVERAGE NAIC0 _ INSURER A: New Hampshire Insurance Company 23841 INSURED INSURER S :National Union Fire Insurance Company of 19445 Greyhound Lines, Inc. INSURERc:American Home Ass urance Company 19380 350 N. St. Paul St, Dallas, TX 75201 INSURER D: r r71 /FRAr_FC f'r0rICIrA7C wuAMCD. 1AR15719,A1 nr711 — u, 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, LTR TYPE OF INSURANCE INSD POLICY NUMBER POLICY MDfY POLICY ryyyy LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR GL 3629887 12/31/2017 12/31/2018 EACH OCCURRENCE $5,000,000 DAMAGE TO RENTET PREMISES Ea occurrence $5,000,000 MED EXP (Any one person) f PERSONAL a ADV INJURY $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: F1 POLICY Fx-1 jE OT [i] LOC GENERAL AGGREGATE $10,000,000 PRODUCTS - COMP /OP AGG (5,000,000 $ OTHER: B B B AUTOMOBILE LIABILITY ANY AUTO AUTOS ONLY SCHEDULED AUTOS ONLY AUTOS ONLY CA 1921794 (AIDS) CA1921795(MA) CA1921796 (VA) 12/31/2017 12/3112017 12/31/2017 12/31/2018 12131/2018 12131/2018 C (E a accident i $5,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) f S UMBRELLA LIAR IOCCUR EACH OCCURRENCE $ AGGREGATE i s EXCESS LIAB CLAIMS -MADE DED I I RETENTION f I s A A A A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE IM OFFICEREMBER EXCLUDED? (Mandatory In NH) If yes, describe under NIA WC 014649556 ( WC 014649555 (WI MA) WC 014649552 (FL) WC 014649557 (MN) WC 014649553 (CA) 12/3112017 12/31/2017 12/31/2017 12/31/2017 12131/2017 12/31/2018 12131/2018 12131/2018 12/31/2018 12/31/2018 OTH X STATUTE ER E.L. EACH ACCIDENT $5,000,000 E.L. DISEASE - EA EMPLOYE $5,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Workers Compensation: APP SK MENT Policy #: WC 014649554 (AZ,IL,NC,NH,NJ, PA,UT,VT) Policy Term: 12/31/17 to 12/31/18 WAIVER A /A C arrier Name: NEW HAMPSHIRE INS CO (NAIC #:23841) Limits: E.L. Each Accident / E.L. Disease -Ea Employee / E.L. Disease - Policy Limit - $5,000,000 The Certificate Holder is included as Additional Insured as required by written contract subject to policy terms, conditions and exclusions. CERTIFICATE HOLDER CANCELLATION DATE (MMIDD /YYYY) 12/20/2017 O 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Keywest FL 33040 USA AUTHORIZED REPRESENTATIVE DATE (MMIDD /YYYY) 12/20/2017 O 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 'i..,,~.C?9IJQN ..........111111111111...11..11..1.111..111111111.11111111111..............11111.11111.............................'.."..,......... .........DATE:.(MMlDD/vvj.......... PRoDucE,!'.,., MCGRIFF, SEIBELS . WILLIAMS OF DALLAS 5949 SHERRY LANE SUITE DALLAS TX 75225-6532 (4691 232-2100 INSURED 1300 9/24/01 THIS CERTIFICATE IS ISSUED AS A MAHER OF INFORMATION ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A Pacific Employers Insurance Company Greyhound Lines, Inc, 15110 North Dallas Parkway Dal las, TX 75248 COMPANY B COMPANY C THIS IS TO CERTIFY THA T THE POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED,NOTWITHST ANDING ANY REQUIREMENT . TERMOR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICA TE MAY BE ISSUED OR MA Y PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POL.ICY NUMBER POL.ICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM/DD/YY) DATE (MM/DD/YY) L.IMITS GENERAL. L.IABILITY XSL G2 029661-6 9/01101 9/01102 GENERAL AGGREGATE $ 5,000,000 A X COMMERCIAL GENERAL LIABILITY PRODUCTS.COMP/OP AGG $ 5,000,000 CLAIMS MADE W OCCUR (LIMITS APPLY EXCESS OF PERSONAL & ADV INJURY $ 4,000,000 OWNER'S & CONTRACTOR'S PROT $1,000,000 SELF INSURED EACH OCCURRENCE $ 4,000,000 RENTENTIONI FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE L.IABIL.ITY ISA HO 800292-7 9/01101 9/01/02 COMBINED SINGLE LIMIT $ A X ANY AUTO 5,000,000 X ALL OWNED AUTOS A BODIL Y INJURY $ X SCHEDULED AUTOS (Per person) BY X HIRED AUTOS BODIL Y INJURY X NON.OWNED AUTOS DATE (Per accident) WAIVER PROPERTY DAMAGE $ GARAGE L.IABIL.ITY AUTO ONLY. EA ACCIDENT X ANY AUTO ISA HO 800292-7 9/01102 OTHER THAN AUTO ONLY: A EACH ACCIDENT 5,000,000 AGGREGA TE 5,000,000 EXCESS L.IABIL.ITY EACH OCCURRENCE UMBRELLA FORM AGGREGA TE OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND WLR CA 314119-3 9/01101 9/01102 EMPLOYERS'L.IABIL.ITY $ A SCF C4 314115-6 (WI) 9/01101 9/01102 1,000,000 THE PROPRIETOR/ INCL EL DISEASE.POLlCY LIMIT $ 1,000,000 P ARTNERS/EXECUT I VE OFFICERS ARE: EXCL EL DISEASE.EA EMPLOYEE $ 1,000,000 OTHER DESCRIPTION OF OPERATIONSA.OCATIONS/VEHICLES/SPECIAL.ITEMS Monroe County Board of County Commissioners is listed as Additional Insured. SHOUL.D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.L.ED BEFORE THE County of Monroe Attn: Maria Del Rio Risk Management 5100 College Road Key West, FL 33040 ..,...",.1,.""",...". At.()JlI>~$J$(M$~)<< EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL. ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOL.DER NAMED TO THE L.EFT, BUT FAIL.URE TO MAIL SUCH NOTICE SHALL. IMPOSE NO OBL.IGATION OR L.IABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ACZ:PCE~ :.;.:.;.:.:.:.:.:.:.:.:.:.:.:.'.;.;.:::::.:::::::::::::;:;:;:::::::::::::::::::::::::::;:::::::::::::::::::::::::::::::;:::::;:::::;:::::::::::::::::::::::;:::::;:::::::::::::::::::::::::::::::::::::::::::;:::::::;:::::;:::::::::::::::::::::::::::::::::;:;:::::;:::::;::::::::':':':'. ~Acb8aco.ijp.6.IVdiioijJ9iijH CERTIFICATE: 004/001/ 01737 THIS CERTIFICATE IS ISSUED AS A MAHER OF INFORMATION ONL Y 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 MCGRIFF, SEIBELS & WILLIAMS OF DALLAS 5949 SHERRY LANE SUITE 1300 DALLAS TX 75225-6532 (469) 232-2100 INSURED COMPANY A Pacific Em 10 ars Insuranca Com an Grayhound Llnas, Inc. 15110 N. Dallas Parkway #100 Dallas, TX 75248 COMPANY B 3((Cp COMPANY C THIS IS TO CERTIFY THA T THE POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED,NOTWITHST ANDING ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICA TE MA Y BE ISSUED OR MA Y PERT AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM/DD/VY) DATE (MMlDD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 5,000,000 A COMMERCIAL GENERAL LIABILITY XSL G2 029661-6 9/01101 9/01/02 PRODUCTS.COMP/OP AGG $ 5,000,000 CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 4,000,000 OWNER'S & CONTRACTOR'S PROT (LIMITS APPLY ABOVE A EACH OCCURRENCE $ 4,000,000 $1,000,000 SELF INSURED FIRE DAMAGE (Anyone fire) $ RETENTION) MED EXP (Anyone person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ A X ANY AUTO 9/01102 5,000,000 X ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS BY (Per person) X HIRED AUTOS $ X NON.OWNED AUTOS D}\TE WAIVER PROPERTY DAMAGE $ GARAGE LIABILITY UTO ONLY. EA ACCIDENT X ANY AUTO ISA HO 800292-7 9/01101 OTHER THAN AUTO ONLY: A EACH ACCIDENT 5,000,000 AGGREGATE 5,000,000 EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A WLR C4 314119-3 9/01101 9/01102 $ 5,000,000 THE PROPRIETOR/ INCL (WI) 9/01102 EL DISEASE.POLlCY LIMIT $ A PARTNERS/EXECUTIVE SCF C4 314115-6 9/01101 5,000,000 OFFICERS ARE: EXCL EL DISEASE.EA EMPLOYEE $ 5,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS RE: Location - 3491 S. Roosavalt Blvd., Adam Arnold Annadx Bldg, Kay Wast. Saa Attachad Additional Insurad Endorsamant !Qiijni.!!'~liJiQjp;8{::rrr! ". ............................................................... :;;;;;;:;;::::~!::~'-~IM:;ltm:l\f(r::r:~?; q .................. . .................... .............,..... ................. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroa Countr Board of County Commisslonars Attn: B. Moora Public Sarvlca Building Kaywast, FL 33040 ::i.c.bijlifij~jr:Mj~r?m{:?rrrrrrm ....................... ..................... .................. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WLL ENDEAVOR TO MAIL 3D DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ,',':,:,:.:.:.:,',:.,,',:.:.::::::::::::::::::::,:::::;::::\:,::.:",:.,.,::..::.":.:",:,:,::~~{E~,,:,, :!:ff!{::!f~!AetMth~tMidRAflb.H:jiiij/ CERTIFICATE: 001/001/ 00351 ..........................:...:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.;.:.:.:.:.:.:.;.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:...... MSW DRLLAS Fax:4692322101 Feb 4 2002 10:38 P.02 POLICY NUMBER: XSLG20296616 COMMERCIAL GENERAL LIABn.1TY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARE'ULL Y ADDITIONAL INSURED - DE SIGNA TED PERSON OR ORGANIZATION Tbis endol'8llJllnt modlnes inlUl'llDce pro\'lded under the (onowing: COMMECIAL GENERAL LIABD..ITY PART. SCHEDULE Name or PerIOD or OrpnizatioD: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: B. MOORE PUBLIC SERVICE BUILDING KEYWEST, FL 33040 (If DO entry appean above, information required to complete tbis endorsement will be shown in the DeclaratioDs as applicable to this endorsement.) WHO IS AN INSUltED (SectIon m I. amended to include .s an inured tbe penon or orpDizatlon Ihcnm In the Schedule as aD insured but oDly with respect to liability Irlslnl out of your operations or pre"" owned by or nnted to you. .~J / (j; '. 1J-n~ t. .3:, .... Authorized RepretentaUve CG20 261115 MSW DALLAS Fax:4692322101 Feb 4 2002 10:38 P.03 THIS ENDORSEMENT CHANGES TIlE POLICY. PLEASE READ IT CAREFULLY 'Ibis eDdonement, effeet1ve 12:01 A.M. September It 2001 forms part of Polky No. XSAB08OO2H4laued to Gnyhound Llne8, IDc., by padftc Employen Inlunmc:e COmpaDy. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT TIW ,,,don,,,.,,.t Ifttltlifflr wIllYlnc, prorilled under the follow;",: BUSINESS AUTO COVERAGE FORM SectloD n - Uabllity Covera&et A - Coverage, 1 - Who Is An bured, Is amended to add: d. Any penon or oraaniladoD to whom you become obUgateel to Include as an addltiotW Inlund under tbls polley, as a result of aDY contract or agreement you enter Into which requires you to tarn... InsanDet to that persoD or orpnization of the type provided by this policy t but oBly with respect to JlabUlty arUInc out of your operations or premt. ORed by or rented to you. However, tbe InlUl'8De8 pro~ded will Dor exceed tbe lesller 0': 1. The conrale anellor limits oftbls policy, or. 2. The eovtl'lge and/or limits reqalred by I8Id eontract or agreement. ~fh /" cfJ., / r : ;"./,,:, " v' 1,1,. .'" >"'"'' ""',,, ,'" \" .......-,.. t "". .,.- .,". ..... ~ ,,-,' ~ Authorized Repraentatlve 61113 (121M) .. A CORQw:BIRIIIIII_I.,::;,: :__ :';:: 111111111,:::;::;,.,:1,111"1111:&.':;:,:.:','::::::":.;:,,:':, D~T/E~::~DDlYh ::~~6'Dudiit ,.~,<::::,:::,::":,, ",.,."','"",,',,,, ,,',,',',...', "THIS CERTIFicATE 'is "isslJ'ED AS A MATTER"OF INFORMATION ONL Y 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 MCGRIFF, SEIBELS . WILLIAMS OF DALLAS 5949 SHERRY LANE SUITE DALLAS TX 75225-6532 (469) 232-2100 INSURED 1300 COMPANY A Pacific Em loyers Insurance Com any Greyhound Lines, Inc. 15110 North Dallas Parkway Dallas, TX 75248 COMPANY B COMPANY C COMPANY THIS IS TO CERTIFY THA T THE POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED,NOTWITHST ANDING ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICA TE MA Y BE ISSUED OR MA Y PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM/DD/YY) DATE (MMlDD/YY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE W OCCUR OWNER'S &. CONTRACTOR'S PROT XSL G2 029661-6 9/01101 9/01/02 GENERAL AGGREGATE $ 5,000,000 PRODUCTS.COMP/OP AGG $ 5,000,000 PERSONAL &. ADV INJURY $ 4,000,000 EACH OCCURRENCE $ 4,000,000 FIRE DAMAGE (Anyone tire) $ MED EXP (Anyone person) $ COMBINED SINGLE LIMIT $ 5,000,000 BODIL Y INJURY $ (Per person) BODIL Y INJURY $ (Per accident) PROPERTY DAMAGE $ (LIMITS APPLY EXCESS OF $1,000,000 SELF INSURED RENTENTION) AUTOMOBILE LIABLITY A X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS ISA HO 800292-7 9/01101 9/01/02 GARAGE LIABILITY X ANY AUTO ISA HO 800292-7 9/01/02 AGGREGATE EACH OCCURRENCE AGGREGA TE AUTO ONLY. EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT $ $ $ $ $ 5,000,000 A EXCESS LIABLITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 5,000,000 5,000,000 THE PROPRIETORI P ARTNERS/EXECUTlVE OFFICERS ARE: OTHER WLR CA 314119-3 SCF C4 314115-6 (WI) $ $ $ 5,000,000 5,000,000 5,000,000 A INCL EXCL DESCRIPTION OF OPERATIONSLOCATIONS/VEHICLES/SPECIAL ITEMS Re: Location- 3491 S. Roosevelt Blvd., Adam Arnold Annedx Bldg, Key West is included as additional insureds. UQiR'tifjicAtgHotiQitb\::/ .. .. ...... ..... .......................................................... ......................................................" .......... ..... ................. ................. ,}}}:::}}}::::::::::QANe.~M~r(QNrr ',..... . ....... ......:::::::rrr{~~t~~~f?t\ri~~ii~~~~~~ri~~t.......... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of County Commissioners Attn: Maria Del Rio 1100 Simonton St. Keywest, FL 33040 ::icbiBi5~S'HUjij:... ................................... ..................................................................... .. ..................... ...... .......................... ......... ....n................... .. .................. .................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............. .......... .. .......... .................. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WIU. ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TD THE LEFT, BUT FAILURE TO MAL SUCH NOTICE SHAll. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. A~PRESENME ".,',.".tfi~.,.,,' ,.",.".,. ,:::::}mj:~:WijtmiifijtmPQij)dii6ijd9.iijm CERTIFICATE: 004/0011 04000 .......................................................................................................................... . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ............. ACORD", I CERTIFICATE OF INSURANCE I ISSUE DATE 08/18/2002 PRODUCER This certificate Is Issued as a matter of information only and confers no rights MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. 5949 Sherry Lane Suite 1300 COMPANIES AFFORDING COVERAGE Dallas, TX 75225-6532 (469) 232-2100 Company Pacific Employers Ins Co A INSURED Company Greyhound Lines, Inc. B 15110 North Dallas Parkway Company Dallas, TX 75248 C Company 0 Company E This is to certify that the policies of Insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of contract or other documBnt with respect 10 which this certificate may be Issued or may pertain, the insurance afforded by the policies described herein Is subject to all the terms, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY XSLG202966615 09/0112002 EACH OCCURRENCE $ 4,000,000 00 Commercial General Liability 09/01/2003 FIRE DAMAGE D Claims Made l&I Occurrence (Limits apply BXcess of a MEDICAL EXPENSE D Owners' and Contractors' Protection $1,000,000 Self Insured PERS. AND ADVERTISING INJURY $ 4.000,000 D D Retention) GENERAL AGGREGATE $ 5,000,000 General Aggregate limit applies per: PRODUCTS AND COMPo OPER. AGG. $ 5.000,000 l&I Policy D Project D Location A AUTOMOBILE LIABILITY ISAH08002927 09/01/2002 COMBINED SINGLE LIMIT $ 5,000,000 1&1 Any Automobile 09/0112003 BODILY INJURY (Per person) l&I All Owned Automobiles BODILY INJURY (Per accident) l&I Scheduled Automobiles 00 Hired Automobiles PROPERTY DAMAGE (PBr accident) l&I Non-owned Automobiles COMPREHENSIVE D COLLISION A WORKERS' COMPENSATION WLRC43503261 09/01/2002 WC Statutory Limit I x I Other I I AND EMPLOYERS' LIABILITY SCFC43503303 WI & SC 09/01/2003 EL EACH ACCIDENT $ 5,000,000 EL DISEASE (Each employee) $ 5,000,000 EL DISEASE (Policy Limit) $ 5,000,000 EXCESS LIABILITY EACH OCCURRENCE D Occurrence D Claims Made AGGREGATE A AUTOMOBILE LIABILITY XSAH08002964 09/0112002 $ 5.000,000 09/01/2003 /') 1 '\ Monroe County Board of County Commissioners is listed as Additional Insured. 'W: o 'eJ - l .II?JH bJ ~. .~f MANM EjE T a \L~C? AP \" VD9Ii , v'-" / y l\.\.. ?f '~ B -...