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Certificates of InsuranceCOMPANY A LETTER Lumbermens MutualNOV 19" I COMPA NY B INSURED LETTERppRDvtp BY RISK MANAGEMENT A I COMPANY Big Pine Athletic Assoc., Inc. LETTER C BY P . 0. Box 89 CO Big Pine Key, F l. 33043 LETTERNY D DATE COMPANY WAIVER: H!A - YES — LETTER E 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 LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ i a ! COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ f CLAIMS MADE OCCUR. PERSONAL & ADV. INJURY $ 1 OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ If FIRE DAMAGE (Any one fire) $ f 'I i' MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS COMBINED SINGLE $ LIMIT BODILY INJURY _ ` SCHEDULED AUTOS (Per person) HIRED AUTOS I BODILY INJURY NON -OWNED AUTOS r (Per accident) $ j GARAGE LIABILITY I r PROPERTY DAMAGE $ a EXCESS LIABILITY EACH OCCURRENCE $ { UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS a A AND EACH ACCIDENT $ 100 3 B A 0 5 7 4 2 0— 0 0 8/ 2 4/ 9 3 8/ 2 4/ 9 4 DISEASE —POLICY LIMIT $ 5 0 0 EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE $ 100 OTHER � d I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS I Athletic Association CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE r Monroe County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Office of Management 10 MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE M e l a i n e Bryan LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 5 1 0 0 College R a o d , Wing 2 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Key West, Florida 33040 i ' AUTHORIZED REPRESENTATIVE 6 Tim Hampso _ ACORD 25-S (7190) CAC CORPORATfON 1990 ... :..:............ I: ......... ...... ­1 ......... ­ ........... ISSUE :. :: ; . .. ..... ............ . SSUE M DATE M Y ) II T E.­ .... :0F..w_ ............ . . ......... ........... :::.................... ....... ......:.:....: :.... ::...... ............... ........... ... ............ .... . ......... .............. I ...... ................................................. 7/18/94 ........................................................... PRODU%ER 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. REGAN INSURANCE AGCY 90144 OVERSEAS HWY COMPANIES AFFORDING COVERAGE TAVERNI ER FL 33070 •........................•---------..............----.....-----................................................................------ .............................. COMPANY A LETTER NAUTILUS INS. CO. ............................................------.....................------.............................................----.......................................... ............................................................................... ................---...... COMPANY INSURED LETTER APPPMEI) Sy RISK MAN ArFMFRT r BIG PINE A.HLETIC ASSOC ............................................................. COMPANY Cj f "" 0 LETTER ✓� BOX 89 .....: . .. .. ................ ....... ... ... ... ............. .. ..........K .. - ............................................. .......... ...-... � �y COMPANY D DATE LETTER DATE G BIG PINE KEY FL 33043 ................................................... .............. ........................... COMPANY WAIVER.- WIA E ................................. LETTER ......... ,..:.:....:...:.::...:::. .::::::::.. RA :.::.. .:.:.:.:....:..::.:.:. O S ................. ............ ....... .... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L.... ISTED 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 LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY NS O 2 O 18 7 6 2 9 9 4 6/ 2 9/ 9 5 GENERAL AGGREGATE $1 0 0 Of 0 0 0 X : COMMERCIAL GENERAL LIABILITY ................................................. PRODUCTS-COMP/OP AGG. $1 ,fO O O 1 O O O CLAIMS MADE: X OCCUR. ................... ........................ PERSONAL & ADV. INJURY $ OWNER'S & CONTRACTOR'S PROT. .................................................:........................................ EACH OCCURRENCE $ ], O O O O O O ........................................•-------..........-----------..................... FIRE DAMAGE (Any one fire) $ .--------•................................................................................ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT $ ALL OWNED AUTOS ........................................................................................ BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS ......................................................................................... INJURY z: �d BODILY INJU NON -OWNED AUTOS ......... aa ;: a . '- -�;., ty�; # (Per accident) $ �w'6J4 �. k,,sodl - GARAGE LIABILITY DAtr"x �. �� PROPERTY DAMAGE $ ..:c,.,00.,,,r��o.. rc...�v+r.,v.w.�. EXCESS LIABILITY ;,.��.;.� Q EACH OCCURRENCE $ UMBRELLA FORM ........................................................... ............................... AGGREGATE $ OTHER THAN UMBRELLA FORM .... ......... ..... .......... •. -... . WORKER'S COMPENSATION STATUTORY LIMIT ............... AND EACH ACCIDENT $ EMPLOYERS' LIABILITY DISEASE --POLICY LIMIT $ DISEASE —EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCikTIONS/VEHICLES/SPECIAL ITEMS ATHLETIC ASSOCIATION—WATSON FIELD/BLUE HERON PARK & FACILITIES AT SUGARLOAF CLUB—ST PETERS CATHOLIC CHURCH AND SUNSHINE KEY CAMPING RESORT 'CE' 'L A . �C1►LDER ....... ........................ .. .... CArNCEIJ AT- , .. , ......... . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MONROE COUNTY BOARD MAIL—' 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR COUNTY COMM I S S ' RS /ADD INSURED 5825 JR COLLEGE RD LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESENTA ROBERT ,..t B E <. ::::.:.:. >:::::.: >: >: ...: .... ....... ACO:: _ :: / . :::::::: :: :: :: ::::::.::: S.. 7.9Q . ::.::. ....:..:.:..:..:....:.. ................ .......................... . ......... , :....... Win, _.. .............................. ....................... ...::. . :: .. :. :. ..... :. . .... .::...... > . :::: >:. , :::::::: fl ACOR ... ............................ .............. ��................. ...........�� .�,���t...........h��"�I.....................I..............I... ..................... .......... ............. ...........I................ .... ISSUE DATE (MM/DD/Yl) .. .............. ......... >: _ ::::..... >: 7 18 94 ert°°ucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIIrICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. REGAN INSURANCE AGCY 90144 OVERSEAS HWY COMPANIES AFFORDING COVERAGE TAVERNI ER FL 33070 ..................................................................................................................................................................... COMPANY A CO. LETTER NAUTILUS INS, ............................... ................................................................................................................................. ........................................ ...................... COMPANY B APPROVED P RISK MANAfflMEW INSURED LETTER .... ......... a '& ............ COMPANY C BY. BIG PINE ATHLETIC ASSOC :LETTER r BOX 89 ........................................ OATE .................. . COMPANY D BIG P I NE KEY FL 33043 :............................. LETTER r,; ........ WA ..... v...... COMPANY E LETTER ­­ ........... *'*''*'' ......G...................•.....,...........•..............................................................................................::..:.............:........... . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDTI'IONS OF SUCH POLICIES. LIMITS SHOWN :....................................................................................................................................................................................................................................................................................... MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO: LTR: TYPE OF INSURANCE POLICY NUMBER : POLICY EFFECTIVE :POLICY EXPIRATION : DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY NS 0 2 0 18 7 6 2 9 9 4 6 2 9 9 5 GENERAL AGGREGATE : $1 f 0 0 01 0 00 : X COMMERCIAL GENERAL LIABILITY ..................... .. � ........................................................ PRODUCTS-COMP/OP AGG. $ l f 0 0 0 f 000 ..::.:.: : : CLAIMS MADE:....... .00CUR � : X • : :................................................:...................................... PERSONAL & ADV. INJURY : $ OWNER'S & CONTRACTOR'S PROT. .......................................................................................... EACH OCCURRENCE : :Si:$if 0 0 0 000 FIRE DAMAGE (Any one fire) : $ MED. EXPENSE (Any one person) : $ AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO : LIMITS ALL OWNED AUTOS ...........................•--------.......---...;........................................ ........... BODILY INJURY : S SCHEDULED AUTOS (Per person) HIRED AUTOS ...................................................................... ........... BODILY INJURY S NON -OWNED AUTOS : (Per accident) : GARAGE LIABILITY ........................................................................................... PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE : $ UMBRELLA FORM ...................................... AGGREGATE : S OTHER THAN M U BR ELLS, FORM WORKER'S COMPENSATION STATUTORY LIMITS AND EACH ACCIDENT : S EMPLOYERS' LIABILITY DISEASE --POLICY LIMIT : $ :.......... DISEASE --EACH EMPLOYEE : $ OTHER AGENT/[agi Py S_-,TANE1ARn 0'SNP ENSATIC)iN AWD EMPL.Q-tip R*:.;-- I T r • I Nf.` OR M I :� V Memper? MANUAL. CARRIEER NAME:' FL Wn...RKERE; COMP J01t--4.T I pat *rC%1. NUMBER: -CH UNDWRIT AcE50%0C IN%-. Nt."'C"I C.""ARRIvER NK-1: N04' NAME ANC, A1.11 -IRESS OF INSUREC, El� 1& 8 1 G P I NE ATHL.9.467 1. C. A.S S U- C: I A T 10 IN - DATE 4 0.-. 2 QX 8 9 WAIVER: N/A YE '1". lzc%';J,E [;ATE: 0 J-4 94 LOCATIONS - All usual work places of the insured at or from which operations covered by this policy are conducted or located at the above address unless otherwise stated herein. SEE E....XTEEN51.0N OF IN"FORMIAT10p.1 PIC-iGE E14T-11.7" OF INS..WUREE, OTHER A 011 •1411 yrAtg*iAp�r T I ME Atilr^ THE A[jrDREE OF THE TNSURE- A. _�TATE7E, HEREILN.% I _* V, 3A,r. FART ONt� OFC� '-* THJPoj�.Jr4" ',,' 'PPLIE13 T'C"i THIEE WORKERS COMP EN5ATIC)IN LAW i'_1Nr.i (4NY !__1CC1JPf4T11_DN(4L C11SEA SE LAksi OF Ef:!CH OF THE FOLLOW Ji4(."-, 5TA1`EC.*-- 384 PART TWO OrF' THIS POL APPLIES TO EMPLCO(ER.15 LIA81LITI FC!i.. W !I P1RK IN E' _r" �H '15TATM IN ITEM. 3A T NjUR B ACC IOENT S 1001 0-0%'_'� EACH Arr I nENT 6 OD I L-Y INJUR'ei" 8% 1 .1 11115Ei4SSE %iOOiOOO EACH EHIPL0.1)"EE T S 00 1 LY INJUR*s. E A, t-: � E 3C A P" ROT' THIREE OF THIS POLIC'r' APPL"":71; Ti"I OTHERa.STi;*,rE T t_4 =:URANC­_'F -� OIR rHFO­ Ss. t" E LCIWING 5-TATEO&S-1NON — t . I I-% 1� 9 K14 r:"�EE 'EXTENcEdON OF IN.FORMATIONII PAGE FOR E."N[IOR-5EMENT S-1 FOR11141-I.NG P� -iRT 101--- THII.E: P0L1C%-:JA THE PREMIUM FOR TH.T**- POLI-i't" WILIL B.E CIETERMINEE; 8'Y' OU!-"; 11-if.'ANUALE5 01F RLIL.E'r"i f I-L"i'"IFICATIONSi RATEiiii AN[o RAT INL-1 PLAN'a AL.L INFORITIATION REGUIFI.E-0 B1E--Li_-JW 41* .LZ SUBJErT TO VER1F3*CAT1(-if4 AND CHA.NGE BY AU11IT L A-11-JAYMSTMENT OF PRIE.MIUM 51%HALL. BE MACE" ANNUALLY :�LASSIFICATION OF OPERATIONS* I ES T OC COIDE TYP N.- CI Ps S } : 1, SEE EXTENSION OF INFORM�:TJON PAGE MINTMUM PR—MIUM S i L T—ANN PER 5110C* AP%iNL44L P 9EEMUIN REMLj-.!,%!, a R E:7 M I L J M EXPENSE XNST;�-;NT 0 TOTAL ES,r &y. 1h-'TE!­1 — i �.'-'t DEP0541T AMOUNI* N *ENTR':`S 1" THI ITEmi E.XCEPT AS PR"-'VTC1EL L Ewhi-JERE-. IN I:' t 00 NO-l" MODIFY Ahry OF THE OTHER Pf OV].