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Certificates of Insurance
PROGRESSIVE EXPRESS INSURANCE CO. PO BOX 94739 CLEVELAND OH 44101-4739 This derlarations'page/amended declaration page with the policy jacket identified by the form 1050 and edition date 1194 completes the below numbered policy. PROGREWME8 COMMERCIAL VEHICLE INSURANCE PROGRESSIVE 24 Hour Policy Service: 1-800-444-4487 PO BOX 94739 24-Hour Claims Service: 1-800-274-4499 CLEVELAND OH 44101 24-Hour Bill Questions: 1-800-999-8781 800-444-4487 COMMERCIAL AUTO POLICY DECLARATION �n��ur�����nn�r�r��nnl�l�n�i��nr��r�nn�r�r�n�n��r� JOE FERNANDES EAGLE SECURITY 424 26TH ST OCEAN MARATHON FL 33050 POLICY NUMBER: CA 04324369- POLICY PERIOD: 02/ 16/02 TO 02/ 16/03 FOR NAMED INSURED JOE FERNANDES 424 26TH ST OCEAN MARATHON FL 33050 This policy incepts the later of: 1. The time the application for insurance is executed on the first day of the policy period; or 2. 12:01 a.m. on the first day of the policy period. This policy shall expire at 12:01 a.m. on the last day of the policy period. The following coverages and limits apply to each described vehicle as shown below. Coverages are defined in the policy and are subject to the terms and conditions contained in the policy, including amendments and endorsements. No changes will be effective prior to the time changes are requested. REASON FOR ISSUANCE: RENEWAL POLICY AUTO DAMAGE LIMIT OF LIABILITY LIMIT OF COMP FT/CAC COLL VEH YR MAKE MODEL SERIAL NUMBER LIABILITY DED DED DED RADIUS 01 1993 FORD ESCORT WAGON 1FAPP15J4PW340671 050 02 1991 CHEVROLET SPORT AUTO 1GNCSISZBMB146502 050 COVERAGES - LIMITS OF LIABILITY PREMIUMS THE COVERAGE IS APPLICABLE ONLY IF A PREMIUM IS INDICATED. TOTAL VEH 1 VEH 2 VEH 3 VEH 4 RESIDUAL BODILY INJURY $1,581 $736 $845 $50,000 EACH PERSON - $100,000 EACH ACCIDENT AND PROPERTY DAMAGE LIABILITY - $25,000 BASIC PERSONAL INJURY PROTECTION $376 $202 $174 $10,000 LIMIT/PERSON NAMED INSURED & RESIDENT RELATIVE WITHOUT WORKERS COMPENSATION MW DATE �___JffAM1ZAX PREMIUM BY VEHICLE ATTACHMENTS IDENTIFIED BY FORM NO. (EDITION DATE) 5701 (0798) 1198 (0497) 1652 (0799) FILING/OTHER FEES 2068 (0799) $9381 $1,019 $1, 982 TOTAL POLICY PREMIUM Form No. 1113 (05/95) SIGNED Ise-- INSURED'S COPY Page 1 of 02 CVFL0305011205L111401 MARITAL SR22 DRV NO. LISTED DRIVERS DOB LICENSE NO. STATUS REO PTS. 01 JOE FERNANDES 02/24/47 F655484470640 S N 00 02 WISLEY GENEUS 05/08/56 G520880561680 S N 00 03 04 05 LIENHOLDER VEH 1 VEH 2 VEH 3 VEH 4 ADDITIONAL INSURED ADDL INS 1 ADDL INS 2 MONROE COUNTY BOCC 5100 COLLEGE RD KEY WEST FL 33040 ADDL INS 3 ADDL INS 4 OUTSIDE PREMIUM FINANCE VEH VEH DR CLS 01 02 C30 02 01 C27 COST OF HIRE BUS. TYPE NUMB. OF EMP PPA FOR COMPANY USE ONLY PERS TERR G/R USE NO ZIP Y 96 33050 N 96 33050 mmmmommmmg -©---- - --- -©- ©------ - ---- - -- -- ---- ----- - COMPANY 41 RATE MANUAL PROGRAM UNIT C3 N/A PAY PLAN C8 BATCH AEO ( ) R/R 0501 USER ID F/R 122000 DATE 02043 FACTOR % 100.00 AGENT CODE FS 86020 Page 2 of 02 PRORREUIVE® COMMERCIAL VEHICLE INSURANCE ADDITIONAL INSURED The person or organization named below is a person insured with respect to such liability coverage as is afforded by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be excess insurance over any other valid and collectible insurance. NAME OF PERSON OR ORGANIZATION: MONROE COUNTY BOCC 5100 COLLEGE RD KEY WEST FL 33040 LIMIT OF LIABILITY Bodily Injury $50, 000 each person/ sloo,000 each accident Property Damage $25 , 000 each accident Combined Liability each accident All other parts of this policy remain unchanged. This endorsement changes Policy No.: 04324369-1 Issued to (Name of Insured): JOE FERNANDES Endorsement Effective: 02/ 16/02 Expiration: 02/ 16/03 Form No. 1198 (4-97) CVFL0415971607L119801 DATE (MM/DDNY) 10/19/2001 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOHNSONS INS. AGCY (MARATHON) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13361 Overseas Highway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2346 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Marathon, FL 33052 COMPANY A SCOTTSDALE INSURANCE COMPANY INSURED COMPANY Fernandez, Joe B Eagle Security 424 26 Street COMPANY Marathon, FL 33050 C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MWDD(YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 500,000. X PRODUCTS - COMP/OP AGG $ 500,000. COMMERCIAL GENERAL LIABILITY —1 A — CLAIMS MADE EKOCCUR CLS0786147 10/27/2001 10/27/2002 PERSONAL & ADV INJURY $ 500,000. — - EACH OCCURRENCE $ 500,000. OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 100,000. MED EXP (Any one person) $ 5,000. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ EXCLUDED ANY AUTO ALL OWNED AUTOS BODILY INJURY $ EXCLUDED SCHEDULED AUTOS (Per person) BODILY INJURY $ EXCLUDED HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ EXCLUDED GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ EXCLUDED OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ EXCLUDED AGGREGATE $ EXCLUDED, API BOMED-BY-M MANA11FUC1,11'r EXCESS LIABILITY BY. EACH OCCURRENCE $ EXCLUDED1 'MGREGATE $ EXCLUDED FORM HUMBRELLA OTHER THAN UMBRELLA FORM DA ICJ $ EXCLUDED WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WAIVER N/A YES TWC STATU- TH- OY LIM TS 1 1 TR -M EACH ACCIDENT $ EXCLUDED THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE N, EL DISEASE - POLICY LIMIT $ EXCLUDED EL DISEASE - EA EMPLOYEE $ EXCLUDED OFFICERS ARE: EXCL OTHER cc, --PITV A AF DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 1 L 0" A. MONROE COUNTY BOARD OF COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE COMMISSIONERS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 5100 COLLEGE ROAD 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, KEY WEST, FL 33040- BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. is named as additional insured AUTHORIZED REPRESENTATIVE 12. VS f7 10/19/01 08:19:27 Fr-om:(727)577-577S To:13057431809 Hull £v Company, Inc.Page:002/002 ACORDN CERTIFICATE OF LIABILITY INSURANCE DATEI _ _._ _ 10/19/20011001 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOHNSONS INS AGCY (MARATHON) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13361 Overseas Highway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 2346 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33052 COMPANIES AFFORDING COVERAGE COMPAPJV A SCOTTSDALE INSURANCE COMPANY - - - INSURED - ----- COMPAH', Fernandez, Joe B Eaqle Security 424 26 Street COMPAH'i Marathon, FL 33050 C COMPANY - D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR LIMITS DATE MM/DD/YY DATE MMTDrYY GENERAL LIABILITY GENERAL ArGREGATE 500 , 000. X COMML-H CIAI C ENEHAL LIABILITY PRODUCTS COMP�OP Ar'G $S 500,000_ A CLAIMS MADE OCCUR CLS0786147 10/27/2001 10/27/2002 500,000, PERSONAL a ADV INJURY EAGH OCCURRENCE I r �WIdEH S � GOhIFHACTOR'S PROT ;� 500,000, - - ,1 00,000.A HRE DAMACE.t MEDEXP,Anyone ersonl 5,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT EXCLUDED ALL OWrJFD N Hos SCI IEDI. IL FD ALIT eoDlcf INJURY EXCLUDED OS Ap Prr1-IIH F I)A[1IOS •5NAGE EN YV-- BY.T D�rririlURY EXCLUDED NOHOWIAUIOS o-D '�- DATEPROPERTYDAMAGE - -- ----- ----- -. __ ,� EXCLUDED GA RAGE LIABILITY R NSA YES AI-EAACCIDENT A PIY AU IO �7 _EXCLUDED OIHER IHAH ALHOONLY I CACHACCIDENT EXCLUDED AGC,RFGATF= '. T EXCLUDED EXCESS-F LIABILITY - r / • EACH OCGUHN FNCE y EXCLUDED UMBRELLA FORM T EXCLUDED ArGREGATE O THER I HALL UMBRELLA FORM EXCLUDED WORKERS COMPENSATION AND WC S fAl U '.Ol-H EMPLOYERS' LIABILITY TORY LIMITS _ ER _ 1 HE PROPRIETOR ELEACHACCIDENT EXCLUDED , IPJCL PAR] lJEHSEXLCUJIVE ELDISEASE POLICYLIMIl S EXCLUDED ONCLHS nH E . EXCL EL DISEASE EA LMPLOYLE S EXCLUDED OTHER i DESCRIPTION OF OPERATIONSILOCATIONS!VEHICLES!SPECIAL ITEMS CERTIFICATE HOLD R CANCELLATION MONROE COUNTY BOARD OF COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE COMMISSIONERS EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 5100 COLLEGE ROAD 10 KEY WEST, FL 33040- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS O�R� REPRESENTATIVES. AUTHORIZED REPRESENTATIVE is named as additional insured 4CORD 25�9 (ate o ACOAD CORPORATtoN lass PROGREWYE8 COMMERCIAL VEHICLE INSURANCE ADDITIONAL INSURED The person or organization named below is a person insured with respect to such liability coverage as is afforded by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be excess insurance over any other valid and collectible insurance. NAME OF PERSON OR ORGANIZATION: MONROE COUNTY SOCC 5100 COLLEGE RD KEY WEST FL 33040 LIMIT OF LIABILITY Bodily Injury $50,000 each person/ slDo, 000 each accident Property Damage $25,000 each accident Combined Liability each accident All other parts of this policy remain unchanged. This endorsement changes Policy No.: 04324369-0 Issued to (Name of Insured): JOE FERNANDES AFFRID ; iANAGOEMENT BY DATE WAIVER NIA __ YES pI,� Endorsement Effective: 09/26/01 Expiration: 02/16/02 Form No. 1198 (4-97) CVFL0415971607Ll19801 Kc dwal of Number Home Office: One Nationwide Plaza • Columbus, Ohio 43215 wz?) 'h Administrative Office: 8877 i brth Gainey Center Drive • Scottsdale, Arizona 85258 1-800-423-7675 A STOCK COMPANY ITEM 1. Named Insured and Mailing Address FERNANDEZ, JOE DBA: EAGLE SECURITY 424 26 STREET MARATHON, FL 33050 Agent Name and Address HULL & COMPANY, INC. P.O. BOX 20027 ST. PETERSBURG, FL 33742 Producing Agent JOHNSONS INS. AGCY (MARATHON) MARATHON FL Agent No.: 09003 Program No.: 47 ITEM 2. Policy Period From: October 27, 2002 To: October 27, 2003 Term: 1 year Business Description: Security & Patrol Agency In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. This policy consists of the following coverage parts for which a premium is indicated. Where no premium is shown, there is no coverage. This premium may be subject to adjustment. Coverage Part(s) Commercial General Liability Coverage Part Commercial Property Coverage Part I ; r"`' ,, a T I' .) d ' Commercial Crime Coverage Part F' ' �::ri '.1e�•'� �� ; Commercial Inland Marine Coverage Part - Commercial Auto (Business Auto or Truckers) Coverage Part Commercial Garage Coverage Part Professional L APFR DATE -- EKES WAIVER k , S..... :.,� Persons insur:;�-f ,t:.; �:,.,!:_ Premium do not have th.- n;,;tt;. _.:gin c, inn Florltda Policy Fee Insurance .:tent of any inht of Re,, , ^ry for 'i; ;i. inn of n 'n�;olvent Unlirnr;a d Insu! Surplus Lines Tax 5% FSLSO - Service Fee .3% This policy has been reported to the FSLSO. Total Policy Premium Form(s) and Endorsement(s) made a part of this policy at time of issue: See Attached Schedule of Endorsements ST. PETERSBURG, FL 10/30/02 KM/bh Premium $ 2,031.00 $ Not Covered $ Not Covered $ Not Covered $ Not Covered $ Not Covered $ Not Covered $ 2,031.00 $ 35.00 $ 103.30 $ 6.20 $ 2,175.50 THIS COMMON POLICY DECLARATION AND THE SUPPLEMENTAL DECLARATION(S), TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE PART(S), COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, COMPLETE THE ABOVE NUMBERED POLICY. OPS-D-1 (12-00) GC• POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG20101001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED 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 5100 College Rd. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the additional insureds, added: 2. Exclusions insurance afforded to these the following exclusion is This insurance does not apply to "bodily in- jury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the addi- tional insured(s) at the site of the cov- ered operations has been completed; or (2) That portion of 'your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another con- tractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 0 ISSUED BY PROGRESSIVE EXPRESS INSURANCE CO. PROGREl I E® COMMERCIAL VEHICLE INSURANCE PROGRESSIVE PO BOX 94739 CLEVELAND OH 44101 MONROE COUNTY BOCC 5100 COLLEGE RD KEY WEST FL 33040 24 Hour Policy Service: 1-800-444-4487 Automated Billing Inquiry 1-800-999-8781 24 Hour Claims Service: 1-800-274-4499 DATE OF NOTICE 04/15/03 THE INSURANCE POLICY LISTED BELOW WHICH WAS CANCELLED IS NOW REINSTATED AS OF THE DATE SHOWN. POLICY NUMBER I INCEPTION DATE PREMIUM DUE CA 04324369-2 02/16/03 REINSTATEMENT will take effect 04/04/03 12:01 a.m. $0.00 THANK YOU FOR YOUR PAYMENT. YOUR CANCELLATION DID NOT TAKE EFFECT AS INDICATED IN A PREVIOUS NOTICE. ********************************************************************* YOUR NEXT PAYMENT WILL BE $283.50. YOU WILL RECEIVE A BILL IN THE NEAR FUTURE. INSURED: JOE FERNANDES EAGLE SECURITY 424 26TH ST OCEAN MARATHON FL 33050 ADDITIONAL INTEREST MONROE COUNTY BOCC 5100 COLLEGE RD KEY WEST FL 33040 Ca Q �c. V% c. k—j A V ISK M AGEMENT BY DATE WAIVER N/A 4- 5 �_ CL c �� FORM NO. L167 (5-88) ADDITIONAL INTEREST COPY CORCV 41 RBD910 03105 C3 AEO CVFL061698130OL6167 PROORf.. OW-) COMMERCIAL VEHICLE INSURANCE ADDITIONAL INSURED The person or organization named below is a person insured with respect to such liability coverage as is afforded by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be excess insurance over any other valid and collectible insurance. NAME OF PERSON OR ORGANIZATION: MONROE COUNTY BOCC 5100 COLLEGE RD KEY WEST FL 33040 LIMIT OF LIABILITY Bodily Injury $50, 000 each person/ sloo,000 each accident Property Damage $25 , 000 each accident Combined Liability each accident All other parts of this policy remain unchanged. This endorsement changes Policy No.: 043243e9-2 Issued to (Name of Insured): JOE FERNANDES Endorsement Effective: 02/18/03 Expiration: 02/16/04 Form No. 1198 (4-97) CVFL04159716071-119801 Progressive Insurance Commercial Vehicle Division 6300 Wilson Mills Road Mayfield Village, OH 44143 800-444-4487 Certificate of Insurance CertWkite Holder ................................ Additional Insured MONROE COUNTY BOCC 5100 COLLEGE RD KEY WEST, FL 33040 Insured ........................................ JOE FERNANDES EAGLE SECURITY 424 26TH ST OCEAN MARATHON, FL 33050 PROGREWYE0 COMMERCIAL VEHICLE INSURANOE Policy number: 04324369-2 April 24, 2003 Page 1 of 1 Ageni ............................... PROGRESSIVE PO BOX 94739 CLEVELAND, OH 44101 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations. endorsements, and conditions of these policies. Policy Effective Date: Feb 16, 2003 Insurance coverage(s) ........................................ Bodily Injury/Property Damage Description of LocationNehicles/Special Items Scheduled autos only ................................................................ 1990 CHEVY SUV 1GNCT18ZOL0117943 ................................................................ 1993 GMC SUV 1GKCS13W2P2501231 ...................................I ............................ 1994 CHEVY SUV 1 GNDT 1 3WXR2100808 Certificate number 11403D9B369 Policy Expiration Date: Feb 16, 2004 Limits .................... I................ $50,000/$100,000/$25,000 Please be advised that additional insureds and lienholders will be notified in the event of a mid-term cancellation. Form 5241 (10102) 4f tlyp �) AP 0 E Y R K MA EMENT BY DATE S_ WAIVER N/A ___YES 00 PROORMVE® COMMERCIAL VEHIOLE INSURANOE ADDITIONAL INSURED The person or organization named below is a person insured with respect to such liability coverage as is afforded by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be excess insurance over any other valid and collectible insurance. NAME OF PERSON OR ORGANIZATION: MONROE COUNTY BOCC 5100 COLLEGE RD KEY WEST FL 33040 LIMIT OF LIABILITY Bodily Injury $50,000 each person/ sloo,000 each accident Property Damage $25,000 each accident Combined Liability each accident All other parts of this policy remain unchanged. This endorsement changes Policy No.: 04324389-2 Issued to (Name of Insured): JOE FERNANDES Endorsement Effective: 04/24/03 Expiration: 02/ 10/04 e, C-1 P�� : ri, " CL, -1 (- APM B 1 K MA E ENT BY DATE _�.. (� WAIVER N/A_. YES.._.._ Form No. 1198 (4-97) CVFL0415971607L119801 tOGRESSIVE EXPRESS INSURANCE CO. I BOX 94739 CLEVELAND OH 44101-4739 is declarations pagetamended declaration page with the policy jacket identified by the form 1050 P/�OGREll/�/E0 d edition date 1194 completes the below numbered policy. COMMEMAL VEHICLE INELIIIANCE PROGRESSIVE 24 Hour Policy Service: 1-800-444-4487 PO BOX 94739 CLEVELAND800-444-4 OH 4410i 24-Hour Claims Service: 1-800-274-4499 800-444-4487 24-Hour Bill Questions: 1-800-999-8781 COMMERCIAL AUTO POLICY DECLARATION POLICY NUMBER: CA 04324369- 2 1181111111111111111111111191111111111111"1'sill I111111'111111 JOE FERNANDES EAGLE SECURITY 424 26TH ST OCEAN MARATHON FL 33050 POLICY PERIOD: 02/ 16/03 TO 02/ 16/04 FOR NAMED INSURED JOE FERNANDES 424 26TH ST OCEAN MARATHON FL 33050 This policy incepts the later of: 1. The time the application for insurance is ewecuted on the first day of the poky period: or 2. 12:01 am. on the first day of the policy period. This poky shall Expire at 12.01 am. on the last day of the policy period. The following coverages and knits apply to each described vehide as shown below. Coverages are defined in the poky and are subject to the terms and conditions contained in the policy, including amendments and endorsements. No changes will be effective prior to the time charges are requested. REASON FOR ISSUANCE: RENEWAL POLICY AUTO DAMAGE LIMIT OF LIABILITY LIMIT OF COMP FT/CAC COLL EH YR MAKE MODEL SERIAL NUMBER LIABILITY DED DED DED RADIUS 1 2000 CHEVROLET SPORT AUTO 1GNCSIBZSMB146502 050 2 1990 CHEVY SUV 1GNCTIBZGLO117943 050 vv.L-el/\\7L.7 - Lime 1 1,10 yr wweLi I 1 rnt::M1UM5 E: COVERAGE IS APPLICABLE ONLY IF A PREMIUM IS IIiDICATED. TOTAL VEH 1 VEH 2 VEH 3 VEH 4 SIDUAL BODILY INJURY $1,824 $885 $939 $50,000 EACH PERSON - $100,000 EACH ACCIDENT AND PROPERTY DAMAGE LIABILITY - S25,000 SIC PERSONAL INJURY PROTECTION $420 $195 $225 $10,000 LIMIT/PERSON NAMED INSURED & RESIDENT RELATIVE WITHOUT WORKERS COMPENSATION A SK M 'AGEME BY � 7 DATE WAIVER NIA •---K--.r'ES Ot u PREMIUM BY VEHICLE 1 $1, 080 $1, 164 FILINGIOTHER FEES 12 S2, 269 TOTAL POLICY PREMIUM rAr:HMFNTC InFIJTIFIFn RV FnMLI Mr-, /FnMr-LI r-w TC1 MARITAL SR22 DRV NO. LISTED DRIVERS DOB LICENSE NO. STATUS REO PT& 01 JOE FERNANDES 02/24/47 F655484470640 S N 00 02 GAIL MAROTTA 06/09/48 M630280487090 M N 00 03 04 05 ENHOLDER .H 1 VEH 2 .H 3 VEH 4 7 IDL INS 1 ADDL INS 2 MROE COUNTY SOCC 100 COLLEGE RD :Y WEST FL 33040 ;;0 1 _ )DL INS 3 ADDL INS 4 S cQ s N O O� O O � IITSIDE PREMIUM FINANCE o o N O L n O O O O O FOR COMPANY USE ONLY p m o p VEH PERS TERR GIR VEH DR CLS USE NO ZIP 01 01 C27 N 96 33050 02 02 C32 Y 96 33050 ammmemmmsm - ©- ©- - - - - - - ©- - - - - - - - - - - - - - - - - - - - -- - - - - - - COST OF HIRE COMPANY 41 RATE MANUAL BUS. TYPE PROGRAM UNIT C3 NUMB. OF EMP. N/A PAY PLAN ca BATCH AEo PPA ( ) R/R 0902 USER ID F/R 032002 DATE 03042 FACTOR % 100.00 AGENT CODE F8 86020 J a PROOREWYE° COMMERCIAL VEHICLE INSURANCE ADDITIONAL INSURED The person or organization named below is a person insured with respect to such liability coverage as is afforded by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be excess insurance over any other valid and collectible insurance. NAME OF PERSON OR ORGANIZATION: MONROE COUNTY BOCC 5100 COLLEGE RD KEY WEST FL 33040 LIMIT OF LIABILITY Bodily Injury $50, 000 each person/ $100 , 000 each accident Property Damage $25 , 000 each accident Combined Liability each accident All other parts of this policy remain unchanged. This endorsement changes Policy No.: 04324369-2 Issued to (Name of Insured): JOE FERNANDES Endorsement Effective: 02/16/03 Expiration: 02/16/04 Form No. 1198 (4-97) INSURED'S COPY CVFL0415971607Ll19801 211 ACORD. DATE (MWDD(YY) 3/11/2003 'T PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOHNSONS INS. AGCY (MARATHON) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13361 Overseas Highway P.O. Box 2346 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Marathon, FL 33052 COMPANY A Scottsdale Insuance Company INSURED Fernandez, Joe COMPANY B Eagle Security 424 26 Street Marathon, FL 33050 COMPANY C COMPANY D w Cidvtk "i , - , f, - , " " , , ` , I IIINIA��, -1 1111 P 01W. M 1-Z ,I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDDNY) POLICY EXPIRATION DATE (MM/DDNY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 500,000. X PRODUCTS - COMP/OP AGG $ 500,000. COMMERCIAL GENERAL LIABILITY A 1 CLAIMS MADE FV-1 I A I OCCUR CLS0869341 10/27/2002 10/27/2003 — PERSONAL & ADV INJURY $ 500,000. EACH OCCURRENCE $ 500,000. OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one tire) $ 100,000. I I MED EXP (Any one person) $ 5,000. AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ EXCLUDED BODILY INJURY (Per person) $ EXCLUDED ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ EXCLUDED HIRED AUTOS NON -OWNED AUTOS AP S 13Y "D I , SK M GEM P-NT PROPERTY DAMAGE $ EXCLUDED H GARAGE LIABILITY DATE - AUTO ONLY - EA ACCIDENT $ EXCLUDED OTHER THAN AUTO ONLY: ANY AUTO WAIVER N/A-'\ YES -_ EACH ACCIDENT $ EXCLUDED AGGREGATE $ EXCLUDED EXCESS LIABILITY EACH OCCURRENCE $ EXCLUDED UMBRELLA FORM y AGGREGATE $ EXCLUDED $ EXCLUDED OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IU- NC STATOY LIMITS OET RH- T EL EACH ACCIDENT $ EXCLUDED THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE - POLICY LIMIT $ EXCLUDED EL DISEASE - EA EMPLOYEE $ EXCLUDED OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS 'slog 2 Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Attn: Risk Mangement EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1100 Simonton St. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Key West, FL 33040- BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY g= ,z:l .. !�-- f is named aS �additional insured OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE W 4 ff 7 N 96"', W ,pus .mmti �, ,_. r ACORDTM - ... fv ar .. ,.. . � /Y � - � ., t DATE (MM/DD/YY) 3/11 /2003 m PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOHNSONS INS. AGCY (MARATHON) 13361 Overseas Highway P.O. Box 2346 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Marathon, FL 33052 COMPANY A Scottsdale Insuance Company INSURED Fernandez, Joe COMPANY B Eagle Security 424 26 Street Marathon, FL 33050 COMPANY C COMPANY D /fir+ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 500,000. X PRODUCTS - COMP/OP AGG $ 500,000. COMMERCIAL GENERAL LIABILITY A CLAIMS MADE ❑X OCCUR CLS0869341 10/27/2002 10/27/2003 PERSONAL & ADV INJURY $ 500,000. EACH OCCURRENCE $ 500,000. OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 100,000. MED EXP (Any one person) $ 5,000. AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ EXCLUDED (Per per INJURY Per person) $ EXCLUDED ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ,,pp AP e V Y LIANA ENT BODILY INJURY (Per accident) $ EXCLUDED DATE I PROPERTY DAMAGE $ EXCLUDED GARAGE LIABILITY WAIVER m P—� AUTO ONLY - EA ACCIDENT $ EXCLUDED OTHER THAN AUTO ONLY: ANY AUTO _ EACH ACCIDENT $ EXCLUDED AGGREGATE $ EXCLUDED EXCESS LIABILITY UMBRELLA FORM / / EACH OCCURRENCE $ EXCLUDED AGGREGATE $ EXCLUDED OTHER THAN UMBRELLA FORM l.._ ' $ EXCLUDED WORKERS COMPENSATION AND EMPLOYERS' LIABILITY STATU• OTH- TWC ORY LIMITS ER EL EACH ACCIDENT $ EXCLUDED THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE - POLICY LIMIT $ EXCLUDED EL DISEASE - EA EMPLOYEE $ EXCLUDED OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ROM IS, Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Attn: Risk Mangement EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1100 Simonton St. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Key West, FL 33040- BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Is names as additional Insured I AUTHORIZED PEPRESENTAT! V E �•- �, / - wr ACOR#1E(DNf988 aorr UL Vftac" I�suw�wae 6300 Wilson Mills Road Mayldd Village, OH 44143 800-444A487 Certificate of Insurance Cwfkate Notla h=md ................................................................................................ Additional.....Insure........d JOSEPH FERNANDES MONROE COUNTY EAGLE SECURITY 1100 SIMONTON S 1050 SYLVIA AVE KEY WEST, FL 33040 MARATHON, FL 33050 Policy number. 02325710-0 Odober 2, 2003 Page 1 of 1 Apiris ....................................................................... PROGRESSIVE PO BOX 94739 CLEVELAND, OH 44101 This document certifies that insurance policies identified below have been issued by the designated insurer tothe insured named above for the periods) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations. endorsements, and conditions of these policies. ..................... ........... ........................ ............ ........ .................. ............. ............. ............... Policy Effedive Date: Oct 2, 2003 Policy Expiration Date: Oct 2, 20D4 Insurano coVoray(c) lboa ............................................................................................................................................................................. Bodily Injury/Property Damage $50,000/$100,000/$25,000 Description of Location/Vehicles/Special Items Scheduled aubs only Certificate number 27503GPM710 Please be advised that additional insureds and lienholders wig be notified in the event of a mid-term cancellation. Form 5241(10102) APP D ISK NlA A EMEN? Y DATE WAFTER NIA--L—YES G. C. ACORD _ CERTIFICATE OF LIABILITY INSURANCE 10/31/2003 PRODUCER El Dorado Insurance Agency, Inc. P. 0. Box 66571 Houston, Texas 77266-6571 713- 521- 92 51 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 Eagle Security Company 1050 Sylvia Avenue Marathon, FL 33050 305-743-2822 INSURERA: Clarendon America Insurance Co. INSURER B: INSURER C: INSURER 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATIONLTR LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000, 000 FIRE DAMAGE (Any one fire) $ 50, 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5, 000 PERSONAL & ADV INJURY $ 1,000,000 A X Errors & HX00007448 10/27/03 10/27/04 Omissions I GENERAL AGGREGATE $ 2,000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000, 000 X POLICY PRO- LOC AUTOMOBILE LIABILITY ANY AUTO ALLOWNEDAUTOS SCHEDULED AUTOS ...r,I V A AP P R B� A E I j� COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per Person) $ HIRED AUTOS NON -OWNED AUTOS r DATE'!� � BODILY INJURY (Per accident) $ 1I�7 y �� PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY r r AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO ------- V/ $ EXCESS LIABILITY OCLAIMS MADE '— .,. -_ n. 31 bQ EACH OCCURRENCE $CCUR AGGREGATE $ $ DEDUCTIBLE RETENTION $ q [1 .... .VY/Y 47� i •- .. �0 ' f $ $ COMPENSATION AND WC STATU- H- Y LIMITS E.L. EACH ACCIDENT $ EMPLOYERS' LUIBILITY E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The Certificate Holder is named as Additional Insured on the General Liability policy as required' by Written Contract. C o 1y ; f' N. a. -L C s... X I ADDITIONAL Monroe County 1100 Simonton Key West, FL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 33040 ( OMB ) IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR / AUTHORIZED REPRESENTATIVE ACORD 25-S (7/97) U 1988 PROGRESSIVE PO BOX 94739 CLEVELAND, OH 44101 Named Insured: JOSEPH FERNANDES DBA EAGLE SECURITY 1050 SYLVIA AVE MARATHON, FL 33050 Commercial Auto Insurance Coverage Summary This is your Renewal Declarations Page PROGREl Hea Policy number: 02325710-1 Progressive Express Insurance Company August 10, 2004 Policy Period: Oct 2, 2004 - Oct 2, 2005 Page 1 of 4 personal.progressive.com Make payments, check billing activity or check status of a claim. 800-444-4487 For policy service and claims service, 24 hours a day, 7 days a week. This Renewal Declarations Page is effective only if the minimum amount due to renew your policy is received or postmarked by October 2, 2004, Your coverage begins on October 2, 2004 at 12:01 a.m. This policy expires on October 2, 2005 at 12:01 a.m. Your insurance policy and any policy endorsements contain a full explanation of your coverage. The policy limits shown for an auto may not be combined with the limits for the same coverage on another auto, unless the policy contract allows the stacking of limits. The policy contract is form 7950 (02-03). The contract is modified by forms 4898 (08/03), 4888 (06/03), 2068 (06/03), 1652 (06/03), 1198 (02103) and 4792A (01103). The named insured organization type is a sole proprietorship. Outline of coverage Description .. .......... ................................... I......... Liability To Others Bodily Injury Liability Property Damage Liability .. ............................ Uninsured/Underinsured Motorist ..............I...................... . Basic Personal Injury Protection Without Work Comp -Named Insured Only Subtotal policy premium ............................. Fees Total 12 month policy premium Rated drivers 1. JOSEPH FERNANDES ............................. 2. GAIL MAROTTA ..... ........................ 3. RAINALDO MACHADO ............................. 4. 10SENIN NUNEZ CC' Limits ............................................ I .......................... Deductible Premium ..................... $50,000 each person/$100,000 each accident $1,729 $25,000 each accident .Re...j.ecte......d............................................................................................ ...................................................... $10,000 each person $0422 ............................................ $2,151 .............................................. 50 $2,201 APPROVE "�RIS�'('AANAGEMENT BYW2.1 DATE WAIV!ZR N/A .YFS,,._,_.__ 01� Form 6489 FL(05/02) M continued Auto coverage schedule 1. 1993 GMC Suv VIN: 1 GKCS13'W2P2501231 Liability Liability ..PIP ................ Premium $997 $227 2. 1991 Chevrolet Suv VIN: 1 GNCS 18Z7M8227846 Liability Liability PIP ...................................... Premium $732 $195 Premium discounts Garaging Zip Code: 33050 Garaging Zip Code: 33050 Policy number: 02325710-1 JOSEPH FERNANDES Page 2 of 4 Policy ..................... . .................. Renewal........ 02325710-1 Vehicle..................................... ............................................................. ............................................ ABS 1991 Chevrolet Suv Additional Interest information We will send certain notices such as coverage summaries and cancellation notices to the following: 1. Additional Interest 2. Additional Interest Agent countersignature Xf ISLAMORADA PO BOX 568 ISLAMORADA, FL 30036 ...................................................... MONROE COUNTY 1100 SIMONTON S KEY WEST, FL 33040 Radius: 50 Auto Total ........................ $1,224 Radius: 50 Auto Total ........................ $927 Form 6489 FL(05/02) ACOR CERTIFICATE OF LIABiLi �'1( INSURANCE I MlDD/YY) O1/271/27/OS PRODUCER 1-713-521-9251 THIS CERTIFICATE -IS ISSUED AS A MATTER OF INFORMATION El Dorado Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2515 North Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW - Houston, TX 77098 I INSURERS AFFORDING COVERAGE INSURED ' , Eagle Security Company P.O. Box 522724 Marathon, FL 33052 IN SURERA:First Mercury Insurance Company _ INSURER B: INSURER C: INSURERD: INSURER E: COVERAGES i nt I ULII;IEJ UI- INUH: SANUE 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 I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD[YY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 41 OCCUR Errors & Omissions FMMI002368 10/27/04 10/27/05 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 5,000 X PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: X POLICY F PRO LOC PRODUCTS - COMP/OP AGG $ Included AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AP"ISM t AGls�iEtJ�' COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY (Per accident)RY $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO --- m!� N/A YES AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ ..q (i•'(('' EACH OCCURRENCE $ AGGREGATE $ $ $ -- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ 8 S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The Certificate Holder is named as Additional Insured on the General Liability policy as required by Written Contract. f_FI2TICIrA7C unI non VI I I%JN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County 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 , 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West, FL 330411 c4: ACORD 25-S (7/97) sciulla 2446305 USA AUTHORIZED REPRESENTATIVE Powered By('.nrriftr..f aMnwTM Q ACORD CORPORATION 1988