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Certificates of InsuranceNuia NOVA CASUALTY COMPANY AGENCY ACCOUNT 09CP005355 12/13/9 12/13/9 INSUREDqAMED AND ADDRESS DISABLED AMER VETERANS MARATHON CHAPTER #122 7280 OVERSEAS HWY MARATHON FL 33050 Commercial Package Policy New Business Declaration EFFECTIVE 12/13/96 12:01 AM STANDARD TIME r"0016Icr ]VA KEYS INSURANCE AGENCY MONROE 5800 OVERSEAS HIGHWAY SUITE 43 P 0 BOX 500280 MARATHON FL 33050-0280 PHE NAMED INSURED IS Individual ------------------------------------------------------------------------------- ;OVERAGES PHIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS/POLICIES FOR WHICH A 'REMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. :OVERAGE PART/POLICY ATTACHED PREMIUM ;OMMERCIAL PROPERTY COVERAGE ................................. $396.00 :OMMERCIAL GENERAL LIABILITY COVERAGE ........................ $863.00 4ISC., FEES AND TAXES ......................................... $4.00 ------------- DOTAL ADVANCE PREMIUM ........................................ $1,263.00 OMMON FORMS THAT -------------------------------------------- --- APPLY TO -- -- --- -- --------------------------------- ALL COVERAGE PARTS ENDORSEMENT NO EDITION DATE DESCRIPTION *CG0001 11-88 Commercial General Liab. *CG0220 07-92 FL.Changes-Canc. & NonRnl *CG2147 09-89 Emply.Related Prac. Excl. *CG2149 11-88 Total Pollution Excl. *CP0090 07-88 Comm. Property Conditions *CP0125 10-91 Florida Changes *CP1054 10-90 Windstorm or Hail Excl. *IL0017 11-85 Common Policy Conditions *IL0021 11-94 Nuclear Energy Liab.Excl. *IL0175 09-93 FL Changes -Legal Action ' - -°-- -- -� -------•---___.._ *IL0255 ------------------------------------------------------------------------------- 07-94 FL Changes-Canc./Nonren'l SORTGAGEE (S) ------------ SIT# LOAN NUMBER NAME AND ADDRESS 1 BOARD OF COUNTY COMMISSIONERS ApppogD BY RISK MANAGEMENT WING II PUBLIC SERVICE B L D G c,- 5825 JUNIOR COLLEGE RD W BY KEY WEST FL 3304 00 OL N'A _ _____YES BEv�T7� LOSS PAYEE/MORTGAGEE NCC (9/93) NOM NOVA CASUALTY COMPANY AGENCY ACCOUNT Commercial Package Policy New Business Declaration EFFECTIVE 12/13/96 09CP005355 12/13/9 12/13/9 12:01 AM STANDARD TIME NFL00382 4AMED INSURED . ADDRESS DISABLED AMER VETERANS KEYS INSURANCE AGENCY MONROE MARATHON CHAPTER #122 5800 OVERSEAS HIGHWAY SUITE 43 7280 OVERSEAS HWY P 0 BOX 500280 MARATHON FL 33050 MARATHON FL 33050-0280 ------------------------------------------------------------------------------- IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THE COVERAGE PARTS/POLICIES ATTACHED, WE AGREE WITH YOU TO PROVIDE THE INSURANCE DESCRIBED THEREIN. COUNTERSIGNED BY-------,-:� 1------------- DATE 12/17/96 LOSS PAYEE/MORTG25EE< N _VA Commercial Fire New Business Declaration NOVA CASUALTY COMPANY AGENCY ACCOUNT EFFECTIVE 12/13/96 FROM POLICY PERIOD TO POLICY PERIOD 09CP005355 I 12/13/9 12/13/9� 12:01 AM STANDARD TIME NFL00382 DISABLED AMER VETERANS MARATHON CHAPTER #122 7280 OVERSEAS HWY MARATHON FL 33050 OCATION ADDRESS (ES) -------------------- LOCATION 01 7280 OVERSEAS HWY MARATHON FL 33050-0000 OVERAGES OC BLDG ITEM UM NUM NUM 01 001 1 OVERAGE ESCRIPTION UILDINGS ERS PROPERTY CLASS PROT TERR CODE CLASS CODE 0757 09 00999 KEYS INSURANCE AGENCY MONROE 5800 OVERSEAS HIGHWAY SUITE 43 P 0 BOX 500280 MARATHON FL 33050-0280 CONST MTH LIMIT MAX PERIOD EXT PERIOD CODE INDEMNITY INDEMNITY INDEMNITY MN COVERED LIMIT OF DED. CAUSES INSURANCE AMOUNT OF LOSS --------- ------------- $150,000 $1,000 SPECIAL $25,000 $1,000 SPECIAL COIN INFL PERCENT GUARD ACV/RC PREMIUM ------- ------ ------------- 80.00% ACV $313.00 80.00% ACV $83.00 ORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART OC ITEM ENDORS NO ED DATE LIMIT DESCRIPTION PREMIU 1 1 *CP0010 10-91 Bldg.& Per. Prop.Cov.F 1 1 *CP1030 10-91 Causes of Loss -Special 1 1 *CP1033 11-85 Theft Exclusion 1 1 *CP1218 10-91 Loss Payable Provision CLAUSE B APPLIES 1 1 *CP1420 11-91 Add11 Prop. Not Covere ------------------------------------------------------------------------------ EXCL AWNINGS, CANOPIES & SWIMMING POOL. ISC. FEES AND TAXES $4.00 TOTAL ADVANCE PREMIUM .................................... $400.00 LOSS PAYEE/MORTGAGEE NCC (9/93) NUIR NOVA CASUALTY COMPANY AGENCY ACCOUNT 09CP005355 1 12/13/9$ 12/13/9 DISABLED AMER VETERANS MARATHON CHAPTER #122 7280 OVERSEAS HWY MARATHON FL 33050 LIMITS OF INSURANCE General Liability New Business Declaration EFFECTIVE 12/13/96 12:01 AM STANDARD TIME NFL00382 KEYS INSURANCE AGENCY MONROE 5800 OVERSEAS HIGHWAY SUITE 43 P 0 BOX 500280 MARATHON FL 33050-0280 GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS -COMPLETED OPERATIONS) . PRODUCTS -COMPLETED OPERATIONS AGGREGATE LIMIT. . . . . . . . . . . . PERSONAL & ADVERTISING INJURY LIMIT . . . . . . . . . . . . . . . . . EACH OCCURRENCE LIMIT . . . . . . . . . . . . . . . . . . . . . . . . FIRE DAMAGE LIMIT (ANY ONE FIRE) . . . . . . . . . . . . . . . . . . MEDICAL EXPENSE LIMIT (ANY ONE PERSON) . . . . . . . . . . . . . . . LOCATION ADDRESS(ES) --------------------- LOCATION 01 7280 OVERSEAS HWY MARATHON FL 33050-0000 COVERAGES $300,00 $300,00 $300,00 $300,00 $50,00 $5,00 ITEM LOC TERR CLASS PREMIUM BASIS EXPOSURE PD DEDUCTIBLE 1 001 6 41667 Area 3200 $000 PER CLM DESCRIPTION: Premise/Operations Liability Clubs -.civic; service or social - having LIABILITY PREMIUM . . . . . . $863.00 FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART LOC ITEM ENDORS NO ED DATE LIMIT DESCRIPTION PREMIU 1 1 *CG2116 11-85 Excl.-Desig.Prof. Sery 1 1 *CG2144 11-85 Ltd. Cov.to designated REFER TO LOCATION ADDRESS. ------------------------------------------------------------------------------- TOTAL ADVANCE PREMIUM .................................... $863.00 LOSS PAYEE/MORTGAGEE NCC (9193) ACOR ,,M CERTIFICATE OF LIABILITY INSURANCE Ol/13/1999 1/13M/199 PRODUCER (305) 743-0494 (305) 743-0582 Keys Insurance Agency of Monroe County, Inc. P.O. Box 500280 Marathon, FL 33050-0280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Disabled Amer Veterans Marathon Chapter #122 7280 Overseas Highway Marathon, FL 33050 INSURER A: Allstate Ins Co INSURER : Western SuretyCompany mpany INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN LTR TYPE OF INSURANCE POLICY NUMBER P LI Y TIVE DATE MM/DDIWI POLICYEXPIRATION DATE MM/DDNY LIMITS GENERAL LIABILITY 49815113 12/13/1998 12/13/1999 EACH OCCURRENCE $ 300,0001 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR FIRE DAMAGE (Any one fire) $ 50,0001 MED EXP (Any one person) $ 5,00 A X Liquor Liability PERSONAL & ADV INJURY $ 300,00 GENERAL AGGREGATE $ 300,00 GEN'L AGGREGATE LIMIT APPLIES PER: P POLICY RO LOC ELJECT PRODUCTS - COMP/OP AGG $ 300,00 AUTOMOBILE LIABILITY ANY AUTO r ; +. Km y r J =fit-. ?, Q / ) COMBINED SINGLE LIMIT Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS "Y J �� -- i knLYINJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS P1 JTF - BODILY INJURY (Per accident) $ jv. PROPERTY DAMAGE er accident) $ GARAGE LIABILITYNY AUTO ONLY - EA ACCIDENT $ A AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS LIABILITY OCCUR 0 CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ oTHIR oyee Dishonesty 8198847 01/19/1999 01/19/2000 B �mp and $10,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertificateholder listed as additional insured on the General Liability coverages.. A4n — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, TH ING COMPANY WILL ENDEAVOR TO MAIL Monroe County Board of County Commissioners 10 DAYS WRITTEN NOT E TO HE CERTIFICATE HOLDER NAMED TO THE LEFT, Wing II Public Service Bldg. BUT FAI RE TO MAIL H ICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5825 Junior College Rd., W OF ANY U WY,. Key West, FL 33040 