-S:fir ONS OF PRODUt ER INFORMATION: 0300JJ4 3UNTERIC1,11 AT(JRf--.: -*,'H P E` N' T I ONIC-if_ P. GARLA-1140 TY 0F7P-Tt­f::* -F - -to U.' . ­,_: � ,-:EMPER NA-rIONAL U"�*ANCE C0 WQRK P 080%A' 47S50_-3.* 4C. i--,I 1 -.1 G *1. / •- - CIj-� P'T*11 IGHT _J9K-!C.*F 1-0FATIONAL f-DOUNC-11- ON ;—_0MPE!-4-�:;i:YT-Trq -1 .(4 t4; _- E AGENT/BROKER COPY AND EMJPLrD4-,'ER---'.-% LIale lLITY � ��� � E��=•• naTmna OF INWORMA'S ION PAG'iE uisuum compamles % -M�j C"'AR.. R T E R N A M.1 r- FL WGR�:.'ERS ClDiMP JOINT C)L T C' '-31`14 NUMBER J. UNDWRIT ASSOC IMP, C.ARRIER NO so. RENEWAL OF NEW W411E j-4Nri OF NSURED =-7760! 1 'Sr' -D-4TIOW, BIG 17-*IN'- PTHLEETIC -AS I t--1 C" A ; PA Q-- Ei"44ly%* S3 9 BIG F.*IME 1-*-,*,EYi FL ISSUE DATE: 18 4 r*-74 LOCATIONS - All usual work places of the insured at or from which operations covered by this policy are conducted or located at the above address unless otherwise stated herein. 13ELCM F, T I f A 4 U TEM NUMBER WATSION FIELD BLUE HERON PARV-:i FL 3043 AGENT/ OPY AND E11PLO"IERS L* r - Aid L - I P 0 L I �..,1�' EXTENSION OF INFORMATION PAGE F naTwna. insuitance I compames at L==a V NUMB i 8 4 Cf4RRIER P-44ME: FL W10RKER. comp jo i i,4,r POL11. NUER: UNDWRIT AS ISOC' IN,"- E Nc.-.!-.I --A.R.RIER •Nil RE N IE W A sL NEDA N(--iME (.-)Nf--, f4DDRE5'-,S OF IMSURU-1 BIG PINE. A-THLETI-*, P4 04 Box a9 B-IG PTNE K*EY; FL 0 4 T *5 U E 141- JO -'14 ;144 LOCATIONS - All usual work places of the insured at or from which operations covered by this policy are conducted or located at the above address unless otherwise stated herein. r C,- C. ' 1% — T-J—It L At N 0 U I it F T *H":DU1 L S H E 1 1 RA" HAMPSON hl ASSOCD4, TION F) r )A BOX 161"1' 8 1 G PINE il,41Z % f.:a*r T f'IN AGENT/BROKER COPY WORPKEF...'.' COMPEN'S naTIMaL EXTEWSION OF I1141,F-:'0cC1J114T ION PAGE ff=Rance empames a i CC�RRIE-**R NA.H.E-- Fj.. WQR1---.'ERS CCIMP JOINT FOL11--Y' NU: BERP.: 31.1.Fi U N D WRIT A'154'5--01- INK- 1'.*-*ARRIER NO.. -RENEWAL OF: NEW *1-t &.- -. '. V, F-60 NAME AND ADDRE OF T I%IS'.JRE*- t Li F E I h14: i eNs PINE.-- F 4 0 4 e ox 1-1 815 R LOCATIONS - All usual work places of the insured at or from which operations covered by this policy are conducted or located at the above address unless otherwise stated herein it P o L H E L U L E C) F wE: R .44C". N 5- -1. ITEN 4-- -LA-STr-"V-ATION I-3-F DPERAIIONS f-AT- ZODE TYP T(TT-ANN PEAR. S.1-6-0 ANNUAL I NO.- RSI-:: RF:- MRr- FL aOi 8810 CIFFICE EM.:*L0'*1*'EE'-3. TC,*-L -1Rr-- j. N- I V NVE-M Off' ER..ATION? PREMIUM S614 AGENT/,BROKER gOPY WOR.VER"t-5 AND E1vi;4LC_)'T4ERb­ LIABILIT'i" Q L 1 1"T' EX"I'l[HEWS10N OF INFORMA*T.10NI PAC-.E nanana insuRance cowanies ER INA11": A +WCAKERS COM.-P -.JOINT NUMBE-R- 3RC-P. OCUSCP-i NDW U "o %-% I RIT INC- NCCI C"ARRIER K(3: 8002 REN:r_-,*WAL OF: NEW NAME AND ADDRESS OF ][NSUREn tP 1 G I NE A 0 A. iA THLETIC i45%S0i`1AT1(.'r'4i TN4C. P4 04 BOX 8 -UE DAI'E: i0/14/q.4 R 'ar. G I NE K'Pe".1 FL S 5 LOCATIONS - All usual work places of the insured at or from which operations covered by this policy are conducted or located at the above address unless otherwise stated herein. "*HEDULr- P A G E ][hTEN 3D. S"TATE NUMBER Is %D *5 1 P T 101 N E. F F E- _- T 1:V1 E 11W(E L W C. 0. 0 30S. P i4R N E; ­ U S F I~ I D' _'. R S S. 0' T H E Rc.-- - IED iN.L i J -1 C FLORICA * ZOMP JOINT UNDERt-4RIT ING �ASESHX WORK t _U Pr)1 Ti----,-- q V-e/.-,-- 4 C 7 3 L W" 490'+4� 0FLORIDfLi PREMIA Jin 11 SURCHARGE NOT.'L _&_.N VD T FL W CD-5 0 414 07'?0 NO"TIFIC.A-114- ION. OF C"HIANGE IN 0W-JNE,R-.S1,,-1P 08 f2 8 /'40'4 L W C* 'P9 0 4 48 01 i�4 1__-L0RIE,4P. A1- -1 AISSESISABLE POLI _): W-11-ICE END S/ e_? $* + I : ~: ~: ~""""""""""""""""""""""""""""""""""""'" ~: ~: ~: ~ Bi::::::::::::::::::::::::::::::::::::: ~:::: ~:::::::::::::::: ilr::::::: ~ ~ ~:::::::::: :::::::::::::: ~ ~ ~ ~ ~ ~ ~ ~ ~ Ii ~::::::::::: ~ ~ ~ ~ ~ ~ ~ ~:::: ~ ~::::: ~ ~ ~::: :1':::::::::::: ~ ~::::~ ~ ~:::::~:::::::::;:: ~ ~ ~ ~~:::::: ~ ~ ~ ~:::::: ~ ~:::: ~. ~::::::::::: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~""""'" D~TE' '(11 MIDOIY;)"......... ~ ~ ~ ~ ~ ~ Il~_1 i~~~ 09/14/95 ~ PRODUCER REGAN INSURANCE AGCY 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 POLICES BELOW. COMPANIES AFFORDING COVERAGE 90144 OVERSEAS HWY TAVERNIER FL 33070 COMPANY A N~TTrrTT,TT~ INSCO Rv nf~f f\U'_L.V~D f nl.~~rJVlI1Nf\b{' I COMPANY BIG PINE ATHLETIC ASSOC B BOX 8 9 CO't;ANY DATE 7 0 9-1 cf - f?.s:' BIG PINE KEY FL 33043 COMPANY / 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 BEFN REDUCED BY PAID CLAIMS. INSURED 4) A.. I t;, C~ CO LTR TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRAnON DATE (MMIDDIYY) DATE (MMIDDIYY) 07/10/95 07/10/96 UMITS ~ GENERAL UABILITY X COMMERCIAL GENERAL ILlABILlTY CLAIMS MADE [}[] OCCUR OWNER'S & CONTRACTOI=l'S PROT r- NS053497 GENERAL AGGREGATE $1, 0 0 0 , 0 0 0 PRODUCTS COM PlOP AGG $1, 0 0 0 , 0 0 0 PERSONAL & ADV INJURY $EXCLUDED EACH OCCURRENCE $1, 000 , 000 FIRE DAMAGE (Anyone fire) $EXCLUDED MED EXP (Anyone person) $EXCLUDED AUTOMOBILE UABIUTY - - ANY AUTO - ALL OWNED AUTOS SCHEDULED AUTOS f--- HIRED AUTOS t--- NON-OWNED AUTOS r--- f--- ! 1\11'1'11\1 /c?Jt , COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ AUTO ONLY EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ $ I STATUTORY LIMITS EACH ACCIDENT $ DISEASE POLICY LIMIT $ DISEASE EACH EMPLOYEE $ GARAGE UABILITY - }~ecelved Lvfg1TrL & Loss Control . ,,---- I t7 _ ~ <'""' Df\:;}~ --.___....Z. - /. / .- ANY AUTO EXCESS UABILITY RUMBRElLA FORM OTHER THAN UMBRElLA i=ORivi WORKERS COMPENSAnON AND EMPLOYERS' UABIUTY THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: OTHER il'NCL rl EXCL DESCRIPnON OF OPERAnONSILOCAnONSNEHICLES/sPECIAL ITEMS THIS CERTIFICATE VOIDS AND SUPERCEDES CERTIFICATE TYPED ON JULY 14, 1995 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE MONROE CO'UNTY BOARD OF COMM EXPIRAnON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ADDITIONAL INSD/ATT RISK MANG ~ DAYS WRITTEN NOT1CE TO TltE CERTFlCATEHOLDER NAMED TO TltELEFT, 5100 COLLEGE RD BUT FAlWRE TO MAIL SUCH NOT1CE StW..L IMPOSE NO OBUGAnON OR UABLrTY KEY WEST FL 33040 OF ANY KIND UPON TlIE COMPANY, ns AGENIS OR REPRESENTAnvES. AU~;~R;PRES~~E .~ /1 .~ BM A ~iij_~f~~tf"Wjj:f~~::::ft~<at.t;;f~~:ttmmmmmmmf:t:itt:fi:'tttttttt:'t::t::Itm::f::f,t:f}~::::::t:f::m:itt~~~::itttliWW!i.$Xi@,zilfitm:::11iA'im,fJiiii6.iiftlbjfdjji 'W:""/ i' to F/~ . . ..,. ....".......... ... .... ..,. ........ ...... .......... ......... ..... ..... .... '" ....... ... ............ .............................. .......... .... .... .......... .... '. ..... ..... ..... ::::-::-:~~......:-I:-:..I:-:-:-:-:-:-:-:-:':~~~~~~."rl:-~~~~I:-::~~:!~^~:Mi#::i::~!.!':~:~i:rI)~ili!I:>::::-:~ilii:!:li~.iijA:!!~il:~~!I#:!~:i:/!i ... ~..,.. ,. t. ..""t~Q:,:!Js;.rM=;..i'"~FL.~'...WFl~."~~ .......... .... .,.... .... . . . . . . . . . . . . . . ~ . . . . . . . . . . . . . . . . . . . .. ............................... . ........ ... ........ ....... ... ..' ........ .... ..... ............ ..... .... ..... -.. ....... .... .. .. . .. .... :iU\i!://!Ui/iU?//!i!} ::::::::::::::::>:::>/'lssuIfDAtE: :(MM/66NY):-:-:-....... -..",'. .., ............ .... ..... ............................................... ..............-:..-:-:-:-:.:-:-:-:-:.:-:-:-:-:-:-:-:...:-:-:-:-:-:.:-:-:-:.:-:-:-:.:-:-:-:-:-:-:-:-:-:-:-:-:-:-:-:-:-:-:.:-:-:.:-:-:-:-:.:-:-:-:-:-:-:-:-:-:-:-:-:-:-:-:-:-:-:-:.:-:-:-:-:-:-:-:-:-:.:-:-:-:-:-:-:.;.;.;-:-:-:-:.:-:-:-:-:-:-:-.-:-:-:-:-:.:-:.:.;:.:........ ................:::::::::::::::::::::~:~:~::<:::~:~:::>>:::. :.:.:.:.:.:.:.:.:.:.:.:.:.:.:................... ....... ...... n 1 1 - 03 - 9 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER RAY HAMPSON & ASSOCIATES 102481 OVERSEAS HWY KEY LARGO FL 33037 COMPANIES AFFORDING COVERAGE COMPANY A LETTER FLORIDA W C JUA 23DHR INSURED COMPANY B LETTER RCFf';ved BIG PINE ATHLETIC ASSOCIATION INC POBOX 89 COMPANY C LEITER / / -- / ~j ~t6 :r:ontroJ C'/) - COMPANY D LETTER IN 1'11["\1_ _ BIG PINE KEY FL 33043 COMPANY E LETTER 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 EXPIRA nON DATE (MM/DD!YY) DATE (MM/DD!YY) LIMITS GENERAL LIABILITY n COMMERCIAL GENERAL LIABILITY 1////.:1 I CLAIMS MADE [~ OCCUR. [j OWNER'S & CONTRACTOR'S PROTo GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED. EXPENSE (Anyone person) $ AUTOMOBILE LIABILITY I---- ANY AUTO I---- ALL OWNED AUTOS I---- SCHEDULED AUTOS I---- HIRED AUTOS - NON-OWNED AUTOS - GARAGE LIABILITY - APPROVED BY RISK MANAGEMENT COMBINED SINGLE $ BY_~-V1 -'ln~~ O,eIC; LIMIT BODILY INJURY ~ (Per Person) $ DATE //- /y-~ C~ BODILY INJURY $ -~~ES (Per Accident) W~fVER: N/A PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE $ EXCESS LIABILITY RUMBRELLA FORM OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION 757K1066 08-28-95 08-28-96 I STATUTORY LIMITS EACH ACCIDENT DISEASE-POLICY LIMIT $ 000100000 $ 000500000 AND E~iri.OYER'S li:"S;UT'. DiSEASE-EACH EMPLOYEE $ 000100000 OTHER DESCRIPTION OF OPERA nONS/LIOCA TIONSNEHICLES/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE ::~~ml:~~PA1~:]~P~PJ;R)::::::.: :.:::::.:" .. ":;:::;::::>::>::::::::::::::::::::<)i>>:::::::)).:).:):::>:::::::<i:':.:::><::::l~A~9:f$~~T'Q:~::<<{::::::::::::::-:.:...... . . MONROE COUNTY RISK MANAGEMENT 5100 COLLEGE ROAD .. AUTHORIZED REPRESENTATIVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMEDTOTHE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ~ ~ L-- : ~ · ~--/ .. . .~~~c::pap(')1~"l"I~...1~. KEY WEST FL 33040 ..................................... ':::::;!J.: :::::::::>>:~~ :.:(:-:-:.>:A:>::.:>~:: .A~g..~~~..trl.~).......... ........mci.@.....~ .......ro.tt0~:;T.....~~................................. ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAnON ONLY AND CONFERS NO RIGHTS UPON THE CERnFlCATE HOLDER. THIS CERnFlCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER RAY HAMP,SON & ASSOCIATES INSURANC:E AGENCY 102481 O'VERSEAS HWY KEY LARG() FL 33037 COMPANY A TRAVELERS INSURANCE COMPANIES INSURED BIG PINE ATHLETIC ASSOC INC COMPANY B COMPANY PO BOX 89 c BIG PINE KEY FL 33043 COMPANY I 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. BY APPROVED BY RISK MAN~GEMJNT ~~ ~AJ~ // vg _ /~ -;7~ 06TE CO LTR TYPE OF INSURANCE POUCY NUMBER POUCY EFFECnvE POUCY EXPIRAnON DATE (MMIDDIYY) DATE (MMIDDIYY) UMITS GENERAL UABILITY COMMERCIAL GENERAL UABILlTY CLAIMS MADE CI OCCUR OWNER'S & CONTRACTOI=t'S PROT GENERAL AGGREGATE $ PRODUCTS COMP/OP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE UABILITY I-- ANY AUTO I-- ALL OWNED AUTOS - SCHEDULED AUTOS - HIRED AUTOS - - NON-OWNED AUTOS - COMBINED SINGLE LIMIT $ ... .__.__....$?u~.1~3 - /'? /~ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ J!-ARAGE UABILITY EXCESS UABILITY I UMBRELLA FORM I OTHER THAN UMBRELLA FORM A. WORKERS COMPENSAnON AND 770 K7 8 3A9 6 EMPLOYERS'UABLnY 7/04/96 AUTO ONLY EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ $ 7/04/97 X I STATUTORY LIMITS EACH ACCIDENT $ 100,000 DISEASE POLICY LIMIT $ 500,000 DISEASE EACH EMPLOYEE $ 100,000 ANY AUTO THE PROPRIETOR! PARTNERs/EXECUTIVE OFFICERS ARE: OTHER illNCL il EXCL DESCRFnON OF OPERAnONSILOCAnONSNEHlCLESISPECIAL ITEMS ::!~l!iiJ".I"":::::II:':::::::::tI::::::::::::::::I'::::::::::::::::::::::::::t::f::::::t:I:}:::::::::m:!:'::::}mm::::f:':::::rm:::::::::!:::::::::::'::!:t:rr:#:J.,.BmIrr::::!'@rI::::::!::::'m::::::::':::!:'mmm::::::::::t':::t::::!::!!:!:!!:::{:::::::::::'::'!!:::r:::::::t!I,:r@!lf:'!::::::!:I::::::!i::::!:}:'}::'r::::r::::' SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE MONROE CO'UNTY EXPlRAnON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAL R IS K MANA'G EMENT - A TTN : D lANE ~ DAYS WRITTEN NOnCE TO THE CERTIFICATE HOLDER NAIlED TO THE LEFT, 5100 COLLEGE ROAD BUT FALURE TO MAL SUCH NOTICE SHAll. "POSE NO OBLIGATION OR UABIL.I1J KEY WEST, FLORIDA 33040 OF ANY KIND UPON THE COMP~ AGENTS ORREPRESENTA'I))rls. ]~":Ijj~itli.!'I:tt:::::!msll'Mafii.i.~igf~_!t:!:!::i:}fI:::::::::lt:::::::::f""}f:~i~:ii:i;-;[:Ii,ii:':f:':!:~.*~tj., , # ..... ,.. ................. .-............. ................,..,.......... .................. ...... ..........-.. ................................ ..... ..................... .-...........-. .............. ............... .. At~t.lllt.. ..IIIIIRIIIIEIII.....II$URI.M~E..........)........................................................... ................................................................ .......D~~_~~~:~. ... THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER RAY HAMPSON INS 102481 O/S HIGHWAY KEY LARGO FL 33037 COMPANIES AFFORDING COVERAGE 752TN INSURED BIG PINE ATHLETIC ASSOCIATION P.O BOX 89 BIG PINE KEY FL 33043 Q('i1 COMPANY A FLORIDA W. C JUA COMPANY B COMPANY 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. I CO LTR TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION DATE (MM\DD\ YY) DA TE (MM\DD\ YY) UMITS GENERAL UABIUTY I COMMERCIAL GENERAL. LIABILITY 1~:;;LJ I CLAIMS MADE [~OCCUR. OWNER'S & CONTRACTOR'S PROTo (6FR13-UB-770K783-A-97) 07-04-97 GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED. EXPENSE (Anyone person) $ COMBINED SINGLE $ LIMIT BODILY INJURY (Per Person) $ BODILY INJURY $ (Per Accident) PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: L7 ~ EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ 07-04-98 I STATUTORY LIMITS E EACH ACCIDENT $ 100,000 DISEASE-POLICY L1M!T $ 500,000 DISEASE-EACH EMPLOYEE $ 100,000 AUTOMOBILE UABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS ~ OPRO\JEO B"" M~ISi )L~ ~61-- _ HIRED AUTOS _ NON-OWNED AUTOS RV ~~.tE GARAGE UABIUTY ANY AUTO :\fC~.t N ! ~ ...-c-- VES ----- EXCESS UABIUTY I UMBRELLA FORM ~ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND EMPLOYER'S UABIUTV THE PROPRIETOR/ ~ PARTNERS/EXECUTIVE INCL OFFICERS ARE: X EXCL OTHER CiA. ea/l~ CL'. U~ ~ ~ DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE :t::I5J:trl:~~(;At~~:~PLOEFI-..::::':: ..........::.::::::::::::::.::.:........:...:.:...::.:::P":8q~LloAtIQ"'..:.:.:.:."'" MONROE COUNTY RISK MANAGEMENT DIVISION 5100 COLLEGE ROAD KEY WEST FL 33040- C!(~~ AU~ORlnDREPRESEN~ . ~ .'~RQ99RP()ff.<<'I1()N199~ V SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANYWIU ENDEAVOR TO MAIL 30 DA YS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATlON OR UABILlTV OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. A.CQ~:I):-~~~$.:(3/~3} ................... ............... ...................... .................. ...................................................... .................................. ............ .. ........... ... ..... ........ 10..llillllllll'llliiiilll:illll:lil:llll1ii:::i:I:II:I:1111111ili:i: .,.:~:~:~:~::.:.:..,:::::.:.::::::::~::::~~~~::::~~~~:::::~~~::.:.:.:.::::::!::.:.::~::.:.;.::::~::::;:~::::::~~~~::::~~~~::::::::::::~~~~~~~~~~::::::;:::::[~:::::~m~j~j;~:j~[:::::::::::j::::;::::~~~~::::i~::::;:i:::::~::::~:::::::::::~::::~~~~::::~~~~~~~~::::~~~~~~~~~~~~~::::t::~~::::::~:::::::::::~~::::::::::::~::::~?::::~::::::~::::::;::::~~~:::::~~:::::::.::::~::::::::::::~~~~~~~ 90144 OVERSEAS HWY TAVERNIER :::. DATE (MMIDDIYY) :'::::'HH' 08/17/99 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTlRCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE REGAN INSURANCE AGCY FL 33070 COMPANY A NAUTILUS INS CO INSURED BIG PINE ATHLETIC ASSOC COMPANY B BOX 89 BIG PINE KEY COMPANY C FL 33043 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 EXPlRAnON DATE (MMJDOIYY) DATE (MMIDDIYY) LIMITS GENERAL UABILlTY NC 0 8 9 645 COMMERCIAL GENERAL LIABILITY CLAIMS MADE [K] OCCUR OWNER'S & CONTRACTOR'S PROT o 7 / 1 0 / 9 9 07 / 1 0 / 0 0 GENERAL AGGREGATE $1 , 0 0 0 , 0 0 0 PRODUCTS - COMP/OP AGG $1, 0 0 0 , 0 0 0 PERSONAL & ADV INJURY $EXCLUDED EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE (Anyone fire) $EXCLUDED MED EXP (Anyone person) $EXCLUDED AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCH DU D AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE EL EACH ACCIDENT $ EL DISEASE-POLICY LIMIT $ EL DISEASE-EA EMPLOYEE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSAnON AND EMPLOYERS' LIABILITY THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL DESCRIPTION OF OPERAnONSILOCAnONSNEHlCLES/sPECIAL ITEMS CERTIFICATE HOLDER IS SHOWN g dERl1~jdA~;H()~R .. ................... ......... .......................'.......................................................... ..................................... ................................... ................................ .............................. INITIAL MONROE COUNTY BOARD OF COMM ATT:RISK MANAGEMENT 5100 COLLEGE RD KEY WEST FL 33040 . . , , . , . , , . . , , . , . . , . . , . . . . I , . . , , , , , , . , , . . . . . . , ' , It~:1$8Ial(fi[: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..................................................................................................... .:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:-:.:.:.:.:.:.:.:.:-:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:. .............. ...................................................................................... EXPIRAnON DATE THEREOF, THE ISSUING COMPANY WIll. ENDEAVOR TO MAIL .lL DAYS WRITTEN NOnCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NonCE SHALL IPSE NO OBLlGAnON OR LIABILITY OF ANY KIND UP ;mE COMPANY, l AGENTS OR REPRESENTAnvES. AUTHORIZED REPRE NT. E /.-. L (G:~:~:i~~:]:r~=:0:.::.);mm:MJ$.~&&ijij:rmiijfQ..lIQ.N:;1..jlJ. .................................................................................................... ..................................................................................................... .............................. ...................... .......... ........................ ~2!i_!~f~:=:'.. ONLY AND CONFERS NO RIGHTS UPON THE CERTlRCATE HOLDER. THIS CERTlRCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. COMPANIES AFFORDING COVERAGE RAY HAMPSON & ASSOCIATES INSURANCE AGENCY 102481 OVERSEAS HWY KEY LARGO FL 33037 COMPANY A TRAVELERS INSURANCE COMPANIES INSURED BIG PINE ATHLETIC ASSOC INC COMPANY B PO BOX 89 BIG PINE KEY I ]~qV_"I.f:::~::::::~:{:::jW::::::::: ...".. ."" ,....""".. .. ,.,'.... ,. :::)::;:;::;:;i;:::;;::::};;:;/:::......... ...... ::::::::::::::::::::':::.: ::::.:.:: ::: .. .:.... ,.... .............:...,....: ::;;,:.:?:.;:::;::/t)::m:::Il:;::::::::::;:::)::::::::jW:/:t):t:::::::;~:::::::::~::::::Lf:::::::::::{::::{{{{~:::::::~:::~::tti 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. COMPANY C FL 33043 COMPANY D CO LTR TYPE OF INSURANCE POUCY NUMBER POUCY EFFEC11VE POUCY EXPlRAnON DATE (MMIDDIYY) DATE (MMIDDIYY) UMITS GENERAL UABIUTY - COMMERCIAL GENERAL LIABILITY /< I CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT - GENERAL AGGREGATE $ PRODUCTS COMPIOP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ - EXCESS UABIUTY -'-1 UMBRELLA FORM I OTHER THAN UMBRELLA FORM WORKERS COMPENSAnON AND EMPLOYERS' UABILITY ~~ ['Q,AJ,\o-'Mi:J~ , ,;' t' - "b:)2VV""" c,y- r_ ~-_. i'-qJ~ r' 'if' __ _ \ -0 _.- L; ,.1, , [ _- -\ - \"t\\....:1. I'. - I () n ~z).,~ CC'.., A l\ I'-#-''' l6t.JY\ ~~ COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ AUTOMOBLE UABILITY - _ ANY AUTO _ ALL OWNED AUTOS _ SCHEDULED AUTOS .~ HIRED AUTOS _ NON-OWNED AUTOS - ~ARAGE UABIUI'Y _ ANY AUTO ~ 777K671 7 99 AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONL Y:/< EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ $ o 9 / 0 3 / 9 9 0 9 / 0 3 / 0 0 X I STATUTORY LIMITS < - THE PROPRIETOR! PARTNERs/EXECUTIVE OFFICERS ARE: OTHER RINCL EXCL EACH ACCIDENT $ DISEASE - POLICY LIMIT $ DISEASE - EACH EMPLOYEE $ ........'.'.. 100,000 500,000 100,000 DESCRIPTION OF OPERAnONSJLOCAnONSIYEHlCLESlSPECIAL ITEMS :pr!mll.1!:mJ1qY?:m!tti:m::m::m:m:m:~~~~~::~~::jj1iLjltt?:t:~ttPI.IP_tml:~~tt~:~:::~~~:::::::~:::::::~t?:::::::{:::::::::::::::::::{:::??:{::::{{{::::::{{:~{{::{{{::::::::::{:::::t?:~:{::::{::::{{::::::::::{~::: ;/ ( SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE MONROE COUNTylNITIAL /' ~ EXPlRAnoN DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAL R IS K MANAGEMENT - A TTN : 'JJ lANE 1..Q..... DAYS WRITTEN NonCE TO THE CER11FICATE HOLDER NAMED TO THE LEFt', 5100 COLLEGE ROAD BUT FAILURE TO MAL SUCH NOnCE SHALL IMPOSE NO OBUGAnON OR UABILITY KEY WEST, FLORIDA 33040 OF ANY KIND UPON THE COMPANY, ITS AG&NT8 OR REPRESENTA11VElI. AUTHORIZED REPRESENTpwE ~ 1/ . L-- ,,.. "A,9::Llt..... ~./) ~ :,:A..,:, c.....:.,:~..:.:...,:....:...'.....:....:...:...:,..-,....:,......,..~,:,!,~,......:.:,:.:,:.~,:.M.".'.:,_'...'..............~..,:.::.:...:'.::,:.:,:.:,:.~.~.:.:..:.:,:.::.::.:.:.:.~.:.:.:.~.'..:.'.' , .. .....:......., '.:.:...:::::::::::::,:::::::::.:.::::::::::: .,... ..::..... ,.".. .,.,.,:.I..E~.:.:.:.:.:::.... Wmil::r:~~r::rtt,~.~.~.:.~.:.:.:.~.:.~.:.:.:,:,:.~.:,~.:,:r::.:::i..t::::::t,...,:,.:.."..:,:;..:.'..,. -:.:~.':,':,:.:,':.-';.:"'.;;;',".;;".:"'.l.'.. .<1.:.:.:.:.:.:..~....:....:...,:...~.~......:.,. :.:,Q....,:B..,,:M.,....:.:",..,.~..:,.,..,.:,..M.:..:.:,...,..,.,..:,i:,i:,.i:,~,'.:.-,.".,.'.:'..".iit,,:,.,:, ~ ~~. \~"~J. ....... ......... ;:::::::::::::::::::;:::::::;:::::;::::::::::::::::::::::::::::::::::::::::::::::::::::::" ............. ::::::::::::::::::::::::::::;:::::;:;:::;:::::::;:;:::::;:::::::::::::::::::::::;:;:;:;:.; .. ~m.~"::::::~M" ::,~~ :'~.llJ: A"oifiiiSii:ii1i:lel:~:i"ii:i:i:iijjiB:i::I::iiil i11iIiit"Jl::i:iil:':..:.:.:::i:.'::iil::iii:iS:e'::i:::,:::::::.:::.::.::::::::: ::,~",~,."",."..,.,."",~:~~:!!!?~\,:.~:~f!!(~':~:::~E1~~~::,*}~::::'t:/,:::,:,!S!~:,:'::::m;,'l!~:::::':.:?::........:.:.:.:..'... PRODUCER REGAN INSURANCE AGCY 90144 OVERSEAS HWY TAVERNIER FL 33070 INSURED <6\ BIG PINE ATHLETIC ASSOC BOX S9 BIG PINE KEY DATE (MMIDDIYY) OS/OS/OO THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTlRCATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A NAUTILUS INS CO COMPANY B COMPANY C FL 33043 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 Lm TYPE OF INSURANCE POLICY NUMBER GENERAL UABIUTY NC 0 S 9645 COMMERCIAL GENERAL LIABILITY CLAIMS MADE [K] OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE UABJUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS .T\~ 'f{\:~\~ / GARAGE UABIUTY ANY AUTO EXCESS UABIUTY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSAnON AND EMPLOYERS' UABJUTY THE PROPRIETOR! PARTNERs/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL DESCRIPnON OF OPERAnONSILOCAnONSNEHICLESISPECIAL ITEMS POLICY EFFEcnvE POLICY EXPIRAnON DATE (MMIDDIYY) DATE (MMIDDIYY) LIMITS 07/10 / 0 0 0 7 / 1 0 / 0 1 GENERAL AGGREGATE sl, 0 0 0 , 0 0 0 PRODUCTS. COMP/OP AGG sl, 0 0 0 , 0 0 0 PERSONAL & ADV INJURY sEXCLUDED EACH OCCURRENCE sl, 000, 000 RRE DAMAGE (Anyone fire) sEXCLUDED MED EXP (Any one person) sEXCLUDED COMBINED SINGLE LIMIT S BODILY INJURY S (Per person) BODILY INJURY S (Per accident) PROPERTY DAMAGE S AUTO ONLY- EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE EL EACH ACCIDENT S El DISEASE-POLICY LIMIT S EL DISEASE-EA EMPLOYEE S CERTIFICATE HOLDER IS SHOWN AS AN ADDITIONAL INSURED t.nfl'CA.,::,:~~j:f ....... ..... ............ ........................................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........................................ ....................................... ........................................ ....................................... ................. .............. ....... :}::,::::'tANC.~fid& ......................... . .... . ................. . ............................................................ .................................................. . ............................................... . .............................................. .......................................... . ........................................ ..................................... ... .............. .... ............... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAnON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL .l.Q.... DAYS WRITTEN NOnCE TO THE CERnFlCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NonCE SHALL IMPOSE NO OBLlGAnON OR UABJUTY OF ANY KIND UPON COMPANY, ITS AGENIS OR REPRESENTATIVES. AUTHORIZED REPRESE :f::~:?~~::,~.::::lJ"tM~;.M::~ri$~j~TIC.~;PQ~'tjijij ""'Ii MONROE COUNTY BOARD OF COMM ATT:RISK MANAGEMENT 5100 COLLEGE RD KEY WEST FL 33040 ."."....""..,...."" 1",."".,....... *~mlt':~;$.:t1}.$) ..................................... ..................................... ..................................... ..................................... ..................................... .................................. .................................. .................................. .................................. .................................. .................................. .................................. ................................ ............................. ........... ............... ...... ..... ........... . ................................. ................................ ................................ . ................................ ................................. ................................ ................................ .............................. ii::..,..~~.,....i:illi:IIIIIIIIIIII~.I.I.:II::I:.lill111:llll1lllil.I:lil:IIIIIIIIII~li::iiiiiiiiiil:iil.i:.ililililiiililililili!::::i."..... PRODUCER RAY HAMPSON & ASSOCIATES INSURANCE AGENCY 102481 OVERSEAS HWY KEY LARGO FL 33037 INSURED BIG PINE ATHLETIC ASSC INC DATE (MMIDDIYY) 10/25/00 H THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAnON ONLY AND CONFERS NO RIGHTS UPON THE CERnFlCATE HOLDER. THIS CERnFlCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A FLORIDA W C. JUA COMPANY B COMPANY PO. BOX 89 C BIG PINE, FL 33043 COMPANY I D J;.!y!.@q!~trr:::{:r::r:::::{m:{{~:~:{{~:~:~r:{~:~:~:~:~r:{{~:~:~:~:~:~:~::ri{{{{{~:~:mi{:::tr::r::r:{{::{:::::::::::::trt:~rr:{::{{:::ri{::{::::::::::::::::::::::::::{:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::imr:::::{~:~:~rim:~:~:{~:~~~:~:~rri~:{::::::{:::rrr:{{{{{::{:~:~:~:~:{::{{:::::r:{::::~~:rrrt:: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 'ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .... .r, ... "1' f I ,~. uy-04~ (J,r)n~~ DH._____ }D,--~) lb._ /r- -~~ ..~Clb f1 {[~~ CO Lm TYPE OF INSURANCE POLICY NUMBER GENERAL UABILITY - COMMERCIAL GENERAL LIABILITY i> I CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT - f-- AUTOMOBILE UABLITY f-- ANY AUTO I-- f-- AU. OWNED AUTOS SCHEDULED AUTOS I-- I-- HIRED AUTOS f-- NON.OWNED AUTOS \\'.',! 'Z9: I-- GARAGE UABUTY I-- f-- ANY AUTO I-- ~ EXCESS UABILITY IlUMBRELLA FORM n OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' UABILITY 6FR13UB777K6717 THE PROPRIETOR! PARTNER~ECUTIVE OFFICERS ARE: OlllER RINCL EXCL DESCRIPTlON OF OPERATlONSILOCATlONSNEHlCLESlSPECIAL ITEMS POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDDIYY) DATE (MMlDDIYY) LIMns GENERAL AGGREGATE S PRODUCTS - COM PlOP AGG S PERSONAL & ADV INJURY S EACH OCCURRENCE S FIRE DAMAGE (Any one flre) S MED EXP (Any one person) S COMBINED SINGLE LIMIT S BODILY INJURY (Per person) S r"":, BODILY INJURY (Per eccIdent) S PROPERTY DAMAGE S AUTO ONLY EA ACCIDENT S OTHER THAN AUTO ONLY: Ii 9/03/00 EACH ACCIDENT S AGGREGATE S EACH OCCURRENCE S AGGREGATE S $ X I T~~.,slitWs I I~W- EL EACH ACCIDENT $ EL DISEASE-POLICY LIMIT S EL DISEASE-EA EMPLOYEE S ii> 100,000 500,000 100,000 9/03/01 );~~P:lmtJ1qY!m:~rr::::~::::::::ttmrmttr:t::t::::::t:r::r:tmrmt~:~:~:t:::::~::::tmmmr:tt:r::r::r::r::r:::t:::::::r::F911P:IWMi9IItt:rt:t::::::::::rt:mtmtmtm:t::trrmtt:m::::::t:rr:::::::::::t::t:::::::t::t::::rr:t::rtt::::~:::rr:t MONROE COUNTY RISK MANAGEMENT ATTN: MARIA DELRIO 5100 COLLEGE ROAD KEY WEST, FL 33040 :j~M.ir:::ji~$.:mlj$.irt::r:t:~tmmmmt~r:Itmr:::::::::::tmrmt:::::::::~t:~~~~~~~~rrrrmmr::r::rrrr::::::r::r:tm: SHOULD ANY OF TItE ABOVE DESCR.ED POUCIES BE CANCEllED BEFORE TItE EXPIRATION DATE THEREOF, llIE ISSUING COMPANY WLL ENDEAVOR TO MAIL .l..Q.... DAYS WRITTEN NOTICE TO TItE CER1FICATE HOLDER NAMED TO llIE LEFT, BUT FALURE TO MAL SUCH NOTICE> '~ NO OBLIGATION OR UABIJTY OF ANY KIND UPON TItE COIliPANY, ns AG~ na REMESENTATlVES. ~ ......"ACo1!l!~".",..;....II.llI.li__'I:.:....,::..:.'11.1:1.!'.II':'.,:.I'II:III_lli:~.<::....:.;::.:.:...........:.:.:.:..::,.. ;~i~~~{ THIS CERTIRCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER RAY HAMPSON & ASSOCIATES INSURANCE AGENCY 102481 OVERSEAS HWY KEY LARGO FL 33037 COMPANY A FLORIDA W.C. JUA INSURED BIG PINE ATHLETIC ASSC INC COMPANY B P.O. BOX 89 BIG PINE, COMPANY C FL 33043 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 POUCY NUMBER POUCY EFFEcnYE POUCY EXPlRA110N DATE (MMIDDIYY) DATE (MMIDDIYY) UMrTS GENERAL UABIUTY COMMERCIAL GENERAL L1ABILIlY CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBLE UABlLITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS EXCESS UABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSAnON AND EMPLOYERS' UABIUTY 777K671701 GARAGE UABILITY ANY AUTO THE PROPRIETOR! PARTNERs/EXECUTIVE OFFICERS ARE: OntER INCL EXCL DESCRIPnON OF OPERAnONSILOCAnONSNEHICLESISPECIAL ITEMS ..C...Efm....'.. F'I'C'''A' .iTI' ,...He.. .um'. fl....... . .... . ..... o .. . . . . . . . . . . . . .. . . . . .. . . . . . . . .. .... .. ...... ::.....:........:...:..:.....;::.......:...:..:...:......::;:::..;...:...............:............:;:::;:;:;: ............................... . ............................... . ................................. ................................ ................................. .. .......................... . ................ ;::;:::;:r;;.:::.:.::::;;.;:,...;:,....)':;.,:,::;:..;;:.;\\.\.;~nnU;m::tl1m.\.:.?(\(}L....",:.,',':..n::. ...... ....... ....................... . . . . . . . . . . . . . . . . . . . . . . ....................... ........ .. ................... .................... ................... . . . . . . . . . . . . . . . . . MONROE COUNTY RISK MANAGEMENT ATTN: MARIA DELRIO 5100 COLLEGE ROAD KEY WEST, FL 33040 SHOULD ANY OF TIE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE TIE EXPlRA110N DATE THEREOF, TIE ISSUING COMPANY WILL ENDEAVOR TO MAIL .l.Q.... DAYS WRITTEN NOncE TO TIE CERTFlCATE HOLDER NAMED TO TIE LEFT, BUT FAlWRE TO MAIL SUCH NOncE S OSE NO OBUGATION OR UABIUTY OF ANY om UPON OMPANY rTS REPRESENTATIVES. AU1HORIZED REPRESENT~ E """,..,..,..,.".,,'.. I.....,."'........,. ACdM)ti~..rlf.[) ................. .................. . . . . . . . . . . . . . . . . . ................. . ................. ................. . ................. .,.".,;.;.:.:.:.:.:.::.:::.::.::..:.:::::.::..::..::.:.:.:.:..;:;:;;;/\:...:..:...,.7.Ilj........~PSON , ~~__JII@!_!!;~FO]~~EN 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 REGAN INSURANCE AGCY 90144 OVERSEAS HWY TAVERNIER FL 33070 COMPANY A NAUTILUS INS CO INSURED BIG PINE ATHLETIC ASSOC COMPANY B BOX 89 BIG PINE KEY COMPANY C FL 33043 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 CONDmON 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 Lllt TYPE OF INSURANCE POUCY NUMBER POUCY EFFEC11VE POUCY EXPIRAnON DATE (MMIDD/YY) DATE (MMIDD/YY) UMn'S GENERAL UABILITY NC 08 964 5 COMMERCIAL GENERAL LIABILITY CLAIMS MADE 00 OCCUR OWNER'S & CONTRACTOR'S PROT o 7/10/01 0 7 / 1 0 / 0 2 GENERAL AGGREGATE $1, 0 0 0 , 0 0 0 PRODUCTS - COM PlOP AGG $1, 0 0 0 , 0 0 0 PERSONAL & ADV INJURY $EXCLUDED EACH OCCURRENCE $1, 000 , 000 FIRE DAMAGE (Any one fire) $EXCLUDED MED EXP (Any one person) $EXCLUDED AUTOMOBILE UABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS COMBINED SINGLE LIMIT $ GARAGE UABILITY ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ INCL EXCL AUTO ONLY - EA ACCIDENT O'THER 'THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE EXCESS UABILITY UMBRELLA FORM OTHER 'THAN UMBRELLA FORM WORKERS COMPENSAOON AND EMPLOYERS' UABILITY THE PROPRIETOR! PARTNERSJEXECUTIVE OFFICERS ARE: OTHER $ $ $ DESCRPnON OF OPERAnONSILOCAnONS/VEHICLESlSPECIAL ITEMS CERTIFICATE HOLDER IS SHOWN AS AN ADDITIONAL INSURED C.l'$ldATS/llOtbljiI) ... .. ........................ ............................................... ............................................... .. ............. ........................... .... ........................... ................................ ................................. ................................ ..... ................................. dANCratAtiON}:':":" ........................ .......................... .......................... .......................... .......................... ........................... ........................... ........................... ........................... ........................... ........................... ........................... ........................... ..... .................... MONROE COUNTY BOARD OF COMM ATT:RISK MANAGEMENT 5100 COLLEGE RD KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRAOON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRI1TEN NOncE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOnCE SHALL IMPOSE NO OBUGAOON OR UABILrrY OF ANY KIND UPO THE AGENTS OR REPRESENTATIVES. AUTHORIZED REPR E :jC.Qib::li~$":n.) PRODUCI ~ BMA ""..'.R.'....D......,""'COAPQ'.....,.....,.....,.....,.....M'....."..'Tl.......'QN'....,.,',.,"""'l""..,.,'g""""'" . . . . . . . . .... . .... . . ...:..........;:;:::...............::............::..:..:.......:::::::............: ................. .. . . . . . . . . . . . . . . . ................. ................. ................. ................. ............................. . ............................. .............................. ............................. ......... .................. ....................................................................... .............. ..................... I I DATE (MMlDDNYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE T" 02/28/2003 PRODUCER (30')R;"2-3234 FAX (305)852-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Regan l~surance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 90144 Overseas Hwy. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tavernier, FL 33070 INSURERS AFFORDING COVERAGE NAIC# INSURED Big Pine Athletic Assoc INSURER A: Nautilus Ins Co Box 89 INSURER B: Big Pine Key, FL 33043 INSURER c: INSURER 0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRC TYPE OF INSURANCE POLICY NUMBER P~.k+~l MM/DDIYVI- DATE IMMlDDIY'ii' LIMITS GENERAL LIABILITY NC193562 07/10/2002 07/10/2003 EACH OCCURRENCE $ 1000000 ~ X COMMERCIAL GENERAL LIABILITY PREMISES lea occu~~ncel $ Excluded I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ Excluded A PERSONAL & ADV INJURY $ Excluded f-- GENERAL AGGREGATE $ 1000000 I-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000 n 'nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - (Ea accident) $ ANY AUTO - ALL OWNED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY - (Per accident) $ NON.OWNED AUTOS - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ~ ANY AUTO OTHER THAN EA ACC $ ~ r AUTO ONLY: AGG $ I ' m::l( EXCESS/UMBRELLA LIABILITY l\ ~ \.1 IILW EACH OCCURRENCE $ :=J OCCUR o CLAIMS MADE BY ...., v ~)\ ~Ir)~ AGGREGATE $ DATE _. $ ~ DEDUCTIBLE v/ $ WAIVER ~ ," -{::: YES RETENTION $ , I .M" . ~ """.,~._^ .- $ WORKERS COMPENSATION AND b~'~( ~Jllb) I TORY LIMITS I IU~~- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ~l~ E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE~ S If yes, describe under (, . SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER ~ ,Lt )' DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Usua 1 to Insured's Operations Certificate holder is shown as an Additional Insured ~', ~ Q.."'-Q ~ CC)~\~S'. Monroe County Board of County Commissioners Attn: Risk Management 1100 Simonton Street Key West , FL 33040 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL JO...... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY CERTIFICATE HOLDER ACORD 25 (2001/08) Produci n ~ RD CORPORATION 1988 ...'.'.Atii.I'... ......O.SR"1"..61111.i.....i.=........iil..Biil..........................................,""" . ..._--.-..-......"."".... . ....--.......",."........ ........ ,.. .". DAte (MM\DDlYV) 01-03-03 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER RAY HAMPSON & ASSOC PO BOX 431617 FL 33043 COMPANIES AFFORDING COVERAGE BIG PINE KEY 247JX INSURED BIG PINE ATHLETIC ASSOCIATION P,O. BOX 430089 BIG PINE KEY FL 33043 COMPANY A FLORIDA W, C. JUA COMPANY B COMPANY 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 LTH POUCY NUIIIBER POUCY EFFECTIVE POUCY EXPIRA nON DATE (MIII\DD\YV) DATE (MIII\DD\yv) TYPE OF INSURANCE GENERAL UABIUTY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR. OWNER'S & CONTRACTOR'S PROTo AUTOIIIOBILE UABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE UABIUTY APP~,B BY --U.\:., DATE WAIVER ANY AUTO EXCESS UABIUTY UMBRELLA FORM OTHER THAN UMBRELLA FORM A WORKER'S COMPENSA nON AND EMPLOYER'S UABIUTY (UB-777K671-7-02) 09-03-02 09-03-03 THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: X OTHER INCL EXCL DESCRIPnON OF OPERAnONS/LOCAnONSNEHICLES/RESTHICnONS/SPECIAL ITEMS UIIIITS GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. $ $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED. EXPENSE (Anyone person) $ COMBINED SINGLE LIMIT $ BODiLY INJURY (Per Person) $ BODILY INJURY (Per Accident) $ PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ STATUTORY LIMITS EACH ACCIDENT DISEASE-POLICY LIMIT DISEASE-EACH EMPLOYEE $ $ $ 100 000 500,000 100,000 THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. MONROE COUNTY RISK MANAGEMENT ATTN: MARIA 1100 SIMONTON STREET KEY WEST FL 33040 SHOULD ANY OF TlfE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE TlfE EXPIRAnON DATE TlfEREOF, TlfE ISSUING COMPANYWlLL ENDEAVOR TO MAIL 10 DAY S WRITTEN NOnCE TO TlfE CERnFlCATE HOLDER NAMED TO TlfE LEFT, BUT FAIWRE TO MAIL SUCH NonCE SHALL IMPOSE NO OBUGAnON OR UABIUTY OF ANY KIND UPON TlfE COMPANY, ITS AGENTS OR REPRESENTATIVES. ./. e.C.'~ AUTlfORIZED REPRESEN~ .~ ",'."",.."',"",.,,','.,,,',',',',','A',,',',,',',',',',',',',',','C,'.',',',',',',',',','O,',',',',',',',',','"','R.,','.,.."..,',.'.,,.','n.,.,.,,",,',',','1lf',',',',',.,',',.,..",.".."',,.::,,' '"S~ii.liil""~m':'.'."'\I]iiii{..':~iir}I'il.&y'.;'<~'I;iii,A:..~m>':1i u. : :~::;.;.:c~ntlr ~F~ : ::~:::.::Mrlrli{t? :::~:' .~rir~t :~I.:"': .:~ :~: ~n"I~.~' ':r':'~.a :-.. ,':.......:. ..;.: :.:::::.:.:.:::::::.::::::::::::::::::~:::::::::::>::r::::~:~:::::~:~:::::::::::::::::::::::-:'" ....:::-...:::::::::::::::...-::....;::.....;..... ....;::.... ...-:::....::::.........:::::.........:::.....:::..... ..:::............ RAY HAMPSON & ASSOCIATES INSURANCE AGENCY 102481 OVERSEAS HWY KEY LARGO DATE (MMIDDIYY) 12/13/02 THIS CERTlACATE 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 POLICES BELOW. COMPANIES AFFORDING COVERAGE ................................... ................................... ................................... ..................................... ................................... ..................................... ................................... ..................................... ................................... ..................................... ................................... ..................................... ................................... ..................................... ................................... ..................................... ................................... ..................................... ................................... .................................. ................................... ................................ ................................... ............................. ................................... ........................... ................................... ........................ ................................... ...................... ................................... ................... .. ... ........................ ................. ............................. ........................... ............................ ........................ ................. .......... ...................... PRODUCER FL 33037 COMPANY A FWCJUA INSURED BIG PINE ATHLETIC ASSOC INC COMPANY B PO BOX 430089 BIG PINE KEY COMPANY C FL 33043 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 CONDmON 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 EFFECTlVE POUCY EXPIRAnON LIMITS LTR DATE (MMIDDIYY) DATE (MMIDDIYY) GENERAL LIABIUTY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE L1ABIUTY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE L1ABIUTY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS L1ABIUTY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSAnON AND 6FR13UB777K6717 09/03/02 09/03/03 X STATUTORY LIMITS EMPLOYERS' L1ABIUTY 100,000 EACH ACCIDENT $ THE PROPRIETOR/ R INCL DISEASE - POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE $ 100,000 OTHER DESCRIPnON OF OPERAnONSILOCAnONSNEHlCLESISPECIAL ITEMS d~~~jdAnt~HdtDlilj!J))..'i' ~#.~~~tmNt/~~ .... ................................................................................ ........................................................................................................................................................ ........................... ............................................ MONROE COUNTY RISK MANAGEMENT-ATTN: MARIA 1100 SIMONTON ST KEY WEST, FLORIDA 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAnON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL .3..L DAYS WRITTEN NOnCE TO THE CERnFlCATE HOLDER NAMED TO THE LEFT, BUT FAI 0 MAIL SUCH NonCE SHALL IMPOSE NO OBLlGAnON OR LIABILITY OF AUTHOR D ..,..,..,."..,."....., I."",'....,.'" ......,......,.,.......,.,.,... ,."..,...,......... ,1~bI.Q~::~~l[D.!B .:,,:::::,:~,~,~/:::::::::::::::::: CC:~ ....................... ...................... ... ................... .. .. ............................................... ......................................................... ........................................................ ...................................................... . .................... THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE ~-I- '1 PRODUCER REGAN INSURANCE AGCY 90144 OVERSEAS HWY TAVERNIER FL 33070 COMPANY A NAUTILUS INS CO INSURED COMPANY B BIG PINE ATHLETIC ASSOC BOX 89 BIG PINE KEY COMPANY C FL 33043 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 POUCY NUMBER POUCY EFFECTIVE POLICY EXPIRAnON DATE (MMIDDIYYI DATE (MMIDDIYYI TYPE OF INSURANCE UMITS o 7 / 1 0 / 0 2 07 / 1 0 / 0 3 GENERAL AGGREGATE $1, 0 0 0 , 0 0 0 PRODUCTS - COMP/OP AGG $1, 0 0 0 , 0 0 0 PERSONAL & ADV INJURY $EXCLUDED EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE (Anyone fire) $EXCLUDED MED EXP (Anyone person) $EXCLUDED GENERAL UABILITY NC 193 562 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 00 OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE UABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS GARAGE UABILITY ANY AUTO EXCESS UABILITY UMBRELLA FORM OlliER lliAN UMBRELLA FORM WORKERS COMPENSAnON AND EMPLOYERS' UABILITY A BY DATE WAIVER lliE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL DESCRlPnON OF OPERAnONSILOCAnONSNEHICLESISPECIAL ITEMS CERTIFICATE HOLDER IS SHOWN AS AN ADDITIONAL INSURED .dRtiji!;ldAU:.:'.'Ik)tDf!Ft.,..,.. . ......... . ...................... .. .................................................. .................................................. .................................................. .................................................. .......... ....................................... ............................ ...................... n. ......................... .......................... ......................... .......................... ......................... .......................... :'..dAiliidtUi:A'AdN ................................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . ................ .......... .............................. ............................. .............................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .............................. ............................. .............................. ............................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............................. .............................. ....... ............... ........................ ......................... .:.~.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:. '.' ........ ...................... ................... ................. COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT OTHER lliAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE EL EACH ACCIDENT $ EL DISEASE-POLICY LIMIT $ EL DISEASE-EA EMPLOYEE $ MONROE COUNTY BOARD OF COMM ATT:RISK MANAGEMENT 1100 SIMONTON STREET KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCEu.ED BEFORE THE EXPIRAnON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL .l.Q..... DAYS WRITTEN NOnCE TO THE CERnFlCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NonCE SHALL IMPOSE NO OBUGAnON OR UABILITY Y, ITS AGENTS OR REPRESENTATIVES. ........."".".,.,.,.., 1,.,....,...,.,.,. IlmtQ.'$~$..:me~ ................................... .................................. ................................... ............................................................... .... ..................................................................... .................................................................... ................................................................... ......................... ..................... ............................................................................................................................................ ............................................................................................. ........................................................................................... WiiA4.&ltfWca.MfJQ.i :n.. '", ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) -;:, 1M 08/30/2003 PRODUCER (305)852-3234 FAX (305)852-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Regan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 90144 Overseas Hwy. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Tavernier, FL 33070 INSURERS AFFORDING COVERAGE NAIC# INSURED Big Pine Athletic Assoc INSURER A: Nautilus Ins co Box 89 INSURER B: Big Pine Key, FL 33043 INSURER c: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDlYYl -'6ATE IMM/DDIYYI LIMITS GENERAL LIABILITY NC278078 07/10/2003 07/10/2004 EACH OCCURRENCE $ 1000000 ,- X COMMERCIAL GENERAL LIABILITY ~~~~~~S lEa occurence) $ excluded I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ excluded A X PERSONAL & ADV INJURY $ excluded GENERAL AGGREGATE $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ excluded I' .nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I-- $ ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY - ".-.. B~ M.A.N~N $ NON-OWNED AUTOS (Per accident) - APP ;j) J.L . - 1\'\~]j ......c. ./,. - PROPERTY DAMAGE $ 0'\1 I..J:::rp) (Per accident) -/ GARAGE LIABILITY 1 l AUTO ONLY - EA ACCIDENT $ ~ ANY AUTO DATE N/A~ l- EA ACC $ ocr-'f'ES- OTHER THAN WAIVER AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY ~.~ EACH OCCURRENCE $ ~ OCCUR o CLAIMS MADE Ol7)J AGGREGATE $ ~{ C. ~ : ( ~ $ =l DEDUCTIBLE $ "'-- RETENTION $ I I. '\f-" $ WORKERS COMPENSATION AND ~ I T"6~~mmS I \UdR- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Jsua 1 to insured's operations Monroe County Board Of Comm Att:risk Management 1100 Simonton Street 3052924542, FL 33040 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRES IVE . l' / CERTIFICATE HOLDER ACORD 25 (2001/08)/FAX: (305)292-4564 Cc.: ~ / @ACORD CORPORATION 1988 " ,/ // f./ :; PRODUCER Work Comp Associates, Inc. P.O. Box 33297 Palm Beach Gardens, FL 33420-3297 USA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE INSURED Big Pine Athletic Association, Inc. P.O. Box 430089 Big Pine Key, FL 33043 COMPANY A Florida Retail Federation SIF COMPANY B COMPANY C COMPANY o 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 AN'( 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 NlnilBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMlDDNY) DATE (MMlDDNY) GENERAL LIABILITY GENERAL. AGGREGATE COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AG $ CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per Accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND OTH- A EMPLOYERS' LIABILITY 0520290590000 9/3/2003 9/3/2004 $ 1 00 000 THE PROPRIETOR! INCL EL DISEASE - POLICY LIMIT $ 500 000 PARTNERSI EXECUTIVE OFFICERS ARE: XX EXCL EL DISEASE -EA EMPLOYE $ 100 000 OTHER DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/SPECIAL ITEMS Monroe County Board of County Comissioners Monroe County Risk Management Attn: Maria Slavik 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 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 COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 1~/;). ..----... A,CORD CERTIFICATE OF LIABILITY INSURANCE \ DATE (MM/DDlYYYYl __. -'-TM 08/11/2004 ~ FAX (305)852-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODI :ER (305)852-3234 Regan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 90144 Overseas Hwy. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tavernier, FL 33070 INSURERS AFFORDING COVERAGE NAIC# INSURED Big Pine Athletic Assoc INSURER A: Nautilus Insurance Co 17370 Box 89 INSURER B: Big Pine Key, FL 33043 INSURER c: INSURER 0: 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. LTR NSR[ TYPE OF INSURANCE POLICY NUMBER Pgk+~~~M/DDNYi I Pg~TE IMMlDDrm' LIMITS GENERAL LIABILITY NC347556 07/10/2004 07/10/2005 EACH OCCURRENCE $ 1000000 - X COMMERCIAL GENERAL LIABILITY . ~~~~~~s ~ra~~~~~ncel $ excluded I CLAIMS MADE 0 OCCUR M ED EXP (Anyone person) $ excluded A X PERSONAL & ADV INJURY $ excluded GENERAL AGGREGATE $ 1000000 f-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ excluded h 'nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - (Ea accident) $ ANY AUTO - ALL OWNED AUTOS BODILY INJURY f-- (Per person) $ SCHEDULED AUTOS f-- HIRED AUTOS BODILY INJURY I-- $ NON-OWNED AUTOS (Per accident) f-- APPffiD~@~~' "/l;)'! . ,,::,,- I-- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ~Y~-LI~11_( 11 AUTO ONLY. EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ DATE .-.' '-If AUTO ONLY: . ~, , ," AGG $ EXCESS/UMBRELLA LIABILITY .... ~}f~ r2'~' EACH OCCURRENCE $ tJ OCCUR o CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE 7 $ RETENTION $ $ WORKERS COMPENSATION AND I TORY LIMITS I IUE~. EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $ If yes. describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER ~ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ~ertificate holder is shown as an additional insured CERTIFICATE HOLDER COVERAGES Monroe County Board Of Comm Att:risk Management 1100 Simonton Street 3052924542, FL 33040 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL JO..- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY R REPRESENTATIVES. ACORD 25 (2001/08) FAX: (305)292-4564 / C-.~"~~ ........ @ACOIm CORPORATION 1988 .....~h~._"" PRODUCER Work Comp Associates, Inc. P.O. Box 33297 Palm Beach Gardens, FL 33420-3297 USA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE INSURED Big Pine Athletic Association, Inc. P.O. Box 430089 Big Pine Key, FL 33043-0089 COMPANY A Florida Retail Federation SI F COMPANY B COMPANY 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 (MM/DD/YV) DATE (MMlDD/YV) GENERAL. AGGREGATE PRODUCTS - COMP/OP AG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per Person) BODILY INJURY $ (Per Accident) PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ $ OTH- 9/3/2004 9/3/2005 EL EACH ACCIDENT $ 100 000 EL DISEASE - POLICY LIMIT $ 500 000 EL DISEASE -EA EMPLOYE $ 100 000 GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-QWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY 0520290590000 THE PROPRIETOR! PARTNERSI EXECUTIVE OFFICERS ARE: OTHER INCL XX EXCL DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/SPECIAL ITEMS Monroe County Board of County Comissioners Monroe County Risk Management Attn: Maria Slavik 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENilEAVOR 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 Am KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE i;L/1 {; . "-----. ~ CERTIFICATE OF LIABILITY INSURANCE I DATE IMMlDDIVYVY) 07/27/2005 PRODUCER (305)852-3234 FAX (305)852-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Regan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 90144 Overseas Hwy. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tavernier, FL 33070 INSURERS AFFORDING COVERAGE NAIC# INSURED Big Pine Athletic Assoc INSURER A: Nauti Ius Insurance Co 17370 Box 89 INSURER B: Big Pine Key, FL 33043 INSURER c: INSURER D: INSURER E: cnV~RAr.ES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTlMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENHVITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 SHOVlIN MAY HAVE BEEN REDUCED BY PAID CLAIMS. It"~~ ~'l.9;1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY NC449002 07/10/2005 07/10/2006 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ excluded ~ tJ CLAIMS MADE [8] OCCUR MED EXP (Anyone person) $ excluded A - PERSONAL & ADV INJURY $ excluded - GENERAL AGGREGATE $ 1,000,00Jl - GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COM PlOP AGG $ excluded I 'nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ~ (Ea accident) $ ANY AUTO I-- ALL O\MllED AUTOS BODILY INJURY I-- (Per person) $ SCHEDULED AUTOS I-- HIRED AUTOS BODILY INJURY I-- (Per accident) $ NON.Q\MIlED AUTOS I-- I-- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ~(Jrm/~i AUTO ONLY- EA ACCIDENT $ ~ ANY AUTO t\; . ~:J2'~ i.,' OTHER THAN EA ACC $ , -"'- .--.,'~ ,~- .. AUTO ONLY: AGG $ EXCESSlUMBRELLA LIABILITY 7()~ -{)5 EACH OCCURRENCE $ [] OCCUR o CLAIMS MADE ...-....--.. .-.-... 'i.d , AGGREGATE $ WAI .-.,-.... $ =1 DEDUCTIBLE t~. ((b 11 $ RETENTION $ ,.; $ WORKERS COMPENSATION AND '-! -J-J2e, I ~~lfJ~!:; I IOJ~- EMPLOYERS'LlABILlTY C0. E.L. EACH ACCIDENT $ ANY PROPRIETORlPARTNERlEXECUTIVE OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEI $ ~~~~I:S~~~~~S below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ~ertificate holder is I isted as an Additional Insured, C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board Of Commissioners Risk Management POBox 1026 Key West, FL 33041-1026 @)ACORD CORPORATION 1988 ACORD 25 (2"1/08) FAX: (305) 292-4564 c,:~ i PRODUCER Work Comp Associates, Inc. P.O. Box 33297 Palm Beach Gardens, FL 33420-3297 USA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, COMPANIES AFFORDING COVERAGE INSURED Big Pine Athletic Association, Inc. P.O. Box 430089 Big Pine Key, FL 33043-0089 COMPANY A Florida Retail Federation SIF COMPANY B COMPANY 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMlDDIYY) DATE (MM/DDIYY) GENERAL LIABILITY GENERAL. AGGREGATE COMMERCIAL GENERAL LIABILITY PRODUCTS-COM~OPAG $ CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per Accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO -~- OTHER THAN AUTO ONLY: WAill0-R ~,1/ ;)" .YES EACH ACCIDENT AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND OTH- A EMPLOYERS' LIABILITY 0520290590000 9/3/2005 9/3/2006 EL EACH ACCIDENT $ 1 00 000 THE PROPRIETOR! INCL EL DISEASE - POLICY LIMIT $ 500 000 PARTNERS! EXECUTIVE OFFICERS ARE: XX EXCL EL DISEASE -EA EMPLOYE $ 1 00 000 OTHER L (.. : DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/SPECIAL ITEMS h nt:...-r7 t. ~ Monroe County Board of County Comissioners Monroe County Risk Management Attn: Maria Slavik 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 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 COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~LI {; , 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 theron. DISCLAIMER 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 liew of such endorsement(s). ACORQ, CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlODIYYVY) 07/12/2006 PRODUCER (305)852-3234 FAX (305)852-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Regan Insurance Agency. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ..~_.... HOi::gj R. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 90144 Overseas Hwy. ALTE THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tavern i er, FL 33070 i .. , INSURE S AFFORDING COVERAGE NAIC# - Pine Athletic INSURED Big Assoc . ,. INSURER A: Nauti Ius Insurance Co 17370 P 0 80x 430089 , t,:, INSURER B: 8ig Pine Key. FL 33043 ! , INSURER c: L. r . INSURER D: 1 .. .' .... INSURER E: COVERAGE" 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. If'l.SR DD' . TYPE OF INSURANCE POLICY NUMBER POl.ICY EFFECTIVE POLlCY EXPIRATION LIMITS -., ~NERAL LIABILITY NC569652 07/10/2006 07/10/2007 EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ excluded ..", I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ excluded 1i;" X . '" PERSONAL & ADV INJURY $ excluded I-- 1 OOOOOC GENERAL AGGREGATE $ -,,-----",. .. r~i'~ AGG~Er~r LIMIT APPLIES PER: PRODUCTS - COMPfOP AGG $ excluded PRO- n POLICY JEer lOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Eaaccident) - ALL OWNED AUTOS BODilY INJURY - $ SCHEDULED AUTOS (Per person) - . - HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) - ! PROPERTY DAMAGE (Peraccidenl) $ J" RGE UABIUTY AUTO ONLY - EAACCIDENT $ ~:, ANY AUTO EA ACC $ OTHER THAN H..SF. .', AUTO QNL Y: "LIf<, ; AGG $ D~SlUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D ClAIMS MADE >, ~ ~'\ol' . AGGREGATE $ '(; 2 $ R ~EOUCTIBLE . . . \1, RETENTION $ '-'-_IIJ-f $ WORKERS COMPENSATION AND 'f-' ! wc:ST'01!U lOoTb" EMPLOYERS' UABILlTY " .., ANY PROPRIETQRlPARTNERlEXECUTIVE C51~lQ, ~ E.l. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEf $ If yes, describe under SPECIAL PROVISIONS below ~ E.l. DISEASE - POLICY LIMIT $ OTHER '-/ CC " ::L \Lp DESCRIPTION OF OPERATIONS I LOCATIONS 'VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS I :ert i fi cate holder is listed as an Additional Insured. ~theltic Parks and Playgrounds ;.':] CERTIFICATc HOLDER CA"ccLLATIDN , 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 Commissioners ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT Risk Management BUT FAILURE TO MAIL SUC~ I~SHALL IMPOSE NO, Oi~GATION OR LIABILITY POBox 1026 OF ANY KIND UPON THE INS AGENTS OR RE-' ENTATlVES. Key West. FL 33041-1026 AUTHOR~EDREPRESENTATI~~J'__ ~ .€.. ~- IDroducino aqent ~ I ACORD 25 (2P01/08) -'trORDCORPORATION 1988 <:.c.'~ Work Comp Associates, Inc. P.O. Box 33297 Palm Beach Gardens, FL 33420-3297 USA RECEIVED r---'-'-- I AUG 16 ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGH UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AL~ ER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE INSURED Big Pine Athletic Association, Inc. P.O. Box 430089 Big Pine Key, FL 33043-0089 }/'>\'. ''- COMPANY A Florida Retail Federation SIF . COMP~NY B COMPANY C COMPANY o " ......-...-..,.....,..-0-.... 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 POUCY EFFECTIVE POLICY EXPIRATION DATE (MMIDDfYY) DATE (MMlDDIYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL. AGGREGATE PRODUCTS - COMP/OP AG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-DWNED AUTOS ~ ~ . in fop BODILY INJURY (Per Person) $ BODILY INJURY (Per Accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO u AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY AGGREGATE $ Oll<- 0520290590000 9/3/2006 9/3/2007 EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT EL DISEASE.EA EMPLOYE $ 1 00 000 500 000 100 000 THE PROPRIETOR! PARTNERS! EXECUTIVE OFFICERS ARE: OTHER INCL XX EXCL DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlSPECIAL ITEMS Monroe County Board of County Comissioners Monroe County Risk Management Attn: Maria Slavik 1100 Simonton Street Key West, FL 33040 I. . c:.c.:~ SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHAlL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 7~1 C. -----. yfi ACORQ. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 07/11/2007 PRooueER (305)852-3234 FAX (305)852-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Regan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 90144 Overseas Hwy. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Tavern i er . FL 33070 m:'(: i=WllitAURERS AF ORDING COVERAGE NAIC# INSURED Big Pine Athletic Assoc . Nau i Jus Insurance Co 17370 P 0 Box 430089 INSURER 8 Big Pine Key, FL 33043 JUl 1 3 '.'~ERC . -iNSURER 0 INSURER E cnVEA4<>E" MONROE COUNTY THE POLICIES OF INSURANCE LISTED BELOW HAVI BEEN IssuEDlI&IS W1M~ o NAMED AR( E FOR THE POLICY PERIOD INDICATED. N01V\'lTHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY C_~ ~ ~!:'!::~ I_~,!~,!,~:,! 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 SHO\IVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 00' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ~~NERAl LIABILITY NC669008 07/10/2007 07/10/200B EACH OCCURRENCE I 100000e X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED I excluded I CLAIMS MADE [8] OCCUR MED EXP (Anyone person) I excl~ded A X ~ PERSONAL & ADV INJURY I excluded ~ GENERAL AGGREGATE I 100000e h'L AGG~nEUMJT AP?lS PER: PRODUCTS - COM PlOP AGG I excluded POLICY ~~8i LOC ~UTOMOBILE UABIUTY COMBINED SINGLE LIMIT I ANY AUTO (Eaaccident) - - ALL O'NNED AUTOS BODILY INJURY . SCHEDULEO AUTOS (Per person) - .r;t I. - HIRED AUTOS fi\ \n... . BODILY INJURY I - NON-Q'M\IED AUTOS .. (Per accident) ':::-' .... '~\~ 'OJ PROPERTY DAMAGE I - .-,,," . ..... (Per accident) ~~GE LIABILITY , AUTO ONLY - EA ACCIDENT $ ANY AUTO I\. EA ACC $ fI OTHER THAN III AUTO ONLY: AGG I OESSlUMBRELLA LIABIlITY \)V~ ,l)< EACH OCCURRENCE I OCCUR D CLAIMS MADE >t (1 AGGREGATE I eG. I R OEQUeTIBLE ~ $ RETENTION I . WORKERS COMPENSATION AND I ~e;~,1!{"ol 10J.t'- EMPLOYERS'L1ABILlTY Am PROPRIETORlPARTNER/EXECUTIVE E" L, EA.CH A.CCIDENT I OFFfCER/MEMBER EXClUDED? EL. DISEASE - EA EMPLOYE I If yes, desaibe under SPECIAL PROVISIONS belOW' EL. DISEASE. POLICY LIMIT I OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ~ertiricate holder is I isted as an Additional Insured _ ~theltic Parks and Playgrounds .' CERTIF CA TE HOL ER CANCE~LA TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WlU ENDEAVOR TO MAIL --12- DAYS WRITTEN NOncE 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 I ER,ITS AGENTS OR RESENTATIVES_ AUTHORIZED REPRESENT Monroe County Board Or Commissioners Risk Management POBox 1026 Key West, FL 33041-1026 ACORD 2s90Q1/08) c.c.:~ _. CORD CORPORATION 1988 PRODUCER Work Comp Associates, Inc. P.O. Box 33297 Palm Beach Gardens, FE 3,1420-3297 USA 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. "1"\ ::: ("" ~TvT D '- ..1,_, _ Lf COMPANIES AFFORDING COVERAGE Florida Retail Federation SIF INSURED Big Pine Athletic Association, Inc. P.O. Box 430089 Big Pine Key, FE 33D43-008Il I AUG 1 6 ' I L-____~"______,. MON~OE COUNTY R ~ 21(. ~/ ~~\0! .~!~~T_ 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 LIMITS LT. DATE (MMlDDIVY) DATE (MMlDDfYY) GENERAL LIABILITY GENERAL. AGGREGATE COMMERCIAL GENERAL LIABILITY PRODUCTS - COMPIOP AG $ CLAIMS MADE 0 OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOFl'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Any Olle fire) $ MED EXP (Any Olle person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per Accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM C C AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION ANC' XX we STATU- OTH- A EMPLOYERS' LIABILITY 0520290590000 91312007 9/3/2008 EL EACH ACCIDENT $ 100 000 THE PROPRIETOR! INCL EL DISEASE - POLICY LIMIT $ 500 000 PARTNER&EXECUTWE OFFICERS ARE: XX EXCL EL DISEASE -EA EMPLOYE $ 100000 OTHER DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlSPECIAL ITEMS Monroe County Board of County Comissioners Monroe County Risk Management Attn: Maria Slavik 1100 Simonton Street Key West, FE 3}l040 c...c'~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE TJI t. .-------- ACDRQ, ""OD"C_. - (305)852-3234 Regan Insurance Agency, 90144 Overseas Hwy. Tavernier, Fl 33070 CERTIFICATE OF LIABILITY INSURANCE FAX (305)852-37Q3 Inc. RECEI DATE (MMIDDlYYYY) 07/03/2008 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR OVERAGE AFFORDED BY THE POLICIES BELOW. INSURED Big Pine Athletic Assoc POBox 430089 Big Pine Key, Fl 33043 UREijS A,F Nau ORDING COVERAGE ilus Insurance Co NAIC# 17370 JUL THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I'~f: f.!?O' TYPE OF INSUR.t\NCE POLICY NUMBER P,eLlCY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY X COMMERCIAL GENEfW LIABILITY I CLAIMS MADE I[!] OCCUR A X/- /- GEN'L AGGREGATE LIMIT APPLIES PER h POLICY n f~8T n lOC ~TOMOBILE LIABILITY ANY AUTO - - - - - I-- All OWNED AUTOS SCHEDULED AUTOS HIReD AUTOS NON-OWNED AUTOS GARAGE LIABILITY ~ ANY AUTO EXCESSlUMBRELLA LIABILITY ~-OCCUR 0 CL6"IMSMADE h DEOUCTIBLE I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' I.IABIUTY ANY PROPRIETORIPARTNERlEXEGUTtVE OFFICERlMEMBER EXCLUDED? If yes, desctibe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate holder is listed as an Additional Insured. theltic Parks and Playgrounds c:...Q...: .. ~~'(\...c~ In.." ....."..c. '_ATln.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT10N DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAilURE TO MAil SUCH NOT1CE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATfVES. AUTHORIZED REPRESENTATIVE --zL_~4 ,(2--6:..... ~ John Crowell/BMONRO ~--- '( Monroe County Board Of Commissioners Risk Management POBox 1026 Key West, Fl 33041-1026 ACORD 25 (2001/08) @ACORDCORPORATION 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. ACORD 25 (2001/08) ~CORQM CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DDNYYY) 07/13/2009 PRODUCER 305.852.3234 FAX 305.852.3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Regan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 90144 Overseas Hwy. .- AI.. TERIH.E..C,OYERAGE AFFORDED BY THE POLICIES BELOW. Tavernier, FL 33070 I} C I . . ! \ L \" ( INSU~ERS,AFFO RDING COVERAGE NAIC# INSURED Big Pine Athletic Assoc INSURER A: ~auti us Insurance Co 17370 POBox 430089 JUL hN~ffl\B i Big Pine Key, FL 33043 tJ'NSt'R~R' c: i I INSURER D: --_..-.~...-.... I r ':',. . INSUReR E COVERAGES I' . ,: .. - . ---- "- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 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 &~TLJ~~~f6g~~~~1 b~~~iM~~b~~~~ LIMITS LTR GENERAL LIABILITY NC913028 07/10/2009 07/10/2010 EACH OCCURRENCE $ 1000000 t---- Y8~~1,?,1;. WrKt:N I t:u X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ excluded t---- o CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ excluded t---- A X PERSONAL & ADV INJURY $ excluded r----- I GENERAL AGGREGATE $ 1000000 t---- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ excluded I n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY 1$ - SCHEDULED AUTOS (Per person) I - I I HIRED AUTOS I BODILY INJURY t---- $ NON-OWNED AUTOS (Per accident) I t---- -- 1$ r----- n PROPERTY DAMAGE (Per accident) GARAGE LIABILITY r(\f\~ ~1 AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY V \ .1 ~O\ I . EACH OCCURRENCE 1$ ==:J OCCUR D CLAIMS MADE .. ~~ I AGGREGATE 1$ ~) (U~~c,2 $ =1 DEDUCTIBLE 0 !$ RETENTION $ I $ I WORKERS COMPENSATION -E( 7r ! I T~~~ L~Ns ! IOd~-[ AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVED C- h. .~ EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ~O-tJ (Mandatory in NH) E. L DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER ~ ~I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS :ertificate holder is listed as an Additional Insured. ~theltic Parks and Playgrounds ncludes Skate Park located at 31009 Atlantis BV, Big Pine Key, Fl 33043 CERTIFICATE HOLDER 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 Monroe County Board Of Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Risk Management REPRESENTATIVES. POBox 1026 AUTHORIZED REPRESENTATIVE ~~ ~ Key; West, FL 33041-1026 John Crowell/BMONRO ACORD 25 (2~9/01) Cc.~ @ 1988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PRODUCER Work Comp Associates, Inc. P.O. Box 33297 Palm Beach Gardens, FL 33420-3297 USA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE INSURED Big Pine Athletic Association, Inc. P.O. Box 430089 Big Pine Key, FL 33043-0089 COMPANY A Florida Retail Federation SIF COMPANY B COMPANY C COMPANY o THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMlDD/VY) DATE (MMlDD/VY) LIMITS GENERAL UABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL. AGGREGATE PRODUCTS - COMP/OP AG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-QWNED AUTOS y Oto~ CC,' r ~D BODILY INJURY $ (Per Person) BODILY INJURY $ (Per Accident) PROPERTY DAMAGE $ 9/3/2010 AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE GARAGE LIABILITY ANY AUTO UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY 0520290590000 9/3/2009 100 000 500 000 100 000 THE PROPRIETOR! INCL PARTNERSI EXECUTIVE OFFICERS ARE: XX EXCL OTHER DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlSPECIAL ITEMS CC,' h aCVY1 ce- Monroe County Board of County Comissioners Monroe County Risk Management Attn: Maria Slavik 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 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 COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 7~/ {;. /----- "I\....~ ~~"l,~.!'f;~:~..~~....."i~_;~;. ~;.'l"l ~_\~.:-~~ "",;.:, ,'I, .\~Y!.it ~.... .'"t.. "''''-;I:J.1..t~-~f.''''''i''\J''''''''y_'",-,~',~ "f'T'--. ..'..... . "..... .-.....-...A-;;.Q.:'>>'..~~~...,.,''lt.;.;.....;:.... ..~-.;..'.....:-o::..}..;..:-'"!l""'"~~.~' ~~.. ":.-:. ACORQM CERTIFICATE OF LIABILITY INSURANCE DA TE (MM/DDIYYYY) PRODUCER 305.852.3234 Regan Insurance Agency, 90144 Overseas Hwy. Tavernier, Fl 33070 07/07/2010 FAX 305. 852. 3703 ..TfiIS..CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I ~:-~':-:-:-:-~A::-'=',~ .- -ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE nc · R r l" ~ L i \ I t- ~ ) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR L~ .f L~ 1 V ~. . ~ TER lfHE COVERAGE AFFORDED BY THE POLICIES BELOW. r-..... . I : RER~ AFFORDING COVERAGE Nautilus Insurance Co NAIC # 17370 INSURED Big Pine Athletic Assoc POBox 430089 Big Pine Key, Fl 33043 . --~-,......~.--~ 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 IADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE ~~~~iMt~~~Y~ LIMITS LTR JNSR DATE (MM/DDIYYVY) I GENERAL LIABILITY NN035942 07/10/2010 07/10/2011 EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ excluded '--- ----l CLAIMS MADE 0 OCCUR PREMISES (Ea occurrence) MED EXP (Anyone person) $ excluded A X PERSONAL & ADV INJURY $ excluded I--- GENERAL AGGREGATE $ 1000000 - GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ excluded n n PRO- nlOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f--- $ ANY AUTO (Ea accident) f--- ALL OWNED AUTOS BODIL Y INJURY f--- $ SCHEDULED AUTOS (P er person) f--- HIRED AUTOS BODIL Y INJURY I--- $ NON-OWNED AUTOS (Per accident) f--- f--- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY r" AUTO ONLY - EA ACCIDENT $ ~ ANY AUTO EA ACC $ \ OTHER THAN { ", I AUTO ONLY: AGG $ I EXCESS I UMBRELLA LIABILITY (~ j:! ~i:;;t EACH OCCURRENCE $ o OCCUR o CLAIMS MADE AGGREGATE $ ~ \,,0 $ R DEDUCTIBLE ~1'~{" I $ RETENTION $ ,'{ $ WORKERS COMPENSATION r f /} //j I we STA1U- I [OTH- AND EMPLOYERS' LIABILITY TORY LIMITS ER Y/N /- A' Ifk1~ ANY PRorR'EToR!P"'RT~!EPJE.'I(ECL'TI\/ED \ " EL. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? OJ /' ~ ~.<, ~ .--- --- (Mandatory in NH) Q ;\ EL. DISEASE - EA EMPLOYEE $ If yes, describe under ; \ .'" SPECIAL PROVISIONS below , ,,"'- /.. '\ /1 E L. DISEASE - POLICY LIMIT $ OTHER ( ( ,}--{- II\., ("fll ~~ ~1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS tertificate holder is listed as an Additional Insured. ~theltic Parks and Playgrounds [ncludes Skate Park located at 31009 Atlantis BV, Big Pine Key, Fl 33043 CERTIFICATE HOLDER CANCELLA TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~~~ Monroe County Board Of Commissioners Risk Management POBox 1026 Ke~ West, Fl 33041-1026 ACORD 25 (2009/01) John Crowell/BMONRO @ 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PRODUCER Work Comp Associates, Inc. P.O. Box 33297 Palm Beach Gardens, FL 3,3420-3297 USA RECEIVED THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO PON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AL TE THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE AUG 1 7 2010 C MPAN A C MPAN B Florida Retail Federation SI F INSURED Big Pine Athletic Association, Inc. P. O. Box 430089 Big Pine Key, FL 33043-0089 MONROE COUNTY RISK MANAGEMENT C COMPANY o 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 REC1UIREMENT, 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 INSURANCI: POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DDIYY) DATE (MM/DDIYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE CJ OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-QWNED AUTOS GENERAL. AGGREGATE PRODUCTS - COMP/OP AG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ COMBINED SINGLE LIMIT $ BODILY INJURY (Per Person) $ BODILY INJURY (Per Accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AI\fD A EMPLOYERS' LIABILITY THE PROPRIETOR! PARTNERSI EXECUTIVE OFFICERS ARE: OTHER 0520290590000 EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ EL DISEASE -EA EMPLOYE $ 1 00 000 500 000 1 00 000 9/3/2010 9/3/2011 INCL X)( EXCL DESCRIPTION OF OPERA TIONS/LOC~~ TIONSNEHICLESlSPECIAL ITEMS Monroe County Board of County Com issioners Monroe County Risk Managernent Attn: Maria Slavik 1100 Simonton Street Key West, FL :p<J40 c,e,. :~(, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 7J/ O. . L/---______ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO Work Comp Associates, Inc. RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND P.O. Box 33297 • : ' : THE COVERAGE AFFORDED BY THE POLICIES BELOW. �� Palm Beach Gardens, FL 33420 -3297 , REC IVE 11 USA COMPANIES AFFORDING COVERAGE COMPANY r` 1 0 ;;�i A RetailFirst Insurance Company INSURED COMPANY Big Pine Athletic Association, Inc. B P.O. Box 430089 MONROE CO MP Big Pine Key, FL 33043 -0089 RISK MANAGEM I�tO ANY COMPANY 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 P OLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM/DD/YY) DATE (MM/DDIYY) LIMITS GENERAL LIABILITY -- GENERAL. AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP /OP AGC $ I CLAIMS MADE ❑OCCUR PERSONAL & ADV INJURY OWNER'S & CONTRACTOR'S PROT $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY — — _ COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS — BODILY INJURY $ SCHEDULED AUTOS (Per Person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per Accident) Vn\ PROPERTY DAMAGE $ GARAGE LIABILITY �� i \ ) � ' l ( _ iii AUTO ONLY - EA ACCIDENT $ ANY AUTO \1 OTHER THAN AUTO ONLY I \ EACH ACCIDENT $ EXCESS LIABILITY `\ / AGGREGATE $ --' UMBRELLA FORM ( EACH OCCURRENCE $ l ) , AGGREGATE $ OTHER THAN UMBRELLA FORM ((f Y EMPLOYERS' LIABILITY -- -17-777-7 �_� $ �n)RY;MITRI I PR THE PROPRIETOR/ - 0520290590000 9/3/2011 9/3/2012 EL EACH ACCIDENT $ 100 000 PARTNERS/ EXECUTIVE INCL EL DISEASE - POLICY LIMIT $ 500 000 A OFFICERS ARE: XX EXCL�( EL OTHER ! t�'u ,/J 1 / DISEASE -EA EMPLOYEE $ 1 00 DESCRIPTION OF OPE IONS /LOCATIONS/VEHICL S /SPECIAL ITEMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of County Comissioners EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 Monroe County Risk Management DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Attn: Maria Slavik FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE ;ems (EAL) A`°R°® CERTIFICATE OF LIABILITY INSURANCE 6/26/2012 ) 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 Brenda Monroe NAME: Regan Insurance Agency P(pHlCNFEn Fxt). (305) 852 -3234 (A/C. No): (305) 852 -3703 90144 Overseas Hwy. ADDR : bmonroe @reganinsuranceinc.com INSURER(S) AFFORDING COVERAGE NAIC # Tavernier FL 33070 INSURERA:Nautilus Insurance Co 17370 INSURED INSURER B : Big Pine Athletic Association Inc INSURERC: P 0 BOX 430089 INSURERD: INSURER E : Big Pine Key FL 33043 INSURERF: COVERAGES CERTIFICATE NUMBER:2012 - 2013 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM /DDIYYYY) (MM /DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED excluded X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ A CLAIMS -MADE rX I OCCUR X NN246144 7/10/2012 7/10/2013 MEDEXP(Anyoneperson) - $ excluded PERSONAL 8 ADV INJURY $ excluded GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ excluded PRO- $ POLICY ,,F n LOC AUTOMOBILE LIABILITY '7i - 't'/<ll V ' I ,� • • e- " ': COMBINED SINGLE LIMIT BY `= (Ea accident) _$ ANY AUTO DA 411:11ri:MI BODILY INJURY (Per person) $ ALL OWNED SCHEDULED W • ;, BODILY INJURY (Per accident) $ AUTOS _ AUTOS $ NON -OWNED Or L n ; Gt€ PROPERTY DAMAGE HIRED AUTOS _ AUTOS CC` , (Per accident) _ ■ F�1 a v $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED 1 1 RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY I IMITS ER ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / 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 / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Certificate holder is listed as an Additional Insured. Atheltic Parks and Playgrounds Includes Skate Park located at 31009 Atlantis BV, Big Pine Key, F1 33043 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board Of Commissioners Risk Management AUTHORIZED REPRESENTATIVE P 0 Box 1026 Key West, FL 33041 -1026 John Crowell /BMONRO ._- ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 r,ntnne) ni The Armin name a nd Innn are reniclererl markc of AC(1RIl A� EP CERTIFICATE OF LIABILITY INSURANCE D ATE(MM/DDIYYYY) 08/08/2012 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 NAME: Michael D. Holleman Work Comp Associates, Inc. iA No. Exu: (561) 863-9581 I(a .N,, (561) 881 -9745 P.O. Box 33297 EM ADDR m ail @WorkCompAssoc.com Palm Beach Gardens, FL 33420 -3297 INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A: RetailFirst Insurance Company INSURED INSURER B: Big Pine Athletic Association, Inc. INSURER C: P.O. Box 430089 Big Pine Key, FL 33043 -0089 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I 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 ADOLSUBR POLICY hfF POLICY LXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY UAMAUt 1 U KtN 1 tU $ PREMISES (Ea occurrence) CLAIMS -MADE n OCCUR El El MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ I� n POLICY JECT 7 LOC $ --. 410 AUTOMOBILE LIABILITY ❑ ❑ (UMtSINLU; INULL LIMI 1 $ Fa art-Mont) ANY AUTO BODILY INJURY (Per person) $ — ALL OWNED — SCHEDULED ---7 5f, _ AUTOS _ AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED �, � ,'� PROPERTY DAMAGE $ — AUTOS ` (Par arrieanI) $ 1 UMBRELLA LIAB OCCUR El n .� .�� EACH OCCURRENCE $ — EXCESS LIAB CLAIMS -MADE 1 • IF AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION / j x WC STATU- 10TH- AND EMPLOYERS' LIABILITY Y 1 N It fr1{1 0 TORY I IMITS I I FR A ANY PROP /PARTNER/EXECUTIVE � E.L. EACH ACCIDENT $ 100,000 OFFICE/MEMBER EXCLUDED? -- NIA © 0520290590000 9/3/2012 9/3/2013 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Comissioners ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Risk Management Attn: Maria Slavik AUTHORIZED REPRESENTATIVE 1100 Simonton Street 2 .2 j ) Key West, FL 33040 ( ) G C @ 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 4co CERTIFICATE OF LIABILITY INSURANCE DATE `MMD ° "YYY' 08/16/2012 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 Michael D. Holleman NOME: Work Comp Associates, Inc. PHONE (561) (561) 863 -9581 IwC, or (561) 881 -9745 P.O. Box 33297 A� ADDRESS: mail @WorkCompAssoc.com Palm Beach Gardens, FL 33420 -3297 INSURER(8) AFFORDING COVERAGE NAIC INSURER A: RetailFirst Insurance Company INSURED INSURER B: Big Pine Athletic Association, Inc. INSURER C: P.O. Box 430089 Big Pine Key, FL 33043 -0089 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR' POLICY EFF POLICY EXP - LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM /DD/YYYY) (MMIDO /YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY VMMHUG I v rcery tU $ ) CLAIMS -MADE (OCCUR 1 � ' i'V� _l MANAGEMENT MED EXP S Any one pe $ 1 DA SalMIle PERSONAL 8 ADV INJURY $ _• t y' • GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER f,),11/ Ci%e.✓K PRODUCTS - COMP /OP AGG $ POLICY JET I I LOC C C, 'Pi L $ AUTOMOBILE LIABILITY 1 wmanveV L Vi I $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED — SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED YKUF'tK I Y UAMAC,t $ — AUTOS (Per accident) — UMBRELLA LIAB OCCUR ( 1 EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED I` 1 RETENTION $ $ WORKERS COMPENSATION x WC, b IAIU UIH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS J ER ANY PROPRIETOR /PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 100,000 A OFFICE /MEMBER EXCLUDED? I Y I N/ A N I 0520290590000 9/3/2012 9/3/2013 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) GG / elCt, rE� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 �ZLa� �/• vL�*w (BAP) © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD