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Certificates of Insurance ACORDN CERTIFICATE OF LIABILITY INSURANC~Qi!~ P~ DATE (MM/DDIYY) 11/06/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wallace Welch & Willingham Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 300 First Avenue South, 5th Fl HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 33020 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. St. Petersburg FL 33733 INSURERS AFFORDING COVERAGE Phone: 727-522-7777 Fax:727-521-2902 INSURED INSURER A: Zurich Insurance ComDanv INSURER B: Harvfrd Jolly Clees Toppe INSURER c: Arch tects P.A. 2714 9th Street Rorth INSURER D: St. Petersburg FL 33704 I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~;~ TYPE OF INSURANCE POLICY NUMBER b~flrlMM/D6iYVi DATEIMM/DDiYVl LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 , - A X COMMERCIAL GENERAL LIABILITY UNDER BIRDER 11/0S/02 11/0S/03 FIRE DAMAGE (Anyone fire) $ 1,000,000 I CLAIMS MADE [!] OCCUR MED EXP /Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 - GENER~LAGGREGATE $ 2,000,000 - GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 I n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ ANY AUTO (Ea accident) - M ~NROE COUNlY ftE ALL OWNED AUTOS ~ - CONB11t C1l0N MANAGEM BODILY INJURY $ SCHEDULED AUTOS (Per person) - Vl~~ - HIRED AUTOS NO BODILY INJURY $ NON-OWNED AUTOS (Per accident) >-- I-- - -. I (!, J PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 2,000,000 A t:!J OCCUR D CLAIMS MADE UNDER BIRDER 11/0S/02 11/0S/03 AGGREGATE $ 2,000,000 $ ~ DEDUCTIBLE AP -'-D~~ K MAN~~Et T $ X RETENTION $0 -~.." "J $ WORKERS COMPENSATION AND BY \'\ II J I TORYLIMrrS I lu~r- .1 7ll " ()~ ER EMPLOYERS' LIABILITY .. DATE E.L. EACH ACCIDENT $ N/A ' ~.- E.L. DISEASE - EA EMPLOYEE $ WAIVER yeQ ...... E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is Additional Insured on the liability coverage Project: Monroe County Medical Examiners Office #01160 CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MORROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL -1iL.. DAYS WRITTEN Commissoners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Construction Management IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street Key West FL 33040 REP~S. I AUTHORIZE ~~~./ AC RD 25-S 97 / c o fT/} @ACORDCORPORATION 1988 LETTER OF TRANSMITTAL Date: December 10, 2002 MONROE COUNTY Construction Management 1100 Simonton Street Key West, Florida 33040 (305) 292-4429 Attention: PamlBellelClerk of the Court RE: Contract for Harvard Jolly Clees Toppe Architects--Renewed Insurance Certificate PROJECT: MEDICAL EXAMINER'S FACILITY ENCLOSED PLEASE FIND THE FOLLOWING ITEM(S): NO. DATE COPIES DESCRIPTION 1 Nov 2002 1 ORIGINAL RENEWAL Certificate ofLiabilitv Insurance THESE ARE TRANSMITTED AS CHECKED BELOW: DFor Approval DApproved as Noted I2SIFor Your Use DFor Review and Comment DReturned for Corrections DCopies for Approval REMARKS:. I am forwardina this Oriainal Renewal Certificate to your office. ~\~, ca Chery graham, Ad~rative AS~~ POBOX 12350 ST PETE DATE /MMlDDIYY) 10/17/03 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER MUTUAL INSURANCE INC FL 33733 COMPANY A AUTO OWNERS INS CO HARVARD JOLLY CLEES TOPPE ARCHITECTS PA 2714 9 ST N ST PETERSBURG FL 337042722 COMPANY B CCN3W I. INSURED COMPANY C THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSU AM ED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMlDDlYY) DATE (MM/DDIYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS 9677117000 11 08 03 11/08 04 COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $1,000,000 BODILY INJURY (Per accident) $ 1,000,000 PROPERTY DAMAGE $ 500,000 GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: THE PROPRIETORI PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL EACH OCCURRENCE AGGREGATE EACH ACCIDENT $ $ $ $ $ AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY $ EL DISEASE-POLICY LIMIT $ EL DISEASE-EA EMPLOYEE $ \ AIVER DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlSPECIAL ITEMS ADDITIONAL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSION~S PROJECT: MONROE COUNTY MEDICAL EXAMINERS OFFICE C.Of ~ : t-\ V\..Q.. r'\ C. L MONROE COUNTY BOCC CONSTRUCTION MANAGEMENT 1100 SIMONTON ST KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL .llL- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAIL COMPANY, ITS AGENTS OR REPRESENTATIVES. AC.QijQ-fi~jd~}'n>...............'.'."'."".'. . MITCHELL JR A ...... ........ijlAQQijQ.CQijaQMllQijj~ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE MUTUAL INSURANCE INC POBOX 12350 ST PETE FL 33733 COMPANY A AUTO OWNERS INS CO INSURED HARVARD, JOLLY, INC. COMPANY B COMPANY 2714 DR MLK JR ST N C ST PETERSBURG FL 33704-2722 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIODJYY) DATE (Mil.lIDDJYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE PERSONAL & ADV INJURY $ PRODUCTS - COMP/OP AGG $ $ $ $ $ EACH OCCURRENCE AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS 9677117000 FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $1,000,000 BODILY INJURY (Per accident) $ 1,000,000 PROPERTY DAMAGE $ 500,000 GARAGE LIABILITY ANY AUTO ';V/\IVER ;\) .I 1-\ __...~,_ V" Y E: -S ,~, . _~ AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE EXCESS LIABILITY UMBRELLA FORM , OTHO:H THAN UM~HELLA FOHM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY n"'{ .F;" " THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL DESCRIPTION OF OPERATlONSIlOCATlONSNEHICLESlSPECIAL ITEMS ADDITIONAL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS PROJECT: ONROE COUNTY MEDICAL EXAMINERS OFFICE C-C '. \ -.. 0... 1'\ <:. '<- :~~'p~'m~1!~bJf.J~?:::.:::::...:................................... ::...:/;..;.. :':::::::::\P~NP@i~n~: .. .. ... .....::..........:............ ...... 8 ... .... .. ..... .. . ................................................ ............................................... . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................................................................ .................................... .................................. ............................... ............................. MONROE COUNTY BOCC CONSTRUCTION MANAGEMENT 1100 SIMONTON ST KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL .lJL.. DAYS WRITTEN NOTICE TO THE CERTlACATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY COMPANY, ITS AGENTS OR REPRESENTATIVES. .........................l................... A;..~~~~:::ttl$$j} JR A ... .... .. {::::::::ii:.ijij::::aaeoMfltfi::1Wi .:.;.:.:.:.:.:.:.:.;.:.;.;. .. ........... .. ... ;.;.:.:.:.:...:.:.;.:.:.;.;.;.:.;.;.;.:.:.:.:.:.;.:.:.:.:.;.;.:.;.:.:.;.:.:.:.:.:.:.:.:.;.: .................................. ................................... .....-.--.-------.,........"..... ............ .....................,.. MUTUAL INSURANCE INC iii~i.III:I:li'lii::,i!:'il.i.:.lill.I!I:I:lil::!:I.ili~il!::lilll~!I.,-i:,::::":::::::::::::::DATE;MMlDDIYY) .:::::,:~L:.:::.:.:.:,:::::::::,:,:::::::,:}...,:,,:::::,,:,:,:,'~.{:'::::...,',:::::,:,::::::'...:.:::'::~:.:...:.:.::::::::.....................:.:.....,'::::,::::',:",:,::,.,,:,:",:,:::,:,::"'::::::::.:.:::::::::::::::,:::,:::::.:::e,~:::::,:,:::::::,,::,:,:::.:.:::.:::::::.:'it:::::::::::::::::::::,:.,.:........ 10/14/05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER POBOX 12350 ST PETE FL 33733 COMPANY A AUTO OWNERS INSURED HARVARD, JOLLY, INC. COMPANY B COMPANY 2714 DR MLK JR ST N C ST PETERSBURG FL 33704-2722 lUi.h) THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMlDDIYY) DATE (MMlDDlYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT PERSONAL & ADV INJURY EACH OCCURRENCE GENERAL AGGREGATE $ PRODUCTS. COMP/OP AGG $ $ $ $ $ AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS V HIRED AUTOS NON.OWNED AUTOS 9677117000 FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $1,000,000 BODILY INJURY (Per accident) $1,000,000 PROPERTY DAMAGE $ 500,000 GARAGE LIABILITY ANY AUTO '0)1 AUTO ONLY. EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS'L1ABILIlY THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL EL EACH ACCIDENT $ EL DISEASE.POLlCY LIMIT $ EL DISEASE.EA EMPLOYEE $ DESCRIPTION OF OPERATlONSIlOCATlONSlVEHICLESlSPECIAL ITEMS ADDITIONAL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS PROJECT: MONROE COUNTY MEDICAL EXAMINERS OFFICE ~~n~!p~~tt!~!l\t::::::::::=::::'=::::::.:..::. ...... ... .... .. .. :::o.gPiYianPN.::::::::::/}:m':: ............................................ .................. .. . . . . . . . . . . . . . . . . . . . . . . . . ...................... . ........................ ....................... ....................,... ............................................... ....................... ............. ............................................ ............................................. ............................................ ......................................................................................... ............................................. . . . . . , .. . . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .............. .............................. MONROE COUNTY BOCC CONSTRUCTION MANAGEMENT 1100 SIMONTON ST KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED ENTATlVE 'iQ.Q.ti'lm~'}W;: MITCHEL; JR A .. ... .. ,:!:::::\:\'!\::::/::",}#iihic.&jp.'::Q.&ijijQQjiQN.\::nWi .................... ..................... .................. .. . . . . . . . . . . . . . . . . . . . . . :.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.;.:.:.:....... . ... ............ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ ......................... ................................. ................. ACORDN CERTIFICATE OF LIABILITY INSURANCE OP ID A DATE (MMIDDIYYYY) HARJO-1 04 05 06 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER Wallace Welch & Willingham Inc 300 First Avenue South, 5th FI P.O. Box 33020 pJ-. Petersburg FL 33733 )ne:727-522-7777 Fax: 727-521-2902 INSURERS AFFORDING COVERAGE Harvard Jolly, Inc. 2714 Dr. M L King~ Jr St. N. St. Petersburg FL ~3704 INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: Zurich Insurance INSURED 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 r~r PI! MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SU .......... --. POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRr TYPE OF INSURANCE POLICY NUMBER PD~';lfl'J~~~~E P8k~1:Y,~~tb~~N LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 - A X COMMERCIAL GENERAL LIABILITY PPS41492258 11/08/05 11 / 0 8 /06 I ~~~~~~s (Ea occurence) $ 1,000,000 ! CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $10,000 PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $2,000,000 - ~'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 X .nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I - $ ANY AUTO .- (Ea accident) - )"1l- \'001/1 \ ALL OWNED AUTOS - .c BODILY INJURY $ SCHEDULED AUTOS . 7fa.5- (Per person) - ~ n. HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS .\{, (Per accident) - - PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 4,000,000 A ~ OCCUR D CLAIMS MADE PPS41492258 11/08/05 11/08/06 AGGREGATE $ 4,000,000 $ Fx=l DEDUCTIBLE $ X RETENTION $0 $ WORKERS COMPENSATION AND I TORY LIMITS I IOlH- ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTiVE E.L. EACH ACCIDENT $ ----------._-------- I I - - - - ---- .- ---- -- OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ ~~~MtS~~t;5~s~~~s below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is Additional Insured on the liabili ty coverage project: Monroe County Medical Examiners Office #01160 CERTIFICATE HOLDER CANCELLATION MONROE 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO 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 Monroe County B.O.C.C. 1100 Simonton Street Key West FL 33040 @ACORDCORPORATION 1988 ACORD 25 (2001/08) ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY) 01104/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Suncoast Insurance Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ~.,' O. Box 22668 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ,mpa, FL 33622-2668 813289-5200 INSURERS AFFORDING COVERAGE INSURED INSURER A: St Paul Fire & Marine t'<c.Lc.IVc.U Harvard Jolly, Inc. INSURER B: XL Specialty Ins Co f'cu; I;:J/e" ff:b'</q~,.."",d 2714 Dr Martin Luther King Jr St N INSURER c: ^ no n A ')nnc:' St Petersburg, FL 33704 INSURER D: -.,.... I INSURER E: COVERAGES "'u fJJ- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDI~A~~a:r.roTW1Tm:liANDING 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 P~l!f,,v,~';.,';~gT.X~ P~~i.r lif':Jn~~N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ f- I-- =:5 M ERCIAL GENERAL L1AB ILlTY FI RE DAMAGE (Anyone fire) $ I-- CLAIMS MADE D OCCUR MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ ~'L AGGREM L1M IT APAS PER: PRODUCTS -COMPIOP AGG $ POLICY ~~,9,: LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) I-- - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - f-- HIRED AUTOS 01\,. I~OolJ. Q BODILY INJURY $ NON-0WNED AUTOS ./ (Per accident) f-- f-- IT- ~-U ~ PROPERTY DAMAGE $ (Per accident) ~AGE LIABILITY 1- AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ ~ESS LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ ~ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND BW02172455 01/01/06 01/01/07 X IT~~~m~-;, I IOJbI- EMPLOYERS' LIABILITY $1,000,000 E.L. EACH ACCIDEtn E.L. DISEASE - EA EMPL OYEE $1,000,000 E.L DISEASE - POLICY LIMIT $1,000,000 B OTHER DPR9411928 06/30/05 06/30/06 $3,000,000 per claim Iprofessional $3,000,000 aggregate Liabilitv DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Professional Liability is claims made and reported. CERTIFICATE HOLDER I I ADDITIONALINSURED'INSURERLETTER: CANCELLATION SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County BOCC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3D---DAYSWRITTEN 1100 Simonton St. NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHELEFT, BUTFAlLURE TODOSOSHALL Key West, FL 33040 1M POSE NO OB LIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR REPRESENTATIVES. A~EDREPR~TIVE I . "'" QJ... .AO. ~ Client#. 2476 HARVJOL3 ACORD 25-5 (7/97)1 of 2 #M116445 KEB @ ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(les} must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. RE.C.EIV~G~L ~ VaL.," .,;,tv ~.1 APR 2 4 2006 Per .It......... ACORD 25 (2001/08) ACORD~ CERTIFICA TE-GF--LJABIUTYINSURANCE 1 DATE (MMlDDIYY) , . .. -. .: 06/15/06 PRODUCER ,..... .' ,. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Suncoast Insurance Associates , 'ONLY ;AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 22668 I HOLDER. THis CERTIFICATE DOES NOT AMEND, EXTEND OR , ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I , A Tampa, FL 33622-2668 L: ' " 813 289-5200 i : INSURERS AFFORDING COVERAGE INSURED I '----- ._0- o' J . StPa I Fire & Marine Ins Co Harvard Jolly, Inc. L r'(l;~,',~,~ ~2 i;~$i:tRER B: XLSp j>cialt:v Insurance Co p:'~:: :'','I/);\f..:: 2714 Dr Martin Luther King Jr St ..^.....-..-.-..... INSURER c: .~......... St Petersburg, FL 33704 INSURER 0: INSURER E: Client#. 2476 HARVJOL3 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. NSR TYPE OF INSURANCE POLICY NUMBER Pgk!fY ~';l;5gJ.Xr P~I;I~~ 1~~~~;D9.N LIMITS LTR ~NERAl LIABILITY EACH OCCURRENCE . - pM ERClAl GENERAI_ LIAB ILITY FIRE DAMAGE (Anyone fire) . - CLAIMS MADE [J OCCUR MED EXP (Anyone person) . PERSONAL & ADV INJURY . GENERAL AGGREGATE . ~'~ AGGR.EnE liMIT APnS ;ER: PRODUCTS .COMP/OP AGG . POLICY PRO. lOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT . ANY AUTO (Eaaccident) - M,(o. _ -d - ALL OWNED AUTOS BODilY INJURY . SCHEDULED AUTOS (Perpl;lrSOn) - - HIRED AUTOS 10 '{4-0~ BODILY INJURY (Pl;lraccident) . - NON-OWNED AUTOS ({ - PROPERTY DAMAGE . (Per accident) RRAGE LIABILITY AUTO ONLY. EA ACCIDENT . ANY AUTO OTHER THAN EAACC . AUTO ONLY: AGO . EXCESS LIABILITY EACH OCCURRENCE . p' OCCUR D CL~IMS MADE AGGREGATE . . R DEDUCTIBLE . RETENTION . . A WORKERS COMPENSATIO~I AND BW02172455 01/01/06 01/01/07 X IT"X~5T~1,l,1."c, I IOJ~. EMPLOYERS' LIABILITY .1,000,000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPL OYEE .1,000,000 E.L. DISEASE. POLICY LIMIT .1 000000 B OTHER Professional DPR9419284 06/30/06 06/30/07 $3,000,000 per claim Liability $3,000,000 annl aggr. DESCRIPTION OF OPERA TlONS/LOCATloNSNEH1CLESlEXCLUSloNS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Professional Liability in written on a claims made and reported basis. CERTIFICATE HOLDER I I ADDmONALINSUREO'INSURERLElTER: CANCELLATION SHOULD ANyoFTHE ABOVE DESCRIBED POL.ICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County BOCC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR ToMAIL30.-..--DAYSWRITIEN 1100 Simonton St. NDTICETOTHE CERTIFICATE HDLDERNAMEDToTHELEFT, BUT FAILURE ToDOSoSHALL Key West, IFL 33040 IMPOSE NO OBLIGATION DR LIABILITY OF ANYKlND UPON THE INSURER,ITS AGENTS OR /. . REPRESENTATIVES. ee:~''''c,- AmEDREPR~TIVE ...,..., QL,., ~ . COVERAGES ACORD 25-5 (7197)1 o'f2 #M124601 MOL @ ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID A~ DATE (MMIDOfYYYYl HARJO-1 D4/05/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wallace Welch & Willingham Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 300 First Avenue South, 5th Fl HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 33020 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. St. Petersburg FL 33733 Phone: 727-522-7777 Fax:727-521-2902 INSURERS AFFORDING COVERAGE NAIC# .- ---,..--.--.-- - ~~.- .--..-- INSURED INSURER A: Zurich Insurance Company 16535 .- INSURER B: ~.- .~ - - -. - Harvard Joll!:, Inc. INSURER c: .--- ---.--.- 2714 Dr. 1<[ Kingj Jr St. N. ~~SURER 0: _ St. Petersburg FL 3704 -------.--.--.-.-- ---- ------ INSURER E: THE POLICIES OF INSURANCE L1STI=D BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR COf'llDIT10N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFi=ORDEO 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. ---. PJl'4~~riMr~ff~IE P~k~<iY/~~h'lf',.}!,~N LTR NSR TYPE OF INSURA.NCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A ~MMERCIAL GENERAL LIABILITY PPS41492258 11/08/05 11/08/06 ~PREMISES E' o~"""'" $ 1,000,000 ~ _ I :LAIMS MAD~ ~ OCCU~ MED EXP (Anyone person) $10,000 lPERSONAL & ADV INJURY $ 1 ,000,000 GENERAL AGGREGATE $ 2,000,000 --- - . ii-l'L AGGR~~E LIMIT Ai~S PER: PRODUCTS - COMPIOP AGG $ 2,000,000 r PRO- X POLICY - JECT LOC ROMOBILE LIABILITY COMBINED SINGLE LIMIT ! ANY AUTO REGI IVED (Eaaccident) $ , . __~ ALL OWNED AUTOS I BODILY INJURY ~_: SCHEDULED AUTOS ' (Per person) $ , -_o- n ~ HIRED AUTOS APR - / 2006 t BODILY INJURY t j NON.OWNED AUTOS ' (Per accident) $ ~ROPERTY DAMAGE -- r-I n_ - MONROE COUNTY $ (PeracCldent) r=lAGE LIABILITY AUTO ONLY. EA ACCIDENT $ . f-- ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ ECESSIUMBREllA L1A,BIUTY EACH OCCURRENCE $ 4,000,000 A .~_J OCCUR D CLAIMS MADE PPS41492258 11/08/05 11/08/06 AGGREGATE $ 4,000 000 $ ~ DEDUCTIBLE $ X RETENTION $0 I $ WORKERS COMPENSATION AND Vvl. " I c- I TORY L1MITJ' I U ~~. EMPLOYERS' LIABILITY '1 (] , ----- ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? O--(9-{)(j, E.l. DISEASE - EA EMPLOYEE $ ~p~t:llis~~~v~s16~s below E.L. DISEASE - POLICY LIMIT $ OTHER I( DESCRIPTION OF OPERATIONS / LCICATlONS J VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is Additional Insured on the liabili ty coverage project: Monroe County Medical Examiners Office #01160 CERTIFICATE HOLDER COVERAGES Monroe County B.O.C.C. 1100 Simonton Street Key West :~ 33040 CANCELLATION MONROE 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO 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. AUTHORIZE ESE @ACORD CORPORATION 1988 ACORD 25 (2?01(O~ . c.'-'~~ INSURED ACORDNIIIIIII.IIIIIIIIIIIIII'III.I.II... ;~T/i~"l;Y~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE I COMPA~----------- -- -- ---- -- - 1 A AUTO OWNERS IlW!nr~Oun1y 1 raclIlTles 1:5evelopment- COMPANY B I COMPANY OCT 4&,j -----.- 2714 DR MLK JR ST N ~ ST PETERSBURG FL 33704-27221 CO':;'AN~--'--~D~~~"-P--.tf7 MUTUAL IN:3URANCE INC PRODUCER POBOX 12350 ST PETE FL 33733 HARVARD, JOLLY, INC. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO 1 LTR i TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDNY) POLICY EXPIRATION I DATE (MMlODNY) I GENERAL AGGREGATE --1_$ ___ _ ___ _ ____ I PRODUCTS - COMPIOP AGG t $- I PERSON~L & ADV INJU~Y t $==---=~ ~ EACH OCCURRENCE , S I FIRE DAMAGE (An~-one f;~r$-- ----- ~D EXP (Any one-perso~)-$-------- 11 08 /07 I COMBINED SIN,GLE L~_J~____ ________ ~ILY INJURY II' I (Per person) ~_~J.~Q_Qg.LO .9_Q 1 BODILY ,INJURY I S (''''''d'''' __i_.l,_QOJl_,.29 Q. PROPERTY DAMAGE ! $ LIMITS I GENERAL LIABILITY I rJ90MMERCIAL GENERAL LIABILITY I L-+:J CLAIMS MADE L OCCUR hOWNER'S &CONTRACTOR'S PROT 1 ~I I AUTOMOBILE LIABILITY ~ ~, ANY AUTO I l ALL OWNED AUTOS 1--] SCHEDULED AUTOS ~ HIRED AUTOS l.~ NON-OWNED AUTOS H 9677117000 111/08/06 1 500,000 I EXCESS LIABILITY Cl UMBRELLA FORM I . OTHER THAN UMBRELLA FORM AUTO ONLY - EA ACCIDENT~~__.,__,__.._ OTHER THAN AUTO ONLY: I ,_,___"_ GARAGE LIABILITY letNY AUTO WORKERS COMPENSATION ,I\ND EMPLOYERS' LIABILITY I--- I 1,~INCLI EXCL EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE -I..!---.-- $ W ""TP Ij H ~ ----,---TOAYLlMITU-m+ _ -- - r~ACHACCIDENT ___ S _ _ __ EL DISEASE POLICY ~T~$ ___ EL DISEASE-EA EMPLOYEE '$ THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE i OTHER DESCRIPTION OF OPERATIONSlLClCATIONSNEHICLESJSPECIAL ITEMS ADDITIONAL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS PROJECT: MONROE COUNTY MEDICAL EXAMINERS OFFICE SHOULD ANY OF THE ABOVE DESCRIBED POLICIeS BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL .l..U..- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL UCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPO THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESE,N ATIVE MONROE COUNTY BOCC CONSTRUCTION MANAGEMENT 1100 SII'10NTON ST KEY WEST FL 33040 xt 2214 PK '-Co.> ,....71> .- JlCORD.. CERTIFICATE OF LIABILITY INSURANCE I W.1RCIIIWDDtY1'J 01109107 - THIS CERTIFICATI 18 ISSUED AS A MATTER OF INFORMATION Sun_Insurance Aaoc/at.a ONLY AND CONFEIlI NO RIGHTS UPON THe CERTIFICATE HOLDER. THI8 CERTIFICATI DOI!8 NOT AMEND, EXTEND OR P.O. Box 22t68 ALTlR THE COVERAGE AFFORDED BY THE POUCIES BELOW. Tampa, FL 33822.2668 f\,1-..~,- " '~" 'i 813288-5200 INSURERII AFFORDING ClOVIiRAGE' ' ",t - _A: Fldelltv & GuanlnIv Insurance Co Harvard Jolly, Ine. .......... TrawI_ Cuualiil and Suntlv CIii, . . ....'1 , 2714 Dr Martin LuIIIer KIng Jr St N _co XL Spectalty lnaurance Company St Peterwburg. FL 33TD4 IfrIIIJRER;D: .1'1..1 ........ "' --, --- rVl' THE POLICES OF INSUIIANCE LISTED BELOW HAVE BEEN IS8\JED TO TIE INSURED .....ED _ FOR THE POLICY PERIOD 1NDlCI\TED. NOlWlTHSTANDING IMY REQU_. _ OR CONOITIClN OF IMY CONTRACT OR OTHER DOCUMENT WITH Rl!SPI!CT TO WHICH THIS CER11F1CATE ....y BE IlI8UED OR ....y PERTAIN. TIE IN8UIWlCI! AFFORDED BY THE I'a.IClIiS DEIlCIlI1lli!ll HEREIN IS SUBJECT TO ALl- THE TERMS. EXCLUSIONS AND CONCIT1ONS OF SUCH POLICIES. _EQATELlMlT8St1OWN....VHAVESEENREIlUCl!DSVPAlD~ ~ TYKOfINl\RAIICE POUCY_ ..... A .!!""""" LMMI1Y BL022D9194 11108108 11108107 ""'. DCalRRENCl! 101JIOO.noO X :=i.....-.............LIlV ....__....., OD _ ~....... W OCCUR _..........._, 1010000 ...........&AIlYIWRY 101 OOOJlllO ...................Tl! I .'.000 ODD ~=.rv;;""n:' ':':'K.- ,;.:...:, . PRODUCTS -CCNPIttP ACIGI s2.000.000 ,,-".,, :?\ ... ~UAIllU1Y j\j.::--.II.., ,V~.. ~- - .......,....... UMIT . I- _AUrO d.3 Cil ...- f- H.LOWHEDAUrOS ..l -.~\ "~ IlOlII.VINJUII'I' .......... MlTOS (1'0<_ . ~ ." ." - IllIWlMITOS I- IODILYIriI,lJR't' 0 ~ """""",""AUTOS (1'0<-"'3 l'ROI'I!II1Y......... 0 l""_ ~~._LIlV AUTO ONLY. EAACCIDl!NT 0 _AUrO ana TIWI ...."'" . AUTOONL'r. "'" 0 A IXCIII UA8IUIY BL02208194 11108108 11/lNl107 ......-. s4 000 non ~OCCUR 0""""....... ....Rl!GAlE s4.DDD """ R= . . . ~IEit 0 B WDMIIU D..a.IfII.~rIONMD UB5238Y878 0111I1107 0111I1108 ...................... .1 DOD 000 E.L......_ U. DIIEAIE -IABFLOYBI 01 ODD 000 !.L nIB~ .PDUCYlAIT .1 ODD 000 C cm&O I'rDfeulonBl DPRlI418284 D8I3OIOtI 06131IIII7 S3.DDD,ODO per ctlllm ~BbIIlty $3,000,000 Bnnl eggr. DI!IICRPI'IONOPOPI!M~~D..H.IBa'''''''''ADDID'''' ~PIUMIIOIII P"""'lonal Uablllty Is claims made end reported. Certtlfcete H_r I. an addltionBllnaurBd wtIh raapllClt to lI8nwal liability. c."n'"ICATI "^'-R r I MJDrnc:IUL--P" eANC N IHDULDNfYOF1HE"CMlIt~PClLJC8R.Ic.u- .... BEfORElHEI!XP'IIA1KlN MonroB County BOCC DATI THMROP, THI tIIU1N8 ...... WILL IllJElAVClII TOIWL30..-DAWWRmaN 110D SImonton St. NCmCETD1H1 CBJrIWlICAlE HDLDR.NMlI!P lOTMILBFT. BUT FAILURE TOD0801tlA1.1. Key West, FL 33040 IMIOII NOOBUGAnDN OR LWlIUTYOF NlYIGND UPON TltEINIUfIIR.rraAUNTI OR ...... , ~_'Mr"lMI - ~ ai- 0. COVUAGES ACORD 25-8(711I7)1 or 2 11II136712 KEB . ACORD CORPORATION 1888 Dr,"; .J<) /kJ/~ lJc,j<L.tlu" ORd," (! 8.. ,e::;;, a n C <... C!!f e r entlll: 2476 ........."yv...,.._ ACORn.. CERTIFICATE OF LIABILITY INSURANCE I DATE(MIWDIVY) 01117108 PROlJUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Suncoaat Insurance Atssoclates DNL Y AND CDNFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 22666 HOLDER. THI6 CERTFICA TE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCES BELOW. Tampa, FL 33622-26611 813289-5200 INSURERS AFFORDING COVERAGE INSURED INSURER A: Phoenix Insurance Company Harvard Jolly, Inc. INSURERB: Travelers Indemnity Company 2714 Dr Martin Luther King Jr St N INSURER Co Travel.... Casualty and Surety Co St Petersburg, FL 33704 INSURER Do XL Specialty Insurance Company , INSURER E: THE POlICIES OF INSURAtoICE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POliCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONorrlON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POliCIES DESCRIBED HEREIN IS SUBJECT TO ALl THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POlICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . TYPE OF INaURANCE POUCYNUllIIER ~ ~,EXPIRAl1ON A ~ElW.L"""UTY 6606514L487 11108107 11108108 II ~MERCIALGENERALLIABLITY _ ---.J ClAlMSMADE [iJ OCCUR XWCA-j pJlj- EL EACH ACCIDENT 51 000,000 E.L DISEASE -EAEMPLOYEE $1.000,000 E.L 00lEASE -POUCYUMrr s1,ooo 000 $3,000,000 par claim $3,000,000 annl aggr. COVERAGES EACH OCCURRENCE FIRE CAArWlE (Any one fire) MED EXP (Any one pel1lOI"I) PERSONAL & ADV INJURY GENERAL AGGREGATE ~'LAGGRE~~IMITAPPLIESPER: IPOUCYIX I,~ nux: ~IIOBILE UABIUTY ~ ANY AUTO ~ AU. OWNED AUTOS ~ SCHEDULED AUTOS ~ HIRED AUTOS _ NON-OVI/'NED AUTOS - PRODUCTS -COMP1OP AGG COMBINED SINGLE UMlT (Eaaccidont) " -tu/~ :/:~'~C<, i,1 -- ------L' [X-Ox " V'~C BOOIL. Y INJURY (Pet person) , , w. C.o BODILY INJURY (Peraccidenl.) PROPERTY DAMAGE (Peraccijent) AUTO ONLY - EAACCJDENT 'vVi',H ~r~ /.II" GARAGe UAlllUTY R.ANYAUTO B exc... UABLITY CUP7798Y577 t~j'OCCUR 0 CL_. MADE h DEOUCTELE Ix1 RETEN110N $10000 C .......... co........."'o." AND UB5238Y879 EW'LOYERS" UABIIJTY OTHER THAN AUTO ONLY: EAACe AGO 11108/07 11108108 EACH OCCURRENCE AGGREGATE 01101108 01101109 D "'HER Profesalonal DPR9606843 ,"iabiiity 08/30107 08130108 DE8CRlPTJON OF OPERAT1ONM...OCA1'IC>>ISNEHICl..E8IEXCLUS ADD&) BY ENDO- IDITI8PECW.. PROVJSIOH8 ProfeIIslonal Liability Is claims made and reported. Project 101160.00 Project Name: Monroe Co. _leal Examiner Cartifleate Holder is an additlonallnsured with ....pact to general liability. \.;c,,)rc;,', (Jr'!j/: .;" CERTIFICATE HOLDER ", ,i," """, I ADOmotW..NMJIEO"IN..RERLETTER:: CANCELLATION u..'" $1 000 000 $300 000 $5 000 $1 000 000 $2 000 000 $2 000 000 $ $ $ $ $ $ $ $4 000 000 $4 000 000 $ $ $ ""'''''..', "'>'''''':Gr' ~ iU:SP.nk ljv, AV SHOUlD /llMYOFTHEMOVE DE8CAlBED POUCESBECMCELLED BEFORETHEEXPIRA11ON DAlE THEREOF, 11tE I88UIifG IN8URER WILL ENDEAVOR TOIlAlL34-0A"WSWRITTEN N011CETOTHE CERTFICAlE HOLDERNAIIED lOTHELEFT. BUT FAILURE lODOSOSHALL IM~E NO OBLIGATION ORLlMlLfTYOF ANYIQND UPON THE IN8URER,fTSAOENTSOft REPRE8ENTATIVE8. ~REP~ATlVE O'-J'> "'" OQJ --<)J. 0 Monroe County BOCC 1100 Simonton St. Key Weel, FL 33040 , ACORD 25-S (7/97)1 of:Z #8157936/M156704 K./S .. ACORD CORPORATION 1988 / Cc.~:-- ..............-'-'...'..,'.'..".......,--... ......ACORjj~ ...........milmiTil.l!!.m..i......ltiirll...............................l!!il...liltEiIIIIliirl\iIliils\m.I...mi..IWmi.........I!!............\............\................ :-:-:':- :.:,.-, ..,...:.ntlt 'Ftl: -..:,' Ntl}" .,.,..,.::.-: .:::- "11:><Ii- M-la: :U: ::::I}}I?::::: ::1':...... . :::: :AM :- : ":: ":E;::':::::,;::-:,;':':':--': ,::::::::....-....;.:::_:_:.:_.;,..-::::....::::;...,:::,:,),:.)}:.:_:::::.:.:.;.:::.:-:::::::.",,:::.:.,;:::.::.:.:.;.::t,:;.,.....;::::.:.:::=::=,:/::-:.;.,.;.:::.;.;:::=,:::::::::::::::;:::;:;::::::::::::):,}:::::::)\:::=)::::::::)}:;:;:::::::::.:-:::::::::.:.::;:::::::}:::::;:/\:::;:::}::::)::,.:.::,::::::::::::::,:;::::::::::::'..... DATE (MMIDDlYY) 10/lS/07 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER MUTUAL INSURANCE INC POBOX 12350 ST PETE FL 33733-2350 COMPANY A AUTO OWNERS INS CO HARVARD, JOLLY, INC. COMPANY B ;\..'1:<,..., ~.."' ' ;';( INSURED COMPANY 2714 DR MLK JR ST N C ST PETERSBURG FL 33704-2722 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIODlYY) DATE (MMlDDlYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE $ PRODUCTS - COM PlOP AGG $ $ $ $ $ PERSONAL & ADV INJURY EACH OCCURRENCE AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS 9677117000 FIRE DAMAGE (Anyone tire) MED EXP (Anyone person) GARAGE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ BODILY INJURY $1,000,000 (Per person} BODILY INJURY '1,000,000 (Per accident) PROPERTY DAMAGE $ 500,000 AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ $ T - ER EL EACH ACCIDENT $ EL OlSEASE-POLlCY LIMIT $ EL OlSEASE-EA EMPLOYEE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY CJy.- THE PROPRIETORl PARTNERs/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLESlSPECIAL ITEMS ADDITIONAL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS PROJECT: MONROE COUNTY MEDICAL EXAMINERS OFFICE C; . c MONROE COUNTY BOCC CONSTRUCTION MANAGEMENT 1100 SIMONTON ST KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ 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 IND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED RE RESENTATIVE ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDOIYY) 12/19/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Suncoast Insurance Associates r----..-__ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 22668 r HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR " ALTER THE dOVERAGE AFFORDED BY THE POLICIES BELOW. T~ 33622-2668 I 813 289-5200 , ' INSURERS AFFORDING COVERAGE I INSURED . Phoenjx Insurance Company INSURER A: Harvard Jolly, Inc. ! INSURER B: Travel~rs Indemnity Company 2714 Dr Martin Luther King Jr St t l... INSURER c: Travel ~rs Casualty and Surety Co St Petersburg, FL 33704 INSURER D: XLSp cialty Insurance Company . I __'B." INSURER E: Cllent#: 2476 HARVJOL3 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 TYPE OF INSURANCIE POLICY NUMBER I Pg~~CEY/;~~g~~ p~~~J /~~~~N LIMITS LTR A ! GENERAL LIABILITY 6606514L487 111/08/07 11/08/08 EACH OCCURRENCE .1 000000 u~.,."._""'.'" FIRE DAMAGE (Anyone fire) '300 000 CLAIMS MADE [1c] OCCUR MED EXP (Anyone person) .5000 PERSONAL & ADV INJURY .1 000000 GENERAL AGGREGATE .2 000 000 n'L AGG~ErilE ~L1MIT AP!~S PER PRODUCTS -COMPIOP AGG .2 000 000 POLICY X j~g,: LOC " (\ . ----- AUTOMOBILE LIABILITY tl .~ ~~ fI ';L COMBINED SINGLE LIMIT - . ANY AUTO ~ (Eaaoodent) - ~i5E ALL OWNED AUTOS \ -1). - BODILY INJURY . SCHEDULED AUTOS (Per person) - - HIRED AUTOS BODILY INJURY -. ". -'.. . NON-OWNED AUTOS (Peraoodent) - - PROPERTY DAMAGE . (Peraccidenl) ~RAGE LIABILITY AUTO ONLY - EA ACCIDENT . _. _ ANY AUTO OTHER THAN EA ACC . AUTO ONLY: AGG . B EXCESS LIABILITY CUP7798Y577 11/08/07 11/08/08 EACH OCCURRENCE .4 000 000 ~'OCCUR D CLAIMS MADE AGGREGATE .4 000,000 i~ DEDUCTIBLE I . I . xl RETENTION .10000 , C WORKERS COMPENSATION A.ND UB5238Y879 01/01/08 01/01/09 X IT"6~$IfJH~ I IOJ~- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT .1,000,000 .. E.L. DISEASE. EA EMPL OYEE .1,000,000 E.L. DISEASE. POLICY LIMIT .1 000000 0 OTHER Professional DPR9606843 06/30/07 06/30/08 $3,000,000 per claim Liability $3,000,000 annl aggr. ,,- " DESCRIPTION OF OPERATIONSfLOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTfSPECIAL PROVISIONS tl;;aCI:')~enl Professional Liability is claims made and reported. Certificate Holder is an additional insured with respect to general fAN 22 20llB liability. ~'. ~\ y'\.CW'\ ~ ;,1;";::; ;:r.~~"';",::,~--:~..&~~~_-:-:<".- CERTIFICATE HOLDER I I AODlTtONALINSURED.INSURERLETTER: CANCELLATION SHOULD ANYOFTHEASOVEDESCRIBED POLICIES BECANCELLED BEFORE THE EXPIRATION Monroe County sacc DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3A-DAYSWRlTTEN 1100 Simonton St. NOTlCETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TODOSOSHALL Key West, Fl. 33040 IMPOSE NO OBLIGATION ORlrABILlTYOF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AmED REPR~TIVE . -')\. Ql.. .0. - - ACORD 25 5 (7/97)1 of 2 #M156703 KEB @ ACORD CORPORATION 1988