AUTHORIZED ENT ACORD CERTIFICATE OF LIABILITY INSURANCE *" 02/02/2000 2/02M/200 PRODUCER (305) 743-0494 (305) 743-0582 Keys Insurance Agency of Monroe County, Inc. P.O. Box 500280 Marathon, FL 33050-0280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Disabled Amer Veterans Marathon Chapter #122 7280 Overseas Highway Marathon, FL 33050 INSURER A: Allstate Ins Co INSURER B: INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER PDATE LI Y E TIVE MM/DD/YY P L Y EXPI N DATE MM/DD/YY LIMITS GENERAL LIABILITY 49815113 12/13/1999 12/13/2000 EACH OCCURRENCE $ 300,000. X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 50,00 CLAIMS MADE FTI OCCUR MED EXP (Any one person) $ S,000 A X Liquor Liability PERSONAL & ADV INJURY $ 300,000 GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 300,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY r , C ^ R '�' /Ir f AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE V $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ 1� E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertificateholder is additional insured as their interest may appear SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUIN MPANY WILL ENDEAVOR TO MAIL Monroe County Board of County Commi ssi ners 10 DAYS WRITTEN NOTICE TO TIFICATE HOLDER NAMED TO THE LEFT, Wing II Public Service Bldg BUT FAILURE TO AIL CH E LL IMPOSE NO OBLIGATION OR LIABILITY 582 5 Junior College Road W OF ANY KIND U O HE TS AGENTS OR REPRESENTATIVES. Key West, FL 33040 DATE ✓✓✓ APHORIZED REPE Acomnm VtK 1 Irm#m i c yr )RODUCER (305)743-0494 (305)743-0582 Keys Insurance Agency of Monroe County, Inc. P.O. Box 500290 Marathon, FL 33050-0280 Disabled Amer Veterans Marathon Chapter #122 7290 Overseas Highway Marathon, FL 33050 DATE (MM/DD/YY) 02/14/2000 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: Western Surety INSURER B: INSURER C: INSURER D: INSURER E: ono'UC Dni 1rV DGRInn INnICATFn NOTWITHSTANDING THE POLICIES OF INSURANCE LI5IED tsELUVV rAVt DDDry ioou— i� .. •� ••� ••• -- -- - ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED 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. POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DDIYY) LIMITS TYPE OF INSURANCE LTR GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE F-1 OCCUR EACH OCCURRENCE $ F IRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OPAGG $ GEN'L AGGREGATE LIMIT APPLIES PER. POLICY PROJECT E LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 1-'!'." ` ! r `""------ _ _ _ �� ---- Y« , �•- .; _ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY. AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ ' ' EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY _ TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ A OTHER mployee Dishonesty and 8198847 01/19/2000 01/19/2001 $10,000 DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I)ATE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, INITIAL BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Monroe County Board of County Comissioners 5100 College Road OF ANY KIND ON E COMPANY, AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED P E TIV Derek IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACOR ,. CERTIFICATE OF LIABILITY INSURANCE oi�osizooi PRODUCER (305) 743-0494 FAX (305) 743-0582 Keys Insurance Agency, Inc. P.O. Box 500280 Marathon, FL 33050-0280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Disabled American Veterans Marathon Chapter #122 7280 Overseas Highway Marathon, FL 33050 INSURER A: Allstate Ins Co INSURERB: Western Surety Company INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY IRAT N DATE MM/DD/YY LIMITS GENERAL LIABILITY 49815113 12/13/2000 12/13/2001 EACH OCCURRENCE $ 300,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 100,000 CLAIMS MADE OCCUR MEC EXP (Any one person) $ S,000 A X Liquor Liability PERSONAL & ADV INJURY $ 300,000 GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 300,000 PROECT LOC POLICY 7J AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ,♦,///��� r , \ ,1 -11-- .. �;. v� BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY -. / vc .. AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY OCCUR D CLAIMS MADE Ct, . „ ♦ EACH OCCURRENCE $ AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIAB!LITY I TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ B OTH R mp�foyee Dishonesty 18198847 01/19/2000 01/19/2001 $10,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertificateholder is additional insured as their interest may appear %,Cf[ 1 Ir II,N 1 C nULLJcrt ADDITIONAL INSURED; INSURER LETTER: l #kF`4%.CLLA I IU14 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Board of County Commissioners 10 DAYS WRITTEN NOTICE TO E CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Maria Del Rio Wing II Public Service Bldg BUT FAILURE TO MA )(SUCH N90CE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5825 Junior College Rd W OF ANY KIND UP0 THE ANY, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRES ATI ^ FAX- rinSl7gs-4if,4 ACOR ,. CERTIFICATE OF LIABILITY INSURANCE 01/08/2001 PRODUCER (305) 743-0494 FAX (305) 743-0582 Keys Insurance Agency, Inc. P.O. Box 500280 Marathon, FL 33050-0280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Disabled American Veterans 3� Marathon Chapter #122 7280 Overseas Highway Marathon, FL 33050 INSURER A: Allstate Ins Co INSURERB: Western Surety Company INSURERC: INSURERD: 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. IN LTR TYPE OF INSURANCE POLICY NUMBER P LICY EMID TIVE DATE MM/DD/YY POLICY MM/DDI EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR X Liquor Liability— 49815113 12/13/2000 12/13/2001 EACH OCCURRENCE $ 300,000 FIRE DAMAGE (Any one fire) $ 100,000 MED EXP (Any one person) $ 51000 PERSONAL & ADV INJURY $ 300,000 GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 300,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS AUTOS -' Ni!t'rr R y } ''�• + r d -01 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ILY INJURY (Per accident)NON-OWNED $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO ------ n. ��r ---)AUTO ` AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TWO RY LIMITS ER ACCIDENT $ ffL111H ASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ B OTH R mp�loyee Dishonesty 18198847 01/19/2000 01/19/2001 $10,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertificateholder is additional insured as their interest may appear IIVIYNL IIYJURCU� IRJURCR LC I I CR: V/11\VLLLf111V9\ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe county Board of County Commissioners 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, tn: Maria Del Rio Wing II Public Service Bldg BUT FAILURE O MAIL SUCH TI E SHALL IMPOSE NO OBLIGATION OR LIABILITY 5825 Junior College Rd W OF ANY KIND ON THE CO P Y, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZEDREPR FAX: (305)295-4364 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE TM D/ D1/081/D8/2002U01 PRODUCER (305) 743-0494 FAX (305) 743-0582 Keys Insurance Agency, Inc. P.O. BOX 500280 Marathon, FL 33050-0280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Disabled American Veterans Marathon Chapter #122 7280 Overseas Highway Marathon, FL 33050 INSURER A: Allstate Ins Co INSURERB: Western Surety Company INSURERC: INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER LI Y EF E TIVE DATE MM/DD/YY POLICY MMIDD EXPIRATION DATE MM/DDM' LIMITS A GENERAL LIABILITY MMERCIAL GENERAL LIABILITY CLAIMS MADE ,I A I OCCUR kXLoiquor Liability 4981S113 12/13/2000 12/13/2001 EACH OCCURRENCE $ 300,000 FIRE DAMAGE (Any one fire) $ 100,000 MED EXP (Any one person) $ S,000 PERSONAL & ADV INJURY $ 300,000 GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO El LOC JECT PRODUCTS - COMP/OP AGG $ 300,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS WL COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO •'n, vG� i �, AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR FICLAIMSMADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L DISEASE -POLICY LIMIT $ B OTHER mp oyee Dishonesty 18198847 01/19/2001 01/19/2002 $10,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertificateholder is additional insured as their interest may appear I+ M I Ir l%OP%I G nvLJ=F% ADDITIONAL INSURED; INSURER LETTER: 1 IUIV SHOULD ANY OF THE ABOVE DESCRIBED POLIC CANCELLED BEFORE THE EXPIRATION DATE THE OF, THE ISSUING MPAN WILL ENDEAVOR TO MAIL Monroe County Board of County Commissioners 10 DAYS WRITTEN OTICE TO THE RTIF TE HOLDER NAMED TO THE LEFT, Attn • Maria Del Rio BUT FAILURE TO MAIL SUC IMPOSE NO OBLIGATION OR LIABILITY 5100 . College Road OF ANY KIND UPON THE COMPANY, I AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTATIVE FAY- rinCl74C_AIAA ACOR ,. CERTIFICATE OF LIABILITY INSURANCE 01/08/200i PRODUCER (305) 743-0494 FAX (305) 743-0582 Keys Insurance Agency, Inc. P.O. Box 500280 Marathon, FL 33050-0280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Disabled American Veterans Marathon Chapter #122 �j�0 7280 Overseas Highway l Marathon, FL 33050 ✓ INSURER A: Allstate Ins Co INSURERB: Western Surety Company INSURER C: INSURER0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DM/DD/YY POLICY EXPIRATIONLIMITS DATE MM/DD/YY GENERAL LIABILITY 49815113 12/13/2000 12/13/2001 EACH OCCURRENCE $ 300,000 FX COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 100,00 CLAI-S .M.ADE FTI. OCCUR L.EO cvo (Any cne person) g 5 QO PERSONAL & ADV INJURY $ 300,000 A X Liquor Liability GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 300,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO BY 1 IY COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS — DATE WAIVER N/A I — BODILY INJURY (Per person) $ YES BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ . GARAGE LIABILITY cc, A ft AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ 1 AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND TORY LA I IMITS I I ER EMI`LC78RS' LIAEILITY ' E.L. EACH ACCIDENT Is E.L. DISEASE - EA EMPLOYE $ E.L DISEASE -POLICY LIMIT 1 $ B OTH R mp�oyee Dishonesty 8198847 01/1.9/2001 01/19/2002 $10,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertificateholder is additional insured as their interest may appear %.crc I Irr..A I c nvLucr% ADDITIONAL INSURED; INSURER LETTER: VAIVI.CLLA I IUN SHOULD ANY OF THE ABOVVTICE S BE CANCELLED BEFORE THE EXPIRATION DATE THEREOCOMPA Y WILL ENDEAVOR TO MAIL Monroe County Board Of County Commissioners 10 DAYS WRITTEN NORTIFICAI E HOLDER NAMED TO THE LEFT, Attn • Maria Del Rio BUT FAILURE TO MAIL SUCHL IMPO NO OBLIGATION OR LIABILITY 5100 College Road OF ANY KIND UPON THE COS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTATIVE FAX- r1nS17QS-41Fa (WAIIState. You m in good hands. CERTIFICATE OF INSURANCE X❑ ALLSTATE INSURANCE COMPANY ❑ ALLSTATE INDEMNITY COMPANY ALLSTATE TEXAS LLOYDS 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 RY TNF Po l VIIFS RFI OW CERTIFICATE HOLDER NAMED INSURED Name and Address of Party to Whom this Certificate is Issued Name and Address of Insured MONROE COUNTY BOARD OF COUNTY DISABLED AMER VETERANS COMMISSIONERS MARATHON CHAPTER #122 5825 JUNIOR COLLEGE 7280 OVERSEAS HWY KEY WEST FL 33040 MARATHON FL 33050-3135 Mus is w corny chat poiicies or insurance listed below nave been issued to the insured named above subject to the expiration date indicated be- low, 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. TYPE OF INSURANCE AND LIMITS Policy Effective Expiration COMMERCIAL GENERAL LIABILITY Number 49 815113 Date 12/13/01 Date 12/13/02 Limit Amount GENERAL AGGREGATE LIMIT(Other than Products -Completed Operations) $ 300,000 PRODUCTS -COMPLETED OPERATIONS AGGREGATE LIMIT $ 300,000 PERSONAL AND ADVERTISING INJURY LIMIT $ 300,000 EACH OCCURRENCE LIMIT $ 300,000 PHYSICAL DAMAGE LIMIT $ 100,000 ANY ONE LOSS MEDICAL EXPENSE LIMIT $ 5,000 ANY ONE PERSON WORKERS' COMPENSATION & Policy Effective Expiration EMPLOYERS' LIABILITY Number Date Date Coverage Limits WORKERS' COMPENSATION STATUTORY - applies only in the following states: EMPLOYERS' LIABILITY BODILY INJURY BY ACCIDENT $ EACH ACCIDENT BODILY INJURY BY DISEASE $ EACH EMPLOYEE BODILY INJURY BY DISEASE $ POLICY LIMIT Policy Effective Expiration AUTOMOBILE LIABILITY Number Date Date Coverage Basis Limits ANY AUTO OWNED AUTOS HIRED AUTOS SPECIFIED AUTOS NON -OWNED AUTOS OWNED PRIVATE PASSENGER AUTOS OWNED AUTOS OTHER THAN PRIVATE PASSENGER Combined Single Limits of Liability BODILY INJURY & PROPERTY DAMAGE EACH ACCIDENT Split Liability Limits Bodily Injury Property Damage Each $I PERSON $ $ 1 ACCIDENT UMBRELLA LIABILITY Policy Number Effective Date Expiration Date EACH OCCURRENCE GENERAL AGGREGATE PRODUCTS -COMPLETED OPERATIONS AGGREGATE $ $ $ OTHER(Show Policy Effective Expiration type of Policy) Number Date Date DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS CANCELLATION Number of days notice KEYS INSURANCE 10/15/01 Authorized Representative Date Should any of the above described policies be cancelled before the expiration date, the issuing company will endeavor to mail within the number of days entered above, written notice to the certificate holder named above. But failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. U 10523-2 Page 1 of 1 BU114-2 (WAIIStM. Y-'Y h good hands. POLICY NUMBER: 49 815113 Commercial General Liability THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 5825 JUNIOR COLLEGE KEY WEST FL 33040 (If no entry appears above, information required to complete this endorsement will be shown in the Dec- larations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. C G2026 11 85 MITI; i .1 - 171 DATE WAIVER NIA / YES — Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 BU114-2 WAIIStM. You're in good hands. Commercial General Liability THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - CLUB MEMBERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. WHO IS AN INSURED (Section II) is amended to include as an insured any of your members, but only with respect to their liability for your activities or activities they perform on your behalf. CG2002 11 85 Copyright, Insurance Services Office, Inc.,1984 Page 1 of 1 BU114-2 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ 05/06/2002 2002 PRODUCER ¢305) 7+3-0494 FAX (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 500280 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Marathon, FL 33050-0280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Disabled American Veterans INSURER A: Allstate Ins Co DBA: Marathon Chapter #122 INSURER B: 7280 Overseas Highway INSURERC: Marathon, FL 33050 INSURERD: INSURER E: rnvFRAr,FC 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. INSIR LTR 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 X OCCUR Liquor Liability 49815113 12/13/2001 12/13/2002 EACH OCCURRENCE $ 300, 000 X FIRE DAMAGE (Any one fire) $ 100 00 r MED EXP (Any one person) $ 5,0001 X PERSONAL & ADV INJURY $ 300,00( GENERAL AGGREGATE $ 300,00( GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 300, 00O AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AP BY BY DATE" ANSM INT COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO WAIVER NIA Y S AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR 0 CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- TORY LIMITS ER E.L. EACI I ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertificateholder is additional insured. CFRTIFIrATF Wf11 n=0 I Y I A--.•_-• - _--_-- Monroe County Board of County Commissioners Attn: Risk Management/Maria del Rio 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, TZTOE C MPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICCER IFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NIMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE IQAR ACORD,. CERTIFICATE OF LIABILITY INSURANCE izizoizooi PRODUCER (305) 743-0494 FAX (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 500280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33050-0280 INSURERS AFFORDING COVERAGE INSURED Disabled American Veterans DBA: Marathon Chapter #122 7280 Overseas Highway Marathon, FL 33050 COVERAGES INSURER A: Allstate Ins Co INSURER : Western Surety Company INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MMI NY LIMITS GENERAL LIABILITY 49815113 12/13/2002 12/13/2003 EACH OCCURRENCE $ 300 , COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR FIRE DAMAGE (Any one fire) $ 100 , MED EXP (Any one person) $ 5 , A X Liquor Liability PERSONAL & ADV INJURY $ 300 , GENERAL AGGREGATE $ 300 , GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO CT LOC JE PRODUCTS - COMP/OP AGG $ 300,C AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS A�� �1 MANA EN BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ BY GARAGE LIABILITY ANY AUTO ITATE.w WAIVERc;{�„_ YES AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS LIABILITY OCCUR FICLAIMS MADE c EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY LIMITS ER E L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT 1 $ oTH R mp oyee Dishonesty 18198847 01/19/2003 01/19/2004 $10,000 B and DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertificateholder is additional insured as their interest may appear. CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Monroe County Board of County Commissioners Risk Management 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE EXPIRATION DATE *EREOF, 10 DAYS WRITTEN NOTI BUT FAILURE TO MAIL SUCH OF ANY KIND UPON TRs,�Qp� AUTHORIZED REPRESENTATIVE POLICIES BE CANCELLED BEFORE THE 1 COMPANY WILL ENDEAVOR TO MAIL ERTIFICATE HOLDER NAMED TO THE LEFT, .L IMPOSE NO OBLIGATION OR LIABILITY TENTS OR REPRESENTATIVES. CC �JAllb"te. 'buh In good Mnda CERTIFICATE OF INSURANCE X❑ ALLSTATE INSURANCE COMPANY ALLSTATE INDEMNITY COMPANY ALLSTATE TEXAS LLOYDS 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 CERTIFICATE HOLDER NAMED INSURED Name and Address of Party to Whom this Certificate is Issued Name and Address of Insured MONROE COUNTY BOARD OF COUNTY DISABLED AMER VETERANS COMMISSIONERS MARATHON CHAPTER #122 5825 JUNIOR COLLEGE 7280 OVERSEAS HWY KEY WEST FL 33040 MARATHON FL 33050-3135 ms w w cannyn uidi pocaes or insurance listed oeiow have been issued to the insured named above subject to the expiration date indicated be- low, 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. TYPE OF INSURANCE AND LIMITS Policy Effective Expiration COMMERCIAL GENERAL LIABILITY Number 49 815113 Date 12/13/03 Date 12/13/04 Limit Amount GENERAL AGGREGATE LIMIT(Other than Products -Completed Operations) $ 300,000 PRODUCTS -COMPLETED OPERATIONS AGGREGATE LIMIT $ PERSONAL AND ADVERTISING INJURY LIMIT $ 300,000 EACH OCCURRENCE LIMIT $ 300,000 PHYSICAL DAMAGE LIMIT $ 100,000 ANY ONE LOSS MEDICAL EXPENSE LIMIT $ 5,000 ANYONE PERSON WORKERS' COMPENSATION & Policy Effective Expiration EMPLOYERS' LIABILITY Number Date Date Coverage Limits WORKERS' COMPENSATION STATUTORY - applies only in the following states: EMPLOYERS' LIABILITY BODILY INJURY BY ACCIDENT $ EACH ACCIDENT BODILY INJURY BY DISEASE $ EACH EMPLOYEE BODILY INJURY BY DISEASE $ POLICY LIMIT Policy Effective Expiration AUTOMOBILE LIABILITY Number Date Date Coverage Basis Limits ANY AUTO OWNED AUTOS HIRED AUTOS SPECIFIED AUTOS NON -OWNED AUTOS OWNED PRIVATE PASSENGER AUTOS OWNED AUTOS OTHER THAN PRIVATE PASSENGERI Combined Single Limits of Liability BODILY INJURY & PROPERT I EACH ACCIDENT Split Liability Limits Bodily Injury Property Damage Each $ PERSON $ $ ACCIDENT UMBRELLA LIABILITY Policy Number Effective Date Expiration Date EACH OCCURRENCE GENERAL AGGREGATE PRODUCTS -COMPLETED OPERATIONS AGGREGATE $ $ 1 $ OTHER(Show Policy n Effective Expiration type of Policy) ht' Number �, 3 1 L) 1 1.�3- Date _ I � CY> Date DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS CANCELLATION Number of days notice �_ KEYS INSURANCE 10/20/03 AU08sized entative Date Should any of the above described policies be cancelled before th expiration date, the issuing company will endeavor to mail within the number of days entered above, written notice to the certificate holder named above. But failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. U10523-2 cl e. BU114-2 Gl MENT By AC IRA CERTIFICATE OF LIABILITY INSURANCE 11/20/Z 03) PRODUCER (305) 743-0494 FAX (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 500280 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33050-0280 INSURED ui san I ea American veterans DBA: Marathon Chapter #122 7280 Overseas Highway Marathon, FL 33050 cnvGDAr_=Q INSURERS AFFORDING COVERAGE INSURERA: Allstate Ins Co INSURER B: Western Surety Comps INSURER C: INSURER D: INSURER E: NAIC # THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINi ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONDATE fMMIDD[YYI LIMITS GENERAL LIABILITY 49815113 12/13/2003 12/13/2004 EACH OCCURRENCE $ 300,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES IF, $ 100,000 CLAIMS MADE � OCCUR MED EXP (Any one person) $ 5,000 A X Liquor Liability PERSONAL & ADV INJURY $ 300,000 GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included POLICY PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS 1�r4�1. BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS 1j4 , .-_ ._. I� rf (. � .. - - _` /l\J "`" ._ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO ° $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY j EACH OCCURRENCE $ OCCUR CLAIMSMADE AGGREGATE $ C C r $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTN R Emp�oyee Dishonesty 18198847 01/19/2003 01/19/2004 $10,000 B Bond DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ertificateholder is additional insured as their interest may appear. Monroe County Board of County Commissioners Risk Management 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCI EXPIRATION DATE THEREOF, THE 4 10 DAYS WRITTEN `OTICE TO BUT FAILURE TO MAIL CH NOTI OF ANY KIND UPON THE I AUTHORIZED REPRESENTATIVE ICIES BE CANCELLED BEFORE THE 1 URER WILL ENDEAVOR TO MAIL ,TIFICATE HOLDER NAMED TO THE LEFT, IMPOSE NO OBLIGATION OR LIABILITY f S JR REPRESENTATIVES. ACORD 25 (2001/08) / G Lt.H.GC -7 1 9" ncACORn CARPnRATIAN 49RA ACORDM CERTIFICATE OF LIABILITY INSURANCE ::::::j:DATE1/19DD/YYYY) PRODUCER (305)743-0494 FAX (305)743-0582 l/19/2004 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 500280 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Marathon, FL 33050-0280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Disabled American Veterans INSURERA: Western Surety Company DBA: Marathon Chapter #122 INSURERB: 7280 Overseas Highway INSURERC: Marathon, FL 33050 INSURERD: INSURER E: COVERAGE THE POLICIES OF INSURANCE LISTED BELOW ANY REQUIREMENT, TERM OR CONDITION MAY PERTAIN, THE INSURANCE AFFORDED POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, HAVE BEEN REDUCED BY PAID CLAIMS. PERIOD INDICATED. NOTWITHSTANDINI THIS CERTIFICATE MAY BE ISSUED OR EXCLUSIONS AND CONDITIONS OF SUCH INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE LIM/nDNYI POLICY EXPIRATION LIMITS EACH OCCURRENCE $ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR DAMAGE TO RENTED MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT L 0 C GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APP 13Y HATE _/ -- I_. ----ii��" o��,��%j+�-j s _ �� ...__----_ — COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARfUABILITYffAUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ / • /lam ✓ EACH OCCURRENCE $ AGGREGATE $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ A OTH R isionesty Bond / ocial Organization 18198847 O1/19/2004 61/19/2005 E.L. DISEASE - POLICY LIMIT $ 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS .CERTIFICATE HOLDER Monroe County Board of County Commissioners Attn: Risk Management 1100 Simonton Street Key West, FL 33040 CC ' ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Derek Martin-Veaup TION 1988 DATE (MM/DD/YYYY) ACORDM CERTIFICATE OF LIABILITY INSURANCE 11/05/2004 PRODUCER (305)743-0494 FAX (305)743-0582 THIS ONLY ANDICONFERS O RIGHTS UPOFICATE IS ISSUED AS A N THE CERTIFER OF ICATE ION Keys Insurance Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P .0. Box 500280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33050-0280 NAIL # INSURERS AFFORDING COVERAGE r RED Disabled American Veterans rINSURERA: Allstate Ins Co DBA: Marathon Chapter #122 : 7280 Overseas Highway : Marathon, FL 33050 : : COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OR IN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE BE ISSUED ISSUED N IS S MAY R AGGREGATE LIMITS INSURANCE SHOWN MAY HAVE BEEN RIEDUCED RI PAID CLAIMS. SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POL INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 49815113 12/13/2004 12/13/2005 EACH OCCURRENCE $ 300, OO DAMAGE TO RENTED $ 100,0001 COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5 , OO A rGEN'�L quor Liability PERSONAL a ADV INJURY $ 300,00 GENERAL AGGREGATE $ 300, OO PRODUCTS - COMP/OPAGG $ Include GGREGATE LIMIT APPLIES PER: PRO- LOCLICY JECT ACOMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY it $ (Per accident) NON -OWNED AUTOS APPIROV D BY qi � �� � PROPERTY DAMAGE $ BY (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY SATE EA ACC $ ANY AUTOFv OTHER THAN WAIVER N/A _f AUTO ONLY: AGG $ " EACH OCCURRENCE $ EXCESS/UMBRELLA LIABILITY OCCUR El CLAIMS MADE AGGREGATE $ DEDUCTIBLE CC + $ RETENTION $ WC STARY TU- OTH- WORKERS COMPENSATION AND FR EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $_ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ertificateholder is additional insured as their interest may appear Liquor liability aggregate limit $300,000, Each common cause limit $300,000. w•�InCI 1 ATIf1W Monroe County Board of County Commissioners Monroe County Risk Management 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NO 1, CE TO THE TIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUC NOTICE S LL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE IN URE ENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Linda Regan ACORD 26 (2001108) (305) 292-4364 ©ACORD CORPORATION 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE 05/23/2005) /D005 PRODUCER (305) 743-0494 FAX (30S) 743-OS82 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 500280 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Marathon, FL 33050-0280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED Disabled American Veterans DBA: Marathon Chapter #122 7280 Overseas Highway Marathon, FL 330SO INSURERS AFFORDING COVERAGE INSURERA: Allstate Insurance INSURERB: Western Surety Compi INSURER C: INSURER D: INSURER E: 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. INSR DD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDn[YY) POLICY EXPIRATION DATE CMWnnNYI LIMITS GENERAL LIABILITY 49815113 12/13/2004 12/13/200S EACH OCCURRENCE $ 300,00 DAMAGE TO RENTED $ 100,00 COMMERCIAL GENERAL LIABILITY A CLAIMS MADE � OCCUR X Liquor Liability MED EXP (Any one person) $ S.00 PERSONAL & ADV INJURY $ 300,00 GENERAL AGGREGATE $ 300,001 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ Include AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ r r.!e iP PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE i EACH OCCURRENCE $ AGGREGATE $ $ 1 DEDUCTIBLE �, , RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- ORY LIMITS ER EMPLOYERS* LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below B OTJE) Bond 18198947 01/19/2005 01/19/2006 $10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ertificateholder is additional insured with respect to liability as their interest may appear :'V"- V'k- c e✓ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE I I INSURER WILL ENDEAVOR TO MAIL Monroe County Board of County Commissioner 10 DAYS WRITTEN NOTICE O T CERTIFICATE HOLDER NAMED TO THE LEFT, Risk Management BUT FAILU TO MAIL SUCH TI SHALL IMPOSE NO OBLIGATION OR LIABILITY PO BOX 1026 OF ANY KIN PON THE IN R, GENTS OR REPRESENTATIVES. Key West, FL 33041-1026 AUTHORIZED REPIiWSENTAIE ornRn 2s r>nnvnm vwvrw vvnrvrv►I 1%J11 I VOO AG�DM CERTIFICATE OF LIABILITY INSURANCE D 2/12lDD00S 12/12/2005 PRODUCER (305) 743-0494 FAX (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 500280 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33050-0280 INSURERS AFFORDING COVERAGE NAIC # INSURED Disabled American Veterans INSURER A: Burlington Ins. Co DBA: Marathon Chapter #122 INSURER B: 7280 Overseas Highway INSURERC: Marathon, FL 33050 INSURER D: INSURER E: RV11I4 if-, VC1 R� 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. ILTR NSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR uor Liability !Js TBA 12/13/2005 12/13/2006 EACH OCCURRENCE $ 300,000 DAMAGE TO RE14TED $ too' o00 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 300,000 GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT 7 LOC PRODUCTS - COMP/OP AGG $ Included AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS - BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY accident) $(Per F1`'"` PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ` " AUTO ONLY - EA ACCIDENT $ ANY AUTO HOTHER THAN EA ACC $ ,� AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE U_ EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE21Z71�61 $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY LIMITS E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTiVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, describe under E.L. DISEASE - POLICY LIMIT I $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The following islistedas additional insured a n t e-..,,, Monroe County Board of County Commissioners Wing II Public Service Bldg. S825 Junior College Rd. Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Lourdes Montagne ... "' `­ " ., ©ACORD CORPORATION 1988 ACORD, CERTIFICATE OF LIABILITY INSURANCE os%ozjz6) PRODUCER (305) 743-0494 FAX (303) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. D CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 500280 THIS CERTIFICATE DOES NOT AMEND, EXTEND OR E COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 330SO-0280 INSURED Disabled American Veterans DBA: Marathon Chapter # 12; 7280 Overseas Highway Marathon, FL 33050 CnVFRAGFS "1�-�„-�11�' "1 i�. _r L. , , HOLDER ALTER T INS RERS MAY ULU MGNRGE COUNTY RISK IMANAGEMEN JNSU RA: INSU R B: dNBU R C: wsuRERO: 4FFORDING COVERAGE I 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. INSRADD' LTR SR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UNITS GENERAL LIABILITY 535BOO8663 12/13/2005 12/13/2006 EACH OCCURRENCE $ 300,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE [X] OCCUR MED EXP (Any one person) $ 5,000 A X Liquor Liability PERSONAL BADVINJURY $ 300,00 GENERAL AGGREGATE $ 300,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included POLICY PRO. ECT 7 LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS V y1 I BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS -tit- y._ ).'J BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ - - - GARAGE LIABILITY LUAU AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO EXCESS/UMBRELLA LIABILITY �, EACH OCCURRENCE $ OCCUR CLAIMS MADE o (, AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY 'E E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE- EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE -POLICY LIMIT 1 $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ertificate Holder is Additional Insured with respect to General Liability SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Monroe County Board of County Commissioners 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Wing II Public Service Bldg. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5825 Junior College Rd. OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Key West/FL.33040 AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) ©ACORD CORPORATION 1988 ACORD,M CERTIFICATE OF LIABILITY INSURANCE 05/02/z6) PRODUCER (305) 743-0494 FAX (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 500280 THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33050-0280 �T I\�Ij LSV�.Q_ URE SAFFORDING COVERAGE NAIC# Disabled American veteran DBA: Marathon Chapter # 1 2 ,�.. 7280 Overseas Highway It Z Marathon, FL 330SO i INSURER E: COVERAGES ....... .........__.._ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN b SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' hau rypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION MMIDDMI LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR X Liquor Liability 535BOO9663 12/13/2005 12/13/2006 EACH OCCURRENCE $ 300,00 DAMAGE TO RENTED $ 100,000 MED EXP (Any one person) S 5 , 000 PERSONAL &ADV INJURY $ 300,000 GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMPIOP AGG $ Included AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS (ol. Sd' -'-- �R COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY (Per person) $ Ber ILY accident) (Per accidenp $ PROPERTY DAMAGE (Per accident) $ GARAGELIABILITY ANY AUTO ^ .. 'I AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ E EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ '' + EACH OCCURRENCE $ AGGREGATE $ 8 $ $ WORKERS COMPENSATION AND LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below O WC STATUS TIREMPLOYERS' E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ertificate Holder is Additional Insured with respect to General Liability Monroe County Board of County Commissioners Wing II Public Service Bldg. 5825 Junior College Rd. Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY AUTHORIZED REPRESENTATIVE ACORD 25 ( 01/OS) G �- ©ACORD CORPORATION 1988 ACORDe CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD YYYY) O1/16/2007 PRODUCER (30S) 743-0494 FAX (305) 743-0582 Keys Insurance Services, Inc. P.O. Box 500280 R EGE!' . Marathon, FL 33050-0280-17 F 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Fi6LDGA.- HIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER TH COVERAGE AFFORDED BY THE POLICIES BELOW. INSU RS I =FORDING COVERAGE NAIC # INSURED Disabled American Veterans DBA: Marathon Chapter # 122 7280 Overseas Highway Marathon, FL 33050 JAN 1 7 L MONROE COON RISK MA%Arf INSURE A'. BIL lington Ins. Co yNSURE B: INSURER UNSURE D. INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 12/13/2006 POLICY EXPIRATION MMIODMI 12/13/2007 LIMITS GENERAL LIABILITY 535BO11994 EACH OCCURRENCE $ 300,00 DAMAGE TO RENTED $ 100,00 COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR $ 5,000 MED EXP (Any one person) A X Liquor Liability PERSONAL SADVINJURY $ 300,000 GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ Included POLICY 7 PRO- JECI OC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS _ BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS -� �( BODILY accident) (Per eccitlenU $ PROPERTY DAMAGE (Per accident) $ Lf� GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE 'i C (� VOL 1 ! OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS ertificate holder is listed as additional insured with respect to General Liability only. Monroe County Risk Management Monique Diaz 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSI AUTHORVED REPRESENTATIVE XVVRU LO �LVV I/V8J ^^• \w�J coc-TTVI CACORD CORPORATION 1988 DATE(MM/DD/YYYY) AWRIDm CERTIFICATE OF LIABILITY INSURANCE 11/29/2007 PR (305) 743-0494 FAX (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 500280 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33050-0280 INSURED DBA: Marathon Chapter # 122 7280 Overseas Highway Marathon, FL 33050 INSURERS AFFORDING COVERAGE INSURERA: Centu INSURER B: INSURER C: INSURER D: INSURER E. 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. 11L IISM DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 12/13/2008 LIMITS A X GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1XI OCCUR X Liquor Liability TBA 12/13/2007 EACH OCCURRENCE $ 300,000 DAMAGE TO RENTED $ 100,00D MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 300,00 GENERAL AGGREGATE $ 300,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT OC PRODUCTS - COMPIOP AGG $ Included AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY" ANY AUTO -- — _ i - _ AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC AUTO ONLY: qGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ " - 'r: �., ... ''" '—` '^1y ���; '-�y�-__.': r _�_.._.... EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below ATU OTH. IDISEASE CCIDENT $ E- EA EMPLOYE $ -POLICYLLMIT $ OTHER ^ �/�- l DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Monroe County Board of County Commissioners 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Wing II Public Service Bui 7 dl n BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5825 Junior College Road OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTATIVE ©ACORD CORPORATION 1988 GG ACQIWt CERTIFICATE OF LIABILITY INSURANCE izioi%z o PRODUCER (305) 743-0494 FAX (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 500280 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR -ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOIA Marathon, FL 33050-0280 P., _, , � , ii ,. {4 UJBURERS AF ORDING COVERAGE NAIC # INSURED Disabled American Veterans INSURERAI Century Surety Ins Group DBA: Marathon Chapter # 122 � � INSURER 7280 Overseas Highway TRSURERC Marathon, FL 33050 NsuRERR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR IUDD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONDATRIMMInD DATE IMMIDD� LIMITS GENERAL LIABILITY CCP563729 12/13/2008 12/13/2009 EACH OCCURRENCE $ 300,00 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ ZOO, 00 CLAIMS MADE FR-1 OCCUR MED EXP (Any one person) $ 5,000 A X X Liquor Liability PERSONAL BADVINJURY $ 300,0001 GENERAL AGGREGATE $ 300,00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ Include POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULEDAUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - - - '"' AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO -- - $ AUTO ONLY: AGO EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE Deb.AGGREGATE $ E C.. C $ DEDUCTIBLE T.1 )(� U�/ $ RETENTION $ WORKERS COMPENSATION AND WC$TATU- OTH- FIR EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yea, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Monroe County Board of County Commissioners PO Box 1026 Key West, FL 33041 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY AUTHORIZED REPRESENTATIVE ACORD 25 (20g1/08) OACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AWKU 35 (Mlffla) A CORD, CERTIFICATE OF D LIABILITY INS AM(MM/D DmrYY)PRODUCER URANC E(305� 743-0494 FAX: (305)743-0582 CERTIFICATE IS ISSU 129�2009 Keys Insurance Services , Inc . pN ED AS A MATTER OF INFORMATION HO Ni! VIGHTS UPON THE CERTIFICATE 5800 Overseas Hwy # 4 3 TIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 500280 GE AFFO DED BY THE POLICIES BELOW. Marathon FL 33050-0280 NS INSURED �F C VERA E NAIC # NSURv Disabled American Veterans, DBA: Marathon ER A: Centu ns Group 7280 Overseas Highway ,,,n„RE,�B:ah„r ur t Marathon FL 33050 INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHO HE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, A RE ATE LIMIT SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. , EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. NSR DD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 300,00o COMMERCIAL GENERAL LIABILITY DR AGE TO RENTED A X CLAIMS MADE OCCUR CCP623938 12 13 20 EMI ES Ea occurrences $ 100,000 / / 0 9 12 / 13 / 2 010 ME D EXP one erson $ 5 0 0 0 PERSONAL & ADV INJURY $ 3 0 0, 0 0 0 GEN'L AGGREGATE LIMIT APPLI[71ES PER: GENERAL AGGREGATE $ 300,000 X POLICY PRO LOC PRODUCTS - MP/ P AGG $ Included AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE GARAGE LIABILITY r " (Per accident) $ ANY AUTO �- ��....� - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA AC $ AUTO ONLY: EXCESS/UMBRELLA LIABILITY AGG $ OCCUR � CLAIMS MADE EACH$ ` AGGREGATE $ DEDUCTIBLE ti $ RETENTION $ WORKERS COMPENSATION AND $ EMPLOYERS' LIABILITY WC STATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER CC" y EXCLUDED? E.L. EACH ACCIDENT $ If yes, describe under SPECIAL PROVISIONS below M E.L. DISEASE - EA EMPLOYEE $ OTHER I E.L. DISEASF - P01 1rry I TRAIT IDESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Cc CERTIFICATE HOLDER Monroe County Board of County Commissione PO Box 1026 Key West, FL 33041 ACORD 25 (2001/08) INS025 (0108).08a CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Lourdes Montagne © ACORD CORPORATION 1988 Page 1 of 2 A`COR 1� 1® v � CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/Y 4/19/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CER E HOLDER. IMPORTANT: If the certificate holder is an ADDITI NAL INSURaqr4ha n endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poli ies may r^x ent. A st tement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Keys Insurance Services, Inc. APR 2 5 Overseas Hwy #43 CONTACT NAME: LOurd s Montag ne N Ext: (30 )743-0494 FAX No: (305)743-0582 E-M5800 ADDRESS:lmont gne@keysinsurance.com PRODUMERID CER ;00 01621 SURER(S) AFFORDING COVERAGE NAIC# P.O. BOX 500280ONROE Marathon FL 33050-028 INSURED Surety Ins Group INSURER B : INSURERC: Disabled American Veterans, DBA: Marathon INSURERD: 7280 Overseas Highway INSURER E : INSURERF: Marathon FL 33050 COVERAGES CERTIFICATE NUMBER:Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I LTR TYPE OF INSURANCE AD L R UBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A j GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE YOCCUR X CCP703483 4/15/2011 4/15/2012 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence lOO 000 $ r MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRO- POLICY LOC PRODUCTS - COMP/OP AGG $ included $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS I � � COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (P,er accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ _ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE F---1 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A I WC STATU- OTH- T R IMIT ER E.L. EACH ACCIDENT $ E.. DISEASE - EA EMPLOYE $ L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) L`FDTIMU'ATF 41n1 n=D ceWrFl I OTInN (3 0 5) 2 92 - 4 6 6 4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissione PO Box 1026 AUTHORIZED REPRESENTATIVE Key West, FL 33041 G L ' Lourdes Montagne/XM ACORD 251,2009109) ©1988-2009 ACORD CORPORATION. All rlgnts reservea. INS025 (200909) The ACORD name and logo are registered marks of ACORD A� V CERTIFICATE OF LIABILITY INSURANCE Dili o 2 ) 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 Keys Insurance Services, Inc. 5800 Overseas Hwy #43 P.O. BOX 500280 Marathon FL 33050-0280 CONTACT Lourdes Montagne PHONE . (305) 743-0494 aC No: (305)743-0582 ADDRESS:lmontagne@keysinsurance.com PRODUCERCUSTOMER ID D0001621 INSURERS AFFORDING COVERAGE NAIC M INSURED Disabled American Veterans, DBA: Marathon 7280 Overseas Highway Marathon FL 33050 INSURER A:Century Surety Ins Group INSURER B INSURERC: INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:CL126103590 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 OF INSURANCE ADDLSTYPE I UBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR X CCP763286 4/15/2012 4/15/2013 EACH OCCURRENCE $ 1,000,000 PREMDAMAGE T RENTED PREMISES Ea occurrence)r $ 10O 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: X1 POLICY 71 JECPROT- LOC PRODUCTS - COMP/OP AGG $ include $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS gorlIE1BODILY � I/ • 'Ij` COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAR EXCESS LIAB HCLAIMS-MADE OCCUR / '� y D M-ArPb./�I+ V~/ L • EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I NI ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A WC STATU- OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) let a C1112 LhGI I No: Lai 11 sJ a s Monroe County Monique Diaz 1100 Simonton Key West, FL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BOCC ACCORDANCE WITH THE POLICY PROVISIONS. Street AUTHORIZED REPRESENTATIVE 33040 C-C.Lourdes Montagne/LM ACORD 25 (2009/09) INS025 (200909) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) �� 6/1/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lourdes Monta ne NAME: g Keys Insurance Services, Inc. PHONE (305)743-0494 F. No:(305)743-0582 5800 Overseas Hwy #43 ADDRESS:lmontagne@keysinsurance.com P.O. BOX 500280 CUSTOMEER RI p0001621 Marathon FL 33050-0280 INSURERS AFFORDING COVERAGE NAIC N INSURED iucnoco a •CPntvrV Surety Tns Grnun Disabled American Veterans, DBA: Marathon INSURERC: 7280 Overseas Highway INSURERD: INSURER E : Marathon FL 33050 INSURERF: rr)VFRAr.FR CFRTIFIrATF NI IMRFP-CL126103590 RFVISION NI)MRFR- 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 INSR UB WV POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR X CCP763286 4/15/2012 4/15/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO TED PREMISES Ea occurrence) $ 100,000 MEDEXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 X Liquor Liab incl GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO-- LOC PRODUCTS - COMP/OP AGG $ include Liquor Liability $ 1,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AP f D� IMANAI D ( W ,� " " "I[- Cc,• At .:A COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LAB CLAIMS -MADE EACH OCCURRENCE $ HOCCUR AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOWPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If Yes, describe under DESCRIPTION OF OPERATIONS below N/A WC STATIU OTH- I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION Monroe County BOCC Monique Diaz 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 POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Lourdes Montagne/LM ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. INS025 i2C0e05) The ACORD name and logo are registered marks of ACORD AC40 " CERTIFICATE OF LIABILITY INSURANCE 4/16/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Keys Insurance Services 5800 Overseas Hwy #43 P.O. BOX 500280 Marathon FL 33050-0280 CONTACT Sandra Jones NAME: PHONE (3O5) %43-0494 FAX (305)743-0582 E-MAIL .sjones@keysinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A:Century Surety Ins Group INSURED Disabled American Veterans, DBA: Marathon 7280 Overseas Highway Marathon FL 33050 INSURERS: INSURERC: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:2013-14 Master GL Cert 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 MPOLICY D Y EFF YY MO DDY EXP YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 MERCIAL GENERAL LIABILITY DAMAGE PREMI ET occurrence)EaE $ 100,000 A nCOM CLAIMS -MADE � OCCUR X CPB19880 4/15/2013 /15/2014 MEDEXP An 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 $ include $ R POLICY PRO LOC AUTOMOBILE LIABILITY ANY AUTO r Al, COMBIN D SINGLE LIMIT Ea accident D BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS WAIV BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS JjUL��. $ UMBRELLA LIAB EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION WC STATU- OTH- ER AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Monroe County Board of County Commissioners is named as an Additional Insured. 292-4664 Monroe County Board of County Commissione Monroe County Risk Management 1100 Simonton Street Key West, FPL 33040 GC - 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 Sandie Jones ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD A�Rv® CERTIFICATE QF LIA DATE BILITY INSURANCE I 5/14/ o0iY' 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 INSUREDthe policy(les) must be endorsed. N 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 endorsemen s . PRODUCER Keys Insurance Services NAME: Sandra zzJones PHONE 5800 Overseas Hwy (305) 743-0494 AX EMAIL (30s)743.03*2 P.O. Box 500280 .sjonesekeysinsurance.com Marathon FL 33050 INSURERM AFFORDING COVERAGE NAM INSURED INSURERA:United $ ecialt Insurance Co Disabled American Veterans, DBAr Marathon INsuRERe: 7280 Overseas Highway INSURERC: ---W" FL 33050 CERT- - COVERAGES I URER F IFICATE NUMBER:2014-2015 Master OL THIS IS TO CERTIFY THAT THE POLICIES 07 INSURANCE LISTED BELOW HAVE REVIS,1100, NUMBER: BEEN ISSUED TO THE INSURED NAMED ABOVE OR THE PE OLICY PRIOD CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFO INDICATED. NOTWTHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS LICIESLIMITS SHOWN RDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH PO. MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR N TYPE OF INSURANCE P LICY EFF POLICY EXP OENERALLIABILITY P LICY UMBER LIMITS PGEWL COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 ACLAIMS-MAOE ® OCCUR X SA4040806 /33/2014 ' S 100100 /23/2015 MED EXP on $ 5,00 [GERNSETAMGATE BVRY ! 11000,00 GREGATE LIMIT APPLIES PER $ 2, 000.00 r� -- AUTOMOBILE LIABILITY ANY AUTO ALL OVVNEO SCHEDULED AUTOS AUTOS HIRED AUTOS NON-0VVNED AUTOS UMBRELLA LIAR OCCUR EXCESS LIAR CLAIMS~E DED RETENTION VMORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICERIMEMBER EXYIN NY CLUDED ECUTIVE N! 1(�nd"M in NH) S BODILY INJURY (PeMPowrswon) S BODILY INJURY(PeS GS S L. S onroe County Board of countycommissionersdisMnammed ass anNAdditionar 1 Insured. AP P OV I� NT' DATE WAIVER N A ERTIFICATE HOLDER _ � V I v_ I J 12-4664 Monroe County Board r-lt 4 W bss lo Monroe County Risk a one 1100 Simonton Stree gent Rey West, FL 330=80338 UO3 0- include) 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 :ORD 25 (2010105) i025 (201005) 01 Regan The ACORD name and logo are registered marks o ACORD RD CORPORATION. All rights reserved. ACA:tft>RD CERTIFICATE OF LIABILITY INSURANCE TE(MWD� 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 endorsemen s . PRODUCER CONTACT �E; Angel Yarbrough Keys Insurance Services PH NNo,Extf (305) 743-0494 ! If No,: (305)743-0582 5800 Overseas Hay A-MAL S;ayarbrough@keysinsurance.com P.O. BOA 500280 - INSURER(S) AFFORDING COVERAGE _T NAIC a Marathon FL 33050 INSURERA_United Specialty Insuraace_Co___ INSURED INSURERS: Disabled American Veterans Chapter 122 _IN_SURERC: of Marathon, FL Inc. 14SURERO: 7280 Overseas Highway INSURERE: Marathon FL 33050 INSURER F : COVERAGES CERTIFICATE NUMBER:2015-2016 Master GL REVISION NIIMRFR, 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 REOUIREMENT, 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 INSURANCE ---'AODL71BRSU— - POLICY NUMBER POLIC1f EFF POLICY EXP — IMMIDON'YYY) LIMITS X COMMERCIAL GENERAL LIABILITY -- I EACH OCCURRENCE ! S 11000,000 r A CLAIMS -(MADE' I x_' OCCUR PREMISES ) S 100,000 X USA40BS434 4/23/201S 4/23/2016 MEDEXP(Any one perscn) S 5,000 PERSONAL A ADV INJURY S 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY F JECT _: LOC • PRODUCTS - COMPIOP AGO S included --- OTHER: $ AUTOMOBILE LIABILITY COMBINED INGLE LIMITS - BODILY INJURY (Per person) S ANY AUTO _ ALL OWED SCHEDULED ~'; BODILY INJURY (Per aociderd) S - - 1 �I NON -OWNED HIRED AUTOS _AUTOS I PROPERTY DAMAGE S {Par aecidera} _ -- _ UMBRELLALIAB - OCCUR EACH OCCURRENCE ! S EXCESS LIAR CLAIMS4WE I I I AGGREGATE $ _ S ! OED R T NTI N VVORKERS COMPENSATION I P R - TH- AND EMPLOYERS' LIABILITY Y f N S K_E_J__iER---- ANY PROPRIETORIPARTNERIEXECUTIVE I E.L.EACH ACCIDENT S - — — OFFICERIMEMBER EXCLUDED? N f A I (Myyaoenaadmoy In NH) E.L.DISEASE - EA EMPLOYEE $ duaftAF OrPERATiONS below DESCR O11 _ E.L. DISEASE - POLICY LIMIT I S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, nay be attached If more speco Is required) Monroe County Board of County Commissioners is named as an Additional Insured. r AP RIS A A EMENT DATE WAIVER N/ YES _ (v! LZ CERTIFICATE HOLDER - CANCELLATION 2 92-4 664 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Hoard of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Riskfj; c4e4t4 A VW 51OZ Simonton Street AUTHORIZED REPRESENTATIVE1100 Key West, FL 33048 0J38 80 J 0311i Angel Yarbrough ®1935-ZO14 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS026 (2omot) l ® ACERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/28/2016 v 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 Keys Insurance Services 5800 Overseas Hwy CONT NAMEACT David Sheppard PHONE (305)743-0494 FAX A/C No Ext No: (305)743-0582 n-MAIL s:dsheppard@keysinsurance.com DDRE INSURER(S) AFFORDING COVERAGE NAIC # P.O. BOX 500280 INSURERA:United Specialty Insurance Co Marathon FL 33050 INSURED INSURER B : INSURERC: Disabled American Veterans Chapter 122 Of Marathon, INSURERD: 7280 Overseas Highway INSURER E: INSURERF: Marathon FL 33050 GUVtHAUhb l+Gnllrl%1MlC ---'------- -- — - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY �� CLAIMS -MADE X OCCUR X USA4127781 4/25/2016 4/25/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2, 000, 000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- X JECT LOC PRODUCTS - COMP/OP AGG $ included OTHER: AUTOMOBILE LIABILITY O C MBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS (AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURYMer accident) PROPERTY DA E Per accident UMBRELLA LIAB EXCESS LIAB I OCCUR CLAIMS -MADE EACH OCCURR E2K $ AGGREGATE �,Cp Cl) 3CT PER _„4 OTH- STATUTE R � DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDWT ^� $C,lt ._. E.L. DISEASE - E7CEMPLOYE $ • �%s OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A E.L. DISEASE -POLICY LIMIT $�J DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Monroe County Board of County Commissioners is named as an Additional Insured. NPPR E AGEMENT WA N!A Y cc : -Ft �l-I- 292-4664 Monroe County Commissioners Monroe County 1100 Simonton Key West, FL ACORD 25 (2014/01) INS025 (201401) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Street AUTHORIZED REPRESENTATIVE 33040 David Sheppard .fAAA ATIALI All ....Mac. serer -A V IJYV'LV 1� /"IV Vv VV..• v..r...�... The ACORD name and logo are registered marks of ACORD