- q ~ llrX;, ~rr;( ~ GC- DATE - /. ,~ CERTIFICATE HOLDER SHOULD A~~~ ABdHfb~~~~OLlCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT A FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ISSUER, COMPANY, ITS AGENTS OR REPRESENTATIVES. County of Monroe Authorized Representative 11- Attn: Maria Del Rio Risk Management (. ~I i 5100 College Road Key West, FL 33040 CertiflC8te 10 # 59PRT4SG ACORQM I CERTIFICATE OF INSURANCE ISSUE DATE 02127/2003 PRODUCER This certificate is issued as a malleI' of information only and confers no rights MCGRIFF, SEIBElS & WilLIAMS OF TEXAS, INC. upon the Certificate Holder. This Certificate does not amend, extend or alter the 5949 Sherry lane coverage afforded by the policies below. Suite 1300 COMPANIES AFFORDING COVERAGE Dallas, TX 75225-6532 (469) 232-2100 Company Pacific Employers Ins Co A INSURED Company Greyhound Lines, Inc. B 1511 0 North Dallas Parkway Company Dallas, TX 75248 C Company D Company E This is to certify that tho policie:> of insurance described here;,; : Id"" u",..n issued 10 the Insured naiTled herei(1 for the policy period indicated, Notwithstanding any requirement, term or condition of 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, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY XSLG20296616 (Limits 09/01/2002 EACH OCCURRENCE $ 4,000,000 l&l Commercial General Liability apply excess of a 09/01/2003 FIRE DAMAGE o Claims Made l&l Occurrence $1,000,000 Self Insured MEDICAL EXPENSE o Owners' and Contractors' Protection 0 Retention) PERS, AND ADVERTISING INJURY $ 4,000,000 0 GENERAL AGGREGATE $ 5,000,000 General Aggregate Limit applies per: PRODUCTS AND COMP, OPER. AGG. $ 5,000,000 l&l Policy 0 Project 0 Location A AUTOMOBILE LIABILITY ISAH08002927 09/01/2002 COMBINED SINGLE LIMIT $ 5,000,000 l&l Any Automobile 09/01/2003 BODILY INJURY (Per person) l&l All Owned Automobiles BODILY INJURY (Per accident) l&l Scheduled Automobiles l&l Hired Automobiles PROPERTY DAMAGE (Per accident) l&l Non-owned Automobiles COMPREHENSIVE 0 COLLISION A WORKERS' COMPENSATION WLRC43517296 03/01/2003 WC Statutory Limit I x I Other I I AND EMPLOYERS' LIABILITY SCFC43517259 WI & SC 09/01/2003 EL EACH ACCIDENT $ 5,000,000 EL DISEASE (Each employee) $ 5,000,000 EL DISEASE (Policy Limit) $ 5,000,000 EXCESS LIABILITY EACH OCCURRENCE o Occurrence DClaims Made AGGREGATE A AUTOMOBILE LIABILITY XSAH08002964 09/01/2002 $ 2,000,000 09/01/2003 (Limits apply excess of $3,000,000 Self INsured Retention) .~jl 'j Monroe County Board of County Commissioners is listed as Additional Insured, :~:rn~~~EMENT ?lJ' j!0lIe c... Df'0'. ~\V'-~,^~CL, L \'''-1 C ( v~..Q 'G ~lQ-o-) ~(f)i\( DATE, .- .-- N/A i_YES CERTIFICATE HOLDER I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT A FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ISSUER, COMPANY, ITS AGENTS OR REPRESENTATIVES. County of Monroe Authorized Representative 11- Attn: Maria Del Rio Risk Management 5100 College Road ( 7 Key West, FL 33040 Certificate 10 # R7-000JR SL j~\ \p ACORD", I CERTIFICATE OF INSURANCE I ISSUE DATE 08/27/2003 PRODUCER This certificate is issued as a matter of information only and confers no rights MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. 5949 Sherry Lane Suite 1300 COMPANIES AFFORDING COVERAGE Dallas, TX 75225-6532 (469) 232-2100 Company ACE American Insurance Co A INSURED Company Greyhound Lines, Inc. B 15110 North Dallas Parkway Company Dallas, TX 75248 C Company D Company E This is to certify that the poliCies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of 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, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY XSLG19904830 (Limits 09/01/2003 EACH OCCURRENCE $ 2,000,000 00 Commercial General Liability apply excess of a 09/01/2004 FIRE DAMAGE o Claims Made 00 Occurrence $3,000,000 Se'f Insured MEDICAL EXPENSE o Owners' and Contractors' Protection Retention) PERS, AND ADVERTISING INJURY $ 2,000,000 0 0 GENERAL AGGREGATE $ 5,000,000 General Aggregate Limit applies per: PRODUCTS AND COMPo OPER. AGG. $ 5,000,000 00 Policy 0 Project 0 Location A AUTOMOBILE LIABILITY ISAH08004353 09/01/2003 COMBINED SINGLE LIMIT $ 5,000,000 00 Any Automobile 09/01/2004 BODILY INJURY (Per person) 00 All Owned Automobiles BODILY INJURY (Per accident) 00 Scheduled Automobiles 00 Hired Automobiles PROPERTY DAMAGE (Per accident) 00 Non-owned Automobiles COMPREHENSIVE 0 COLLISION A WORKERS' COMPENSATION WLRC43532571 09/01/2003 WC StatutOry Limit1 x1 Other I I AND EMPLOYERS' LIABILITY SCFC43533320 WI & SC 03/01/2004 EL EACH ACCIDENT $ 5,000,000 EL DISEASE (Each employee) $ 5,000,000 EL DISEASE (Policv Limit) $ 5,000,000 EXCESS LIABILITY EACH OCCURRENCE o Occurrence DClaims Made AGGREGATE A AUTOMOBILE LIABILITY XSAH08004390 09/01/2003 $ 2,000,000 09/01/2004 (Limits apply excess of $3,000,000 Self INsured Retention) /'I "'\ - r/'l n Monroe County Board of County Commissioners is listed as Additional Insured. APP'\11~~~ ../'Y &~ (I, II ) ~ ,,/1 BY (.j far i)'3 r I~' /. Ii! DATE - n A,:' l0lr/~ Q N/ALYES WAIVER '1'" .... CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT A FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ISSUER, COMPANY, ITS AGENTS OR REPRESENTATIVES. County of Monroe Authorized Representative cAl- AUn: Maria Del Rio Risk Management 5100 College Road Key West, FL 33040 Certificate ID # R34-00PD / t:c..'~ ACORDTM I CERTIFICATE OF INSURANCE ISSUE DATE 03/02/2004 PRODUCER This certificate is issued as a matter of information only and confers no rights MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. upon the Certificate Holder. This Certificate does not amend, extend or alter the 5949 Sherry Lane coverage afforded by the policies below. Suite 1300 COMPANIES AFFORDING COVERAGE Dallas, TX 75225-6532 (469) 232-2100 Company ACE American Insurance Co A INSURED Company Greyhound Lines, Inc. B 15110 North Dallas Parkway Company Dallas, TX 75248 C Company D Company E This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of 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, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY XSLG19904830 (Limits 09/01/2003 EACH OCCURRENCE $ 2,000,000 00 Commercial General Liability apply excess of a 09/01/2004 FIRE DAMAGE o Claims Made 00 Occurrence $3,000,000 Self Insured MEDICAL EXPENSE o Owners' and Contractors' Protection 0 Retention) PERS. AND ADVERTISING INJURY $ 2,000,000 0 GENERAL AGGREGATE $ 5,000,000 General Aggregate Limit applies per: PRODUCTS AND COMPo OPER. AGG. $ 5,000,000 00 Policy 0 Project 0 Location A AUTOMOBILE LIABILITY ISAH08004353 09/01/2003 COMBINED SINGLE LIMIT $ 5,000,000 00 Any Automobile Covers only intrastate 09/01/2004 BODILY INJURY (Per person) 00 All Owned Automobiles activities in the following BODILY INJURY (Per accident) 00 Scheduled Automobiles states: CO, CT, MI, MN, PROPERTY DAMAGE (Per accident) 00 Hired Automobiles 00 Non-owned Automobiles NH, ND, TX, VA COMPREHENSIVE 0 COLLISION A WORKERS' COMPENSATION WLRC43528439 03/01/2004 WC Statutory Limit I x I Other I I AND EMPLOYERS' LIABILITY SCFC43528397 WI & SC 09/01/2004 EL EACH ACCIDENT $ 5,000,000 EL DISEASE (Each employee) $ 5,000,000 EL DISEASE (Policy Limit) $ 5,000,000 EXCESS LIABILITY EACH OCCURRENCE o Occurrence DClaims Made AGGREGATE A AUTQMOBILE LIABILITY XSAH08004390 09/01/2003 $ 2,000,000 (Limits apply excess of 09/01/2004 $3,000,000 Self Insured Retention) "... ~'~ R" Lo~I'oe. 3491 S. Roo'~.1t BJ'd., Ad,m Arnold Aee.d, Bldg, K., W." I, 'eo,d.d" 'ddllloe,'le'"1~~:'Il(t 1r:,~~~N BY ~t'5J ""QL{ JLo ~r' c:. O;<JJ : hA.. a. "- (; , DATE (-'{ '~~"Ij II WAIVER NI A _. YES ' ,. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT A FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ISSUER, COMPANY, ITS AGENTS OR REPRESENTATIVES. Monroe County Board of Authorized Representative d1- County Commissioners Attn: Maria Del Rio 1100 Simonton St. Keywest, FL 33040 ! Certificate ID # REF-011 N ~ ACORD"" CERTIFICATE OF INSURANCE I ISSUE DATE 08/25/2004 PRODUCER This certificate is issued as a matter of information only and confers no rights MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. upon the Certificate Holder. This Certificate does not amend, extend or alter the 5949 Sherry Lane coverage afforded by the policies below. Suite 1300 COMPANIES AFFORDING COVERAGE Dallas, TX 75225-6532 (469) 232-2100 Company ACE American Insurance Co A INSURED Company Greyhound Lines, Inc. B 15110 North Dallas Parkway Company Dallas, TX 75248 C Company 0 Company E This is to certify that the pOlicies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of 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, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY XSLG19904659 (Limits 09/01/2004 EACH OCCURRENCE $ 2,000,000 00 Commercial General Liability apply excess of a 09/01/2005 FIRE DAMAGE o Claims Made 00 Occurrence $3,000,000 Self Insured MEDICAL EXPENSE o Owners' and Contractors' Protection 0 Retention) PERS. AND ADVERTISING INJURY $ 2,000,000 0 GENERAL AGGREGATE $ 5,000,000 General Aggregate Limit applies per: PRODUCTS AND COMPo OPER. AGG. $ 5,000,000 00 Policy 0 Project 0 Location A AUTOMOBILE LIABILITY ISAH07942394 09/01/2004 COMBINED SINGLE LIMIT $ 5,000,000 00 Any Automobile Covers only intrastate 09/01/2005 BODILY INJURY (Per person) 00 All Owned Automobiles activities in the following BODILY INJURY (Per accident) 00 Scheduled Automobiles 00 Hired Automobiles states: CO, CT, MI, MN, PROPERTY DAMAGE (Per accident) 00 Non-owned Automobiles NH,ND,TX,VA COMPREHENSIVE 0 COLLISION A WORKERS' COMPENSATION WLRC43969560 09/01/2004 WC Statutory Limit I x I Other I I AND EMPLOYERS' LIABILITY SCFC43969638 WI & SC 03/01/2005 EL EACH ACCIDENT $ 5,000,000 EL DISEASE (Eacf1 employee) $ 5,000,000 EL DISEASE (Policy Limit) $ 5,000,000 EXCESS LIABILITY EACH OCCURRENCE o Occurrence 0 Claims Made AGGREGATE A AUTOMOBILE LIABILITY XSAH07942357 09/01/2004 $ 2,000,000 (Limits apply excess of 09/01/2005 $3,000,000 Self Insured Retention) Th. C'";ft~I. Ho.". "",d'd" Mdmo:~~~w~~~w ~&~~r~'"'~' ,'/;'i'lrR NlA't-VES ~&oo~ FnCfio CERTIFICATE HOLDER . ~, ",,-,Q. "'-" C. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE LV~ i e..S . THE EXPIRATION DATE THEREOF, THE INSURER WILL ENDEAVOR TO MAIL 30 , c... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT A FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ISSUER, COMPANY, ITS AGENTS OR REPRESENTATIVES. Monroe County Board of Au~,,"" R'p~,"~I;" d ~ County Commissioners Attn: Maria Del Rio 1100 Simonton St. Keywest, FL 33040 7 Certificate 10: RST -00Y6 ,j <-{ t.~ DATE (MMlDDIYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 09101/2005 02/22/2005 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 L TE THE C V RA E AFF RD 0 Y THE POLlCIE BEL W. PRODUCER LOCKTON COMPANIES OF DALLAS 717 N, HARWOOD, LB#27 DALLAS TX 75201 214-969-6700 INSURERS AFFORDING COVERAGE INSURED 1061123 INSURER A: Ace American Insurance Com an Greyhound Lines, Inc, 15110 North Dallas Parkway Dallas TX 75248 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 PERTAtl't, 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 PD~';!~1:~5~ P.?1-t~1rMrJ~J).?N LTR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2 000 000 I------ A X COMMERCIAL GENERAL LIABILITY XSLG 19904659 09/01/2004 09/01/2005 FIRE DAMAGE (Anv one lire' $ XXXXXXX l CLAIMS MADE [K] OCCUR MED EXP (Anv one oerson) $ XXXXXXX L EXCESS OF SELF-INS'D PERSONAL & ADV INJURY $ 2 000 000 _ RETENTION $3,000,000 GENERAL AGGREGATE $ 5 000 000 4'L AGGREn LIMIT APn PER: PRODUCTS - COMP/OP AGG $ 5 000 000 PRO- POLICY JECT LOC ~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 A L ANY AUTO ISAH07942394 09/01/2004 09/01/2005 (Ea accident) A I------ ALL OWNED AUTOS STATES COVERED: CO,CT BODILY INJURY $ XXXXXXX A - SCHEDULED AUTOS MI,MN,NV,NH,ND,TX,V A (Per person) - HIRED AUTOS APP~ OI/t:n..J::L\1 ''''is,\ b;\NAGEME'f' BODILY INJURY $ XXXXXXX NON.OWNED AUTOS rrr~~~ , (Per accidenl) - BY - 7-~ 05---- PROPERTY DAMAGE $ XXXXXXX DATE (Per accident) ... -,--- ~. ~RAGE LIABILITY WAIVt NII),,'l. AUTO ONLY - EA ACCIDENT $ XXXXXXX NOT APPLICABLE R YFC' XXXXXXX ANY AUTO (-n~-' ,------ EA ACC $ .rl OTHER THAN ~'" I.:l , AUTO ONLY: AGG $ XXXXXXX EXCESS LIABILITY UVCY ........ EACH OCCURRENCE XXXXXXX o OCCUR D CLAIMS MADE ~ ". ..Ju4? $ NOT APPLICABLE ~ AGGREGATE $ XXXXXXX l 0 UMBRELLA f"\O'~~~ \VJ $ XXXXXXX _om DEDUCTIBLE FORM PC> ~ XXXXXXX "" RETENTION $ $ XXXXXXX A WORKERS COMPENSATION AND WLRC44175071 03/01/2005 09/01/2005 X l';YcfR~~~~V;:~ I I~~H' A EMPLOYERS' LIABILITY SCFC44175083 (WI) 03/01/2005 09/01/2005 2 000 000 EL. EACH ACCIDENT $ E L. DISEASE - EA EMPLOYEE $ 2 000 000 EL. DISEASE. POLICY LIMIT $ 2 000,000 A OTHER XSAH07942357 (AOS) 09/01/2004 09/01/2005 $2,000,000 Combined Single Limit excess AUTOMOBILE LIABILITY of Self-Insured Retention of $3,000,000 DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS The Certificate Holder is included as Additional Insured as required by written contract subject to policy terms, conditions and exclusions. COf>CJ : r-:- rl Y\. Cvv\. c L CERTIFICATE HOLDER l .\ ADDITIONAL INSURED. INSURER LETTER: CANCELLATlnN 2239163 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN County Commissioners Attn: Maria Del Rio NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 1100 Simonton St. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Keywest FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~nG~"O h I COVERAGES GRELlOl EG ACORD 25-5 (7/97) For questions regarding this certificate, contact the number listed in the 'Producer' section above and specify the client code 'GREU01'. @ ACORD CORPORATION 1988 ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYV) 09/01/2006 09/01/2005 .~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER LOCKTON COMPANIES OF DALLAS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 717 N, HARWOOD, LB#27 HOLDER. THIS CERTIFICAT~pOES NOT AMEND, EXTEN~O?R DALLAS TX 75201 ALTER THE COVERAGE AFF RDED BY THE POLICIES BEL W. 214-969-6700 INSURERS AFFORDING COVERAGE -. INSURED Greyhound Lines, Inc, INSURER A : Ace American Insurance Comnanv 1061123 15110 North Dallas Parkway INSURER B : Dallas TX 75248 INSURER C : ,.,~, ,n~n n . I COVERAGES GRELlO 1 EG THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR POLICY eFFECTIVE LTR TYPE OF INSURANCE POLICY NUMBER DATE MMlDDIYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2 000 000 A X COMMERCIAL GENERAL LIABILITY XSLG21722029 09/01/2005 09/01/2006 $ XXXXXXX CLAIMS MADE [X] OCCUR $ XXXXXXX X EXCESS OF SELF-lNS'D PERSONAL & ADV INJURY $ 2 000 000 RETENTION $3,000,000 GENERAL AGGREGATE $ 5 000 000 PRODUCTS - COMP/OP AGG $ 5 000 000 LOC COMBINED SINGLE LIMIT $ 5,000,000 A X ANY AUTO ISAH08016094 09/01/2005 09/01/2006 (Ea accidenl) A ALL OWNED AUTOS STATES COVERED: CO,CT BODILY INJURY $ XXXXXXX A SCHEDULED AUTOS MI,MN,NV,NH,ND,TX,V A (Per person) X HIRED AUTOS BODILY INJURY $ XXXXXXX X NON.OWNED AUTOS (Per accidenl) $ XXXXXXX GARAGE LIABILITY $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS LIABILITY EACH OCCURRENCE $ XXXXXXX OCCUR D CLAIMS MADE NOT APPLICABLE AGGREGATE $ XXXXXXX D UMBRELLA $ XXXXXXX DEDUCTIBLE FORM XXXXXXX RETENTION $ XXXXXXX A WORKERS COMPENSATION AND WLRC44188090 A 'EMPLOYERS' LIABILITY SCFC441881 19 (WI) 2 000 000 EL. EACH ACCIDENT $ E L. DISEASE. EA EMPLOYEE $ 2 000 000 EL. DISEASE - POLICY LIMIT $ 2 000 000 A OTHER XSAH08016082 (AOS) 09/01/2005 09/01/2006 $2,000,000 Combined Single Limit excess AUTOMOBILE LIABll.JTY of Self-Insured Retention of$3,000,000 DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS The Certificate Holder is included as Additional Insured as required by written contract subject to policy tenns, conditions and exclusions. Co e>py '. f;~0\ ","'-- CERTIFICATE H LDER 2238734 County of Monroe Attn: Maria Del Rio Risk Management 5100 College Road Key West FL 33040 ADDITIONAL INSURED' INSURER LETTER: CANCELLATI N 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 LEFT,BUT FAILURE TO DO so SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE @ ACORD CORPORATION 1988 ACORD 25-5 (7/97) For questions reg! rdlng this certificate, contact the number listed in the 'Producer' section above and specify the client code 'GRELl01'. ACORDm CERTIFICATE OF LIABILITY INSURANCE 09/01/2007 I o;;~;:7;oo;' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION _ _. ~!:!~X,,~ND CONFERS NO RIGHTS UPON THE CERTIFICATE " "-~ R. TH!~.C~,-RT!F.!C~1!LDOES!1.9!.AM~~.D, EXTENDOR L '- If:.. D AL TE~ T"" CnVE...o.r.F .o.FFnRDED.n I HE pnLlCIES BELOW r"'-' "C"--h PRODUCER LOCKTON COMPANIES OF DALLAS 717 N, HARWOOD, LB#27 ' , DALLAS TX 75201 214.969.6700 i I SEP, '" :~:~:::: Ace American Ins~r~ce companx___. I L.. , '0, '__. I,L<"RER~_ l AG-;-', .:,!Hi~I/!/_.~' -I,~,,"'om;". ___ _____ _ _ , GRELIOl [6 .'---0'-0. ". --. ~'I~~:~T1FIC~SURANCE DOES NOT CONSTITU!~!,_~ONTRACT BETWEEN THE ISSUING COVERAGES IN~IIRERIS\ ~D REPRE!;;ENTATIVE nR PRnOllCI:.R AND THI= CERTIFICATE unl DER. 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. I~~: TYPE OF INSURANCE POLICY NUMBER PD~lf~r,jmcfJ!XE ~~1~J~?N ~ENERAL LIABILITY A X',.'jCOMMERCIAL GENERAL LIABILITY XSLG21737173 ~~_ .:=J CLAIMS MADE ~I OCCUR 0. EXCESS OF SELF.INS'D f- RETENTION $3,000,000 4GEN'L AGGRE"FiGATE; LIMIT AP-rPL.l1ES : PER PRO- POLICY JECT LOC ~TOMOBILE LIABILITY A JL ANY AUTO A f--- ALL OWNED AUTOS A ,_ SCHEOULED AUTOS JL HIRED AUTOS ~_ NON-OWNED AUTOS f- ------_ ____ 1----- INSURED Greyhound Lines, Inc:, 15110 North Dallas Parkway Dallas TX 75248 1061123 A A .~RAGE LIABILITY I ANY AUTO EXCESS L1ABIUTY ~'OCCUR D CLAIMS MADE ~ : 0 UMBRELLA DEDUCTIBLE FORM RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A OTHER AUTOMOBILE UABILITY INSURERS AFFORDING COVERAGE LIMITS 09/01/2006 2 000 000 XXXXXXX ,XXXXXXX.._ $ __ 2.000,000 5 000 000 5 000 000 09/01/2007 EACH OCCURRENCE $ FIRE DAMAGE (Anv one fire\ $ MED EXP (Anv one oerson\ $ PERSONAL & ADV INJURY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ ISAH082211lA STATES COVERED: CO,CT MI,MN,NV,NH,ND,TX,V A COMBINED SINGLE LIMIT (Eaaccidenl) 5,000,000 09/0 1/2006 09/01/2007 $ ---1-- BODILY INJURY (Per person) $ XXXXXXX -- XXXXXXX NOT APPLICABLE . "0"'(0, "";[.j ~, ~Jn.- "q ~0-l5h.,' ~,,- .."- i-, ,,' '>:\ />"' (00,,,/1 OTHER THAN AUTO ONLY. EAACC AGG , 'EiODIL Y INJURY (Per accident) $ PROPERTY DAMAGE (Eeraccident) $ XXXXXXX AUTO ONLY - EAACCIDENT $ XXXXXXX $ XXXXXXX $ XXXXXXX $ XXXXXXX $ )(XXXXXX $ XXXXXXX $ XXXXXXX $ XXXXXXX NOT APPLICABLE Vi'\t)/l EACH OCCURRENCE {C'.......)..{JLR AGGREGATE_. (l,,, . 'tt, (], AI lU! WLRC44343496 SCFC44343149 (WI) X IWC STATU-:s I IOTH- E.L. EACH ACCIDENT $ 2 000 000 E.L. DISEASE - EA EMPLOYEE $ 2 000 000 E.L. DISEASE - POLICY LIMIT $ 2 000 000 $2,000,000 Combined Single Limit excess of Self-Insured Retention of$3,000,000 09/01/2006 09/0 1/2006 09/01/2007 09/01/2007 XSAH08221108 (AOS) 09/0 l/2006 09/01/2007 DESCRIPTION OF OPERATlONSlLOCATlONSNEHICLESfEXCLUstONS ADDED BY ENDORSEMENTfSPECIAL PROVISIONS The Certificate Holder is included as Additional Insured as required by written contract subject to policy tenns, conditions and exclusions. Ct=RTIFICATt= HOLDEg I I ADDITIONAL INSURED. INSURER LETTER: 2239163 Monroe County Board of County Commissioners Altn: Maria Del Rio 1100 Simonton Sf. Keywest FL 33040 J. . ,C;,..:~ ACORD 25-5 (7/97) ""'CELLA TI"N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE '"'1> r, (\ 'S " a t'\ For questions regar<.ling this certlfielhl,eonta.ettlle numberUsted in tile 'Produee "seetionabovllandspeeifythaelientcode'GRELl01'. -=<\.1 (,') @ACORDCORPORATION1988 DATE (MMIDDNYJ ACORD," CERTIFICATE OF LIABILITY INSURANCE 09101/2008 08/13/2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PRODUCER LOCKTON COMPANIES, LLC-N DALLAS 717 N, HARWOOD, LB#27 DALLAS TX 75201 214-969-6700 INSURERS AFFORDING COVERAGE INSURED 1061123 Greyhound Lines, Inc, 15110 North Dallas Parkway Dallas TX 75248 INSURER A Ace American Insurance Com an INSURER B IN RER COVERAGES GRELIOI 16 '".. 'il;;" I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IIN;:I TYPE OF INSURANCE POLICY NUMBER PD9..~~~ri~rJ~~E PD~l,f~~~r6~~?N LIMITS I GENERAL LIABILITY EACH OCCURRENCE , 2.000 000 At----, XSLG23729J98 09101/2007 09/01/2008 FIR!:: LJAMAGE An" one flrel X 'COMMeRCIAL GI::NERAL LIABILITY ' , xxxxxxx I CLAIMS MADE [X] OCCUR MED EXP An" one nerson\ , xxxxxxx X EXCESS OF SELF-INS'D PERSONAL & ADV INJURY , 2.000 000 RETENTION $3.000 000 GENERAL AGGREGATE , 5 000 000 ~'~ AGGR.EFl LIMIT APn ,PER PRODUCTS COMP/OP AGG , 5 000.000 PRO- POLICY JECT LOC ~~MOBILE LIABILITY COMBINED SINGLE LIMIT A X ANY AUTO ISAH08232325 0910112007 09/01/2008 (Eaaccidenl) , 5,000,000 A --l ALL OWNED AUTOS STATES COVERED: CO.CT BODILY INJURY , xxxxxxx A ~ SCHEDULED AUTOS MI,MN,NV,NH,ND,TX,V A (Per person) X HIRED AUTOS BODILY INJURY ~2L NON-OWNED AUTOS , XXXXXXX () (Per accident) ''xi\' ( ---~ C-~ PROPERTY DAMAGE , XXXXXXX I I , (Peraccidenl) ~AGE LIABILITY v-TF'--j - ",^-.. -- AUTO ONLY - EA ACCIDENT XXXXXXX .0' c)) , ANY AUTO NOT APPLICABLE . -'~-f; OTHER THAN EA ACC . XXXXXXX '"- AUTO ONLY AGG , XXXXXXX EXCESS LIABILITY 61Y;~! f '\ EACH OCCURRENCE , XXXXXXX ~-OCCUR D CLAIMS MADE NOT APPLICABLE 1'4/ AGGREGATE , XXXXXXX I 01 . XXXXXXX ==1 0 UMBRELLA DEDUCTIBLE FORM r\" -( gi-:; ~\It, . XXXXXXX RETENTION $ '. tn,f;)\' , XXXXXXX A WORKERS COMPENSATION AND WLRC44468R27 1 09/0112007 09/01/2008 I~C STATU- J I~TH I EMPLOYERS' LIABILITY I ~__lTIlli"Lill..~ '" ---~_.,--,. A SCFC44468736 (WI) 09/01/2007 09/01/2008 E.L. EACH ACCIDENT , 2 000 000 E.L, DISEASE - EA EMPLOYEE $ 2 000 000 E.L. DISEASE - POLICY LIMIT , 2,000 000 A OTHER XSAH08232234 lAOS) 09/01/2007 09/0l/2008 $2,000,000 Combined Single Limit excess AUTOMOBILE LIABILITY ofSe1f-lnsured Retention of$3,000,000 DESCRIPTION OF OPERA TIONSlLOCA TIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The Certificate Holder is included as Additional Insured as required by written contract subject to policy teons, conditions and exclusions. u"'n~c I I ADDITIONAL INSURED' INSURER LETTER: " .~,~., 2239163 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN County Commissioners Atln: Maria Del Rio NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 Simonton S1. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR KeYW'71 FL 33040 REPRESENTATIVES. c-c..:./<t . AUTHORIZED REPRESENTATIVE --p f\ n "" "" I h THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING ACORD 25-S (7/97) For questions regarding Ihis certificale, coniactthe number lisle d in Ihe 'Producer' section lIbove and specifylhe clienl code 'GREll 01' @ ACORD CORPORATION 1988 ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY) 09/0 I /2008 08/] 3/2007 PRODUCER LOCKTON COMPANIES, LLC-N DALLAS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 717 N, HARWOOD, L8#27 ~P}'p~R. THIS CERTIFICATE DOES NOT AMg.~,~h~*,T~~P,,?! DALLAS TX 75201 214-969-6700 INSURERS AFFORDING COVERAGE INSURED Greyhound Lines, Ine INSURER A Ace American Insurance Comnanv 1061123 15110 North Dallas Parkway INSURER B Dallas TX 75248 INC::IIRER r. I ,,,",,noO n , 1 '""'0'0' THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING COVERAGES GRELlOI 16 OR TE I~n. n1;~. 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 IIIN~: TYPE OF INSURANCE POLICY NUMBER ~<i';!~'fJ~rDE~J!XE PD~lf~1.i~rJ~?N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2 000.000 - XSLG23729398 09/01/2007 09101/2008 A X ~l~ERCIAL GENERA~_LIABILITY FIRE DAMAGE (Anyone firel $ ~XXXXXX CLAIMS MADE [1L) OCCUR MED EXP (An\! one cerson\ $ XXXXXXX X EXCESS OF SELF-INS'D PERSONAL & ADV INJURY $ 2 000.000 RETENTION $3.000 000 GENERAL AGGREGATE $ 5 000 000 n'L AGGREA ~IMIT APfl IPER PRODUCTS. COMP/OP AGG $ 5 000 000 PRO- POLICY JECT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5.000,000 A ~ ANY AUTO ISAH08232325 09/01/2007 09/01/2008 (Eaaccidenl) A C- ALL OWNED AUTOS STATES COVERED: CO.CT BODILY INJURY $ XXXXXXX A SCHEDULED AUTOS MI,MN.NV,NH.ND,TX,V A (Per person) c- ~ HIRED AUTOS BODILY INJURY $ XXXXXXX ~ NON-OWNED AUTOS (Peraccidant) c- ^f ~. r~ PROPERTY DAMAGE $ XXXXXXX (Per accident) RRAGE liABILITY I II~U..u j AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE .8"do - ,,) OTHER THAN EA ACC I, XXXXXXX AUTO ONLY AGG $ XXX XXX X EXCESS LIABILITY . f' EACH OCCURRENCE $ XXXXXXX ::J -OCCUR 0 CLAIMS MADE NOT APPLICABLE tSV6- {(L, AGGREGATE $ XXXXXXX ~ 0 UMBRELLA (() L $ XXXXXXX DEDUCTIBLE FORM ~ '(X I" tf." fYll& , XXXXXXX RETENTION $ . ,,), XXXXXXX $ A WORKERS COMPENSATION AND WLRC44468827 I 09/0 1 /2007 09/01/2008 X 1'1';;0~~ ~~y~, I I~JH. EMPLOYERS'I.IABIlJTY A SCFC44468736 (WI) OYlO 1/2007 09/01/2008 E.L. EACH ACCIDENT $ 2.000 000 E,L. DISEASE - EA EMPLOYEE $ 2 000 000 E.L. DISEASE - POLICY LIMIT $ 2 000 000 A OTHER XSAH08232234 (AOS) 09/01/2007 09/01/2008 $2,000,000 Combined Single Limit excess AUTOMOBILE LIABILITY of Self-Insured Retention of$3,000,000 DESCRIPTION OF OPERA TIONSllOCA TIONSNEHICLESJEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The Certificate Holder is included as Additional Insured as required by written contract subject to policy terms, conditions and exclusions. , n<OD I I ADDITIONAL INSURED' INSURER LETTER: ATln.. 2238734 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION County County Board 01 County Commissioners DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN Alln: Maria Slavik, Risk Mtg. Admin 1100 Simonton St NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Key West FL 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE "LO_C OS '" ~ t-J ACORD 25-S (719rl h. F~rquestjonsregsrdingthiscertjficate,contactthenumberlistedinIhe 'Producsr' ssction above and spscifythe client code 'GRELl01. @ACORDCORPORATION 1988 C-c.. ., ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 9/1/2009 8/19/2008 PRODUCER LOCKTON COMPANIES, LLC-N DALLAS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 717 N, HARWOOD, LB#27 ONLY AN CONFERS NO RIGHTS UPON THE CERTIFICATE DALLAS TX 75201 -,.... , ' HOLDER.- E~IS CERTIFICATE DOES NOT AMEND, EXTEND OR 214-969-6700 ~ ,-." '\/-" -\Ai.. TER TH COVERAGE AFFORDED BY THE POLICIES BELOW. " \' 1, r~_ 1" " " , r--' INllU~ERS FFORDING COVERAGE NAIC# INSURED Greyhound Lines, Inc. \ IN$URER A A E American Insurance Comnanv 22667 , ;:, 1061123 350 N S! PaulS! \ AUG ,-- I~S'URER B AC Fire Underwriters Insurance Company 20702 Dallas TX 75201 INSURER',C: L "r\;!" "'"'SURER 0 : p, ;"i I r:-! ,illSURER L ,,-" GRELl01 16 ..- -- HIS CERTIFICATE OF INSURANCE DOES NOT Cg~STITUTE A CO~~~~~~E1WEEN THE ISSUING 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR lNSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDfYY) DATE (MMIODfYY) LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ 2 000 000 A X COMMERCIAL GENERAL LIABILITY XSLG23740503 9/1/2008 9/1 /2009 ~~~~~~9F~~~7.~n"~l $ XXXXXXX I CLAIMS MADE [K] OCCUR MEO EXP (Anyone person) $ XXXXXXX ~ EXCESS OF SELF-INS'D PERSONAL & ADV INJURY $ 2 000 000 - RETENTION $3,000,000 GENERAl AGGREGATE $ 5 000 000 ~'L AGG~EnE~ LIMIT APn~ PER PRODUCTS-COM~OPAGG $ 5 000 000 PRO- POLICY JEer LOC A ~TOMOBILE LIABILITY ISAH08247365 ~O, I~ 9/1/2009 COMBINED SINGLE LIMIT $ 5,000,000 ~ ANY AUTO (Eaaccident) - ALL OWNED AUTOS ~.~ BODILY INJURY XXXXXXX $ SCHEDULED AUTOS ~1--ffi', (Per person) X HIRED AUTOS -~ BODILY INJURY -'-'- f. (Peraccidenl) $ XXXXXXX ~ NON-OWNED AUTOS n I{'/ - I~., PROPERTY DAMAGE $ XXXXXXX (Pereccident) ~RAGE LIABILITY C ,'V ~'G AUTO QNl Y - EA ACCIDENT $ XXXXXXX NOT APPLICABLE XXXXXXX ANY AUTO 7/--" -.: OTHER THAN EAACC $ nA tY'\~ AUTO QNl Y AGG $ XXXXXXX ~~SSlUMBRELLA LIABILITY l'J^ ' !, ~O ~, (C['JQ. EACH OCCURRENCE $ XXXXXXX kJO IP OCCUR D CLAIMS MADE AGGREGATE $ XXXXXXX NOT APPLICABLE $ XXXXXXX D UMBRELLA =1 DEDUCTIBLE FORM $ XXXXXXX RETENTION $ $ XXXXXXX 8 WORKERS COMPENSATION AND WLRC42848372 (AOS) 9/1/2008 9/1/2009 X h~~.;'m~;,! !DJ~' A EMPLOYERS' lIABiliTY SCFC42848049 (WI) 9/1/2008 9/1/2009 2,000,000 ANY PROPRIETORlPARTNERJEXECUTIVE E.L EACH ACCIDENT $ A OFFICERlMEMBER EXCLUDED? WLRC4284800I (CA&AZ) 9/1/2008 9/1/2009 2,000,000 If yes, descnbll under E.L DISEASE. EA EMPLOYEE $ SPECIAL PROVISIONS below No E.L DISEASE - POLICY LIMIT $ 2,000,000 OTHER DESCRIPTION OF OPERATlONS/LOCATlONSNEHIClESlEXClUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The Certificate Holder is included as Additionallnsured as required by written contract subject to policy terms, conditions and exclusions. CERTIFICATE H R 2239163 Monroe County Board of County Commissioners Attn: MaMa Del Rio 1100 Simonton SI. Ke~st FL 33040 Q.Q..',T\~ A CELLA TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAll..1Q.... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAILURE TO DO SO SHAll IMPOSE NO OBliGATION OR LIABiliTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATJVES. AUTHORIZED REPRES <Cl Ar.nRn r::nRPnRATlnN iQRR Ar::nRn?~ l?nni/OR\ Fnrn._inn" ......ntlnn thl" ""rtlfl"Affl r.nnhlt:tth.. n"mlwor"_d in ttwo 'Prnd.."",r' ....t:tinn .htnl1o .nd ".....,trvttwo r.llAnt r.nM 't;AFllft1' PRODUCER LOCKTON COMPANIES, LLC-N DALLAS 717 N. HARWOOD, LB#27 DALLAS TX 75201 214-969-<1700 r--'. DATE (MMfDDIYYYY) 9/112009 8/19/2008 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 T E COVERAGE AFFORDED BY THE POLICIES BELOW. , j INSURERS AFFORDING COVERAGE NAIC# 22667 20702 ACORD~ CERTIFICATE OF LIABILITY INSURANCE INSURED 1061123 Greyhound Lines, Inc. 350 N. SI. Paul SI. Dallas TX 75201 AUG INSURER A . E American Insurance Com an INSURER B Aj:E Fire Underwriters Insurance Company INSURER C """,. INSURERD. i; INSURER E . THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING i I ,- COVERAGES GRELlO] 16 n.' -"""T"O' 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 AOO'L POLICY EFFECTIVE POLICY EXPIRATION LT" INSRO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDIYY) DATE (MMfDDIYY) LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ 2 000 000 A X COMMERCIAL GENERAL LIABILITY XSLG23740503 9/1/2008 9/1/2009 DAMAGE T9l:~ENTED $ XXXXXXX I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ XXXXXXX ~ EXCESS OF SELF-INS'D PERSONAL & ADV INJURY $ 2 000 000 - RETENTION $3,000,000 GENERAL AGGREGATE $ 5 000 000 ~'L AGGREnE~ LIMIT APn~ PER: PRODUCTS - COMP/OP AGG $ 5 000 000 PRO- POLICY JECT LOC A ~TOMOBILE LIABILITY ISAH08247365 9/1 /2008 9/1/2009 COMBINED SINGLE LIMIT 5,000,000 ~ ANY AUTO (Ea accident) $ - ALL OWNED AUTOS ,C:J BODILY INJURY c~.~ (Per person} $ XXXXXXX X SCHEDULED AUTOS HIRED AUTOS BODILY INJURY = "" ~ (Pereccident) $ XXXXXXX ~ NON-OWNED AUTOS YC\l-O '5 - PROPERTY DAMAGE $ XXXXXXX ',( (Per eccident) ~RAGE LIABILITY ,~ '(U,0 AUTO ONLY - EA ACCIDENT $ XXXXXXX NOT APPLICABLE l XXXXXXX ANY AUTO OTHER THAN EA ACe $ .... AUTO ONLY: AGG $ XXXXXXX ~~SS/UMBRElLA LIABILITY Cl,,~ "i;, EACH OCCURRENCE $ XXXXXXX OCCUR D CLAIMS MADE AGGREGATE $ XXXXXXX NOT APPLICABLE i~o t~ $ XXXXXXX D UMBRELLA =l,OEOUCTIBLE FORM ~ "(. IN 'IP $ XXXXXXX RETENTION $ $ XXXXXXX B WORKERS COMPENSATION AND WLRC4284&372 (AOS) 9/1/2008 9/1/2009 X!.WCSTATU- I IOJ:i- A EMPLOYERS' LIABILITY SCFC42848049 (WI) 9/1/2008 9/1/2009 2,000,000 ANY PROPRIETORIPARTNERlEXECUTlVE E.L EACH ACCIDENT $ A OFflCERlMEMBER EXCLUDED? WLRC42848001 (CA&AZ) 9/1/2008 9/1/2009 2,000,000 EL DISEASE - EA EMPLOYEE $ If yes. describe under No SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT $ 2,000,000 OTHER DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTfSPECIAL PRO\nSIONS The Certificate Holder is included as Additionallnsured as required by written contract subject to policy terms, conditions and exclusions. CERTIFICATE H R 2238734 County County Soard of County Commissioners Ann: Maria Slavik, Risk Mt9. Admin 1100 Simonton SI. Key West FL 33040 c..e..... .f\~ NCEl TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL..1Q.... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRES Cl Ar:nRn r:nAPnR.6TlnN 1ARR Ar:nAn ,,, "nn1/nA\ Fn. "","mn".. .......rrllnn thl. ~..rtifir._ ~nnt."'th.. nllmlwlcli_ Inth.. 'Prnot""..... """"'inn ..hn_..nrl......"lt\It.... "II..... <:nrl.. 'r,;AF11II1' '- ACORD.. CERTIFICA TE OF LIABILITY INSURANCE r-"",~-'-"" ,.~..-~".,. r-- Sedgwick of Tllxas. Inc, ' 500 North Akard. SUite 2200 .1'!l.5. TX 75201 i ; i.JL --__ _n __.___ 214/849-5000 , ~'MW A INSURANCE COMPANY OF N. AMERi . '. ----.---...;.;:--- COVERAGES -. "'-""'''''- ~-.~...._~.. .........,"'''''.._.....,-...''''-~ -... "---...-. "'"OO_M__......._...._a"'-., '..n"',,,.........., 00"" _.... ""........ _ ~ "" ""- _.............. "'.... ...." EXCLUSIONS AND CONomONS ~F ~!!CH POl!ClI!S. UMITS SH~!!.~,!: ~V~B.5~N R~OUCI!O BY PAID CLAIMS. .-'..---..-..........-.----..- r. ~ _ ________. _" .. _. ' , I CO' np.O..H.U....HCr PoucyHUlllfR. ~u"'r"rcTlVf IPOU"'.....""1IOH' ! UII , I D.lT. ""IIOOInI I O~TE ,III11OOInI . /A io.Hr.....uu'u,., JcSLG193266BB 6/28/97 ,. 6/28/98 i X':~ERClALOENElW.IJABlU"'*$3. 500.000 ire. CUUMsMAOE fJOCCUA, Excess of' I ClWNEIts&~PFIOT' $1. 500.000 . . Self Insured Retention ----.-.--- ..-----....--.- Grill/hound Lines. Inc.. lit oil Attn: Roll/ McQueen 15110 N. Dalhs Parkway. #400 Dallas TX 75248 - .--------..-. . ~'MW !_!_-- '~'MW C ,.. ...--.---..--- COM'MW o -----..- Ullrrs ---.-...- AUTOMO"l( U...lllurr MY AUTO ALL OWNeD AUTOs SCHEDlJt.Eo AUTOS HiReD AUTOS NON'OWNEO AUTOS . -.-------- ---"~'l1vn/. COMBINEO SINGLE UIotIT '. BY ~YIN.IlIAY (Pet PWeotlJ . 800fl r IN.llJAy "'''--0 ---------- . _~AAQr LlAa,uTY ,-AUtO ------ '. N'.-,-"..c.-~7 --...--..-.-.. ~----_. PFIOPeIIIY llAMAoE : . -------- _..~ 1Jl4. CJn"U'1'}.tv &u4 -=-.o-,_.u:=~.. U" __ _ ------ , T>tEPAoPAi~,,,,,, I 'AIlTNE~ I OFFICEJ:tS AAE: I OTHER ! '-, I' i 'wa. ._--1 ; . 'EXt:t.i \ --_. '..- -..--.---- AUT.P~Y: EA~ .!.!-__ OTHeR THAN AUTO ONLY: i - --.. . -'-.. -.-- I '~~l' AOOIll!OATE I. '~~-r<<:E I. AOOIll!OATE I. --- I. , we S.TATV'" i 10.':,"/ . ICllr LIMIIS.l "_ El EAcH ACCIDeNT ! . 'a~.POt.cy~ I. ~El OlSEASE . EA EMPlOYEE I. bCEas UAelUTY . U"IlAEUA FOAM OllER THAN ""BllEUA 'OAM WORKERS COMPENSAnoN AND I..PLOYE....1IAI.un ----- \, .------- I i . :SCRIPnON 0' OPllU, TIONSII.OCATIONSNIHICI.Ul$PEClAL lTEIIS " Lo,." on .t 3.., S. '00".." .'.'. A'.. A,oo" Aoo.. . '" PI/ West. FL. See attached foT' addl tional insured information. ----- RT/FrCATE HOLDER ---.--------.-.--.-- Monroe County Board o~ County COlllllliS5ionlPr5/Attn: B. Moore 'ublic Service BUildi^g tJOO COlleglP Rd. Crosswi"9 101 ~~Fl..1' 33040 .-.,- . CANCI!LLATION I .HOUlD AHY 0' TH. ~- OESC..lro ~UC'" I. CAHc:auo I.FOR. TH. EJrPt....noH D.lTE THER...., TH. ISSUIHO COM...". WIlL EH....lIOR TO IWL ~ 0.,. -rnH HOllc:r To TH. c.""'ICATE HOulfR .....ED To TH. LEn. eY' fAILURE ro .... SUCH NOncE SHau .u_... ..._ __ ... ~ ~CORD~ CERTIFICATE OF LIABILITY INSURANCE PRODUCER Arthur J. Gallagher' Co. of Ne. York 1-212-994-7100 DATE (MMJDDIYYYY) 12/22/09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE -...HelDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AL TE THE COVERAGE AFFORDED BY THE POLICIES BELOW. 444 Madison Avenue 20th Floor N.. York, NY 10022 r, j ) \ .' ! I~SUREks AFFORDING COVERAGE IN$URER A:\ INSURANCE CO OF TBB STATE OF PA IN~URER B: TIONAL ONION FIRE INS CO OF PITTS INSURER C: LLINOIS NATL INS CO --' -rNsbRER D: HAMPSHIRE INS CO INSURER E: , NAIC # 19429 19445 23817 23841 INSURED Greyhound Lines, Inc. 350 N. St. Paul St. r-\ ~ . 3 0 Dallas, TX 75201 A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [!] OCCUR GL949389 GARAGE L1ABILllY ANY AUTO 12/31/09 12/31/10 EACH OCCURRENCE $ 5,000,000 $ 5,000,000 $ 50 000 PERSONAL & ADV INJURY $ 5,000,000 GENERAL AGGREGATE $ 10,000,000 PRODUCTS-COM~OPAGG $ 5,000,000 12/31/09 12/31/10 COMBINED SINGLE LIMIT 12/31/09 12/31/10 (Ea accident) $ 5,000,000 12/31/09 12/31/10 BODILY INJURY (Per person) $ BODIL Y INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ $ 5,000,000 E.L. DISEASE - EA EMPLOYE $ 5,000,000 $ 5 000 000 (O)~ B AUTOMOBILE L1J~BILlTY CA949247 (AOS) C X ANY AUTO CA949248 (TX) B ALL OWNED AUTOS CA949249 (VA) SCHEDULED AUTOS X HIRED AUTOS X NON-QWNED AUTOS EXCESS I UMBRELLA LIABILITY OCCUR 0 CLAIMS MADE DEDUCTIBLE RETENTION $ D WORKERS COMPENSATION 11705104 1705100 AND EMPLOYERS' LIABILITY Y IN WC , WC D ANY PROPRIETOR/PARTNER/EXECUTIVE 0 WC1705102, WC1 705103,1705 OFFICERlMEMBER EXCLUDED? D (Mandatory in NH) WC1705096, WC1705097 D g~~I~ts~~~~~16~s bEllow WC1705101, 1705095,170509 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The Certificate Holder is included as Additional Insured as required by written contract subject to policy terms, condi tions and excl'usions. CERTIFICATE HOLDER CANCELlA TION County County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIB ED 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 LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTA TIVES. AUTHORIZED REPRESENTATIVE Attn: Maria Slavik, Risk Mtg. Admin 1100 S~onton St. Key West, FL 33040 I ACORD 25 (2009/01) tallstep . . 1~31282 C C. ;~'-"'A- USA ~-J~~~ @ 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 444 Madison Avenue 20th Floor New York, NY 10022 USA 6 B'X BPO Arthur J. Gallagher' Co. of New York - County County Board of County Commissioners - Attn: Maria Slavik, Risk Mtq. Admin 1100 Simonton St. Xey West, FL 33040 USA 21:343:4660 11111111111111111111111111111111111111111111111111111111111111 This document was brought to you by CertificatesNow and Arthur J. Gallagher' Co. of New York in New York, NY. If you have questions regarding the content of this document, please contact the Producer/Aqent listed on the certificate of insurance. The data included in this notice and in the attached document is confidential to Confi~et and Arthur J. Gallagher' Co. of New York. cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. 1:4 Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 i 1 _ •f �.". A RO CERTIFICATE OF LIABILITY INSURANCE ° 1a 21 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS b. , _ , ,1:5; CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 1 `' , BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <r REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. p IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to a 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 1 -212- 994 -7100 CONTACT c Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX T EARL . Ext): _ -- (AIC, No): j 250 Park Avenue ADDRESS: Z I 3rd Floor New York, NY 10177 _ INSURER(S) AFFORDING COVERAGE NAIC i INSURERA: INSURANCE CO OF THE STATE OF PA 19429 INSURED INSURERB: ILLINOIS NATL INS CO 23817 Greyhound Lines, Inc. INSURERC: NATIONAL UNION FIRE INS CO OF PITTS 19445 350 N. St. Paul St. INSURERD: NEW HAMPSHIRE INS CO 23841 Dallas, TX 75201 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 24581871 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 A - SUS POLICY EFF POLICY EXP LIMITS LTR I1SR MD POLICY NUMBER (MM/OD/YYYY1 (MMIDD/YYYY) A GENERAL LABILITY GL949389 12/31/12 12/31/12 EACH OCCURRENCE $ 5,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES RENTED 5 ES (Eaoccurrence) $ , 000 000 - Mi. CLAIMS -MADE I X OCCUR MED EXP (Any one person) $ 50, 000 _ PERSONAL & ADV INJURY $ 5,000,000 GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 5,000,000 — I POLICY JECT PRO- X LOC S D AUTOMOBILE LIABILITY CA949248 (TX) 12/31/11 12/31/12 COMBINED SINGLE LIMIT Y 5,000,000 _ ( acadent) $ C CA949249(vA) 12/31/11 12/31/12 BODILY INJURY (Per person) $ C A CA949247(AOS) 12/31/1] 12/31/12 - ALLL L OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS X HIRED AUTOS X AUTOS NON-OWNED AP BY RISK MANAGEMENT PROPERTY e r ccidentj DAMAGE $ _ By s DA UMBRELLA LIAR __ OCCUR W G, (�Q EACH OCCURRENCE S EXCESS LAB CLAIMS -MADE Y 1 ^ ,"� /} AGGREGATE S '� l DED RETENTIONS CL .•`' I1� P.v LG1CY1 $ D WORKERS COMPENSATION WC1705104(AOS),1705099(CA) 12/31/11 12/31/12 XI WCSTLIATU- S ER I 1 ER AND EMPLOYERS' LABILITY SORY MB Y / N D ANY PROPRIETORIPARTNERIEXECUTIVE I NIA 1705104 (AOS) ,1705100 (IL, ` 1 )L2 /31/1] 12/31/12 E.L. EACH ACCIDENT $ 5,000,000 OFFICER/MEMBER EXCLUDED? D (Mandatory lnNH) 1705096(OR), 1705097(TX) 12/31/11 12/31/12 E.L. DISEASE - EAEMPLOYEE $ 5,000,000 D D yer PTIONO 1705101 1705095(FL) 12/31/11 12/31/12 DESCRIPTION es, de TIOe O OPERATIONS below 1705101 DISEASE - POLICY LIMIT S 5,000,000 D Workers Compensation 44216119(MA)44216118(MN) 12/31/11 12/31/12 B.L. Bach Accident 5,000,000 E.L. Disease - Ea EImp5,000,000 S.L. Disease - Policy 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, M mon space Is required) The Certificate Holder is included as Additional Insured as required by written contract subject to policy terms, conditions and exclusions. e-C ' (Try) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Maria Del Rio 1100 Simonton St. AUTHORIZED REPRESENTATIVE Reywest, FL 33040 I USA Q vr1 �n F }— © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD erininy 24581871 P52oW21tt102 i A /1A l`./ •AA Q ��p , ® D ATE (MM /DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 12/10/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ►V►','.;': CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES .40.. • u , BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED N REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. p I If the certificate holder is an AJDITIONAL� I u the oiic (les) MUM. ue endorsed. If SUBROGATION IS WAIVED, subject to " the terms and conditions of the policy, certaii policies m ment. A st tement on this certificate does not confer rights to the certificate holder in lieu of such endorsement 3). PRODUCER 1 - - 12- 994 -7100 CONTACT Tan D. Stephenson o Y< p Arthur J. Gallagher Risk Management Services, inc. HONE FAX F-- '(AIt: ExtI: 212 - 494 - 7085 (AIC, N0) 212- 994 -7047 250 Park Avenue DEC EMAIL ADDRESS: Tanya_Stephenson@ajg.com Z 3rd Floor New York, NY 10177 1 SURER(S) AFFORDING COVERAGE NAIC R MONROE COMM" A : INSUNANCE CO OF THE STATE OF PA 19429 INSURED RISK MA W B: NATIClIAL UNION FIRE IN3 CO OF PITT3 19445 Greyhound Lines, Inc. INSURER C ILLINOIS NATL INS CO 23817 350 N. St. Paul St. INSURERD: NEW HAMPSHIRE INS CO 23841 Dallas, TX 75201 INSURERS: INSURER F : • COVERAGES CERTIFICATE NUMBER: 30580077 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 SUER POL MD ICY EFF POLICY EXP LIMITS LTR INSR D POLICY NUMBER (MMIDO /YYYY) (MMIDDIYYYYI A GENERALLIABILITY GL949389 12/31/12 12/31/13 EACH OCCURRENCE $ 5,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ 5,000,000 CLAIMS -MADE I X OCCUR AP- - 0 CAL.:. ' + MANAGEMENT MED EXP (Any one person) $ 50,000 1 I - i PERSONAL INJURY $ 5,000 DA Y]Of41V __ ' VV' a ' ' • .�. GENERAL AGGREGATE $ 10, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: or. C4u14 PRODUCTS - COMP/OP AGG $ 5,000,000 POLICY I PRO- I X LOC CC.; 4"I " �' $ JFCT B AUTOMOBILE LIABILITY CA949249 (VA) * 12/31/12 12/31/13 COMBINED SINGLE LIMIT 5,000,000 (Ea accident) $ C CA949248(TX)* 12/31/12 12/31/13 X ANY AUTO BODILY INJURY (Per person) $ B A LL OWNED SCHEDULED CA949247(AOS) 12/31/12 12/31/13 ODILY INJURY (Per accident) $ AUTOS AUTOS _ NON -OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I RETENTION $ $ D WORKERSCOMPENSATION 1705101(WI), 1705095(FL) 12/31/12 12/31/13 X W C S TATU - OTH AND EMPLOYERS' LIABILITY TORY LIMITS ER D ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WC170510 4(AOS),1705099(CA ) 12/31/12 12/31/13 E . L . EACH ACCIDE $ 5,000,000 • OFFICER/MEMBER EXCLUDED? N 1 A D (Mandatory in NH) 1705104(AOS),1705100(IL,NYA2 /31/12 12/31/13 E.L. DISEASE - EA EMPLOYEE $ 5,000,000 D Hyesdes «ibeunder 1705096(0R), 1705097(TX) 12/31/12 12/31/13 E.LDISEASE- POLICY LIMIT $5,000,000 DESCRIPTION OF OPERATIONS below D Workers Compensation 44216119(MA)44216118(MN) 12/31/12 12/31/13 E.L. Each Accident 5,000,000 E.L. Disease -Ea Emp5,000,000 E.L. Disease- Policy5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS l VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) The Certificate Holder is included as Additional Insured as required by written contract subject to policy terms, conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE County County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Maria Slavik, Risk Mtg. Admin 1100 Simonton St. AUTHORIZED REPRESENTATIVE (� Key West, FL 33040 LTG jcx�� i � Yb /^?�! USA L ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) / The ACORD name and logo are registered marks of ACORD anupny 30580077 C, (r ACD DATE (MM /DD /YYYY) v CERTIFICATE OF LIABILITY INSURANCE 12/16/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF I�r ^ ^ "�Ttnnl ntuI v Atkin r ONFFRS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS BELOWI IS F OF N INSURANCE DOES NEGATIVELY • TTRACTTBETWEEN COVERAGE HE ISSUING NSUR REPRESENTATIVE OR PRODUCER, AND THE CERTI -ICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIO JAL INSURE the polic:y(ies) must bE endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policy s may reccikCan'Ierlglo ent. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME; Tanya D. Stephenson Arthur J. Gallagher Risk Management Services, Inc. MONROE 212 -9i 4 -7085 FAX 212- 994 -7047 3rd Floor 250 Park Avenue RISK MANA c" @ajg.com New York NY 10177 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Insurance Company of State of PA 19429 INSURED INSURER B : New Hampshire Insurance Company 23841 _ Greyhound Lines, Inc. INSURER c : National Union Fire Ins Co of Pitts 19445 350 N. St. Paul St. Dallas, TX 75201 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 889138304 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS A ! x COMMERCIAL GENERAL LIABILITY GL 094 -93 -89 12/31/2015 12/31/2016 EACH OCCURRENCE $5,000,000 DAM GE - ` 0 RENTED 1 CLAIMS -MADE X OCCUR PREMISES (Ea occurrence) $5,000,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 POLICY X P RO X LOC PRODUCTS - COMP /OP AGG $5,000,000 OTHER: $ 12/31/2015 12/31/2016 �Eaaccident'INGLELIMIT $ 5,000,000 C AUTOMOBILE LIABILITY CA 584 48 ((MA) 12/31/2015 12/31/2016 C CA4584448 (MA) A X ANY AUTO CA4584448 (VA) , 12/31/2015 12/31/2016 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS WNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTIONS $ . WORKERS COMPENSATION WC001705104 (AOS) 12/31/2015 12/31/2016 X STATUTE OTH- ER AND EMPLOYERS' LIABILITY Y/N WC001705101 (WI) 12/31/2015 12/31/2016 - - ANY PROPRIETOR/PARTNER /EXECUTIVE WC 001705095 (FL) 12/31/2015 12/31/2016 E.L. EACH ACCIDENT $5,000,000 OFFICER /MEMBER EXCLUDED? N N/A WC 001705104 (OR) 12/31/2015 12/31/2016 (Mandatory in NH) WC001705104 (TX) 12/31/2015 12/31/2016 E.L. DISEASE - EA EMPLOYEE $5,000,000 If yes, describe under WC 001705099 (CA) 12/31/2015 12/31/2016 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $5,000,000 Workers Compensation 1705100 (IL,NC,NH,UT,VT, 12/31/2015 12/31/2016 E.L. Each Accident 5,000,000 Workers Compensation WC044216117 (MN) 12/31/2015 12/31/2016 E.L. Disease -EA Emp 5,000,000 Workers Compensation WC001705101 (MA) 12/31/2015 , 12/31/2016 E.L. Disease - Policy 5,000,000 I MK DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requir .) my "if Workers Compensation: APP '� imp ' GEMENT Policy #: 1705104 (AZ,GA) & WC 001705100 (NJ,PA) DA - - . - ; C Policy Term: 12/31/15 to 12/31/16 WAIN R N/A _ . YES Carrier Name: NEW HAMPSHIRE INS CO (NAIC #:23841) , CC : .(,G�� Limits: E.L. Each Accident / E.L. Disease -Ea Employee / E.L. Dis&a46- F7olid.Y.L it3 ,10 00 The Certificate Holder is included as Additional Insured as required by Jurkt Icbna subject to policy terms, le-A ilk I g conditions and exclusions. CERTIFICATE HOLDER 7 t : I ,GA L I 1 ,a SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE t i ;;_ i )„ j NTH Pe/9 - 1 �Iy DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. _ Keywest FL 33040 USA AUTHORIZED REPRESENTATIVE © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD