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Certificates of InsuranceTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. T TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. CO DATE (MM/DD/YY) DATE (MM/DDNY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE 000000 A COMM. GENERAL LIABILITY MZG 80716640 1 1 /01 /98 11 /01 /99 PROD-COMP/OP AGG. 2000000 CLAIMS MADE X OCCUR PERS. & ADV. INJURY 1000000 OWNER'S & CONTRACT'S PROT EACH OCCURRENCE FIRE DAMAGE(One Fire) 1 MED EXP(Any one person) 5000 AUTOMOBILE LIABILITY COMBINED SINGLE X A ANY AUTO MZG80716640 11 /01 /98 1 1 /01 /99 LD41T 1000000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS r;-'°' 0 EL ... R "Ilk 4GEM;'f (Per person) X BODILY INJURY (Per accident) X 6y NMCS-90 PROPERTY DAMAGE E X BR.POLLUTION GARAGE LIABE,TTY DA AUTO ONLY -EA ACCIDENT ANY AUTO -YESIIA-ed OTHER THAN AUTO ONLY: ...................................... EACH ACCIDENT AGGREGATE EXCESS LIABILITY EACH OCCURRENCE 10000000 A FqUMBRELLA FORM XYZ83634436 1 1 /01 /98 1 1 /01 /99 AGGREGATE 10000000 OTHER THAN UMBRELLA FORM B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL 770-00031 4/01 /98 4/01 /99 X I STATUTORY LIMITS EACH ACCIDENT 500000 DISEASE -POLICY LIMIT 500000 OFFICERS ARE: EXCL DISEASE -EACH EMPL. 500000 OTHER A AZC80586291 1 1 /01 /98 1 1 /01 /99 GENERAL LIABILITY 1000000.00C.2000000.AGG LOC.S 1-3,5-7,21,33,39 DESCRII'TION OF OPERATIONS/LOCATIONSrTMCLES/SPECIAL ITEMS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE ADDITIONAL INSURED ON LIABILITY POLICIES SHOWN A.T.I.M.A. EXCLUDING WORKERS COMPENSATION WITH RESPECT TO CONTRACT FOR: FUEL DELIVERY SERVICES. MONROE COUNTY RISK MANAGEMENT ATTN:MARIA DEL RIO, RISK MGMT 5100 COLLEGE ROAD KEY WEST, FL 33040 . DATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WELL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL EmyoSE NO OBLIGATION OR L�BILTT�.OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. kIj4Hn1ftZED REPRESENTATIVE ACORD CERTIFICATE OF LIABILITY I'NSURANCPSR CA DATE(MM/DDNY) IONOIL 11/05/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS 6 REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8925 S.W. 148 STREET #207 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-8000 COMPANIES AFFORDING COVERAGE Robert D . Reynolds Phone No. 305-238-1000 Fax No. COMPANY A Westport Insurance Company INSURED COMPANY B Great American Insurance Co. DION'S QUIK MARTS, INC. dba DION OIL COMPANY COMPANY Suzanne Banks C Post Office Box 1209 Key West FL 33041 COMPANY D REVISED COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2 000 000 X PRODUCTS - COMP/OPAGG $ 2 00O 000 A COMMERCIAL GENERAL LIABILITY WHL0001463 11/01/99 11/01/00 CLAIMS MADE aOCCUR PERSONAL & ADV INJURY $1 OOO OOO EACH OCCURRENCE $ 1 00O 000 OWNER'S & CONTRACTOR'S PROT X FIRE DAMAGE (Any one fire) $ 100,000 A LIQUOR LIABILITY MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY A ANY AUTO WHL0001463 11/01/99 11/01/00 COMBINED SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS A A HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Peraccident) $ X PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ A X ANY AUTO WHL0001463 11/01/99 11/01/00 OTHER THAN AUTO ONLY: EACH ACCIDENT $ 1 000 000 AGGREGATE $ 2 000 000 EXCESS LIABILITY EACH OCCURRENCE $ 1O 00O 000 B UMBRELLA FORM N UMB3751690-158 11/01/99 11/01/00 AGGREGATE $ 10 000 000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ,' THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE M otv R WC STATU• OTH- TOR LIMITS ER EL EACH ACCIDENT EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OFFICERS ARE: EXCL OTHER f1 G ATE - 1�--H--- C��j - DATE l L '_' DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS INITIAL Petroleum Distributor - State of Florida *excgpt.10 days for non-payment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTIFICATE HOLDER CANCELLATION MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County BOCC EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Risk Management ATTN: Maria Del Rio * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPATIV� ACORD 25-S (1195) " ACORD CORPORATION 1988 / ACORD CERTIFICATE OF LIABILITY INSURANCgcA D IONOIL 03/270 03/27/0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8925 S.W. 148 STREET #207 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-8000 COMPANIES AFFORDING COVERAGE Robert D . Reynolds Phone No. 305-238-1000 Fax No. COMPANY A Westport Insurance Company INSURED COMPANY B Great American Insurance Co. DION'S QUIK MARTS, INC. COMPANY dba DION OIL COMPANY Suzanne Banks C Associated Industries Ins Co Post Office Box 1209 Key West FL 33041 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTRDATE TYPE OF !NSUP.ANCE POLICY NUMBER POLICY EFFECTIVE (MWDD/YY) POLICY EXPIRATION M/ DATE (MDD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $2 , OOO , OOO X PRODUCTS •COMP/OPAGG 52,000,000 A COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR WHL0001463 11/01/99 11/01/00 PERSONAL & ADV INJURY $ 1 , 000 , 000 EACH OCCURRENCE $ 1 , 000 , 000 OWNER'S & CONTRACTOR'S PROT X FIRE DAMAGE (Any one fire) $ 100,000 A LIQUOR LIABILITY MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY A ANY AUTO WHL0001463 11/01/99 11/01/00 COMBINED SINGLE LIMIT $ 1 , 000 , 000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ A A HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) = X PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ A X ANY AUTO WHL0001463 11/01/99 11/01/00 OTHER THAN AUTO ONLY: EACH ACCIDENT $ 1 , 000 , 000 AGGREGATE $ 2 000 000 EXCESS LIABILITY EACH OCCURRENCE $ 10 , 000 , 000 B X UMBRELLA FORM UMB3751690-158 11/01/99 11/01/00 AGGREGATE $ 10,000,000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY T STATI T ER EL EACH ACCIDENT $ 500000 C THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE 2000323464 04/01/00 04/01/01 ELDIS !Dr> tiTrrl~,�b01flb EL DISEASE E POE 0000 OFFICERS ARE: —F]EXCL OTHER Y VCS DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Petroleum Distributor - State of Florida *excgpt.10 days for non-payment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest Cc >s may appear with respect to contract for fuel delivery services CERTIFICATE HOLDER CANCELLATION MONROE 3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County BOCC EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Risk Management ATTN: Maria Del Rio * 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road Key West FL 33040 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ��I�Z DATE _. AUTHORIZED REPRESENT +•91, X i ACORD 25-S (1/95) r < <T [ A.! .____..---•- - ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCECSR CA DATE(MM/DD/YY) DIONOIL 09/27/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8925 S.W. 148 STREET #207 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-8000 COMPANIES AFFORDING COVERAGE Robert D. Reynolds Phone No. 305-238-1000 Fax No. COMPANY A Westport Insurance Company INSURED COMPANY B Great American Insurance Co. DION'S QUIK MARTS, INC. COMPANY C Associated Industries Ins Co dba DION OIL COMPANY Suzanne Banks Post Office BOX 1209 Key West FL 33041 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDD/YY) POLICY EXPIRATION DATE (MWDD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $2,000,000 A X COMMERCIAL GENERAL LIABILITY WHL0001463 11/01/99 01/01/01 PRODUCTS - COMP/OPAGG $2,000,000 CLAIMS MADE ❑X OCCUR PERSONAL & ADV INJURY $ 1 , 000 , 000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1 , 000 , 000 X FIRE DAMAGE (Any one fire) $ 100,000 A LIQUOR LIABILITY MED EXP (Any one person) $ 5,000 A AUTOMOBILE LIABILITY ANY AUTO WHL0001463 11/01/99 01/01/01 COMBINED SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ A A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 1 r r /�) [ I F , _ �_ , _ X BODILY INJURY (Per aceident) $ X PROPERTY DAMAGE $ GARAGE LIABILITY _ AUTO ONLY - EA ACCIDENT $ A X ANY AUTO WHL0001463 11/01/99 01/01/01 OTHER THAN AUTO ONLY: EACH ACCIDENT $1,000,000 AGGREGATE s2,000,000 EXCESS LIABILITY EACH OCCURRENCE $ 10,000,000 B X UMBRELLA FORM UMB3751690-158 11/01/99 01/01/01 AGGREGATE $10,000,000 $ OTHER THAN UMBRELLA FORiA WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TH- TO STATU- OER RY LIMITS ER EL EACH ACCIDENT $ 500000 C THE PROPRIETOR/ INCL PARTNERSIEXECUTIVE OFFICERS ARE: EXCL 2000323464 04/01/00 04/01/01 EL DISEASE -POLICY LIMIT $ 500000 EL DISEASE - EA EMPLOYEE $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Petroleum Distributor - State of Florida *except,l0 days for non-payment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTIFICATE HOLDER CANCELLATION MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County BOCC EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Risk Management *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ATTN : Maria Del Rio 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTH RIZED REPRESENTATNE ACORD 25-S (1/95) " ACORD CORPORATION 1988 DATE(MWDD/YY) ACORD CERTIFICATE OF LIABILITY INSURANCgSR oI IONOIL 12/26/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8925 S.W. 148 STREET #207 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-8000 COMPANIES AFFORDING COVERAGE Robert D . Reynolds Phone No. 305-238-1000 Fax No. COMPANY A Westport Insurance Company INSURED COMPANY DION'S QUIK MARTS, INC. etal B Westchester Fire Ins. Co. COMPANY dba DION OIL COMPANY Suzanne Banks C Associated Industries Ins Co Post Office Box 1209 Key West FL 33041 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MWDDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE E 2 , OOO , OOO X PRODUCTS - COMPIOPAGG $2,000,000 A COMMERCIAL GENERAL LIABILITY CLAIMS MADE F_X] OCCUR WHL000146301 01/01/01 01/01/02 PERSONAL & ADV INJURY $ 1 , 000 , 000 EACH OCCURRENCE $ 1 , 000 , 000 OWNER'S & CONTRACTOR'S PROT X FIRE DAMAGE (Any one fire) $ 50,000 A LIQUOR LIABILITY MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY A ANY AUTO WHL000146301 01/01/01 01/01/02 COMBINED SINGLE LIMIT $ 1,000,000 X A A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS + - h - - 1 _ \ / BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE $ GARAGE LIABILITY ... AUTO ONLY - EA ACCIDENT $ A X ANY AUTO WHL000146301 01/01/01 01/01/02 OTHER THAN AUTO ONLY: EACH ACCIDENT $1,000,000 AGGREGATE $ 2 000 000 EXCESSLIABILITY EACH OCCURRENCE $25,000,000 B X UMBRELLA FORM BINDER 01/01/01 01/01/02 AGGREGATE $ 25, 000, 000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TyC TATUO ITS OER EL EACH ACCIDENT $ 500000 C THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE 2000323464 04/01/00 04/01/01 EL DISEASE -POLICY LIMIT $ 500000 EL DISEASE - EA EMPLOYEE $ 500000 OFFICERS ARE: EXCL i OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Petroleum Distributor - State of Florida *except.10 days for non-payment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTIFICATE HOLDER CANCELLATION MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County BOCC EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Risk Management ATTN: Maria Del Rio * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTA IVE ACORD 25-S (1195) " ACORD CORPORATION 1988 AC CERTIFICATE OF LIABILITY INSURANCgsR cA DATE(MM/DD/YY) IONOIL 12/26/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8925 S.W. 148 STREET #207 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-8000 COMPANIES AFFORDING COVERAGE Robert D . Reynolds COMPANY Phone No. 305-238-1000 Fax No. A Westport Insurance Company INSURED COMPANY B Westchester Fire Ins. Co. DION'S QUIK MARTS, INC. etal COMPANY C Associated Industries Ins Co dba DION OIL COMPANY Suzanne Banks Post Office BOX 1209 Key West FL 33041 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY DATE (EFFECTIVEMM/DD/YY) POLICY EXPIRATION DATE (MWDDfYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $2 , 000 , 000 A X COMMERCIAL GENERAL LIABILITY WHL000146301 01/01/01 01/01/02 PRODUCTS - COMP/OP AGG s2,000,000 CLAIMS MADE a OCCUR PERSONAL & ADV INJURY $ 1 , 00 0 , 000 EACH OCCURRENCE $ 1 , 000 , 000 OWNER'S & CONTRACTOR'S PROT X FIRE DAMAGE (Any one fire) S 50,000 A LIQUOR LIABILITY MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY A ANY AUTO WHL000146301 01/01/01 01/01/02 COMBINED SINGLE LIMIT $1 , 000 , 000 X A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS APPROVED BY RISK MANAGEMENT BY n- �i *e-LnATF Y BODILY INJURY (Per person) $ X BODILY INJURY dent) $ O PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ A X ANY AUTO WHLO 0 (70416R01 01 01/01/02 OTHER THAN AUTO ONLY: EACH ACCIDENT $1,000,000 AGGREGATE $2 000 , 000 EXCESS LIABILITY EACH OCCURRENCE $25,000,000 B X UMBRELLA FORM BINDER 01/01/01 01/01/02 AGGREGATE $25,000,000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY - OTH- WCTORY LIMITS STATUER EL EACH ACCIDENT S 500000 C THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE 2000323464 04/01/00 04/01/01 EL DISEASE -POLICY LIMIT $500000 EL DISEASE - EA EMPLOYEE $500000 OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Petroleum Distributor - State of Florida *except 10 days for non-payment of premium CERTIFICATE HOLDER CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Public Works Attn: Noreen 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 3583 South R000sevelt Blvd BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED ACORD 25-S (1195) gqREPRESENTATIVE " ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE;CSR CA DATE(MM/DD/YY) IONOIL 03/21/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS 6 REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8925 S.W. 148 STREET #207 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-8000 COMPANIES AFFORDING COVERAGE Robert D . Reynolds Phone No. 305-238-1000 Fax No. COMPANY A Westport Insurance Company INSURED COMPANY B Westchester Fire Ins. Co. DION'S QUIK MARTS, INC. etal COMPANY dba DION OIL COMPANY Suzanne Banks C Associated Industries Ins Co Post Office BOX 1209 Key West FL 33041 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE 52,000,000 X PRODUCTS -COMPIOPAGG s2,000,000 A COMMERCIAL GENERAL LIABILITY WHL000146301 01/01/01 01/01/02 CLAIMS MADE F X] OCCUR PERSONAL & ADV INJURY $ 1 , 000 , 000 EACH OCCURRENCE $ 1 , 000 , 000 OWNER'S & CONTRACTOR'S PROT X FIRE DAMAGE (Any one fire) $ 50,000 A LIQUOR LIABILITY MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY A ANY AUTO WHL000146301 01/01/01 01/01/02 COMBINED SINGLE LIMIT $ 1 , 000 , 000 X BODILY (Perperson)INJURY 9 A A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS r ` '� -- Lr l T X BODILY INJURY (Per accident) $ X n 5"F PROPERTY DAMAGE $ GARAGE LIABILITY ...... GC AUTO ONLY - EA ACCIDENT $ A X ANY AUTO WHL000146301 01/01/01 01/01/02 OTHER THAN AUTO ONLY: EACH ACCIDENT $ 1 000,000 AGGREGATE $ 2 000 000 EXCESS LIABILITY EACH OCCURRENCE $ 25 , 000 , 000 B X UMBRELLA FORM BINDER 01/01/01 01/01/02 AGGREGATE s25,000,000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY LIMITS ER EL EACH ACCIDENT $ 500000 C THE PROPRIETOR/ INCL PARTNERSIEXECUTIVE 2001323464 04/01/01 04/01/02 EL DISEASE -POLICY LIMIT $ 500000 EL DISEASE - EA EMPLOYEE $ 500000 OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Petroleum Distributor - State of Florida *excgpt.10 days for non-payment Of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTIFICATE HOLDER CANCELLATION MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County BOCC EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Risk Management ATTN: Maria Del Rio * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S (1195) �� " ACORD CORPORATION 1988 :. ... . ..... .. .: :::: :::.::. ':.:..,,..........:::::::::: ': ::::::. ::: ' .::; ::.:' .:::: '. :. .: .' .:.: :.;.....:.::..,;.:,:,;._.::::: DATE (MM/DD/YY) ACORD CE:RTI:F I CATS OF L lrA'B.[ I T (' l.S I�RANC E ...:.. ... : ..� DIOiVAEL.:..: 12/27/01 ' ......... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8925 S.W. 148 STREET #207 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-8000 COMPANIES AFFORDING COVERAGE Robert D. Reynolds COMPANY Phone No. 305-238-1000 Fax No. A Westport Insurance Company INSURED COMPANY B Westchester Fire Ins. Co. DION'S QUIK MARTS, INC. etal COMPANY dba DION OIL COMPANY Suzanne Banks C Associated Industries Ins Co Post Office Box 1209 Key West FL 33041 COMPANY D C011Ef2,4G E$....................::::.......:.......:........:.........:.................................................. . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR LIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2, 000, 000 X PRODUCTS - COMP/OPAGG $ 2, 000, 000 A COMMERCIAL GENERAL LIABILITY WHL000146302 01/01/02 01/01/03 CLAIMS MADE ❑X OCCUR PERSONAL & ADV INJURY $ 1, 0 0 0 , 0 0 0 EACH OCCURRENCE $ 1, 0 0 0 , 0 0 0 OWNER'S & CONTRACTOR'S PROT X FIRE DAMAGE (Any one fire) $ 50,000 A LIQUOR LIABILITY MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY A ANY AUTO WHL000146302 01/01/02 01/01/03 COMBINED SINGLE LIMIT $ 1, 000, 000 X ALL OWNED AUTOS SCHEDULED AUTOS APPROVED BY RISK MANAGE". ENT .11 BODILY INJURY (Per person) $ X BODILY INJURY A HIRED AUTOS A X NON -OWNED AUTOS BY l_'`�� (Per accident) $ PROPERTY DAMAGE $ DATE Z O �. A GARAGE LIABILITY ANY AUTO 4�(A It�fRR, ItYES AUTO ONLY - EA ACCIDENT $ X WHL�OUl'4631UY/LJ1 01/01/02 01/01/03 OTHER THAN AUTO ONLY: EACH ACCIDENT $ 1, 000, 000 AGGREGATE $ 2, 000, 000 EXCESS LIABILITY EACH OCCURRENCE $ 2 5, 0 0 0, 0 0 0 B X UMBRELLA FORM BINDER 01/01/02 01/01/03 AGGREGATE $ 25, 000, 000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND X TORYTATU OER ................ EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 500000 C THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE 2001323464 04 /01/01 04/01/02 EL DISEASE -POLICY LIMIT $ SQOOQO OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ 5 0 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Petroleum Distributor - State of Florida *except10 days for non-payment of premium Monroe County Board of County Commissioners are Additional Insures on Liability Policies as their interest may appear with respect to contract for fuel delivery services CRTIFICATE HOLDER:::::::::::::::::::::::::::::::::::::::::::::::::::.... . ELL4TION::::::::::::::::::::::::::::::::::::::::::::::::: CAN MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County BOCC EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Risk Management ATTN: Maria Del Rio * 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ......................................... ................................ ............•...........�...•.�....................::::::::::::::::::�: /kCORD:C�RP©F21a'F'1GtP1:198$:: acoRv CERTIFICATE OF LIABILITY INSURANCECSR CA DATE (MM/DD/YY) PRODUCER MORRIS & REYNOLDS INSURANCE 8925 S.W. 148 STREET #207 DIONOIL 03/21/02 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. MIAMI FL 33176-8000 COMPANIES AFFORDING COVERAGE Robert D . Reynolds COMPANY Phone No. 305-238-1000 Fax No. A Westport Insurance Company INSURED DION'S QUIK MARTS, INC. etal COMPANY B Westchester Fire Ins. Co. dba DION OIL COMPANY Suzanne Banks COMPANY C Associated Industries Ins Co Post Office Box 1209 COMPANY D Key West FL 33041 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE [*] OCCUR OWNER'S & CONTRACTOR'S PROT LIQUOR LIABILITY WHL000146302 01/01/02 01/01/03 GENERALAGGREGATE s2,000,000 X PRODUCTS - COMP/OPAGG $2,000,000 PERSONAL & ADV INJURY $ 1 , 000 . 000 EACH OCCURRENCE $ 1 , 000 , 000 X FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $j 000 AUTOMOBILE LIABILITY A X ANY AUTO WHL000146302 01c01/_02 01/01/03 COMBINED SINGLE LIMIT $1,000,000 A A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AP BY DATE ------ Giv'rC�N� � W y BODILY INJURYI (Per $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE $ WAIVER CVf A ""'-" YES A GARAGE LIABILITY ANY AUTO WHL000146302 01/01/02 01/01/03 AUTO ONLY - EA ACCIDENT $ X OTHER THAN AUTO ONLY: EACH ACCIDENT $ 1 , 000 , 000 AGGREGATE $ 2 000 000 B EXCESS X LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM CUA1509220 01/01/02 01/01/03 EACH OCCURRENCE s25,000,000 AGGREGATE $ 25, 000, 000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X WC STATU- OTH- TORY LIMITS ER C THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL 2002323464 OFFICERS ARE: EXCL OTHER EL EACH ACCIDENT s 500000 04/01/02 04/01/03 EL DISEASE -POLICY LIMIT $ 500000 EL DISEASE - EA EMPLOYEE $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Petroleum Distributor - State of Florida *except,10 days for non-payment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTIFICATE HOLDER CANCELLATION Monroe County BOCC Risk Management ATTN: Maria Del Rio MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ACORD 25-S (1/95) AUTHORIZED REPRESENTATIVE Robert D. � ACORD CORPORATION 1988 acoRQ. CERTIFICATE OF LIABILITY INSURANCECSR CA DATE(MMiDDNY) DIONOIL 04/22/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8 925 S.W. 148 STREET #207 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-8000 COMPANIES AFFORDING COVERAGE Robert D. Reynolds COMPANY Phone No. 305-238-1000 Fax No. A Commerce and Industry INSURED COMPANY DION QUIK MARTS,INC. etal B COMPANY dba DION OIL COMPANY Suzanne Dion Banks C Post Office Box 1209 COMPANY D Key West FL 33041-1209 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. [LCTORT__T;Y1E OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDDIYY) POLICY EXPIRATION DATE (MWDD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE E OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS APPROA!Y COMBINED SINGLE LIMIT $ SCHEDULED AUTOS HIRED AUTOS BY ARAMEN BODILY INJURY (Per person) $ NON -OWNED AUTOS DATE,. BODILY INJURY (Per accident) $ WAIVER NJA yES PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO ' AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ ' EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY TORY LIMITSi ER THE PROPRIETOR/ EL EACH ACCIDENT $ PARTNERS/EXECUTIVE INCL EL DISEASE - POLICY LIMIT $ OFFICERS ARE: EXCL OTHER EL DISEASE - EA EMPLOYEE $ A Storage Tank Third FPL7511803 01/01/02 01/01/03 each inci 1000000 Liability aggregate 1000000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Petroleum Distributor - State of Florida Certificate Holder is named as Additional Insured CERTIFICATE HOLDER CANCELLATION MONROE5 Monroe County Board of County Commissioners 1100 Simonton Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33 040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ACORD 25-S (1/95) AUTHORIZED REPRES Robert D. �- , • � vi.n � lulu i aoo . ACORD C RT! F I CATS : DATE(MM/DD/YY) L1�.....�LI �I SUR, N GAR ...... PRODUCER . ...o .. ... ...... DI :NAIL: 03/25/03 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MORRIS & REYNOLDS INSURANCE 8925 S.W. 148 STREET #207 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-8000 COMPANIES AFFORDING COVERAGE Robert D. Reynolds COMPANY Phone No. 305-238-1000 Fax No. A RLI Insurance Company INSURED COMPANY B Associated Industries Ins Cc Dion Oil Company COMPANY Ms. Suzanne Dion Banks C American Home Assurance Post Office Box 1209 Key West FL 33041-1209 COMPANY D C011ER,......:::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::... :: :::::::::::::::::............ :........... :.:.:.:.:::.:................... ........... . 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. COVLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE [jflOCCUR CPJ0001565 01/01/03 01/01/04 GENERAL AGGREGATE $ 2,000,000 X PRODUCTS-COMP/OPAGG s2,000,000 PERSONAL & ADV INJURY $1,000,000 OWNER'S& CONTRACTOR'SPROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $5,000 AUTOMOBILE LIABILITY X A ANY AUTO CPLT0001565 01/01/03 01/01/04 COMBINED SINGLE LIMIT $ 1, 000, 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per (Per person) HIRED AUTOS NON -OWNED AUTOS APPR BY K MAIGNENT BODILY INJURY (Per accident) $ DATE PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO WAIVER Ni,A �r _ AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ i �( AGGREGATE $ C EXCESS LIABILITY X UMBRELLA FORM OTHER THAN UMBRELLA FORM 7410068 01/01/03 01/01/04 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15, 000, 000 SIR $ 10 , 00 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC S1ATU- OTH- TORY LIMITS X ER .................. . ................ EL EACH ACCIDENT $ 500,000 B THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL R OTHER 2003323464 04/01/03 04 / 01 / 04 EL DISEASE -POLICY LIMIT $ 500,000 EL DISEASE - EA EMPLOYEE $ Cj 0 0 , 0 0 0 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Petroleum Distributor - State of Florida *except 10 days for non-payment of ppremium Monroe County Board of County Commissioners are Additional Insure3 on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTtF1CA7E HOLDER CANCELLATION.::.. . MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County BOCC Risk Management ATTN: Maria Del Rio EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL * 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. aaCOR©:25 5:(t(95)::::::::::::::::::::::::::::::::::::::::...:...:....:............ AUTHORIZED REPRESENTATIVE Rob y ..........::::::: DATE(MM/DD/YY) acoRo RTIFI ''...AT' Q LI}�B;ILIT �I SIR N± ��R. �� DIONpTL 12/27/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MORRIS & REYNOLDS INSURANCE 8925 S.W. 148 STREET #207 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-8000 COMPANIES AFFORDING COVERAGE Robert D. Reynolds COMPANY Phone No. 305-238-1000 Fax No. A RLI Insurance Company INSURED COMPANY B Associated Industries Ins Co Dion Oil Company COMPANY Ms. Suzanne Dion Banks C American Home Assurance Post Office Box 1209 Key West FL 33041-1209 COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE GATE (MM/DD/YY) POLICY EXPIRATION DATE (MWDD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE s2,000,000 X A COMMERCIAL GENERAL LIABILITY CLAIMS MADE ] OCCUR CPLT0001565 01/01/03 01/01/04 PRODUCTS - COMP/OPAGG $ 2, 000, 000 PERSONAL & ADV INJURY $ 1, 0 0 0 , 0 0 0 OWNER'S& CONTRACTOR'SPROT EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY X A ANY AUTO CPLT0001565 01/01/03 01/01/04 COMBINED SINGLE LIMIT $ 1, 000, 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS Q �� ENT BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ 9 1A / GARAGE LIABILITY px1TE YES AUTO ONLY - EA ACCIDENT $ ANY AUTO NIA r; OTHER THAN AUTO ONLY: i EACH ACCIDENT $ AGGREGATE $ y C EXCESS LIABILITY X 1 UMBRELLA FORM rl �J BINDER 01/01/03 01/01/04 EACH OCCURRENCE $ 15, 000, 000 AGGREGATE $ 15, 000, 000 OTHER THAN UMBRELLA FORM SIR $ 10 , 0 0 0 WORKERS COMPENSATION AND LIABILITY WC STATU- PER TORY LIMITS X ER . ............. EL EACH ACCIDENT $ 500,000 B THEPROPRIETOR/ PARTNERS/EXECUTIVE INCL OFFICERS ARE: EXCL OTHER 2002323464 04/01/02 04/01/03 EL DISEASE -POLICY LIMIT $ 500,000 EL DISEASE - EA EMPLOYEE $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Petroleum Distributor - State of Florida *except 10 days for non-payment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services cRTIFac atE: HOLDa::::::::::::: .........CANE ...................:. : :..... : MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County BOCC Risk Management ATTN: Maria Del Rio EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL * 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Robert D. � , ........ .............. ....... "''"'��"'ry0.GRQ T7aN.1988.;.;. ................................. .................. ......................... I................. MCURD:..: C:SR::CI :::::::::. DATE (MM/DD/YY) >: ryRTIICATE C� LIBLIT �I SIJI�NE ........ ....... ... .................. ................................................DIONOI.L....... 12/29/03 ....................................... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14 821 South Dixie Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-7928 COMPANIES AFFORDING COVERAGE Robert D. Reynolds Phone No. 305-238-1000 FaXNo.305-255-9643 COMPANY A RLI Insurance Company INSURED COMPANY B Associated Industries Ins Co Dion Oil Company etal Ms. Suzanne Dion Banks COMPANY C National Union Fire Insurance Post Office BOX 1209 Key West FL 33041-1209 COMPANY D G & ::. , .......................... ....................................................................................................................... ............................. , ..::::: >::::::: >:'::':':::'::::::::::: . ............................... 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 DATE (MM/DD/YY) POLICY (MM/DD/YY)N LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X PRODUCTS - COMP/OPAGG $ 2, 000, 000 A COMMERCIAL GENERAL LIABILITY CPJ0001565 01/01/04 01/01/05 CLAIMS MADE �X OCCUR PERSONAL & ADV INJURY $ 1, 000, 000 EACH OCCURRENCE $ 1,000,000 OWNER'S& CONTRACTOR'SPROT FIRE DAMAGE (Any one fire) $ 100,000 MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY A ANY AUTO CPJ0001565 01/01/04 01/01/05 COMBINED SINGLE LIMIT $ 1, 000, 000 ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per person) $ HIRED AUTOS NON-OWNEDAUTOS it7t''� �'tl ` �+ ...:" ;�$ r �4aE •EN ��YY X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE AUTO ONLY - EA ACCIDENT $ $ GARAGE LIABILITY ANY AUTO WA��/R 'rA .—.YES, OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ C EXCESS LIABILITY UMBRELLA FORM N 1 BE5683526 ��, 01/01/04 01/01/05 EACH OCCURRENCE $ 15, 000, 000 AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY L WC STATU- OTH- TORY LIMITS X ER .................. . . ................... EL EACH ACCIDENT $ 500,000 B THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE 2003323464 04/01/03 04/01/04 EL DISEASE -POLICY LIMIT $500,000 EL DISEASE - EA EMPLOYEE $ 5 0 0 , 0 0 0 OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Petroleum Distributor - State of Florida *except,10 days for non-payment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTIFICATE :HOLDER :::::::::: :::::::: ::::::::::::::::::::. ::.:.:.::::: .............,ANC ... . LLA.. I N..:...: ....::.:..:.::....:.:.:..I.:.:.:.:.:::.............................:: MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County BOCC Risk Management ATTN: Maria Del Rio EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL *3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ^ Robert ds /aCORC3>25:5:(t/9).:::::::.:.::::.::::::::::::::.::::::::::::::..:�:.:..:.1,!'��l:!f�'r-U�',�r1��1�1Q�%v ..-. CG� ACORD CERTIFICATE OF LIABILITY INSURANC�PID JO DATE(MMlDDNY) DI03/29/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRI S & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14821 South Dixie Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-7928 COMPANIES AFFORDING COVERAGE Robert D . Reynolds Phone No. 305-238-1000 Fax No. 305-255-9643 COMPANY A RLI Insurance Company INSURED COMPANY B Commerce and Industry Dion Oil Company etal Ms. Suzanne Dion Banks COMPANY C National Union Fire Insurance Post Office BOX 1209 Key West FL 33041-1209 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MWDDlYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE s2,000,000 A X COMMERCIAL GENERAL LIABILITY CPJ0001565 01/01/04 01/01/05 PRODUCTS - COMP/OPAGG $2r000r000 CLAIMS MADE ❑X OCCUR PERSONAL & ADV INJURY $ 1 r 000 r 000 EACH OCCURRENCE $ 1 r 000 r 000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 100 r 000 MED EXP (Any one person) $ 5,000 A AUTOMOBILE LIABILITY ANY AUTO CPJ0001565 01/01/04 01/01/05 COMBINED SINGLE LIMIT $ 1 r 000 r 000 X ALL OWNED AUTOS SCHEDULED AUTOS AF�`�i y( � TENT BODILY (Per person) INJURY $ X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS BY X PROPERTY DAMAGE $ DATE �.� - _ _ .......�._.__� r� - GARAGE LIABILITY EllIN AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 15,000,000 C X UMBRELLA FORM BE5683526 01/01/04 01/01/05 AGGREGATE $ $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY LIMITS X ER EL EACH ACCIDENT $ 500 r 000 B THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE 9681192 04/01/04 04/01/05 EL DISEASE - POLICY LIMIT s500r000 EL DISEASE - EA EMPLOYEE $ 50O 000 OFFICERS ARE'. EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Petroleum Distributor - State of Florida *excgpt.10 days for non-payment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTIFICATE HOLDER CANCELLATION MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County BOCC EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Risk Management ATTN: Maria Del Rio 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHO D REP SENTATI E � ACORD 25-S (1/95) G Rob t D. Re o ds " ACORD CORPORATION 1988 CSR CZ DATE(MM/DDrCM) ACORD CERTIFICATE OF LIABILITY INSURANCE DIONOIL 12 28 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & RSYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 14821.South Dixie Highway MIAMI FL 33176-7928 INSURERS AFFORDING COVERAGE NAIC# Phone:305-238-1000 Fax:305-255-9643 A: Empire Fire and Marine 21326 INSURED INSURER INSURERB: commerce and Industry 19410 Dion O11 COmp any etal INSURER C: American Alternative Insurance Ms. Suzanne Dion Banks Post Office BOX 1209 INSURER D: Interstate Fire and Casualty Key West FL 33041-1209 INSURERE: COVERAGES ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH ANY MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. P LICY F E TIVE P LI Y EXPIRATION LIMITS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MW D/YY DATE MM/DD/YY EACH OCCURRENCE $ 1, O O O, O O O GENERAL LIABILITY O1/O1/05 O1/01/06 PREMISES (Eaoccurence) $ 1001000 A X COMMERCIAL GENERAL LIABILITY CP 3 0 0 3 6 3 MED EXP (Any one person) $ 5,000 CLAIMS MADE 41 OCCUR PERSONAL & ADV INJURY $ 1, OOO, OOO GENERAL AGGREGATE $ 2, 0 0 0, 0 0 0 PRODUCTS - COMP/OP AGG $ 2, 0 0 0, 0 0 0 GENT AGGREGATE LIMIT APPLIES PER: POLICY f 0 LOC COMBINED SINGLE LIMIT $ 1, 0 0 0 , 0 0 0 AUTOMOBILE LIABILITY 01/01/05 Ol/01/06 (Ea accident) A ANY AUTO CP300363 • ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS ,L) -- A P z— ; AGEMEN BODILY INJURY $ ]{ HIRED AUTOS (Per accident) X NON -OWNED AUTOS BY "`"' PROPERTY DAMAGE $ QA�"—- (Per accident) a�jA AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY WAIVER, EA ACC $ OTHER THAN ANY AUTO AUTO ONLY: AGG $ EACH OCCURRENCE $ 10 , 0 0 0, 0 0 0 EXCESSIUMBRELLA LIABILITY r CLAIMS MADE BINDER C(� 01/01/05 01/01/06 AGGREGATE $ C X OCCUR $ DEDUCTIBLE $ X RETENTION $10 , 000 TORY LIMITS X ER WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 9681192 04/01/04 04/01/05 E.L. EACH ACCIDENT $500,000 B ANY PROPRIETORIPARTNEF ECUTIVE E.L. DISEASE - EA EMPLOYEE $ 5 O O , O O O OFFICER/MEMBER EXCLUDED? E.L. DISEASE -POLICY LIMIT $ 5 0 0 , 0 0 0 If yes, describe under SPECIAL PROVISIONS below OTHER 01/01/05 01/01/06 5,000,000 D EXCESS UMBRELLA BINDER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Petroleum Distributor - State of Florida Monroe County Board of County *except 10 days for non-payment of premium Liability Policies as their interest Commissioners are Additional Insured on may appear with respect to contract for fuel delivery services CANCELLATION CERTIFICATE HOLDER Monroe County BOCC Risk Management ATTN: Maria Del Rio 5100 College Road Key West FL 33040 MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/08) © ACORD CORPORATION 1988 CSR C1 ACORD CERTIFICATE OF LIABILITY INSURANCE DIONOIL DATE (MM/DD/YYYY) 03 28 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14821 South Dixie Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-7928 Phone:305-238-1000 Fax:305-255-9643 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Empire Fire and Marine 21326 INSURERB: Commerce and Industry 19410 Dion Oil Company etal Ms. Suzanne Dion Banks INSURERC: American Alternative Insurance INSURER D: Interstate Fire and Casualty Post Office BOX 1209 Key West FL 33041-1209 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. NbK LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE CMM/DLICY D/YY E PDATEY MWDD/YY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [j] OCCUR CP300363 01/01/05 01/01/06 PREMISES (Ea occurence) $100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 0 0 0 , 0 0 0 POLICY PRO- JECT LOC A AUTOMOBILE LIABILITY ANY AUTO CP300363 01/01/05 01/01/06 COMBINED SINGLE LIMIT (Ea accident) $ l, 0 0 0, O O O X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS AP D 4 X BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS i VI" !FATE _ X TA� 65 PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO u / / $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 10,000,000 C X OCCUR CLAIMSMADE 60A2UB000174500 01/01/05 01/01/06 AGGREGATE $ $ $ DEDUCTIBLE $ X RETENTION $ 10 , 0 0 0 B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' If yes, SPECIdescribe under AL PROVISIONS below 9685085 04/01/05 04/01/06 - WC STATU- TORY LIMITS X ER E.L. EACH ACCIDENT $500,000 $ 5 0 O , O O O .. E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ 5 0 0 , 0 0 0 OTHER D EXCESS UMBRELLA XU01102914 01/01/05 01/01/06 51000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Petroleum Distributor - State of Florida *except 10 days for non-payment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTIFICATE HOLDER CANCELLATION Monroe County BOCC Risk Management ATTN: Maria Del Rio 5100 College Road Key West FL 33040 MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 12/ © ACORD CORPORATION 1988 JC CERTIFICATE OF LIABILITY INSURANCE CSR Cl DATE(MMIDD/YYY) ACORD DI ONOIL 12 28 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14821 South Dixie Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-7928 Phone:305-238-1000 Fax:305-255-9643 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Empire Fire and Marine 21326 INSURERB: Commerce and Industry 19410 Dion Oil Company etal Ms. Suzanne Dion Banks INSURER C: American Alternative Insurance Post Office BOX 1209 INSURERD: Admiral Insurance Company Key West FL 33041-1209 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMY VDD� E PDATE MM/D/YY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 PREMISES(Ea occurence) $100,000 A X COMMERCIALGENERAL LIABILITY CP300363 01/01/06 01/01/07 MED EXP (Any one person) $ 51000 CLAIMS MADE X� OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 0 0 0 , 0 0 0 POLICY JECT X LOC A AUTOMOBILE LIABILITY ANY AUTO CP300363 01/01/06 01/01/07 COMBINED SINGLE LIMIT (Ea accident) $ l, 0 0 0, 0 0 0 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS f� I'�F��f C)VE 3 - - - Fy' I� I `� f�. � p(� r i�tti�. f y _/. X BODILY INJURY (Per accident) $ X �.) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY'' f AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO + $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5, 0 0 0, 0 0 0 * X OCCUR CLAIMS MADE TBD 01/01/06 01/01/07 AGGREGATE $ $ $ DEDUCTIBLE FX]RETENTION $ $ 10 , 0 0 0 WORKERS COMPENSATION AND UTH- TORY LIMITS X I ER B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 9685085 04/01/05 04/01/06 E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 5 0 0 , 0 0 0 if yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 5 0 0 , 0 0 0 OTHER D EXCESS UMBRELLA TBD 01/01/06 01/01/07 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Petroleum Distributor - State of Florida *except 10 days for non-payment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTIFICATE HOLDER CANCELLATION Monroe County BOCC Risk Management ATTN: Maria Del Rio 5100 College Road Key West FL 33040 MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/08) C C 1988 CORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DD/YYYY) A DIONOIL 03 23 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14821 South Dixie Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-7928 Phone:305-238-1000 Fax:305-25 FORDING COVERAGE NAIC# INSURED LEVVIE SURERA: ire Fire and Marine 21326 INSURE B: ommerce and Indust 19410 Dion Oil COIRpany etal URE C: erican Alternative Insurance Ms. Suzanne Dion Banks Post Office Box 1209 AR � � � URE D: dmiral Insurance Company Key West FL 33041-1209 INSURE E: a.vr �rv+vc.v _ IRA 'R THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I UED TO THE I E FOR THE PO ICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRA THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY -EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 PREMISES (Ea occurence) $ 100 , 000 7AX COMMERCIAL GENERAL LIABILITY CP3003 63 01/01/06 01/01/07 MED EXP (Any one person) $ 5,000 CLAIMS MADE X❑ OCCUR PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 �EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY JECT X LOC A AUTOMOBILE LIABILITY ANY AUTO CP300363 01/01/06 01/01/07 COMBINED SINGLE LIMIT (Ea accident) $ 1 , 000 , 000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS , r X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS _ `'"'' -� X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY _ AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG $ HANY AUTO t + $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE s5,000,000 AGGREGATE $ C X I OCCUR F—ICLAIMSMADE 60A2UB000174501 01/01/06 01/01/07 DEDUCTIBLE $ $ X RETENTION $ 10 , 000 WORKERS COMPENSATION AND X TORY LIMITAI S JOTH ER B EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 9688845 04/01/06 04/01/07 E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE - $ 500 , 000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500 000 OTHER D EXCESS UMBRELLA EX00000293601 01/01/06 01/01/07 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Petroleum Distributor - State of Florida *except 10 days for non-payment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTIFICATE HOLDER CANCELLATION MONROE 3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Risk Management IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ATTN: Maria Del Rio 5100 College Road REPRESENTATIVES. Key West FL 33040 1 AUTHOR3WgTESENTATIVE ACORD 25 (2001/OA) ------- ACORD CORPORATION 1988 OP ID R DATE (MM/DDM/W) ACORD CERTIFICATE OF LIABILITY INSURANCE DIONOIL O1 29 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 14821 South Dixie Highway MIAMI FL 33176-7928 NAIC# Phone: 305-238-1000 Fax:305-25 -9643 1 URhK5 A ORDING COVERAGE INSURED I URERA: ire Fire and Marine 21326 I-- ...,........ 14 ------- —A TnAnetry 19410 Ms. Suzanne Eion Banks I I JAN 3 1 Post Office Box 1209 Key West FL 33041-1209 COVERAGES DING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IS UED TO THE IN E FOR THE PO CNIS CERTIFICATE CAITE MAYBE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRA MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR A NSR TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1K OCCUR POLICY NUMBER CP300363 DATE MMIDD/YY 01/01/07 ,,�1 Y1 DATE MMIDDNY OS/Ol/OB -�- LIMITS EACH OCCURRENCE $ 1,000,000 PI;EMISEs(Ea ocwrence) $100,000 MED EXP (Any one person) $ 5,000 RERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2, 000,000 PRODUCTS - COMP/OP AGO $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY JECT X LOG __ .. A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS * CP300363 INCL MSC9o/OVERTURN/ueeET 01/01/07 01/011/08 /I COMBINED SINGLE LIMIT (Ed accident) $ 1 , 000,000 BODILY person) $ X SCHEDULED AUTOS HIRED AUTOS C BODILY INJURY (Per accident) $ X X A NON -OWNED AUTOS COMP/COLLISION CP300363-HIRED AUT 01/01/07 01/01/08 PROPERTY DAMAGE (Per accident) $ X $250/500 PAS OF $40,000 EACH AUTO GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY'. AGG $ $ C EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE REN OF 60A2UB000174501 01/01/07 01/01/08 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ DEDUCTIBLE X RETENTION $ 10 , 000 _ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 9688845 04/01/06 04/01/07 X TORY LIMITS ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $ 500, OOO E.L. DISEASE -POLICY LIMIT $SOO,000 It yes, describe under SPECIAL PROVISIONS below D OTHER EXCESS UMBRELLA REN OF EX00000293601 01/01/07 01/01/08 10,000,000 DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Petroleum Distributor - State of Florida *except 10 days for nonpayment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services Monroe County BOCC Risk Managment Monique Diaz 1100 Simonton St. Key West FL 33040 MONROE8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 25 (2001/08) C 6 AG-ORD. CERTIFICATE OF LIABILITY INSURANCE I-c c1 DATE LMM/DD YYYV) MORRIS & REYNOLDS INSURANCE 14821 South Dixie Highway MIAMI FL 33176-7928 Phone:305-238-1000 Fax:305-255- INSU0.E0 Dion Oil Company etal Ms. Suzanne Dion Banks Post Office Box 1209 Rey West FL 33041-1209 kC�..i:. ERTIFICATE 15 ISSUED AS A MATTER ND CONFERS NO RIGHTS UPON THE p� _[ _E THI ERTIFICATE DOES NOT AME i 1 L C.r L THE CO ERAGE AFFORDED BY THE F S FFO DING COVERAGE MAR 3 Emp're Fire and Marine Assoc ated industries Ins co . weri m Altarsative Insereins Adm'ral Insurance Comp RISKWNA NAIC # THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR SR TYPE OF INSURANCE POLICY NUMBER DATE MWDD/YY DATE (MMiDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 000, 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [K OCCUR CP300363 /� 01/01//0�7 / ) 01/ 08 PREMISES(Eaoccurence) $100,000 MED EXP (Any one person) E 5 , Q Q Q ERSONAL& ADV INJURY $1, 000, 000 �YII� �,C.--,\+✓�)e ENERAL AGGREGATE $2,000,000 /� GENT AGGREGATE LIMIT APPLIES PER'. POLICY PRO- X LOCJECT PRODUCTS-COMP/OPAGG E2, OOO, QQQ —l.�_1f M , AUTOMOBILE LIABILITY A ANY AUTO CP300363 01/01/07 01/01/08 COMBINED I NEDp (Ed at) SINGLE LIMIT $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS INCL KSc90/OvaK7`e1K/UFSZT HIREDAUTOS NON-OWNEDAUTOS X BODILY INJURY (Per accident) $ X A COMP/COLLISION CP300363-HIRED AUT NAx OF $40,000 aACB AUTO 01/01/07 01/01/08 X PROPERTY DAMAGE (Per accident) $ $250/500 7�AUTOUTOONLY GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANYAUTO OTHERAN EA ACC AGG $ $ C EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE 60A2UB000174502 01/01/07 01/01/08 EACH OCCURRENCE $ 51000,000 AGGREGATE $ $ DEDUCTIBLE E X RETENTION $10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANV PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Ham s, tlas0e antler SCAL PROVISIONS below OTHER 2007336732 04/01/07 04/01/08 X TORV LIMITS ER E. L. EACH ACCIDENT s500,000 E.L. DISEASE - EA EMPLOYEE $ 5 0 0 , 00 0 E.L. DISEASE POLICY LIMIT E500, QQ0 D EXCESS UMBRELLA EX00000464302 01/01/07 01/01/08 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Petroleum Distributor - State of Florida *except 10 days for nonpayment of premium Monroe County Board of County Commissioners are Additional Insured On Liability Policies as their interest may appear with respect to contract for fuel delivery services Monroe County BOCC Risk Managment Att: Monique Diaz 1100 Simonton St. Rey West FL 33040 MONROE8 SHOU LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRAT101 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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. ACORD 25 (2 Gt, ACORD CERTIFICATE OF LIABILITY INSURANCE CSR DATE( DIONOIL 12 27 07 /27/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MORRIS & REYNOLDS INSURANCE (} L- �� f FERS NO RIGHTS UPON THE CERTIFICATE I F LDER. THI CERTIFICATE DOES NOT AMEND, EXTEND OR I l 14821 South Dixie Highway ___.._ - HEC VERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-7928 Phone:305-238-1000 Fax:305-255- 643 I ER AFF RDING COVERAGE NAIC# INSURED I RA: Em ire Fire and Marine 21326 INSURER B: Aaa iacaa Induecriae In• Co Dion Oil Company etal Ms. SIIZ aIlne Lion Banks Post Office Box 1209 Key West FL 33041-1209 - f.P 1:.'LA±ERD: - ER C: Arlo specialty Insurance CO. iral Insurance Company —.�_.__-_,-^— 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 RESPECTTO 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 CLAIMSINUK LTR ADD L INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDO POLICY EXPIRATION DATE MMIDDNY LIMITS GENERAL LABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE `OCCUR CP300363 01/01/08 01/01/09 MEF PREMISEs(EaOcwrence) $100,000 MED EXP(Any one person) $ 5,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG s2,000,000 JECT17 POLICY PRO- X LOC A AUTOMOBILE LIABILITY ANYAUTO CP300363 01/01/08 01/01/09 COMBINED COMBINED SINGLE LIMIT (Ea et) $1,000,OQQ X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS INn. NSC90/OVENTUNN/NP9ET X HIRED AUTOS NON-OWNEDAUTOS BODILY INJURY (Per accident) $ X A COMP/COLLISION CP300363-HIRED AUT NAX OF $40,000: /01/08 01/01/09 X PROPERTY DAMAGE (Per accident) $ 1000/1000 PER SCH GARAGE LIABILITY r , AUTO ONLY -EA ACCIDENT E OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO - $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 51000,000 C X OCCUR CLAIMSMADE TBD 01/01/08 01/01/09 AGGREGATE $ 5, QOQ, 000 PROD AGG $5,000,000 $ DEDUCTIBLE _ RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? B yes, describe under SPECIAL PROVISIONS below 2007336732 04/O1/07 04/01/08 TAT X TORV LIMITS ER E.L.EACH ACCIDENT I ESOO,000 E.L. DISEASE - FA EMPLOYEE $SOD, OQQ E.L. DISEASE -POLICY LIMIT 1 $ 500.000 OTHER D EXCESS LIABILITY TBD 01/01/08 01/01/09 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVI IONS Petroleum Distributor - State of Florida *except 10 days for nonpayment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services Monroe County BOCC Risk Managment Att: Monique Diaz 1100 Simonton St. Key West FL 33040 MONROES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. _ ACORD 25 (2001108) ACORD CERTIFICATE OF LIABILITY INSURANCE CSR Cl DATE(MMIDD/YYYY) DIONOIL 03 27 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14821 South Dixie Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-7928 Phone:305-238-1000 Fax:305-255-9643 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: Empire Fire and Marine 21326 Dion Oil Com any etal Ms. Suzanne Dion Banks Poet Office Box 1209 Key West FL 33041-1209 rnveearco INSURER B: associated Industries Ina Co INSURER C'. axis specialty Insursoce Co. INSURER D: Admiral Insurance cemnanv 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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR I TYPE OF INSURANCE POLICY NUMBER DATE MM/DO/YY DATE MM/OD LIMITS A G ENERLIABILITY AL COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR Lj] CP300363 -„�M - -""-"- .. -.. 01/ __ _ 01/01/09 N - .....-..-..�... EACH OCCURRENCE $11000,000 X PREMISES (Ea occurence) $ 100,000 MED EXP(my one pereon) $ 5,000 PERSONAL B ADV INJURY $ 11000, 000 GENERAL AGGREGATE $ 2, 000, 000 GENT AGGREGATE LIMIT APPLIES PER POLICY JECT X LOC JECT PRODUCTS - COMP/OP AGO $ 2,000, 000 A A AUTOMOBILE LIABILITY ANVAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS COMP/COLLISION CP300363 Inn. eMc9o/D1rsRTV3N/year77 CP300363-HIRED AUT MAX OF $40,000 v.Atro ® 01/01/08 01/01/08 01/01/09 7, .D1P'1CJ(_. 01/01/09 COMBINED SINGLE LIMIT (Faacddent) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per eoddent) $ X X PROPERTY DAMAGE (Per accident) $ 1000/1000 PER SCH GARAGE LIABILITY ANYAUTO AUTO ONLY -EAACCIDENT IS OTHER THAN EAACC AUTO ONLY: AGG $ $ C EXCESS/UMBRELLA LIABILITY X OCCUR DCLAIMSMADE DEDUCTIBLE RETENTION $ 0 EAU736621 01/01/08 01/01/09 EACH OCCURRENCE $ 5, 000, 000 AGGREGATE $5,000,000 PROD AGG a5,000,000 $ a B D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/EXECU„VE OFFICER/MEMBER EXCLUDED? Use, describe under SPECIAL PROVISIONS below OTHER EXCESS LIABILITY RENEWAL OF 200733673204/01/08 EXC00000711403 01/01/08 04/01/09 1 01/01/09 X 70RY LIMITS ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $ 50 0, 00 0 E.L. DISEASE - POLICY LIMIT $50Q 000 10,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Petroleum Distributor - State of Florida *except 10 days for nonpayment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CFRTIFICATF W1 ripe MONROBS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO $HALL Risk Managment Att: Monique Diaz IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St. REPRESENTATIVES. Key West FL 33040 AUTHORQ ESENTATIVE ACORD 25 (2001/08) G(, ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID C DATE(MM/DD/YYYY) DIONOIL 12/30/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MORRIS & REYNOLDS INSURANCE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14821 South Dixie Highway 4.P T E COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33176-7928 Phone : 305-238-1000 Fax : 305-255-9643 i INSURERS AFFORDING COVERAGE NAIC # INSURED i (J INS Zurich American Insurance Co. 16535 INSURER B: Assbciated' Industries Ins Co Dion Oil Company etal -- --- - Ms. Suzanne Dion Banks �,;.,�-_ Axys Specilty Insurance Co. Post Office Box 1209 r ,,` 9,5 y, Admir 1 Insurance Company Key West FL 33041-1209 -.,,_. INSURER E. ..._. _ .. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSA LTR NSRO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY - - LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CP09451667 01/01/09 01/01/10 EACH OCCURRENCE $ 1 , 000 r 000 PREMIXsETO aoVTED`ce) $ 100, 000 CLAIMS MADE X OCCUR rI MED EXP (Any one person) PERSONAL & ADV INJURY $ 5,000 $ 1, 000,000 GENERAL AGGREGATE $ 2, 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- PRODUCTS - COMP/OP AGG s2, 000,000 POLICY JECT X LOC AUTOMOBILE LIABILITY A ANY AUTO CP09451667 01/01/09 01/0g10 COMBINED SINGLE LIMIT (Ea accident) $ 1 0 0 0 0 0 0 , X ALL OWNED AUTOS SCHEDULED AUTOSr` INCL MSC90/OVERTURN/UPSET 1 .' —� BODILY INJURY (Per person) $ HIRED AUTOS i X X NON -OWNED AUTOS r )) �. �TT��""� BODILY INJURY (Per accident) $ A COMP/COLLISION CP09451667-HIRED A TO01/01/09 01/01/10 X 1000/1000 PER SCH MAX OF $40,000 EACH AUTO PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY a^ AUTO ONLY - EA ACCIDENT $ ANY AUTO � f OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5 , 000 , 000 C X OCCUR [� CLAIMS MADE REN . OF EAU7 3 6 621 01/01/09 01/01/10 AGGREGATE $ 5 , 0 0 0 , 0 0 0 PROD AGG $ 5,_000, 000 DEDUCTIBLE —" RETENTION $ 0 $ WORKERS COMPENSATION AND X T_WC LIMITS__ B ECfRLCYEFiS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE AWC1001334 04 / 01 / 0 8 0 4/ 01 / 0 9 ER -- E.L. EACH ACCIDENT - - - -- $ 5 0 0 - 0 0 0 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 5 0 0, 0 0 0 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 5 0 0, 0 0 0 OTHER D EXCESS LIABILITY REN OF EXC0000071140301/01/09 01/01/10 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Petroleum Distributor - State of Florida *except 10 days for nonpayment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services Q_ f10r3TI0If1ATC Lj^1 r%rrf _ 1 IVIV MONROE8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Att: Monique Diaz n Risk MIMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR qu 1100 Simonton St. REPRESENTATIVES. Key West FL 33040 AUTHORIZ ESENTATIVE ACORD 25 (2001/08) 0 ACORD CORPORATION 1988 ACORDTM CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DD/YYYY) DIONOIL 03 30 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Morris & Reynolds Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14821 South Dixie Highway JALTEWME_CCMRAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33176 y Phone : 305-238-100 0 Fax : 305-255-964 " INSIjRERS AFFIORDIPG COVERAGE NAIC # INSURED INSURER A: Zu{ich rican insurance Co. 16535 yy° APR Dion Oil Company etal INS RE Associated Industries Ins Co INSURER C: Axis s ec salt In P y aurance Co. Ms. Suzanne Dion Banks Post Office Box 1209 �" - -- -- Key West FL 33041-1209 R .r. R -- -Azmir 1 Insurance Company IN"ER E r •V V Gf1M%a 1_7 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. LTRINSRE TYPE OF INSURANCE POLICY NUMBER POLICY FE IV DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, , 000 , 000 A X COMMERCIAL GENERAL LIABILITY CP094 516 6 7 01/01/09 01 / 01 / 10 PREMISES (Ea occurence) $ 100,000 CLAIMS MADE: [Xl OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PR - PRODUCTS - COMP/OP AGG $ 2, 000, 000 ,� , / POLICY ECT X LOC AUTOMOBILE LIABILITY A ANY AUTO CP09451667 O1/011/ 9 01/01/10 COMBINED SINGLE LIMIT (Ea accident) $ 1 OOO i , 000 X BODILY INJURY ALL OWNED AUTOS INCL MSC90/OVERTURN/UPSET SCHEDULED AUTCS (Per person) $ HIRED AUTOS r X NON -OWNED AUTOS (�C . BODILY INJURY (Per accident) $ X A COMP/COLLISION CP09451667-HIRED A 001/01/09 01/01/10 X MAX OF $40, 000 EACH AUTO PROPERTY DAMAGE (Per accident) $ 10 0 0 / 10 0 0 PER SCH GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE s5,000,000 C X OCCUR CLAIMS MADE EAU736621012009 01/01/09 01/01/10 AGGREGATE s5,000,000 PROD AGG $5,000,000 DEDUCTIBLE $ RETENTION $ 0 $ WORKERS COMPENSATION AND X TO_RY LIMITS B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEAWC1003546 04/01/09 04/01/10 _ _E_R_ E.L. EACH ACCIDENT $ 500, 000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ r5 0 0 , 0 0 0 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500. 000 SPECIAL PROVISIONS below OTHER D EXCESS LIABILITY EX00000920404 01/01/09 01/01/10 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Petroleum Distributor - State of Florida *except 10 days for nonpayment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTIFICATE HO LDER r_ONr_FI I OTInN MONROE8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County BOCC Risk Managment NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Att • Monique Diaz IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St. REPRESENTATIVES. Key West FL 33040 AUTHORIZ ESENTATIVE ACORD 25 (2001 /08) OLNh A v .".v v..✓ —W." V1.f1..V1\ 1.7V{ CDR CERTIFICATE OF LIABILITY INSURANCE OP ID KK DATE (MM/DD/YYYY) DIONOIL 12 24 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Morris & Reynolds Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14 821 South Dixie Highway _........AL VERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33176 a Phone : 3 0 5- 2 3 8 -1000 .��,. Fax . 3 0 5- 2 5 5-9 4 3 INSURED IIRS-AffOR ING COVERAGE NAIC # INSURER A: izurichiAmerican insurance Co. 16535 f3_.MSURtR B: �►ssoci ted Industries ins Co 23140 Dion Oil Com t�1y etal .� Ms. Suzanne D on Banks INSURER C: is cialty insurance Co. Post Office BOX 1209 Key West FL 33041-1209 INSURER„Q� .�.Admi al Insurance Company . �.-�-. \jq :� 1 1wkiA E: COVERAGES'' '} r Fl' : THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRC TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YYYY DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ l, 0 0 Q t Q 0 0 A X COMMERC IAL GENERAL LIABILITY CPO 9 4 516 6 7 0 2 01 / 01 / 10 01 / 01 / 11 PREMISES (Ea UAMAGE: 10 N I7E`D_ nce) $ 10 0 , 0 0 0 Lj CLAIMS MADE Fx_1OCCUR MED EXP (Any one person 5,000 PERSONAL & ADV INJURY $ 1, 0 0 0, 0 0 0 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 0 0 0 , 0 0 0 P PRO- JECT JECT X LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ A ANY AUTO CPO 9 4 516 6 7 0 2 01 / 01 / 10 01 / 01 / 11 (Ea accident) 1, 000, 000 X ALL OWNED AUTOS INCL MSC90 BODILY INJURY $ SCHEDULED AUTOS INCL CA9948-sR0ADSN= POL (Per person) X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) $ A X COMP/COLLISION CP09451667 -HIRED A 001/01/10 01/01/11 PROPERTY DAMAGE 10 0 0 / 10 0 0 PER SCH MAX of $40, 000 sscm AUTO I (Per accident) $ GARAGE LIABILITY` AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 5 , 0 0 0 , 0 0 0 C X OCCUR F-]CLAIMS MADE RM of ZAU736621012009 01 / 01 / 10 01 / 01 / 11 AGGREGATE $ 5,000,000 DEDUCTIBLE PROD AGG $5,000,000 $ RETENTION $ 0 $ WORKERS COMP NSATION - AND EMPLOYERS' LIABILITY Y / N OFFICER/MEMBER EXCLUDED? X TORY LIMITS ER $ ANY PROPRIR/PARXECUTIV AWC 10 0 3 5 4 6 0 4/ 01 / 0 9 1 0 4/ 01 / 10 E.L. EACH ACCIDENT $ 5 0 0, 0 0 0 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 5 0 0 , 0 0 0 If es, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 OTHER D EXCESS LIABILITY' REN OF EX0000092040 01/01/10 01/01/11 101000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Petroleum Distributor - State of Florida *except 10 days for nonpayment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE8 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County BOCC Risk Managment IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR At t : Monique Diaz REPRESENTATIVES. 1100 Simonton S t . AUTHORIZED ESENTATIVE Key West FL 33040 ACORD 25 (20�J/01) v ©I 10N. All rights reserved. j The ACORD name and logo are registered marks of ACORD /$coRl� CERTIFICATE OF LIABILITY INSURANCE OP ID KK UArtIMMlUUlTTTTI DIONOIL 04/20/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Morris 6 Reynolds Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14821 South Dixie Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33176 Phone: 305-238-1000 Fax: 305-255-9643 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich American Insurance Co. 16535 INSURER B: Associated Industries Ins Co 23140 Dion 0±1 Company etal Ms. Suzanne Dion Banks INSURER C: Axis Specialty Insurance Co. Post Office Box 1209 Key West FL 33041-1209 INSURER D: Admiral Insurance Company 1 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLIC EFFECTIVE DATE MM/DD/YYYY POLICY EXPIRATION DATE MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X❑ OCCUR CP0945166702 01/01/10 01/01/11 PREMISES (Ea occurence) $100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO- JECT X LOC A AUTOMOBILE LIABILITY ANY AUTO CP0945166702 01/01/10 01/01/11 COMBINED SINGLE LIMIT (Ea accident) $ 1 000 000 � r X ALL OWNED AUTOS SCHEDULED AUTOS INCL MSC90 INCL CA9948-BROADENED POL BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS X A COMP/COLLISION CP09451667-HIRED A MAX OF S40,000 EACH AUTO T001/01/10 01/01/11 �1000/1000 PROPERTY DAMAGE (Per accident) $ PER SCH GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO ( 1 OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS / UMBRELLA LIABILITY 01EACH OCCURRENCE s5,000,000 C X OCCUR FICLAIMSMADE EAU736621012010 - 01/01/10 01/01/11 AGGREGATE $5,000,000 PROD AGG $5,000,000 $ DEDUCTIBLE RETENTION $ O $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVEL] OFFICER/MEMBER EXCLUDED? u (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below AWC1005219 04/01/10 04/01/11 X TORY LIMITS ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $ 500 , 000 E.L. DISEASE - POLICY LIMIT s 500 , 000 OTHER D EXCESS LIABILITY EX00001076405 01/01/10 01/01/11 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *10 Days for Nonpayment of Premium Petroleum Distributor - State of Florida *except 10 days for nonpayment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services Ut_rt 111-It A I r nvLU=K CANCELLATION e Monroe County BOCC Risk Managment 1100 Simonton Street IKev West FL 33040 ACORD 25 (2009/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION' MONROE 8 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REIRRESENTATIVE /9 The ACORD name and logo are registered marks of ACORD All rights reserved. CERTIFICATE OF LIABILITY INSURANCE OP ID CH DATE (MM/DD/YYYY) `i DIONOIL 1e-/23/LV PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Morris & Reynolds Inc. HOLDER•�Hl CERTIFICATE DOES NOT AMEND, EXTEND OR 14821 South Dixie Highway lPhone:305-238-1000 TER THE C VERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33176 EC' I Fax:305-255- 643 --` INSURER AFF RDING COVERAGE NAIC# INSURED p. I I. I U)IER A: Zur Bch American Insurance Co. 16535 I RB:I Ame ican Guarantee 6 Liability 26247 Dion Oil Company etal Ms. Suzanne Dion Banks I INSURER C: Associated Industries 23140 �— RERD: Axi specialty Insurance Co. Post Office Box 1209 Key West FL 33041-1209 ---- --- C WER E: Fi eman' s Fund Insurance SCE( &':AP;n,iJ 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. INSRADD-L LTR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YYYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CP0945166703 01/01/11 01/01/12 DAMAGE 10A PREMISES(EaE�ccu ce)e) 11 $ 100,000 MED EXP (Any one person) $ 5,000 CLAIMS MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2 , 00O , 000 PRODUCTS - COMP/OP AGG s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: _ POLICY JECT X LOC PRO- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 O00 00O $ L ANY AUTO CP0945166703 01/01/11 01/01/12 (Ea accident) BODILY INJURY X i ALL OWNED AUTOS INCL MSC90 SCHEDULED AUTOS INCL CA9948-BROADENED POL (Per person) $ BODILY INJURY $ X : HIRED AUTOS X NON -OWNED AUTOS Per accident) B X COMP/COLLISION cP0945166703-HIRED TO 01 /11 01/01/12 PROPERTY DAMAGE 1000/1000 PER SCH MAX oe!S40,000 EACH A (Per accident) $ GARAGE LIABILITY / (1 I AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC I $ ANY AUTO I ` $ AUTO ONLY: AGG . EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE s5,000,000 AGGREGATE $ 5,000,000 D X OCCUR CLAIMS MADE EAU736621012011 01/01/11 01/01/12 PROD AGG $5,000,000 $ DEDUCTIBLE - I RETENTION $ O WORKERS COMPENSATION i AND EMPLOYERS' LIABILITY - - X TORY LIMITS ! ER C ANY PROPRIETOR/PARTNER/EXECUTIVE[:]I AWC1005219 04/01 10 04/01/11 E.L. EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 1 ~ - E.L. DISEASE - EA EMPLOYEE'1 $ 500 , OOO If yes, describe under SPECIAL PROVISIONS below G -- --- -- --' --- -- E.L. DISEASE - POLICY LIMIT $ 500 , OOO OTHER 1(YIN/ i n VV- E I,EXCESS LIABILITY SHX00048418636 01/01/11 01/01/l 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 Days for Nonpayment of Premium Petroleum Distributor - State of Florida *except 10 days for nonpayment of premium Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services CERTIFICATE HOLDER CANCELLATION Monroe County BOCC Risk Managment 1100 Simonton Street Kev West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE 8 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED 3ERRESENTATIVE i-I ACORD 25 (2009/04 C G ; The ACORD name and logo are registered marks of ACORD All rights reserved. OP ID: KK ,a` co,Ro CERTIFICATE OF LIABILITY INSURANCE DATE (MMID N YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 305-238-1000 Morris & Reynolds Inc. - 14821 South Dixie Highway Miami, FL33176 - RECEIVE Robert D. Reynolds CONTACT NAME: PHONE FAX ac No : DRIESS: ODUCER CUSTOMER ID DIONOIL INSURERS AFFORDING COVERAGE NAIC # INSURED Dion Oil Company etal APR 4 204SURERA:Z Ms. Suzanne Dion Banks I rich American Insurance Co. 16535 INSURER B : A erican Guarantee & LiabiliV 26247 ciefield Emplo ers Ins. Co. 10701 Post Office Box 1209 Key West, FL 33041-1209 MONROE COA RISK MANAGE>tman's LINSURERC:B s Special Insurance Co. Fund Insurance INSURER F : �.. mm. COVERAGE-S CFRTIFICATF NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF I MM/DD/YYYY POLICY EXP MM/DDrYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00( DAMAGE TO RENTED PREMISES Ea occurrence $ 100,00 A X COMMERCIAL GENERAL LIABILITY CP0945166703 01/01/11 01/01/12 MED EXP (Any one person) $ 5,00 CLAIMS -MADE a OCCUR PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 $ POLICY PRO X LOC B AUTOMOBILE LIABILITY ANY AUTO CP0945166703 01/01/11 01/Oyl2 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ ALL OWNED AUTOS INCL MSC90 � X BODILYINJURY(Peraccident) $ SCHEDULED AUTOS HIRED AUTOS INCL CA9948-BROADENED V / �l ; f � , PROPERTY DAMAGE PROPERTY (Per accident) $ X X $ NON-OWNEDAUTOS X $ B COMP/COLLISION I CP0945166703-HIRED AUT 01/01/11 01/01/12 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 6,000,00 D EXCESS LIAB CLAIMS -MADE EAU736621012011 01/01/11 01/01/12 DEDUCTIBLE PROD AGG $ 5,000,00 $ RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXEr-UTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 0830-47667 04/01/11 04/01/12 X WC STATU- OTH- R IMIT R E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT $ 500,00 If yes, describe under DESCRIPTION OF OPERATIONS below E EXCESS LIABILITY 0048418636 70 01/01/11 01/01/12 5,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) *10 Days for Nonpayment of Premium Petroleum Distributor - State of Florida Monroe County Board of County Commissioners are Additional Insured on Liabilittyy Policies as their interest may appear with respect to contract for fueldelivery services CERTIFICATE HOLDER GANGtLLA I IUN C C ', V", N4,-v "Ck, Monroe County BOCC Risk Managment 1100 Simonton Street Key West, FL 33040 MONROE8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Al't- �� 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Ur IU. Mr. =12;129/11 YY) ,4coEry 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 IMPORTANT: if the certificate holder is a ADDITIO policy(le) must be endorsed. If SUBROGATION IS WANED, subject to the teens and conditions of the policy, ce in policies may require an endorse nt. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorse rut s)• rn,rrs _T PRODUCER `w`'-"' 1 Morris & Reynolds Inc. 305-254— ....... PHONE E 14821 South Dixie Highway E�It —...� r1A Miami, FL 33176 ADDRESS: Robert D. Reynolds 6ou E DIONOIL MONROE COUNTY�!� ID iF... _—._..... -.._ RISK MANAGEMEN INSURE S AFFORDING COVERAGE NAB - - 21113 INSURED Dion Oii Company etas INSURER A: United States re Insurance _ Ms. Suzanne Dion Banks tNsuRER_B:Fireman's Fund insurance �...._.� —.. — ._. _..—. - 10701 Post Office Box 1209 IHIsuRER C : Bridgefield Employers Ins. Co. _ __..... j Key West, FL 33041-1209 INSURER D - ____....._ OVERAGES GER I ItNvA I C IriLM= F%. PERIOLI THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY ITH RESPECT To WHICH THIS INDICATED, NOTWITHSTANDING OR MAY PERTpINETHE INSURANCE ANT, TERM OR FFORDED ORD OITION F BY TANY HE NPOLICIES DESCRIBEDTRACT OR OTHER HEREINSNT WSUB 1ECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _.. _.._—.__... PoucY15 - POLICY P LIMITS A TYPE OF INSURNCE NUMBER M 1,000,OIH) R � �- I POLICY GENERAL LIABILITY G RERTEti— 01101l13 100,000 — . r%' nnAn4 R72603 01/01/12 ' PREMISES_!Ea occurrence $�. � — _ A j X COMMERCIAL GENERAL LIABILITY t I I CLAIMS -MADE L^ J OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 17 P" n LOC _ AUTOMOBILE LIABILITY A ANY AUTO Xj ALL OWNED AUTOS III SCHEDULED AUTOS X HIRED AUTOS X ' NON -OWNED AUTOS A y �COMplcaLusiON {; UMBRELLA LIAR X { OCCUR EXCESS LIAB CLAIMS A DEDUCTIBLE WORKERS COMPENSATION AND EMPLOYERS' LIAB UlY C ANY OFFICEWMEMBEREXCLUDE] ru-idatory in NH) 0 C� BY R MED EXP (Arty one Person) PERSONAL & ADV INJURY $ 1 1 GENERAL AGGREGATE S PRODUCTS -COMPIOPAGGG $__ ( y NCL MSC90 NCL CA9948-BROADEN COMBINED SINGLE LIMIT $ 1,000,001 (Ea accident) 01/01/12 T01101113 BODILY INJURY (Per Parson) S j BODILY INJURY (Per accident) $ ED' PROPERTY DAMAGE S (Per accident) -HIRED AUTO 1 01/01112 i t101101113EACH OCCURRENCE ' _ __...—._GATE MADE; 144808 01/Oi112 01l13 ;p OD AGG I 1 WC STATU- XIMI YIN j I 04/01111 04/01/12 E.L EACH ACCIDENT — ......_.__.._..._ —_ El:NIA (0830.47667 {f I II E.L. DISEASE - EA EM nicceCt= _ Pnt IC ON OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) m Distributor - State of Florida County Board of County commissioners warre Ath dditional cost act I Policies as their interest may appear delivery services RTIFICATE HOLDER GC � / �- a rJ 6-a-- Monroe County BOCC Risk Managment 1100 Simonton Street Key West, FL 33040 ACORD 25 (2009109) S S 5,000,00 s— 5,000.00 ..... _�.... _.— $ ^_ 5,000.00 if $ 500,00 is500,00 $ 500.00 MONROES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC �' OP ID: KL1 `.� CERTIFICATE OF LIABILITY INSURANCE DATE( 03// 711YYYY) 2/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 305-238-1000 CONTACT Morris & Reynolds Inc. NAME: 14821 South Dixie Highway 305-255-9643 PHONE FAX FAX Miami, FL 33176 E-MAIL. - _ - - JA/C Noy Robert D. Reynolds ADDRESS: _ — PRODUCER — CusTomER.ID #:DIONOIL INSURED Dion Oil Company etal Ms. Suzanne Dion Banks Post Office Box 1209 INSURERS AFFORDING COVERAGE NAIC # -- - - --- --- INSURER A: United States -Fire Insurance 21113 ;-- - INSURER B :Fireman s Fund Insurance Key West, FL 33041-1209 INSURERC:Bridgefield Employers Ins. Co 10701 INSURER D : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO INDICATED. THE INSURED NAMED ABOVE FOR THE POLICY NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT PERIOD OR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, WITH RESPECT THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY - - _ - PAID CLAIMS. ALL THE TERMS, INSR. - ADDLISUBR LTR TYPE OF INSURANCE POLICY NUMBER r MM/ DPOLICYEFF /YWY MM/ DYE LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY 5068695636 01/01/12 EACH OCCURRENCE $ 01/01/13 DAMAGE TO RENTED 1,000,00( CLAIMS -MADE I X , OCCUR i1�ANA I', PREMISE ccurrence $ " i MED EXP (Any one person) 100,00( 5,00( X Liquor Liability �/ — - - -- - Dt;PERSONAL B ADV INJURY $ 1,000,001. GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRO- X LOC POLICY /� � ` PRODUCTS COMP/OP AGG $ 2,000,00( Liq Liab $ 1,000,00L AUTOMOBILE LIABILITY A ANYAUTO 5068695636 01/01/12 COMBINED SINGLE LIMIT $ 01/01/13 '', (Ea accident) 1,000,00i, ALL OWNED AUTOS iINCL MSC90 j BODILY INJURY (Per person) $ SCHEDULED AUTOS IINCLCA9948-BROADENEDi BODILY INJURY Per accident $ X HIRED AUTOS PROPERTY DAMAGE $ X (Per accident) NON -OWNED AUTOS A X COMP/COLLISION — -HIRED AUTO 01/01/12 01/01/13 $ UMBRELLA LIAR OCCUR `X X EXCESS LIAR EACH OCCURRENCE $ -- --- —._ 5,000,00 A __ - 5237056827 01/01/12 01/01/13 _AGGREGATE $ 5,000,00 DEDUCTIBCLAIMS-MADE - LE PROD AGG $ 5,000,00 RETENTION $ - - - WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITY YIN C N X 1 WC STATU OTH-, ,.. _. TOR-Y. LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ 'N/A '.0830-47667 04/01/12 ''. _ _ 04/01/13 E L EACH ACCIDENT $. 500,00 (Mandatory in NH) __-- ,- - - If yes, describe under E. L DISEASE EAEMPLOYEE $ 600,00( DESCRIPTION OF OPERATIONS below - -- - B EXCESS LIABILITY SHX00014904536 01/01/12 E.L. DISEASE -POLICY LIMIT $ 01/01/13 AS LIAB 500,00 S nnn nn DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 'etroleum Distributor- State of Florida IAonroe County Board of County Commissioners are Additional Insured )n Liability Policies as their interest may appear with respect to contract or fuel delivery services Monroe County BOCC Risk Managment 1100 Simonton Street Key Wept, FL 33040 !i G ACORD 25 (2009/09) MONROE8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OP ID: KL1 CERTIFICATE OF LIABILITY INSURANCE DAT12/27/12 YY) 2/27/12 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 ABBITIONft 11180RE-1, 11 11 11s!( ' lust be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require ran 13rCforsemen A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . v PRODUCER 305-238-1000 CONTACT Morris & Reynolds Inc. ? PHONE FAX 14821 South Dixie Highway 1A Q5-25 - LA/C. No. Ext (A/C, No): Miami, FL 33176 JAR E-MAIL Robert D. Reynolds ADDRESS: ------ --- . _ _— --- _ MONROE COUM INSURED Dion Oil Company etal RISK MANAGEME Ms. Suzanne Dion Banks Post Office Box 1209 Key West, FL 33041-1209 Cf1VFRAGFR f_FRTIFIf_ATF KII IMCICD- CUSTOMERI #:DIONOIL INSURER(S) AFFORDING COVERAGE NAIC_ # I nited States Fire Insurance 21113 INSURERB:Bridgefield Employers Ins. Co. 10701 INSURER C : INSURER D : INSURER E : INSURER F : 13c1n01nu uI uaoro. 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 LTR ADDL SUB POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 _ A X COMMERCIAL GENERAL LIABILITY 5068695636 I 01/01/13 01/01/14 -- REM E T RENTED PREMISES (Ea occurrence $ 100 ,00 - - APP B G E - IC X Llq' CLAIMS -MADE X OCCUR UOf Liability BY �. (� MED EXP (Anyone person) $ - PERSONAL & ADV INJURY $ 5,00 1,000,00 _ - - DA WA y(, �L ` � I GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY PRO- X LOC Liq LIab $ 1,000,00 AUTOMOBILE LIABILITY 1 COMBINED SINGLE LIMIT $ 1,000,00( -- A ANY AUTO `— 5068695636 01/01/13 01/01/14 (Ea accident) Per person) BODILY INJURY ( p )�— $ X ALL OWNED AUTOS INCL MSC90 --- SCHEDULED AUTOS INCL CA9948-BROADENED BODILY INJURY (Per accident), $ - - - X_, PROPERTY DAMAGE $ HIRED AUTOS (Per accident) X NON -OWNED AUTOS $ A X COMP/COLLISION -HIRED AUTO 01/01/13 01/01/14 - — -- — - 1 $ — - UMBRELLA LIAB X occuR _ 1 III EACH OCCURRENCE $ 10,000,00 EXCESS LIAB CLAIMS -MADE � 5237056827 01/01/13 ' 01/01/14 i AGGREGATE $ - - -- PROD AGG $ 10,000,00 - - - 10,000,00 A - — DEDUCTIBLE _ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N B 83047667 04/01/12 04/01/13 WC STATU- OTH - X T RY LIMITS .ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? i N / A ' E.L. EACH ACCIDENT, $ 500,00 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Petroleum Distributor - State of Florida Monroe County Board of County Commissioners are Additional Insured on Liability Policies their interest to as may appear with respect contract for fuel delivery services RFRTIFICATF WnI nF:P f`AWCCI I ATInu MONROE8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. Risk Managment AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West, FL,,,83040 C_ r- ' -C- %)1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD OP ID: KL1 CERTIFICATE OF LIABILITY INSURANCE D03/25ATE /2013Y) 03/25/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND TH IMPORTANT: If the certificate holder is an DITION licy(ies) ust be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Carta i policies may require an endorsemen A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . PRODUCER Morris & Reynolds Inc. 14821 South Dixie Highway Miami, FL 33176 Robert D. Reynolds Phor>�53.8-1 Fax: 05-255- MONROE ISK MAN E CONTACT NAME: PHONE FAX A/c No Exf A/C No): E-MAIL ADDRESS: CUSTOMER #:DIONOIL INSURE S AFFORDING COVERAGE NAIC # INSURED Dion Oil Company etal Ms. Suzanne Dion Banks Post Office Box 1209 Key West, FL 33041-1209 INSURERA:United States Fire Insurance 21113 INSURER B:Brid efield Employers Ins. Co. 10701 INSURER C : INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR; TYPE OF INSURANCE LTR i I DL U POLICY NUMBER POLICY EFF MM/DD//YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGETO RENTED PREMISES Ea occurrence $ 150,00 A X COMMERCIAL GENERAL LIABILITY 0506872123200 01/01/2013 01/01/2014 CLAIMS -MADE OCCUR FX MED EXP (Any one person) $ 5,00 PERSONAL &ADJINJURY $ 1,000,00 ' Liquor Liability r 1 GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY, I PRO- JFCTX LOC Liq Liab $ 1,000,00 AUTOMOBILE LIABILITY j COMBINED SINGLE LIMIT $ 1,000,00 A ANY AUTO 0506872123200 01/01/2013 01/01/2014 dent) BODILY BODILY INJURY (Per person) $ X �, ALL OWNED AUTOS INCL MSC90 BODILY INJURY (Per accident) $ SCHEDULED AUTOS INCL CA9948-BROADENED POL PROPERTY DAMAGE X �— HIRED AUTOS (Per accident) $ $ 1 j X I NON -OWNED AUTOS A IF 1 COMP/COLLISION I -HIRED AUTO 1 01/01/2013 01/01/2014 $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE is 101000,00 AGGREGATE — --- ------ $ 10�000r00 ---- -- A I, I EX , CLAIMS -MADE 01/01!2013 01/0112014 ^ _A_ -- DEDUCTIBLE ne237070732^^ PROD AGG -_ Is 10,000,00 RETENTION $ 0 $ WORKERS COMPENSATION X WC STATU- OTH- T RY I B AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N / A 83047667 04/01/2013 04/01/2014 E.L. EACH ACCIDENT $ 500100 E.L. DISEASE - EA EMPLOYEE $ 500,00 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 600,00 AP GEmm DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) OA Petroleum Distributor - State of Florida WAI _,; Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery WVI- lJ-- services MONROE8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC !� ��TU� [� ACCORDANCE WITH THE POLICY PROVISIONS. Risk Managment 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 I 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD �.., DIONOIL OP ID: KO A`ORO CERTIFICATE OF LIABILITY INSURANCE DATE 03/27/DI2014DIYYYY) 3/27 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Phone: 305-238-1000 VVAINY NAME: Morris & Reynolds Inc. Fax: 305-255-9643 PHONE FA No): talc. IE■tl: 14821 South Dixie Highway E-MAILL Miami, FL 33176 ADDRESS: Robert D. Reynolds INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: United States Fire Insurance 21113 INSURED Dion Oil Company INSURER 13: Bridgefield Employers Ins. Co. 10701 Ms. Suzanne Dion Banks INSURER C : Post Office Box 1209 Key West, FL 33041 INSURER 0 : INSURER E INSURER F : E NUMBER' REVISION NUMBER: COVERAGES CERTIFICAT OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CERTIFICATE MAY BE ISSUED OR EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR AODL SUER POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER MM/DD/YYW MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 $068754649 01/01/2014 01/01/2015 DAMAGETO S(RENTED $ A X COMMERCIAL GENERAL LIABILITY .PREMISES (Ea occurrence) 100,00 CLAIMS -MADE X OCCUR MED EXP (Any one person) S 5,00 PERSONAL& ADV INJURY S 1,000,00 GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRO Emp Ben. $ 1,000,00 POLICY X Loc COMBINED SINGLE LIMIT 1,000,00 AUTOMOBILE LIABILITY (Ea accident) S 5068754649 01/01/2014 01/01/2015 BODILY INJURY (Per person) S A ANY AUTO X ALL OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS AUTOS PROPERTY DAMAGE NON -OWNED (Per accident) S X X HIRED AUTOS AUTOS S X UMBRELLA LIAB OCCUR EACH OCCURRENCE S 10,000,00 A EXCESS LIAB CLAIMS -MADE 5237084862 01/01/2014 01/01/2016 AGGREGATE S 10,000,00 S DED RETENTION S STRY X WORKERS COMPENSATION TO LIMITS EERMITR AND EMPLOYERS' LIABILITY Y / N 83047667 04/01/2014 04/01/2015 E L. EACH ACCIDENT $ 500,00( B ANY PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED' + n N / A $OO,OO OFFICER/MEMBER E L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) 500,00 If yes, describe under E L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Petroleum Distributor - State of Florida Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services Ar, r ° K' cMEIli I'A V;AIVER N/A,[, E MONROES 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 BOCC Risk Managment AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West, FL 33040 tt ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD DIONOIL OP ID: KK .4CORO" ` DATE(MMIDDIYYYY) 12/30/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Phone: 305-238-1000 Morris & Reynolds Inc. 14821 South Dixie Highway Fax: 305-255-9643 Miami, FL 33176 Robert D. Reynolds CNTACT NAME: PHONE FAX aC No Ext: A/C No: E-MAIL ADDRESS: INSURE S AFFORDING COVERAGE NAIC p INSURER A: United States Fire Insurance 21113 INSURED Dion Oil Company, LLC etal Ms. Suzanne Dion Banks Post Office Box 1209 Key West, FL 33041 INSURERe:Bridgefield Employers Ins. Co. 10701 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER MM/DDT POLICY M/D fD� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,00 A X COMMERCIAL GENERAL LIABILITY 5068791567 01/01/2015 01/01/2016 CLAIMS -MADE OCCUR MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 Emp Ben. $ 1,000,00 POLICY 7 PRO FXJ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ � BODILY INJURY (Per person) $ A ANY AUTO 5068791667 01/01/2016 01/01/2016 X ALL OWNED SCHEDULED AUTOS X WIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ MCS 90 $ X UMBRELLA LIAB I X OCCUR EACH OCCURRENCE $ 10,000,00 AGGREGATE $ 10,000,00 A EXCESS LIAS CLAIMS -MADE 5238010503 01/01/2015 01/01/2016 X DED I I RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N / A 83047667 04/01/2014 04/01/2015 WC STATU- OTH- X T RY LIMITS ER E.L. EACH ACCIDENT _ $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 600,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Petroleum Distributor - State of Florida Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contrac P EMENT/� for fuel delivery services Y �iL:C,Jp4L WAIVERA __�UCr C.-4fw CERTIFICATE HOLDER CANCELLATION MONROE8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. Risk Managment AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West, FL 33040 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD I -�� DIONOIL OP ID: DTI ACC7►RN©a CERTIFICATE OF LIABILITY INSURANCE D0 27/20Y �..►-- 3r27r2o15 ems. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the PRODUCER Phone: 306-238-1000 NAME""' Morris & Reynolds Inc. Fax: 305-266.9643(ALC PHONE FAX --- i 14821 South Dixie Highway Ng E),si _ (AIC, No) Miami, FL 33176 E-MAIL no... Robert D. Reynolds _... ._ ......... INSURER(SI AFFORDING COVERAGE NAIC N _ INSURER A United States Fire insurance 21113 _ ...... _....._. ..._._...._._.._.._.. _ INSURED Dion Oil Company, LLC etas INSURERS: Bridgefield Employers Ins Co. 10701 Ms. Suzanne Dion Banks - - -- _ _....._ __ Post Office Box 1209 INSURER c Key West, FL 33041 INSURER D INSURER E INSURER F t•nvrnAr_Cc PCDTICIt- ATC all IUIMCD• RPVICIAN mllupt9a. 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. ----.. N+18R Ab S�IBR` Pducy EFF POLICY EXP _ ....... TYPE OF INSURANCE � POLICY NUMBER MMIDDA'YYY M /YYYY LIMITS i GENERAL LIABILITY j EACH OCCURRENCE 5 1,000,00 A F -- X > COMMERCIAL GENERAL LIABILITY 5068791567 01/01/2016 01/01/2016 DAMAfiFTOPFATE6 __. w [ PREMISES (Ea ecrre..nce}. _ $ 100,00 CLAIMS-MADE OCCUR i MED EXP (Any one person) $ 5,00 :PERSONAL 8 ADV INJURY c— — .._..._......_._.... $ --- ........1,000,00 J € ( GENERAL AGGREGATE ... - } $ 2,000,00 -- - - - .. ................ .. . _______ _, GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPtOP AGG $ 2,000,00 _ 'Emp Ben. $ 1,000,0 -. --I PRO POLICY X LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acadentJ_..._ $ 1,000,0 BODILY INJURY (Per person) $ A _._,. ANY AUTO 5068791567 01/0112015 01/01/2016 BODILY INJURY (Per accident) € $ ALL OWNED I ^' SCHEDULED Xti I j AUTOS [_ _€ AUTOS f ' NON -OWNED X i � ; PR PARidTY tDAMAGE accident) ..............._._ _._ § --_-------- MIREDAUTOS AUTOS AUTOS j j MCS 90 $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 €t..AGGREGATE _._ ........._...__ $ 10,000,0040 _..._. A EXCESS tJAB CLAIMS MADE 6238010503 01l01/2015 0110112016 X DED RETENTION S 0 $ woki(ERS COMPENSATION 1 X WC STATLL OTH i— T! Y LIMIT$ B AND EMPLOYERS' LIABLITY YIN ANY PROPRIETORIPARTNER/EXECUT(VE ;83047fi67 04l01/20151 04101l2016 E.L. EACH ACCIDENT $ ...^ 500, - E.L.DISEASE - EA EMPLOYEE S 5Q0,0 ..._.._ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) NIA. ..__._ ........._. E.L. DISEASE - POLICY LIMIT $ 50010 If yes. describe under DESCRIPTION OF OPERATIONS below i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Petroleum Distributor - State of Florida Monroe County Board of County Commissioners are Additional Insured A.�P NAGEMENT on Liability Policies as their interest may appear with respect to contract for fuel delivery services WAI NIA te.14 YES,,,, U"v MONROEB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN c�jrj�'�` t �vj f ACCORDANCE WITH THE POLICY PROVISIONS. MonRisk roe CouManag W-d L - Od`V 51OZ AUTHORIZED REPRESENTATIVE Simonton Street Key Key West, Fib�� 6 o 3 Q 31 ) 3 ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD JL— DIONOIL OP ID: KL1 CERTIFICATE OF LIABILITY INSURANCEP(MMIDD/YYYY)ATE 11/24/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS N( CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGQR AL BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CO Dl4TRACT B RESENTATIVE OR PRODUCER, AND THE CERTFF ATE HOLDER. ORTANT: If the certificate holder is an ADDITION INSURED, the policy(ies) must be the terms and conditions of the policy, certain policies By requi endorseelt. A state rtif t h Id ' 1' f h d UT RIGHTS UPON THE CERTIFICATE HOLDER. THIS THE COVERAGE AFFORDED BY THE POLICIES EEN THE ISSUING INSURER(S), AUTHORIZED sed. If SUBROGATION IS WAIVED, subject to on this certificate does not confer rights to the ce Ica e o er In leu o suc en orsemern s . PRODUCER Morris & Reynolds Inc. 14821 South Dixie Highway Miami, FL 33176 Robert D. Reynolds Phon :305-238-1000 Fa : 305-25 RIANOMENT CONTACT NAME: t FAX A/c No): INSURERS AFFORDING COVERAGE NAIC N INSURERA: United States Fire Insurance 21113 INSURED Dion Oil Company, LLC etal Ms. Suzanne Dion Banks Post Office Box 1209 Key West, FL 33041 INSURER B : Brid efield Employers Ins. Co. 10701 INSURER C INSURER D : INSURER E : INSURER F : r0 VFRAr;FA rFRTIFIr`ATF NI IMRFR- RFVICIf1N NI IMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR 5068791667 01/01/2015 01/31/2016 PAMAGE TO RENTEU- REMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY F7 JFCTPRO X LOC Emp Ben. $ 1,000,00 UTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,00 BODILY INJURY (Per person) $ ANY AUTO 5068791567 01/01/2015 01/31/2016 ALL OWNED SCHEDULED AUTOS AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS MCS 90 $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 _ AGGREGATE $ 10,000,00 A EXCESS LIAB CLAIMS -MADE 6238010503 01/01/2016 01/31/2016 X DED I I RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A 83047667 04/01/2015 04/01/2016 X WC STATU- OTH- LIMIT E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,00 E= DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Petroleum Distributor - State of Florida Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services PPRO D I' AGEMENT DATE L WAIVER N/ ._ K (W Monroe County BOCC Risk Managment 1100 Simonton Street Key West, FL 33040 J MONROE8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 80 w } ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN G U 330 SIOZACCORDANCE WITH THE POLICY PROVISIONS. t,J U V J 3 d 80 J 03111.1 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD DIONOIL OP ID: DT1 ATE CERTIFICATE OF LIABILITY INSURANCE 01/29/2016Y) 01/29/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED r'PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. _1111106ORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Phone: 305-238-1000 NAME: CONTACT Morris & Reynolds Inc. Fax: 305-255-9643 PHONE FAx 14821 South Dixie Highway AIC No Ext : A/c, No Miami, FL 33176 E-MAIL Robert D. Reynolds ADDRESS: INSURER A: United States Fire Insurance 21113 INSURED Dion Oil Company, LLC etal INSURER B : Brid efield Employers Ins. Co. 10701 Ms. Suzanne Dion Banks Post Office Box 1209 INSURER C : Key West, FL 33041 INSURER D : INSURER E : INSURER F : CAVFRAr:FS rtFRTIGIL`ATG III IaAL2GD- 13o111elnu ul usoro. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE D L UB POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP (MMIDDNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR X 5068839429 01/31/2016 01/31/2017 DAMAGE RENTED PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY jECT PRO X LOC Emp Ben. $ 1,000,00 UTOMOBILE LIABILITY Ea BINEDtSINGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ ANY AUTO X 5068839429 01/31/2016 01/31/2017 ALL OWNED SCHEDULED AUTOS AUTOS X BODILY INJURY (Per accident) $ X HIRED AUTOS XNONNED AUTOS AUTOS PROPERTY DAMAGE Per accident $ MCS 90 $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,00 AGGREGATE $ 10,000,00 A EXCESS LIAB CLAIMS -MADE 5238036657 01/31/2016 01/31/2017 X DED I I RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED' N / A 83047667 04/01/2015 04/01/2016 WC STATU- OTH- X T RY LIMIT R E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEEI $ 500,00 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Petroleum Distributor - State of Florida Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services AAPOV AGEMENT Ors', W v WAIVE - fi 1,* %lr-r% l lrl%lp% l C nVLUCR V I: I 'lneuln.. GANGtLLA I4UN Monroe County BOCC `err Risk Managment 1100 Simonton Street Key West, FL 33040 'S :3 Wd 3- 83.E 91 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE U 1988-ZU10 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD DIONENT OP ID: KL1 CERTIFICATE OF LIABILITY INSURANCE DATE IMM02/2016Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.LDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER Phone: 305-238.1000 N MEAC Morris & Reynolds Inc. Fax: 305.255-9643 PHONE FAX 14821 South Dixie Highway IAIC, No Ext) (A;C No) Miami, FL 33176 EMAIL Robert D. Reynolds ADDRESS INSURERIS) AFFORDING COVERAGE NA)C a INSURER A United States Fire Insurance 21113 INSURED Dion Fuels LLC INSURER B . Bridgefield Employers Ins. Co. 10701 Mr, Steven U Post Office Booxx 1209 INSURER C Endurance Reinsurance 11651 Key West, FL 33041 INSURER D INSURER F. c0VFaer:Fs INSURER F . - - --""" INCIFIOIVry PIUM0CK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L(S-tcD BELOW HAVE BEEN ISSUE'S TO THE INSURED NAMED 460VF FOR THE PULICY PERIOD NDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR',CONDTION OF ANY CONTRACT OR OTHER GCCttMENT WITH RESPECT TO WHICH THIS LERIIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDEU BY THE PCIICiES DESCRIBED HEREIN IS EUBIECT TO ALL THE T:RM5 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID Ct.AIM�" INSR ADDL SUER TN TYPE OF INSURANCE POUCY EFF POLICY ExP INSR t"fM POLICY NUMBER ____. IMM)OOlYYYvI (MMlDD1VYYV}•� GENERAL LIABILITY ErcH k.rN•:L S 1,000,00 A X COMMLIIOAJ_6N'R.At!_J81111, 5068840536 02108/2016 02/08/2017 DAMF E T NI!,TEE1 if MlatS J a c:,,ne�rr,,Tl S 100,00 C(. AIMS+BADE X Ch:CUi+ MEn E%P ,,U.V c=.r ptr-onl S 5,00 :'F�:;(t •il b :=;. IN, Y S 1,000,00 2,000,00( 31N1,1G tL,nttnnnnAPPItp 2,000,00 R:.Iea x, __� Emp Ben 5 1,000,00 AUTOMOBILE LIABILITY C;!�M6MF.ET -IItJ7;, ti I_)MI' F.academ) 1,000,00 A ANY AUT0 5068840536 - 02108/2016 02/0812017 P' 00k' IN,U-I 1=e+percaa� 5 ALL OWNED SCHELitit ED X - AUTOS AUTOS ROL111 Y Ik.{,H'r-Per r,,;�ticri'S S X }+tHF_I) !1Tns X NON.07Vr40AUTOc VR6FER ", (i-:6lAi.:E S ¢'sr nusd_;n, r _ 5 X UMBRELLAUAD X tXt:UR EA{;HLwl;'JHRcNi. E S 10,000r00 A EXCESS LIAR CiAIMti-MRUt 5238037188 02/08/2016 02/08/2017 �Crikea�Te g 10,000,00 EiEf% X RETFNT:ON S 0 __—____.._._.. �_�__..____.__._ WORNE RS COMPENSATION AND EMPLOYERS' UABKATY �_.� s hr 7 7U. X YIN B AN a PWVRIF TorPARTNFR.•C. T'�RY LI d1T,� E2 Fr t171�"; 83040822 OFFICFR UFK4eER E>,C_uDEU1 ( NIA 02/0812016 D2/0812017 r: (t t Al l S 500,00 (MAnda"ry le NHI I+ es rfexr,tx. under h L tY,4 A F . E r, . %Ip ')'. t:. @ s 500,00 nF SCR1PT1Ott CIF URFw1ATf;NJS celon NF"r '"r;IMlr 500,00 C Excess Liability EXC300D00561D0 — 02/08/2016 02/0812017 Excess Li 5,000,00 DL SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES !Attach ACORD 101 Addlhona] Remarks Schodule, ;t mo+e space is mqurred) Petroleum Distributor - State of Florida Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services APP O ANAGEMENT 0 DATE C_ cccnnrercunlnco WA RN/A S Lf t(i _- arnl�l.c6Ln I Ivry I " i'1/ 4 — y y 1, x itmui 304NOW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE "11 •1413 'All THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. Risk Managment 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33uu ; I wd 6 Z 033 91OZ _v , ((�� [(�j�� t J 1988-2010 ACORD CORPORATION. All rig s reserved. ACORD 25 (2010f05) a % UT 4Qe%Rt ).!T4and logo are registered marks of ACORD DIONENT OP ID: KL7 CERTIFICATE OF LIABILITY INSURANCE °"M'Mw°°"°"n 02/1612015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO WORTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be andorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certMcats does not confer rights to the cartMcete holder In lieu of such endorsamentIO PRODUCER Phone:305.938.1000 Morris & Reynolds Inc. Fax: 306.266.8843 14821 South Dixie Highway Miami, FL 33178 Robert D. Reynolds CONTACT NA wIOR1E AIC Not WSUMNSI AFFd10w0 COVERAGE NAIL • wsumRA:United States Fire Insurance 21113 INSURED Dion Fuels LLC Mr. Steven Uphoff Post Office Box 1209 Key West, FL 33041 wsuRERs Brad efield Employers Ins. Co. 10701 wwRERc,Endurance Reinsurance 11651 INSURER D INSURER E INSURER F Y .-w..e re:eTeeN+ATe Ice IAAQC12• REVISit]N NLIYBERt 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. TYPE OF WSURANCE AUM M -awamsLEACH 608884063e 11MRa rA GENERAL UARmm X COMMERCIALDENERALLIABILITY CLAIWMADE a OCCUR o2/0612015 02roe12o17 OCCURRENCE f 1,000,00 s 100, MED EXP ft &* p@M4 e 6 PERSONAL A AM PLURY Ri 1.0D0, GEHERALAGGREGATE s 2,000 OEML AGGREGATE LUT APPLIES PER! icy Loc PRODUCTS-COMPIOP AGG S 2,000, Emp Son. s IP0.0 A AUTOMOELELLMOITY AAUTO X ALLOWNED OS AUTOS X HIRED AUTOS X AUTOS 5068940636 02/08/2015 02108/2017 ?,�°.° BODILY INJURY"P mn) . s BODILY INIURV (Par auidWd) .,i... PROPE i A X UMBRELLA UAB EXCESS LOB N OCCUR LIAM34AAM 1 5=1111037111111, 0210IW2215 0210e12017 EACH OCCURRENCE A 10,000 AGGREGATE s 10100010 can I X I stintam B 0 is $ VRNMRS COMPBNBATM AND EMPLOYERS LIA®JTY ANY EREXECUTFIA Ya OFFICEIVUENGER EXCLUDED? 0"MI ANYM►ell a"-VO IM51RATN74 WIN N 1 A 0822 021OW2011 OW0812017 X A U• OTH• E.L.EACH ACCIDENT t _ sm. E.LDISEASE -EAEMPLOYEE i 500,0 E.L pSEASE •POLICY LIMIT i C Excess Limb" 1 I_ EXC300000ti5100 02I05t2015 02MMM17 Excess U 5.000,0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEMCIPS to ACORD 10R, Adddena Ramnb Sdw#da, V man ap n I. rmOndl Petroleum Distributor - Mtn of Florida Monroe County Board of County Coamissioners are Additional insured on Liability Policies as their, interest may appear with respect to contract: for fuel delivery services APPRO B MEf� A L: W — g Monroe County BOCC Risk Menagment 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTNOFSZED rISPReSIMATPA C� reserved. ACORD 25 (2010105) Tha ACORD name and logo are registered marks of ACORD M1 DIONENT OP ID: KL1 'oil" " CERTIFICATE OF LIABILITY INSURANCE DATE 2/0712017Y) 02/0712017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER Morris & Reynolds Inc. 14821 South Dixie Highway Miami, FL 33176 Robert D. Reynolds CONTACT E Robert D. Reynolds PHONEX NoI: 305-255-9643 X1;305-238-1000 EMA� ADDRESS: INSURERS AFFORDING COVERAGE NAIC a INSURER A: United States Fire Insurance 21113 INSURED Dion Enterprises LLC Dion Fuels LLC Dion Transport LLC_INSURER INSURERS: Br)d efield Casualty Ins. Co. 10336 C : Endurance Assurance Corp. 11651 INSURER D: Mr. Steven Uphoff P.O. Box 1209 Key West, FL 33041 INSURER E : INSURER F ; COVERAGES CERTIFICATE NUMBER: RFviSinN FJI IMRFR- 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. S L TYPE OF INSURANCE INSD POLICY NUMBER MM1DDIYYYY POLICY EXP MMIDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 6068877778 02/08/2017 02/08/2018 EACH OCCURRENCE $ 1,000,000 PREMISES occurrence) $ 100,00 MED EXP (Any one person) $ 5,0() PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JEC .� LOC GENERAL AGGREGATE $ 2,000,00 PRODUCTS -COMPIOPAGG $ 2,000,00 Emp Ben. $ 1,000,001 OTHER: A AUTOMOBILE LIABILITY ANY AUTO 5068877778 02108/2017 02/08/2018 C e eBINEDISINGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ X X ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accldenq $ PROPERTY DAMAGE �Per $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 A EXCESS LIA9 CLAIMS -MADE 5238065521 02/08/2017 02/08/2018 AGGREGATE $ 5,000,00 DE❑ I X I RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) ffyyes.describe under DES�RIPTTON 0R6PERATIONS below N IA 19642371 0210812017 02/08/2018 PER O H- X STATUTE I ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L DISEASE - POLICY LIMIT $ 600.000 C Excess Liability EXC30000056101 02/08/2017 02/08/2018 XS Liabi 10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Petroleum Distributor - State of Florida MCS 90 *Monroe County Board of County Commissioners, its employees and officials Additional Insured with regards to General/Auto Liability with respects to operations of client only. Waiver of Subrogation APR D AI EMtNT ,�J Included on Workers Compensation. RE:BID#-99-0-2017111 DA E B �' `�` WAIVER N/ YES C ' • �j A.ru=a-�C *Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 MONROEB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (201410) The ACORD name and logo are registered marks of ACORD DIONOIL OP ID: DT1 AcoRo- CERTIFICATE OF LIABILITY INSURANCE DATE �ti27) 120 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO TIGHTS UPON THE RE COVERAGE CERTIFICATE THE POLICIES HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . NTACT PRODUCER Phone:305-238-1000 Morris b Reynolds Inc. Fax: 305-255-9643 14821 South Dixie Highway Miami, FL 33176 Robert D. Reynolds INSURED Dion Oil Company Ms. Suzanne Dion Banks NAME: AX PHONE AIC No): E-MaL ADDRESS: INSURER 8 AFFORDING COVERAGE NA INSURER A: United States Fire Insurance INSURER B : Brid efieid Employers Ins. CO. 21113 10701 INSURER C: INSURER D : Post Office Box 1209 Key West, FL 33041 INAIIRER E DVERAGES CERTIFICAI r-NU1YIMI 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. pOLICYEF_PO YP LIMITS NSH LTR A A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR GEML AGGREGATE LIMIT APPLIES PER: POLICY %X LOC AUTOMOBILE LIABILITY ANY AUTO X ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS PULna numocn 5068764649 5068764649 .. •. • • • • • 01/01/2014 01/01/2014 -- EACH OCCURRENCE 0110112015 PREMISES Ea ocuurence MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG Emp Ben. COMBINED SINGLE LIMIT Ea accident 01101/2015 BODILY INJURY (Per person) BODILY INJURY (Per accident) PP r acEcide DAMAGE $ 1 $ $ S 1 S 2 S 2 S 1 1 S $ $ $ A X UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE 5237084862 01/01I2014 EACH OCCURRENCE 01 10112015 AGGREGATE $ 11 S 11 $ B DED RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICER/MEMBER EXCLUDED? ECUTIVE ❑ N / A (Mandatory in NH)� 83047667 04/0112013 X WC STATU- OTH- 04101/2014 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LIMIT $ $ $ 1 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) Petroleum Distributor - State of Florida 4onroe County Board of County Commissioners are Additional Insured 4ArNvAN ISI C' M Dn Liability policies as their interest may appear with respect to contract 3i�;C.�-�l Eor fuel delivery services W/ Q t 1a2 ��_r-�c . CERTIFICATE HOLDER CANCELLATION MONROE8 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 BOCC Risk Managment AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West, FL 33040 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD DIONOIL OP ID: KL1 CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/YYYY) 03/27/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Phone:305-238-1000 NAME: Morris & Reynolds Inc. PHONE 14821 South Dixie Highway Fax: 305-255-9643 AIC. No. Exit - j (AA/c No):- E-MAILE-M Miami, FL 33176 -ADDRESS,: Robert D. Reynolds INSURERS) AFFORDING COVERAGE NAIC p INSURER A: United States Fire Insurance 21113 INS uRED Dion Oil Company INSURER B Bridgefield Employers Ins. Co. - 10701 Ms. Suzanne Dion Banks INSURER C : - Post Office Box 1209 -- Key West, FL 33041 INSURER D : _ - INSURER E : -- - - --- oc\/ICInW MI IMRFR- COVERAGES --------- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - - - - ADDLiSUBR. - - - O LIMITS INSR GENERAL LIABILITY POLICY EFF MM/DD/YYYY ,EACH OCCURRENCE $ 1,000,00 - POLICY EXP LTR TYPE OF INSURANCE 5068754649 ICY NUMBER 01/01/2014 DAMAGES_L occurrence)- _ A X COMMERCIAL GENERAL LIABILITY 1 01/01/2015 j $ 100,00 --- - - 00( CLAIMS -MADE X OCCUR MED EXP (Any one person) T - 5, -- - PERSONAL & ADV INJURY $ 1,000,0 -- -0 GENERAL AGGREGATE $ 2,000,00 -- - - GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2+000+00 POLICY PRo- X Loc iEmp Ben. $ 1,000,00 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,00( (Ea accident) A ANY AUTO 5068754649 01/01/2014 01/01/2015 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED �� BODILY INJURY (Per accident) $ X AUTOS __ ' AUTOS PROPERTY DAMAGE - NON -OWNED Peraccideni '$ X HIRED AUTOS � X AUTOS I I $ X UMBRELLA LIAB OCCUR 01/01/2015 L EACH OCCURRENCE $ 10,000,00 -- - - - — EXCESS LIAB AGGREGATE $ 10,000,00 A CLAIMS -MADE' --- - � 5237084gg2 01/01/2014� - $ DED RETENTION $ WC STATU- OTH- WORKERS COMPENSATION X TORY-LIMITS. ER AND EMPLOYERS' LIABILITY 500�00 B ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N / A 83047667 0410112014 04101/2015 E.L. EACH ACCIDENT $ __ OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500,00 (Mandatory in NH) 600 00 If yes, describe under E.L. DISEASE - POLICY LIMIT $ , DESCRIPTION OF OPERATIONS below is required) DESCRIPTION OF OPERATIONS. LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more spaceq ) Petroleum Distributor - State of Florida Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contratDA for fuel delivery services R K I EMENT �c -- , • e - drl! MONROE8 C I :Z WV I - ad U8Z Monroe County BOCC Risk Managment 1100 Simonton Streeq Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE VIf v ravv'cv +v rwv.w vv... a ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD DIONOIL OP ID: DT1 DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 03127/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the enrtmnat>a holder in lieu of such endorsemen s . PRICER Phone:305-233-1000 NAME _ FAx Morris & Reynolds Inc. Fax: 305-255-9643 PHC�No } _ Wc, Nol:. _.... - 14821 South Dixie Highway EMAIL Miami, FL 33176 ADOREss ....... Robert D. Reynolds EISURERIS} AFFORDING COVERAGE NA 21113 _INSURER A : United States Fire insurance....._____ . _.._. 10701 -- - -- INsuRER s ; Brid afield Employers Ins.Co. uNsuaeD Dian oil Company, LLC etas . -� - Ms. Suzanne Dion Banks INSURER C : *" Post Office Box 1209 kNSUMR D Key West, FL 33041 INSURER E : ___.j.._..___....__.. OVERAGES CERTIFIGAI t ryullm0cm[: 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. _ ._ __...__......... _.......__— __r__ Ir Y FFF P6LICY EXP , lurft li?iF NSR TYPE OF INSURANCE LTR GENERAL LIABILITY A ! X ! COMMERCIAL GENERAL LIABILITY CLAIMS MADE ^ 1 OCCUR LIMIT APPLIES PER: AUTOMOBILE LIABILITY A ANY AUTO j ALL OWNED SCHEDULED �X7—'l AUTOS AUTOS jNOWOWNED I, HIRED AUTOS X AUTOS 1 i X UMBRELLA LIAR X OCCUR A EXCESS LIAB CLAIMS -MADE i X MD RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N B ANY OFFICERP%18E EXCLUDED? ECUTNE � NIA tMandatorV in NHi PVLIR:T NVM6CR ,n.vv..... 567 01/0112015 .......__.. 01/0112016 _PREMIS I EACH OCCURRENCE DACHOC fii3RE-y 5 a oc nencaZ __ j MED EXP (Any one person} _ ; $ !' A $ _.___.__.......__ PERSONAL & AOV INJURY S i GENERAL AGGREGATE $_______! PRODUCTS COMPIOP AGG $ 2 3 'Emp Ben. $ 1 COMBINED SINGLE LIMIT 1 Eaacadernl.... s___...... _....____... 1667 01101 t2015 0110112016 BODILY INJURY (Per person} b BODILY INJURY (Per aaideM) S PR ERTY DAMAGE $ Per MCS 90 01/01120161 01/0112016 ! AGGREGATE _ 04/0112015 !: 04/01/2016 ESL. 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is requirod) Petroleum Distributor - State of Florida ANP NAGEMENT Monroe County Board of County Commissioners are dwithnal res respectInsured tocontract DA ��i �n Liability Policies as their interest may appearP WAI �q YES_„ for fuel delivery services 5-(. MONROEB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. oe Cou RskrManagARsre✓r rY% i ]IOL AUTHOFMD REPRESENTATIVE 1100 Simonton Street Key West, 8 6 o A a 31 1 r Ali hts reserved. (D1988-2010 ACORD CORPORATION. nV ACORD 2S (2010/05) The ACORD name and logo are registered marks of ACORD DIONOIL OP ID: KL1 DATE (MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE 11/24/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INF CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGE BELOW. THIS CERTIFICATE OF INSURANCE DOES REPRESENTATIVE OR PRODUCER, AND THE CERTIFII IMPORTANT: If the certificate holder is an ADDITION/ the terms and conditions of the policy, certain policies certificate holder in lieu of such endorsement(s). PRODUCER r11V Morris 8r Reynolds Inc. F 14821 South Dixie Highway Miami, FL 33176 Robert D. Reynolds INSURED Dion Oil Company, LLC etal Ms. Suzanne Dion Banks Post Office Box 1209 Key West, FL 33041 Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS JE01R AR L� THE COVERAGE AFFORDED BY THE POLICIES ITVrbiIfPACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED TE HOLDER. INSURED, the policy(ies) must be a �dorsed. If SUBROGATION IS WAIVED, subject to ay requil endoFsemlt. A state his certificate does not confer rights to the CONTACT 305-238-1000 NAME. FAX 305-25 t A/c No', RISK M E)NT LJ INSURERS AFFORDING COVERAGE NAIC # INSURER A: United States Fire Insurance 21113 INSURER B : Brid efield Employers Ins. Co. 10701 INSURER C : INSURER D : INSURER E : _ COVERAGES CERTIFICATE NUMt3tK: E BEEN ISSUED TO THE INSURE . D NAMED ABOVE FOR THE POLICY THIS IS TO CERTIFY THAT THE POLICIES OF I SURANTERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY/DEFF POLICY EXP LIMITS TR TYPE OF INSURANCE ADD POLICY NUMBER MMD/YYYY MMIDDIYYYY 1,000,( EACH OCCURRENCE $ GENERAL LIABILITY 5068791567 01101/2015 01I3112016 PREMISES Ea occurrence $ 100,( A %( COMMERCIAL GENERAL LIABILITY 5 f CLAIMS -MADE ❑X OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: AT 7 POLICY I I JERCOT X LOC AUTOMOBILE LIABILITY A ANY AUTO X ALL OWNED AUTOS X HIRED AUTOS X UMBRELLA LIAB A EXCESS LIAB 567 SCHEDULED AUTOS NON -OWNED AUTOS OCCUR CLAIMS -MADE 1 1 5238010503 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN B ANY PRCPRIETORRARTNER/EXECUTIVE ❑ N I A OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If ves. describe under MED EXP (Any one person) $ I PERSONAL & ADV INJURY $ 1,000, GENERAL AGGREGATE $ 2,000, PRODUCTS - COMP/OPAGG $ 2,0001 °mp Ben. $ 1,000 COMBINED SINGLE LIMIT a 1,000 01/01/2015 01/3112016 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident MCS 90 $ EACH OCCURRENCE $ 1 01/01/2015 01/31/2016 AGGREGATE $ 1 04/01/2015 04/01/2016 E.L. EACH ACCIDENT $ 500 E.L. DISEASE - EA EMPLOYEE $ 500 E.L. DISEASE - POLICY LIMIT $ 500 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ?etroleum Distributor - State of Florida donroe County Board of County Commissioners are Additional Insured )n Liability Policies as their interest may appear with respect to contract :or fuel delivery services PPRO D AGEMENTCM DAIE : ` WAIVE N/ YE$ C j ; A 'I in 1111 V "1'l CANCELLATION MONROE8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 80 �� _ �� S�OZ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC Risk Managment lA U 3 J d 80 J 031; i AUTHORIZED REPRESENTATIVE Key Simonton Street J u C7 V lJ Key West, FL 33040 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD DIONOIL OP ID: DT1 '4� Ro CERTIFICATE OF LIABILITY INSURANCE ATE 01/2M/2 YYYY) 1/2912016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: 305-238-1000 Morris &Reynolds Inc. Fax: 305-255-9643 14821 South Dixie Highway Miami, FL 33176 Robert D. Reynolds NAME: ONTACT PHONE FAx A/c No Ext : ac No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # A: United States Fire Insurance 21113 _ INSURED Dion Oil Company, LLC etal Ms. Suzanne Dion Banks -INSURER INSURER B : Brid efield Employers Ins. Co. 10701 Post Office Box 1209 INSURER C INSURER D : Key West, FL 33041 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE INSR UB WVrJ POLICY NUMBER MMLDDYYYY MMIDD YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR X 6068839429 01/31/2016 01/31/2017 PREMAGE TO ISES RENTED $ 100,000 MED EXP (Any one person) $ 5,000, PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY F1 PRO X LOC Emp Ben. $ 1,000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,00C $ BODILY INJURY (Per person) $ A ANY AUTO X 5068839429 01/31/2016 01/31/2017 ALL OWNED SCHEDULED AUTOS AUTOS X BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ MCS 90 $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 AGGREGATE $ 10,000,000 A EXCESS LIAB CLAIMS -MADE 5238036657 01/31/2016 01/31/2017 X DED I I RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑ N / A 83047667 04/01/2015 04/01/2016 WC STATU- OTH- X CRY LIMIT R E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE - $ 500,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Petroleum Distributor - State of Florida Monroe County Board of County Commissioners are Additional Insured on Liability Policies as their interest may appear with respect to contract for fuel delivery services AP VV AGEMENT A Q('C ,,0)Mti WAI N/ YES_ _ - 1-0 VCK I Irmm I r- r7VLUCK V Il. Iki"In1 . UANGtLLAI IL)N 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 BOCC �S Z_ 83J 91OZ Risk Managment 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 J _ t j. d d0i 03111 ` ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD