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Certificates of Insurance !iAcoRjj~"J?:IIII:liillll~':~"~':.:i'::"III:II:IIII':':I::II'\.':".:IIIJ?~I:.::r .:.~~~~~~~!it::::::::::::~::::~~~~::::;~:~~::::~:~~::::~::::~~~~:~::::::!it~:::::::::::::~~~~::::~:~::::::::::::::::::::::1!1:::::~:::::~::~::~::;::::::::::;::::::::::::~::::;~::::;:;:::::~::::~::::::::::::::::::~:::::~:~~::~:::::~:~~:~~:~~:~~::::~~::::~~::::::~:::::::::::~~e~::::~~:~::::::::::::::::::;:::::::::::::M:::::::::::::::::::::::=;=;::;:;::::::.;.:...:........ 90144 OVERSEAS HWY TAVERNIER DATE (MMIDDIYY) 05/12/98 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER REGAN INSURANCE AGCY FL 33070 COMPANY A THE HARTFORD INSURED HUMANE ANIMAL CARE COALITION / INC 283 ST THOMAS AVE KEY LARGO FL 33037 COMPANY B COMPANY C 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 EXPlRAnON DATE (MMIDDIYY) DATE (MMIDDIYY) UMITS GENERAL UABIUTY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) $ $ $ $ 1,000,000 $ AUTOMOBILE UABIUTY 2 1 UE CLH3 242 ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS HIRED AUTOS NON-QWNED AUTOS 4/01/98 4/01/99 COMBINED SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ INCL EXCL AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE GARAGE LIABILITY ANY AUTO EXCESS UABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSAnON AND EMPLOYERS' L~ILITY THE PROPRIETOR! PARTNERs/EXECUTIVE OFFICERS ARE: 011tER EL EACH ACCIDENT $ EL DISEASE-POLICY LIMIT $ EL DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERAnONSILOCAnONSNEHlCLESISPECIAL ITEMS USUAL TO INSURED'S OPERATIONS CERTIFICATE HOLDER IS SHOWN AS A LOSS PAYEE AND ADDITIONAL INSURED COMP AND COLL DED $250 93 FORD PICKUP AND A 94 FORD PICKUP :p~"qlnt:~~t.P'~>:):::'?::m~::::::::::;,H".",., ::::m:::::PIr!pgmtr H HH :~:?::::~::::?m<:':::: SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCEllED BEFORE 11tE MONROE COUNTY BOARD OF COMM ATT:RISK MANAGEMENT 5100 COLLEGE RD KEY WEST FL 33040 EXPIRAnON DATE 11tEREOF, 11tE ISSUING COMPANY WILL ENDEAVOR TO MAIL .l..Q.... DAYS WRITTEN NOnCE TO 11tE CERnFlCATE HOLDER NAMED TO 11tE LEFT, BUT FAlWRE TO MAIL SUCH NOncE SHALL IMPOSE NO OBUGAnON OR UABIUTY iC"~~:ji~i~::~d(j~n:/::: OF ANY KIND UPON 11tE COMPANY, ITS AGENTS OR REPRESENTAnvES. AU11tORIZED REPRESIlkrATiVE "E,"":,',.:,;""f,,:,:,:,,.:,~,::,:g~!1 C ICBM A nm:llq?~ii.4t.QJijtQjit:mM1'.L1"$' INmAl ~~~~jj~:llill:I:IIIIII:::':!:II!':!ii!I!II!I:I:I:III!1!liilllil!II!llil:!II!i!::::H REGAN INSURANCE AGCY DATE (MMIDDIYY) 05/12/98 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER 90144 OVERSEAS HWY TAVERNIER FL 33070 COMPANY A THE HARTFORD INSURED HUMANE ANIMAL CARE COALITION INC 283 ST THOMAS AVE KEY LARGO FL 33037 COMPANY B COMPANY C 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 EXPIRA110N DATE (MMIDDIYY) DATE (MMIDDIYY) LIMITS GENERAL UABIUTY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS BY GENERAL AGGREGATE $ PRODUCTS. COMP/OP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE UABIUTY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSA110N AND EMPLOYERS' L1ABDJTY 21WECEU5330 4/01/98 4/01/99 AUTO ONLY. EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL X EXCL EL EACH ACCIDENT $ EL DISEASE.POLICY LIMIT $ EL DISEASE-EA EMPLOYEE $ 100,000 500,000 100,000 DESCRIP110N OF OPERA110NSILOCA110NSNEHICLESISPECIAL ITEMS FLORIDA EMPLOYEES dmtlFIc.Atft'~fk)tb.Elt""'" . . . . . . . . . . . . . . . . . . . . . . . ...................... ....................... ...................... ....................... ...................... ....................... ...................... ....................... ...................... .... .......... ....... . . ...... ..... ............................. ............................ ............................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............................. ............................ ............................. ............................ ............................. ~":::~'::bANbttt4t!b~':' ..................................................................... .................................................................. . .. ......................... ........... ........ ... ............. ................. ......... ... ...... .... . ..... ........................................... . ............................ .................. ....................................................................................................... ............................................................................................................ . .... ................................ . ....................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............................... ............................. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA110N DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL .3..Q.... DAYS WRITTEN N011CE TO THE CER11F1CATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH N011CE SHALL IMPOSE NO OBLlGA110N OR UABDJTY AGENTS OR REPRESENTATIVES. MONROE COUNTY BOARD OF COMM ATT RISK MANAGEMENT 5100 COLLEGE RD KEY WEST FL 33040 """,."...."...."." I...........,."'..... :~c...)a~!ikU~r) ,..", OATE BM A ((')/'$.A...lij:~9.j$."^t'Qtj 4'1' 0'1 In r>'1 o r-l r-l o r-l o N qt N r>'1 :z:: ...:l r-l N N o o o r-l i< - - iiiiiiiiiii! - = - - == Iiiliiiiiiii - --- - - - - - == = - - - - = - - - - == - - - - - - - --- - == - - This SPECIAL MULTI-FLEX POLICY is provided by the insurance company(s) of The Hartford Insurance Group, shown ~:~MON POLICY DECLARATIONS THE Z HARTFORD POLICY NUMBER: 21 UEC LH3242 Named Insured and Mailing Address: (No., Street, Town, State, Zip Code) BmIUJB ARDIAL CARE COALITIOII, IRe. 283 SAIIft' 'l'B0IIAS AVBRtJB KEY LARGO , FL 33037 (IIOIIROB COtJII'1'Y) Policy Period: From 04/01/98 To 04/01/99 12 : 01 A. M. , Standard time at your mailing address shown above. In return for the payment of the premium, and subject to all of the terms of this policy, we agree with you to provide insurance as stated in this policy. The Coverage Parts that are a part of this policy are listed below. The Advance Premium shown may be subject to adjustment. Total Advance Premium: Coverage Part and Insurance Company SUmmary COMMERCIAL AUTO HARTFORD CASUALTY HARTFORD PLAZA HARTFORD, CT 06115 INSURANCE COMPANY ADi'RnVED B' Ii:;"" BY- DY5tt~ DATE W'~lJfR: NIA~~ Cvrt ~~ $2,901. 00 Advance Premium $2,901. 00 Form Numbers of Coverage Parts, Forms and Endorsements that are a part of this policy and that are not listed In the Coverage Parts. HM0001 IH00170295 IL00211194 HA00250295 G-3185-0 D^TE INITIAL AgentlBroker Name: RBGAR DlSlJRUICB AGBRCY IRC I SC:IC :;:(~~ this policy Is not binding unless countersigned by our Authorized ~:11 Countersigned by ,0/ (~ tA.:,........ Authorized Ae~entative / .i/'. /" AUTO ADDL INTEREST Form HM 00 1002 95 Date o ~ rr'l o .-l .-l o .-l o N ~ N rr'l :r: ....:l .-l N N o o o .-l i< --- === - - - --- - ~ - - - --- - ~ --- - ~ - = - - === - = - - ~ --- ~ - ~ - --- - - - - --- - - ~LlCY NUMBER: 21 UEC LH3242 COMMERCIAL AUTO CA20 0112 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - LESSOR This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement effective Named Insured Countersigned by (Authorized Representative) Insurance Company Policy Number Effective Oat. SCHEDULE HARTFORD CASUALTY INSURANCE COMPANY 21 UEC LH3242 04/01/98 Expiration Oat. 04/01/99 Named Insured II1JIIARB AIIDIAL CUB COALI'IIOR, DIIC. 283 SAINT THOMAS AVENUE KEY LARGO FL 33037 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE ROAD KEY WEST Designation or Description of Leased "Autos" Address Additional Insured (Lessor) Address FL 33040 SEE SUBSEQUENT PAGE Coverages Liability Personal Injury Protection (or equivalent no-fault coverage) $ limit of Insurance Each "Accident" $ Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ For Each Covered "Auto" ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ For Each Covered "Auto" ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ For Each Covered "Auto" Collision Specified Causes of Loss Copyright, Insurance Services Qffice, Inc., 1993 CA20011293 PAGE 1 (CONTINUED ON NEXT PAGE) (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. 1. Any "leased auto" designated or described in the Schedule will be considered a covered "auto" you own and not a covered "auto" you hire or borrow. For a covered "auto" that is a "leased auto" WHO IS AN INSURED is changed to include as an "insured" the lessor named in the Schedule. 2. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the "leased auto", whichever occurs first. B. LOSS PAYABLE CLAUSE 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto". 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. CANCELLATION 1. If we cancel the policy, we will mail notice to the lessor in accordance with the CANCELLATION Common Policy Condition. 2. If you cancel the policy we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your premiums. E. ADDmONAL DEFINmON As used in this endorsement: "Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. LESSOR NO: 01 SCHEDULE Designation of Description of Leased "Autos" COV AUTO NO. 00001 1993 FORD $1,000,000 EACH "ACCIDENT" 1FTDF15Y4PNA86155 $15,000-NEW LIABILITY NO LESS THAN THE PERSONAL INJURY PROTECTION (OR EQUIVALENT NO-FAULT COVERAGE) LIMIT REQUIRED BY LAW. $250 DEDUCTIBLE $250 DEDUCTIBLE PERSONAL INJURY PROTECTION COMPREHENSIVE COLLISION Copyright, Insurance Services Office, Inc., 1993 CA 20 011293 PAGE 2 (CONTINUED ON NEXT PAGE) , ADDITIONAL INSURED - LESSOR (Continued) .--t 1.0 r"1 o .--t .--t o .--t o N "'" N r"1 ::r: ...:l .--t N N o o o .--t -lC - !!!!!!!!!!!! ~ - = - !!!!!!!!!!!! ;;;;;;;;;;;; == == ~ - ~ - - - ~ - - - ~ !!!!!!!!!!!! - - ~ !!!!!!!!!!!! - - - - - === ~ - ~ !!!!!!!!!!!! ~ !!!!!!!!!!!! - - - - - - ~ - - !!!!!!!!!!!! POLICY NUMBER: 21 UEC LH3242 LESSOR NO: 01 Designation or Description of Leased "Autos" (Continued) COV AUTO NO. 00002 LIABILITY PERSONAL INJURY PROTECTION COMPREHENSIVE COLLISION CA20011293 1994 FORD 1FTEF15Y9RNB52931 $18,000-NEW $1,000,000 EACH "ACCIDENT" NO LESS THAN THE PERSONAL INJURY PROTECTION (OR EQUIVALENT NO-FAULT COVERAGE) LIMIT REQUIRED BY LAW. $250 DEDUCTIBLE $250 DEDUCTIBLE Copyright, Insurance Services Office, Inc., 1993 PAGE 3 . -..-.--..-..,.....--.--.,..""..--.--...""'.....--...'",--.--------.. .. ------"""---""",,,,,------.,,,,,,.,,"",,.,,----. -----. -------- -". ACORDTMCERTIFICATE OF LIABILITY INSURANCEi1~c~ijc DATE (MM/DDNYI PRODUCER 04/19/99 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 AL TER THE COVERAGE AFFOROED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Gentzler & Smith Assoc. P.O. Box 931 York Pa 17405-0931 Gentzler & Smith Assoc. Phone No. 717 - 7 41- 09 65 Fax No, INSURED COMPANY A Travelers Property Casualty ;iU COMPANY B PHOENIX EXCESS & SURPLUS LINES Humane Ani. Care Coalition,Inc Thomas F. Garretson 283 Saint Thomas Ave. Key Largo FL 33037 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 L1M ITS LTR DATE IMM/DDNYI DATE IMM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE $2000000 A X COMMERCIAL GENERAL LIABILITY 66000680401-9 04/01/99 04/01/00 PRODUCTS - COMP/OP AGG $2000000 CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1000000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 X professional liab FIRE DAMAGE iAny one firel $50000 MED EXP (Anyone person I $5000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS '~mn iPer personl ". '. \ ---' HIRED AUTOS BODILY INJURY NON.OWNED AUTOS "Y (Per accident) nHE PROPERTY DAMAGE GARAGE LIABILITY \11,":!\!~R' 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 EMPLOYERS' LIABILITY $ 100000 B THE PROPRIETOR/ INCL NWA1436598 04/01/99 04/01/00 EL DISEASE - POLICY LIMIT $500000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ 100000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Certifcate holder shall be additional insured for liability. Lessor of Premises) (Managers, MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL J:.L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO 0 GATION 0 , EN",-I Monroe County Board Risk Management Maria Del Rio 5100 College Road Key West FL 33040 DATE of Comm. ACORD 25-S (1/951 tNmAL " ~ --- !!!!!!!!!!!! !iii!!!i!ii! --- --- - -= -- - - :-= -- - = -=- - -= - = -- = ........ == -- - - - - = - - == - = --- - = - - ........ - === - = - - - I \.."... THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MISCELLANEOUS CHANGE ENDORSEMENT THE~ HARTFORD POLICY NUMBER: 21 UEC LH3242 CHANGE NUMBER: 00 1A This endorsement modifies insurance provided under the following: <Xl o N o o BUSINESS AUTO COVERAGE FORM This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. (Premium adjustment, if any, for the addition, deletion or other change described in this endorsement is shown in the Premium Column below.) .-l o N o N '<:fI N l"'l ::c ...:l .-l N N o o o l"'l iC Effective Date: 04/01/99 Named Insured: BCIIAHB ARDIAL CARE COAL:IT:IOH, me. Producer's Name: REGAN INSURANCE AGENCY INC / SCIC Pro Rata Factor: 1. 000 Description of Change: FOR THIS ENDORSEMENT THE RETURN PREMIUM OF POLICY CHANGE EFFECTIVE DATE. $1,151.00 IS DUE AT THE FOLLOWING COVERED UAUTO(S)" IS/ARE DELETED FROM THE SCHEDULE: 00001 LESSOR NO. 01 IS DELETED FOR THE FOLLOWING COVERED "AUTO(S):" 00001 ~' ..:,:=.__._~. . ~. _..:13 ;~H~'i.".~. ----- -- . - THIS ENDORSEMENT IS NOT BINDING UNLESS COUNTERSIGNED BY OUR AUTHORIZED REPRESENTATIVE. Countersigned by (JJL0,~ u, ,~~ Authorized Representative 07/14/99 Date AUTO ADDL INTEREST Fo"" HA 9910 06 92T Printed in U.S.A. PAGE 1 (CONTTNUED ON NEXT PAGE) - !!!!!!!!!! - - == -- - === !!!!!!!!!! == -- - - - - - - - === - - ........ - === !!!!!!!!!! - -- ==- - !I!!!!!!!!!! - - - -- === - - -= !!!!!!!!!! - == -- - ........ !!!!!!!!!! !!!!!!!!!! == == - - -- -- - =-== - === (~ Notice of Automobile Insurance (Continued) POLICY NUMBER: 21 UEC LH3242 COVERED AUTO (S) : NO: 00001 93 FORD VIN lFTDF15Y4PNA86155 o ..... N o o ..... o N o N ~ N M :I: ..:l ..... N N o o o M ... CAF-4025-4 PAGE 2 ..... !!!!!!!!!! iiiiil!iiii! !!!!!!!!!! -- -= -- ..... - -- - ==== - ..... - -- ~ - - -=- === !!!!!!!!!! - --- =-- -- - - - ~ == ..... == !!!!!!!!!! - - - -- --- - -= - --=-- -- - - - - Notice of ~utom9bile Insurance Named Insured HmIANE ANIMAL CARE COALITION', INC. Address 283 SAINT THOMAS AVENUE Producer 224589 REGAN INSURANCE AGENCY INC / SCIC Name of Insurance Company 0'\ o N o o D LOSS PAYEE ~' Name MONROE COUNTY BOARD OF COUNTY COMMISSIONERS Address 5100 COLLEGE ROAD KEY WEST FL 33040 .-I o N o N qt N l"'1 :I: ..:l .-I N N o o o l"'1 iC Jt Policy No. 21 DEC LH32 42 Effective Date of this Notice 04/01/99 Ex iration Date of Poli 04/01/00 Countersi ned b (Authorized Representative) D Mailing Address Change Only LESSOR THIS NOTICE OF AUTOMOBILE INSURANCE IS APPLICABLE AS INDICATED BELOW. A. LOSS PAYEE D 1. This is to certify that the policy of insurance listed above has been issued to the insured named above and is in force at this time for the auto(s) described below. 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 policy described herein is subject to all the terms, exclusions and conditions of such policy. State of Nebraska - This certificate does not amend, extend or alter the coverage afforded by the listed policy Loss Payee - Except for towing, all physical damage loss is payable to the Named Insured and the Loss Payee named above as interest may appear at the time of loss. This is to notify that the policy of insurance listed above has been changed by the insured to change the Physical Damage Coverage for the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete Physical Coverage for the auto(s) described below. B. LOSS PAYEE OR LESSOR [i]1. D2. D3.' D2. 03. This is to notify that the policy of insurance listed above has been change by the insured to delete the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete the Loss Payee or Lessor named above for the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete the Loss Payee or Lessor named above. Schedule of Autos Phvsical Damaae Coveraae (For A.1. and A.2. above) Covered Deacrlptlon Other thllll Collision Collision Auto No. Coverage. Limit Limit Deductible .ACV- Deductible .ACV- or Stated Amount or Stated Arno," SEE SUBSEQUENT PAGE . THIS CERTIFICATE DOES NOT EVIDENCE LIABILITY INSU~ANCE *AJ= AK= AL= AM= AO= AP= CAF-4025-4 Comprehensive Coverage Specified Causes of Loss Coverage Fire Coverage Are and Theft Coverage Fire, Theft and Wlnclstonn Coverage Limited Specified Causes of Loss Coverage **ACV = Actual Cash Value PAGE 1 (CONTINUED ON NEXT PAGE) A CORD_ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, COMPANIES AFFORDING COVERAGE PRODUCER Gentzler & Smith Assoc. P.O. Box 931 York Pa 17405-0931 Daniel L. Smith Phone No. 717-741-0965 Fax No. INSURED COMPANY A Travelers Property Casualty Humane Ani. Care Coalition,Inc Thomas F. Garretson 283 Saint Thomas Ave. Key Largo FL 33037 Q ~~\ COMPANY B PHOENIX EXCESS & SURPLUS LINES 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 (MM/DDNY) DATE (MM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE $ 2000000 A COMMERCIAL GENERAL LIABILITY 660504X334-00 04/01/00 04/01/01 PRODUCTS - COMP/OP AGG $ 2000000 CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1000000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 )C professional liab FIRE DAMAGE (Anyone fire) $ 50000 MED EXP (Anyone person) $ 5000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS ovm ': '1' BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON-OWNED AUTOS 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 EMPLOYERS' LIABILITY $ 100000 B THE PROPRIETOR! INCL BINDER #4198 04/01/00 04/01/01 EL DISEASE - POLICY LIMIT $ 500000 PARTNERs/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ 100000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Certifcate holder shall be additional insured for liability. Lessor of Premises) (Managers, MONROEC Monroe County Board of Comm. Risk Management Maria Del Rio 5100 College Road Key West FL 33040 DATE ClJ LO \0 M o o M o '<:I' o N '<:I' N M :I: ...:I M N N o o o M -Ie ---- ---- ~ - - ---- ---- - ---- - ~ ---- - - - ---- ---- - ==== - ==== - - ---- !!!!!!!!! :!!i5!!5: - - ---- - - - ---- == - - ---- - ---- - - - - THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MISCELLANEOUS CHANGE ENDORSEMENT POLICY NUMBER: 21 UEC LH3242 DV CHANGE NUMBER: 002A THE. HARTFORD This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. (Premium adjustment, if any, for the addition, deletion or other change described in this endorsement is shown in the Premium Column below.) Effective Date: 09/2 0 / 0 0 Producer's Name: ,.,r, .,-"..r\ . " "'~IC' '.::--. ;~. I- ,/"'m~~-,~-- ::',~r. - .__\=g - QJ.,__.___- r i",.r~ ":' .~_~'- ~aJt~ 01 IS ADDED FOR THE FOLLOWING COVERED "AUTO(S)" Named Insured: IItJIDIm AIIDIAL CUB COALI'l'IOII, me. REGAN INSURANCE AGENCY INC / SCIC Pro Rata Factor: .529 Description of Change: NO CHANGE IN PREMIUM LOSS PAYEE NO. (SEE SCHEDULE) 00002 00004 MONROE COUNTY BOARD OF COMMISSIONER ATTN: RISK MANAGEMENT 5100 COLLEGE RD KEY WEST FL 33040 FORMS ADDED CA99441293 THIS ENDORSEMENT IS NOT BINDING UNLESS COUNTERSIGNED BY OUR AUTHORIZED REPRESENTATIVE. Countersigned by ~ #.J...., ~Jt~ Authorized Representative 10/31/00 Date AUTO ADDL INTEREST Fonn HA 9910 06 92T Printed in U.S.A. 1.0 1.0 .-l o o --- !!!!!!!!!!!! --- !!!!!!!!!!!! - - --- --- - --- - !!!!!!!!!!!! - --- - == ~ !!!!!!!!!!!! - --- == - - - --- --- - - - !!!!!!!!!!!! !!!!!!!!!!!! - --- - - === !!!!!!!!!!!! Notice of Automobile Insurance x. Named Insured mJIIARB .uD:1IAL CARE COALITIOIiI, DIC. Policy No. 21 UEC LH3242 Address 283 SAINT THOMAS AVENUE F 7 Effective Date of this Notice 09/20 /00 Ex iration Date of Poli 04/01/01 Producer 224589 REGAN INSURANCE AGENCY INC / SCIC Name of Insurance Company Countersi ned b (Authorized Representative) D Mailing Address Change Only IiJ LOSS PAYEE D Name MONROE COUNTY BOARD OF COMMISSIONER ATTN: RISK MANAGEMENT Address 5100 COLLEGE RD KEY WEST FL 33040 .-l o qt o N qt N ('Y) :I: ...:l .-l N N o o o ('Y) -Ie LESSOR THIS NOnCE OF AUTOMOBILE INSURANCE IS APPLICABLE AS INDICATED BELOW. A. LOSS PAYEE [i] 1. This is to certify that the policy of insurance listed above has been issued to the insured named above and is in force at this time for the auto(s) described below. 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 policy described herein is subject to all the terms, exclusions and conditions of such policy. State of Nebraska - This certificate does not amend, extend or alter the coverage afforded by the listed policy Loss Pay.. - Except for towing, all physical damage loss is payable to the Named Insured and the Loss Payee named above as interest may appear at the time of loss. This is to notify that the policy of insurance listed above has been changed by the insured to change the Physical Damage Coverage for the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete Physical Coverage for the auto(s) described below. B. LOSS PAYEE OR LESSOR 01. 02. 03. D2. 03. This is to notify that the policy of insurance listed above has been change by the insured to delete the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete the Loss Payee or Lessor named above for the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete the Loss Payee or Lessor named above. Schedule of Autos Physical Damaae Coveraae {For A.1. and A.2. above\ Covered Description Other than Collision Collision Auto No. Coverage* Limit Limit Deductible *ACV- Deductible *ACV- or Stated Amount or Stated Amount SEE SUBSEQUENT PAGE . THIS CERTIFICATE DOES NOT EVIDENCE LIABILITY INSURANCE *AJ= AK= AL= AM= AO= AP= Com~nslVe Coverage Specified Causes of Loss Coverage Fire Coverage Fire and Thtift Coverage Fire, Theft and Wlndstonn Coverage Limited Specified Causes of Loss Coverage **ACV = Actual Cash Value CAF-4025-4 PAGE 1 (CONTINUED ON NEXT PAGE) r-- ~ .--l o o .--l o "'" o ('oj "'" ('oj l") :I:: ...:l .--l ('oj ('oj o o o l") -Ie ~ !!!!!!!!!!!!! - !!!!!!!!!!!!! ~ - = ~ ~ - - - - ~ ~ - - ~ ~ - = !!!!!!!!!!!!! - ~ = - - ~ ~ - - = ~ !!!!!!!!!!!!! - !!!!!!!!!!!!! ~ - ~ - ~ - - - , Notie. of Automobile Insurance (Continued) POLICY NUMBER: 21 UEC LH3 2 42 COVERED AUTO NO. 00002 COMPREHENSIVE COVERAGE COLLISION COVERAGE COVERED AUTO NO. 00004 COMPREHENSIVE COVERAGE COLLISION COVERAGE CAF-4025-4 99 CHEV $ 250 DEDUCTIBLE ACTUAL CASH VALUE VIN 1GCDM19W4XB1B7759 $ 250 DEDUCTIBLE ACTUAL CASH VALUE 00 DODGE VIN 1B7HC16XX13651159 $ 250 DEDUCTIBLE ACTUAL CASH VALUE $ 250 DEDUCTIBLE ACTUAL CASH VALUE PAGE 2 iiiiiii iiiiiii ~ iiiiiii - - iiiiiii - - iiiiiii - iiiiiii - - = - - iiiiiii = ~ - - - iiiiiii - - - iiiiiii - - = ~ iiiiiii - - - - iiiiiii Notice of Automobile Insurance ~ Named Insured B'OIIAIm AN:IIIAL CARE COALITIOR, IRe. Policy No. 21 UEC LH32 42 Address 283 SAINT THOMAS AVENUE KEY LAR FL 7 Producer 224589 REGAN INSURANCE AGENCY INC / scrc Name of Insurance Company RD IRE I Effective Date of this Notice 04/01/02 Ex iration Date of Poli 04/01/03 Countersi ned b (Authorized Representative) ~ fl ~ 1Ml\!V,~ u)\a.wltf~ AP(ffl~K,. ~~'filI'\ige = , BY ~, 1.0 '\ /"tl n '. \ "" ~ ,.'-'~ l.1b\}Ll c ~l!:f-O() , UJ . D~E . (fl'~ WAIVER N/A---- YES (G" ...J--t.JL.q-2 l) "l"~ E N Lt'I .-I a a [i] LOSS PAYEE D Address MONROE COUNTY BOARD OF ATTN: RISK MANAGEMENT 5100 COLLEGE RD KEY WEST COMMATT Name .-I a .-I a N "'" N M :r:: ....:l .-I N N a a a .-I i< FL 33040 LESSOR THIS NOTICE OF AUTOMOBILE INSURANCE IS APPLICABLE AS INDICATED BELOW. A. LOSS PAYEE [i] 1. This is to certify that the policy of insurance listed above has been issued to the insured named above and is in force at this time for the auto(s) described below. 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 policy described herein is subject to all the terms, exclusions and conditions of such policy. State of Nebraska - This certificate does not amend, extend or alter the coverage afforded by the listed policy Loss Payee - Except for towing, all physical damage loss is payable to the Named Insured and the Loss Payee named above as interest may appear at the time of loss. This is to notify that the policy of insurance listed above has been changed by the insured to change the Physical Damage Coverage for the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete Physical Coverage for the auto(s) described below. B. LOSS PAYEE OR LESSOR 01. 02. 03. D2. 03. This is to notify that the policy of insurance listed above has been change by the insured to delete the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete the Loss Payee or Lessor named above for the auto(s) described below. This is to notify that the policy of insurance listed above has been changed by the insured to delete the Loss Payee or Lessor named above. Schedule of Autos Physical Damage Coveraae (For A.1. and A.2. above) Covered Description _~ther than Collision Collision Auto No. Coverage* Limit Limit Deductible *ACV*** Deductible *ACV*** or Stated Amount or Stated Amount SEE SUBSEQUENT PAGE THIS CERTIFICATE DOES NOT EVIDENCE LIABILITY INSURANCE *AJ= AK= AL= AM= AO= AP= Comprehensive Coverage S~ified Causes of Loss Coverage Fire Coverage Fire and Theft Coverage Fire, Theft and Windstonn Coverage Limited Specified Causes of Loss Coverage **ACV = Actual Cash Value CAF-4025-4 PAGE 1 (CONTINUED ON NEXT PAGE) A. Coverage 1. Any "leased auto" designated or described in the Schedule will be considered a covered "auto" you own and not a covered "auto" you hire or borrow, For a covered "auto" that is a "leased auto" Who Is An Insured is changed to include as an "insured" the lessor named in the Schedule. 2. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the "leased auto", whichever occurs first, B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto". 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. LESSOR NO: 01 Designation or Description of Leased Autos COV AUTO NO. 00001 99 CHEV C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. If you cancel the policy we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your premiums. E. Additional Definition As used in this endorsement: "Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. SCHEDULE 1GCDM19W4XB187759 $18,OOO-NEW LIABILITY $1,000,000 EACH "ACCIDENT" PERSONAL INJURY PROTECTION NO LESS THAN THE PERSONAL INJURY PROTECTION (OR EQUIVALENT NO-FAULT COVERAGE) LIMIT REQUIRED BY LAW. COMPREHENSIVE $250 DEDUCTIBLE COLLISION $250 DEDUCTIBLE CA 20 01 0299 Copyright, Insurance Services Office, Inc., 1998 PAGE 2 (CONTINUED ON NEXT PAGE) C"'l Ln .-l o o .-l o .-l o N """ N C"'l ::r:: ...:l .-l N N o o o .-l iC === iiiiiiii iiiiiiii - - === iiiiiiii - = iiiiiiii - = iiiiiiii iiiiiiii - = !!!!!!!!!!! - iiiiiiii !!!!!!!!!!! - - iiiiiiii iiiiiiii - - - iiiiiiii = - = !!!!!!!!!!! iiiiiiii - - - - - - iiiiiiii !!!!!!!!!!! Notice of Automobile Insurance (Continued) POLICY NUMBER: 21 UEC LH3242 COVERED AUTO NO. 00001 COMPREHENSIVE COVERAGE COLLISION COVERAGE COVERED AUTO NO. 00002 COMPREHENSIVE COVERAGE COLLISION COVERAGE CAF-4025-4 99 CHEV $ 250 DEDUCTIBLE ACTUAL CASH VALUE $ 250 DEDUCTIBLE ACTUAL CASH VALUE VIN 1GCDM19W4XB187759 00 DODGE VIN 1B7HC16X4Y3651159 $ 250 DEDUCTIBLE ACTUAL CASH VALUE $ 250 DEDUCTIBLE ACTUAL CASH VALUE PAGE 2 "'" lfl .-l o o .-l o .-l o N "'" N C") ::r: ...:i .-l N N o o o .-l oj( iiiiiiii !!!!!!!!!!!! - iiiiiiii iiiiiiii iiiiiiii - iiiiiiii iiiiiiii - iiiiiiii - - iiiiiiii - - = - - - - iiiiiiii - - iiiiiiii iiiiiiii - == - iiiiiiii - - - - iiiiiiii - - - - - iiiiiiii - - POLICY NUMBER: 21 DEC LH3242 COMMERCIAL AUTO CA 20 01 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - LESSOR This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement effective Named Insured Countersigned by (Authorized Representative) SCHEDULE Insurance Company Policy Number Effective Date Named Insured HARTFORD FIRE INSURANCE COMPANY 21 UEe LH3242 04/01/02 Expiration Date IIDIIARB UIDIAL CUB COALITIOR, me. 04/01/03 Address 283 SADft' THOMAS AVBR1JB Ian' LARGO FL 33037 MONROE COUNTY BOARD OF COMMATT ATTN: RISK MANAGEMENT 5100 COLLEGE ROAD KEY WEST Designation or Description of "Leased Autos" SEE SUBSEQUENT PAGE Additional Insured (Lessor) Address FL 33040 Coverages Liability Personal Injury Protection (or equivalent no-fault coverage) Comprehensive $ Limit Of Insurance Each "Accident" $ ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ For Each Covered "Leased Auto" ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ For Each Covered "Leased Auto" ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ For Each Covered "Leased Auto" Collision Specified Causes of Loss (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) CA 20 01 0299 Copyright, Insurance Services Office, Inc., 1998 PAGE 1 (CONTINUED ON NEXT PAGE) 111 111 ...-l o o ...-l o ...-l o N "'" N l""l ::z:: ....:l ...-l N N o o o ...-l iC ~ ~ ~ ~ ~ - ~ - - ~ ~ - - ~ ~ - == - !!!!!!!!l!!! - ~ - - - ~ ~ - === ~ ~ ~ !!!!!!!!l!!! ~ !!!!!!!!l!!! - ~ - - - - ~ - - ADDmONAL INSURED - LESSOR (Continued) POLICY NUMBER: 21 UEC LH3242 LESSOR NO: 01 Designation or Description of Leased "Autos" (Continued) COV AUTO NO. 00002 00 DODGE lB7HC16X4Y3651159 $17,OOO-NEW LIABILITY $1,000,000 EACH "ACCIDENT" PERSONAL INJURY PROTECTION NO LESS THAN THE PERSONAL INJURY PROTECTION {OR EQUIVALENT NO-FAULT COVERAGE} LIMIT REQUIRED BY LAW. . COMPREHENSIVE $250 DEDUCTIBLE COLLISION $250 DEDUCTIBLE CA 20 01 02 99 Copyright, Insurance Services Office, Inc., 1996 PAGE 3 ACORDN CERTIFICA TE OF LIABILITY INSURANC~c8~~cKT I DATE (MM/DDIYY) 02/21/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Gentzler & Smith Assoc, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P,O. Box 931 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. - York Pa 17405-0931 INSURERS AFFORDING COVERAGE Phone: 717-741-0965 INSURED 'l:> 1.\.1> INSURER A: Travelers Property Casual tv INSURER B: PHOENIX EXCESS & SURPLUS LINES Humane Ani. Care Coa1ition,Inc INSURER C: Thomas F. Garretson 283 Saint Thomas Ave. INSURER D: Key Largo FL 33037 INSURER E I COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE POLICY NUMBER b2'rlfrMi,';~~~YE Prl',N~1ri~f~~~?N LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - A X COMMERCIAL GENERAL LIABILITY 660504X334ATCT01 04/01/01 04/01/02 FIRE DAMAGE (Anyone fire) $ 50000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000 professional liab PERSONAL & ADV INJURY $ 1000000 - GENERAL AGGREGATE $ 2000000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ 2000000 I n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - APPRma.~1 ~6 $ SCHEDULED AUTOS ~EME NT (Per person) - HIRED AUTOS BY . '..J. IL BODILY INJURY - $ NON-OWNED AUTOS (Per accident) - DATE ~ 1",,-- ',..,,~ - PROPERTY DAMAGE $ /' (Per accident) GARAGE LIABILITY Ul"\lyr;;;,r N/A / yt:~ AUTO ONLY. EA ACCIDENT $ =l ANY AUTO tYJL'.-4 . ((l,0 OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY ..0 IJb EACH OCCURRENCE $ I OCCUR D CLAIMS MADE /'- U- AGGREGATE $ ~ G ~-tf)1 '{J-jt '-. $ =l DEDUCTIBLE I $ I RETENTION $ $ WORKERS COMPENSATION AND X I f6'R~'~MYTS I IU~~- B EMPLOYERS' LIABILITY CIW5201038 04/01/01 04/01/02 $ 100000 EL. EACH ACCIDENT EL. DISEASE. EA EMPLOYEE $ 100000 EL. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certifcate holder shall be additional insured for liability. (Managers, Lessor of Premises) CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA Tim Monroe County Board of Comm. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Maria Del Rio IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 'JRER' ITS AGENTS OR 5100 College Road Key West FL 33040 REPRESENTATlV~ ~.... ," .,~,l" AUTHORIZED REPRESENTA~~.:.~ I {~..;;.~~.~~f;:tL'j~ I Daniel L: 'Sm:LthO,,"'" . f" '"",,ii' b " ACORD 25-S (7/97) ~ " @ACORDCORPORATION 1988 ACORDN CERTIFICA TE OF LIABILITY INSURANC~c8~~ccK I DATE (MM/DDIYY) 05/31/02 PRODU~ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GentzJ.er & Smith Assoc, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 931 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, York Pa 17405-0931 INSURERS AFFORDING COVERAGE Phone: 717-741-0965 INSURED INSURER A: ST. PAUL INS. CO. INSURER B: ID\RTFORD INS~ OF THE MIDWEST Humane Ani. Care CoaJ.ition,Inc INSURER c: HARTFORD INS. . OF, THE SOUTlHi't. C:::'T' Thomas F. Garretson 283 Saint Thomas Ave. INSURER 0: Key Largo FL 33037 I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~f: TYPE OF INSURANCE POLICY NUMBER ~Q~If(rPFE~~YE P6>,H~1~f6~J{.?N LIMITS DATE MM/DDIYY GENERAL LIABILITY I EACH OCCURRENCE $ 1000000 ? COMMERCIAL GENERAL LIABILITY 1--. A BL01146156 04/01/02 04/01/03 FIRE DAMAGE (Anyone fire) $ 300000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 professionaJ. J.iab PERSONAL & ADV INJURY $ 1000000 - GENERAL AGGREGATE $ 2000000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000 I nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1000000 B ~ ANY AUTO 12UEUI7468 04/01/02 04/02/03 (Ea accident) X ALL OWNED AUTOS BODILY INJURY - $ X SCHEDULED AUTOS (Per person) - ~ HIRED AUTOS A~~ftJT BODILY INJURY APPR~~ ~ ~ ~ $ X , NON-OWNED AUTOS (Per accident) ~ PROPERTY DAMAGE BY -...:;. -^ "}.-. (Per accident) $ GARAGE LIABILITY DATE V ") '"""'-J AUTO ONLY- EA ACCIDENT $ ~ ANY AUTO \:N/A ~ YES OTHER THAN EA ACC $ WAIVER -" /'\ AUTO ONLY: AGG $ EXCESS LIABILITY ~ { j/j}, (L/ EACH OCCURRENCE $ ~ OCCUR D CLAIMS MADE \.)lL? AGGREGATE $ 1ltLwt $ ~ DEDUCTIBLE $ RETENTION $ $ I WORKERS COMPENSATION AND ..... X I TORY LIMITS I IOJ~- c EMPLOYERS' LIABILITY 12WECGZ9346 04/01/02 04/01/03 $ 100000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ 100000 E,L, DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certifcate hoJ.der shaJ.J. be additionaJ. insured for J.iabiJ.i ty . (Managers, Lessor of Premises) CERTIFICA TE HOLDER I Y I ADDITIONAL tNSURED; INSURER LETTER: CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlO~ Monroe County Board of Comm. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ...l.5- DAYS WRITTEN Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Maria DeJ. Rio IMPOSE NO OBLIGATlON..9.lU:!ABILITY OF ANY KIND UPON THE INSUR~ ITS IIGE).tsOR 1100 Si.monton Street Key West FL 33040 REPRESENTATIVES.,/' ' ',~I'l AI J ""'* ;.'i:~,;;."'"'' AUTHORIZED REPRE~!'!I'r .\ Ci.- '. _ if :L.. rJil.'i, ;;i , $ I th. J" '-" ...-' "l. /ff /..,~/ V Dani.eJ. L. Smi ;~., . ACORD 25-S (7197) @ACORDCORPORATION 1988 ACORQM CERTIFICAT~ OF LIABILITY INSURJ....JCE I DATE (MM/DDIYY) OS/20/2003 PRODUCER (516)822-6550 FAX (516)822-6564 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Prince Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 183 Broadway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hicksville, NY 11801 INSURERS AFFORDING COVERAGE Isabelle Carpentier INSURED HUMANE ANIMAL CARE COALITION INC INSURER A: St. Paul Fire & Marine 283 Saint Thomas Avenue INSURER B: Hartford Insurance Co. Key Largo, FL 33037 INSURER c: INSURER D: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER P6'.k+~~~~~~8,wf Pg~!fl(~~~N LIMITS LTR ~NERAL LIABILITY BL01359167 04/01/2003 04/01/2004 EACH OCCURRENCE $ 1,000,00(] X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 300,00(] I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 10,00(] A PERSONAL & ADV INJURY $ 1,000,000 - 2,000,000 GENERAL AGGREGATE $ - 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ I ,nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY 12UECUI7468 04/01/2003 04/01/2004 COMBINED SINGLE LIMIT - $ 1,000,00C X ANY AUTO (Ea accident) - - ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS (( \~EN1 B I-- HIRED AUTOS ~I BODILY INJURY I-- $ NON.OWNED AUTOS APP V BY (Per accident) I-- ., CJi - PROPERTY DAMAGE I-- BY --.----71Tu1_ nJ (Per accident) $ GARAGE LIABILITY " AUTO ONLY - EA ACCIDENT $ DATE __'-~ .---t, R ANY AUTO ..-- ~ V;}T n OTHER THAN EA ACC $ WAIVER NIA- AUTO ONLY: AGG $ EXCESS LIABILITY ~' I~ i EACH OCCURRENCE $ ~ OCCUR 0 CLAIMS MADE ~'~f AGGREGATE $ 1J1~ $ ~ DEDUCTIBLE I $ RETENTION $ 'C7 $ WORKERS COMPENSATION AND 12WECGZ9346 04/01/2003 04/01/2004 I TORY LIMITS I 10J~- EMPLOYERS' LIABILITY EL. EACH ACCIDENT $ 100 , 00(j B EL, DISEASE - EA EMPLOYEE $ 100,000 EL. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATlONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertificate holder is included as Additional Insured Managers/Lessor of Premises at Loc.H1 '83 St. Thomas Ave., Key Largo, Fl. 33037 C "f>j : o ViC\. VI C-L. CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of Comm. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Attn: Risk Manager ...1L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1100 Simonton St. BUT FAILURE TO MAIL SUCH NOTl;A;:SHA~~~E NO OBLlGATI~:;1. LIABILITY Rm 2-2-68 OF ANY KIND UPON THE COMPANY T AG OR REPRlSENTATI , ~ l.---- Key West, Fl 33040 AUTHORIZED REPRESENTATIVE ~~ I f/ ___ Isabelle CarDentier ~------ ACORD 25-S (7/97) rCORD CORPORATION 1988 'J-\ 0 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(IIIIIDDIYY) no 03/25/2004 PRODUCER (516)82)-6550 FAX (516)822-6564 'MAMAIICK~ .. ONLY AND CONFERS NO RlGHT8 UPON THE CERTIFICATE Prince A~~ociates, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 183 Broadway ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. Hicksville, NY 11801 INSURERS AFFORDING COVERAGE Isabelle Carpentier INSURED HUMANE ANIMAL CARE COALITION INC INSURER A: St. Paul Fire" Marine 283 Saint Thomas Avenue INSURER B: Hartford Insurance Co. Key largo, Fl 33037 INSURER c: INSURER D: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I'L'TR TYPE OF INSURANCE POUCY MJIlBER "DATi '(IIIIIDDIYY) ~ UIIIT8 DATE (IIIIIDDIYY) GEPERAL LIABIUTY BlO1359167 04/01/2004 04/01/2005 EACH OCCURRENCE $ 1,000,00(J ~ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 300,00(J I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ 10,00(J A PERSONAL & ADV INJURY $ 1,000,00(J t-- GENERAL AGGREGATE $ 2,000,00(J t-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 2,000,00(J n .nPRO- n POLICY JECT LOC AUTOMOBILE UABIUTY 12UECUI7468 04/01/2004 04/01/2005 COMBINED SINGLE LIMIT ~ ANY AUTO (Ea accident) $ 1, 000, OO(J t-- ALL OWNED AUTOS BODILY INJURY I--- $ SCHEDULED AUTOS (Per person) B t-- HIRED AUTOS BODILY INJURY t-- $ NON-OWNED AUTOS (Per accident) I--- APP~~ L1~)~\ t-- M~~G5MEN1 PROPERTY DAMAGE $ (Per accident) GARAGE UABIUTY Of (f~{)j AUTO ONLY - EA ACCIDENT $ R ANY AUTO DATE ~- OTHER THAN EA ACC $ '\. .' / AUTO ONLY: AGG $ EXCE88 UABlUTY '~: I 10 I EACH OCCURRENCE $ tJ OCCUR D CLAIMS MADE 'y AGGREGATE $ I' . C ' '-'1 ~ $ R DEDUCTIBLE , .a ~tt, $ RETENTION $ le'Lf ~ $ WORKERS COIIPEN8A11ON AND 12WECGZ9346 04/01/2"004 04/01/2005 I TORY LIMITS I rER- EIIPLOYERS" UABIUTY B E.L. EACH ACCIDENT $ 100,00t E.L. DISEASE - EA EMPLOYE $ 100,00t E.L. DISEASE - POLICY LIMIT $ 500,00t OTHER DESCRIP110N OF OPERA11ON8/L0CA11ON8IVEHICLElIIEXCW8IONS ADDED BY ENDOR8EIIENTIlIPECIAL PROVI8IONS ~ertificate holder is included as Additional Insured Managers/lessor of Premises at loc.l1 ~83 St. Thomas Ave., Key largo, Fl. 33037 C";P~. . ~ Q....11.. C (,. // .' CERTIFICATE HOLDER I I ADDfTlONAL INSURED; INSURER LETTEJV'" CANCELLATION c_./ IHOULD All'( OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of EXPIRA110N DATE TH7~'NG COIII'AII'(W1LLENDEAVOR 10 IIAIL Attn: Risk Manager -l.O.- DAft WRITTEN 10 E CERTIFICATE HOLDER NAIlED 10 THE LEFT 1100 Simonton St. BUT FAILURE 10 IIAIL SUCH ~ NO 08UGA~N OR LIABIUTY . Rm 2-2-68 OF All'( KIND UPON THE COII"~ I OR REPRESENTA~. ~ Key West, Fl 33040 ........-.",. .N j) ~ Isabelle CarDentier f ~'t""'/f A. .. . , l/ V' v V IBM 10/05/2004 13:26 5~ 6~226564 PRINCE ASSOCIATES jCDRi CERTIFICATE Of LlAB1LlTY INSURANCE PAGE 02/1212 T DAte (IIMlDDNT""fl 10/05/2004 lnti)B,~-15.sSO -,:~ (S16)822-6S64 TH~8 CERTIFICATE 18 -,SSUED ,.,s A OF lNfY-!WATION ONL ~ ANP CONFERS NO RIGHTS UPON T"IE CERTIFICATE prince Associates. Inc. KOLDER. TH15 ClERTIFICA1'E DOES NOT AIIEND, EXTEND OR 133 Broadvr.lY ALTER ntE COVERAGE AfFOttQED BY THE POLICI68 BELOW. Hicksville. NY 11801 IN8URERS AFfORDING coVERAGE MAle. INSUlteD HlJtI'IANE ANDlAL tARE COALITION tNC ll'lSuf'ER fI:. St. Paul Travelers 1.ns. Co. 283 Saint Thomas Avenue tNSURER B: Hartford Insurance Co. \ Key Largo, FL 33037 INSURER C, INSURER D; INSURER E: Tt1E POLiciES OF ''''''.....CE uS"TEO 8E\.OW ""VE BEEN ISSUED lO Tt1E INSURED ......0 ".cNE FOR THE poLICY _00 """CATEO. NDlWITHST""''' """ REQUIREMENT. 'ERM OR CONOfTlO. OF """ CO""",,,T OR Q'THER DOCUMENT WITH RES..CT '0 "",IeH Tt11S CERTIFICATE MAY BE 'SSuED OR MAY ,,"",.. Tt1E ..."""""'" AfFQROOO BY "TIE POUCIES DES""'BEO HERE'. IS sUBJECT TO ALL'rHE -rsRMS. ""ClUSIO.. AND coND1T1or<S OF suCH POI.ICIES. AGG~GATE L.IM1TS SHOWN MAY H,l.VE BEEN REDUCED BY PAID CLAIMS. ~ _aF_- _-....- .."'..."c ~.-.n" BLOl728526 04/01/2004 04/01/2005 .=""""" X co""""'''-"''''''' ~_. '~"-' ' \ ~MS M~e 0 oecu' ....... ,My.. ...~) , -- -- -.. ,,,,,, """" . GeNERAl- ,,~E.GATE 5 pRODUCTS' COIo1PIOP p.GG S UIIlTI S 1.000.00 300.00 10.00 1.000.000 2 000.000 2.0oo.00Cl CO~ea A ~ GEN'L AGGReG"TE LIMIT jlPPLles peR: n POLICY n ~~ nLOC AUTOIIQ8It.E IJAIIlU'TT ~ X p.~ P.UTO ~ p.u. OVIINEO AUTOS I-- SCl1eDU\.EO AUTOS ~ tllRED "uTOS ~ NON-oWNeD AUTOS 12UECU1.7468 04/01/2004 04/01/2005 COM811'lEO SING\.F. \.IMI'T (Ea occlclentl $ . 1,000,OOCl ElOOIL y INJUR'f (per pfl/8O!ll s f-- .....- AP.F ~ ~~D E\X.. ~ISK MAN1~GE~ ENT flY. ++,\.. \ '\.l II'" 01)1 J l _~ ..... /, [J1\1 . .___..._~..Td'lb 11lLJ! ~r ~ Wf'\' ER N/A ~YES ,/'" OW llhAT1, - 0~\L~ ), CV;~IJ ~ -- ~, aoOIL y INJUR"\" $ (PO' sccld~ntl PROPEfCN' DAMAGE S (Per aceldentl "UTO ONLY. E" ACC1~NT S OTHER THAN EJI"CC S AUTO ONLY; AGG S EACH ocevAAENCE S AGGREGATE $ 8 ~ UAIllUTl' M Atl'i AUTO IlXCU8ftlIl8ld!L~ L1A8lUTY tK\ OCC\JR 0 CLAlMS MAOE ROEOUCT1BLE RETENTlON $ WORKl!IIS COIIPIlIISATlOII AND EIIl'LO'tI!K.. UAIIlLlTY B ANY PROPR'ETOR/PARTl'lERIEXEClJTlVE OFF\CEFtIUEM6ER EXCLUDED" W yM, cleK!1be unci... . SPECl.AI. PfU)VISlONS ~ CJJ1lER lZWECGZ9346 04/01/2004 04/01/2005 s s S hoR"\" \.IMI'TS I I iJl~' E,L. EACH ACClOENT S E.L. OlSEASE . EA EMPlOYEE S E,\.. DISEASe - POL-ICV UMIT S 100 001 100,00 500.00 ..~Cftll'Tlatl OF OPERATKHIlI II.OCATlUtl rlUnroe County Board of ec::.,.t~~~":"IOIII.ADDeo""f-"DDRllEIIl!tlTllll"E!ClALPROV1 .. agreed t. by a s;gned wrltt .- as Add;t;..a' :rnsu....d 1. 'R.9ards en contract or agreement. to Animal Control and only C:~'. -g~ CERllFICATE HOLDER ~4) CANCELLATION BHOULO AIff OF THE ABOVE DESaI EJd'IRA11ON DA'n'ntl!! 11m POL-raESIE CANCELLED IIeI'OIE THE I'!OfI. THE ISNING INIII ....lO...- DAYlI VIIUTTEN NOnce TO Rat 'IIIILL ENOEA~ 10 IIAIL TMI! ~'TI! FAIL MAIL IUCH .-.. HQLDl!R MIII!D 10 ntE LI!I'T "" lICE IItALL IIIfIOlE lID · OF IG UPON 'ntll lNIIUAER OBUGATlON OR UABlUTY a .lT8AGENTllaR ~ !IITA ATTVES. Monroe County 50 d Attn' Risk M ar of Comm 11. anager 00 Simonton Street Room 2-2-68 K@y West, Fl 33040 ACORD 2& (2OO11H) ClW'CORD CORPORATION '1 02/14/2005 11:20 5168226564 PRINCE ASSOCIATES PAGE 08/08 ACORQ" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlODIVYYY) 02/11/2005 FOROOUCER (516)822-6550 FAX (516)822-6564 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Prince Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 183 Broadway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hicksville, NY 11801 INSURERS AFFORDING COVERAGE NAIC# INSURED HUMANE ANIMAL CARE COALITION INC INSUFlF.F:^: St. Paul Travelers Ins. Co. 283 S~int Thomas Avenue INSURER B: Key largo, Fl 33037 INSUReR C: INSURER 0: INSIJRER E: COY TH.EPOUCres OF INSURANCE LISTED BELOW HAVE BeEN ISSUED iO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NO'TWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PEfU'AlN. THE INSURANCE AFFORDED BY THE POLICIES OESORIBED HEREIN IS SUBJECT iO ALL THE iERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS , INSR ADO'L P~HSY EFFECTIVI: P~~'fl EXPIRATION ..,,- TYPE OF INSURANCE POLICY NUMBER UMITS GENERAL LIABILITY BL02057639 04/01/2005 04/01/2006 EACN OCCURP.!'NCE $ 1,000,000 ~ X COMMERCIAL GENERAL LIABILITY DJlMAGE TO RENTEO s 300,000 I ClAIMS MADE 0 OCCUR MED EXP IAny en. pR"'o^l $ 10,000 A PERSONAL" ADV INJURY $ 1,000,000 I-- GENERAL AGGREGATE $ 2,000,000 - GEN'L AGGREGATE LIMn' APPI.IES PER: PRODUCTS - COMP/OP A13G S 2,000,000 h .nPRO. nLOC POLICY JEC T I AuTOMOBILE LIABILITY .' COMBINED SINGLE LIMIT I >-- 3 I ANY AUTO (Eo oeeido^l) >-- f- ALL OWNEO AUTOS BOOIL Y IN,I\IRY $ SCHEDULED AUTOS (Per person) I-- - HIREO AUTOS BODILY INJURY (Per A,eldonl) $ - NON.OWNED AUTOS - PROPERTY DAMAGE S (P9r ~ccldll/'lL) ~RAGe UASILlTY APF t~'..~::: K iv . NAGEMEi ; ~TO ONLY. EA ACCIDENT S ~ ',.. oj' ,-, t". " ANY ALlTO 2;rIo4ER ll-IAN fA Ace $ BY. ~. .... .' , TO ONLY: AOO $ ~E911'UMBRELLA LIAB1UTY DAT ' -,..~d:..:dL ~Q::L._,__ EACH OCCURRENCE $ OCCUR D CLM.IS MAoE 'fR NIIl ~L:E((w: N;GREGATE $ WAI ,_, l .,.t '\ ~,'~'_ S R OEDUCTIIILE C $ RF.TENTION S ~~. ^ ~ WORKERS COMPfNSATrON A.ND U ' ~J l.lo I.,.~~~;~J&:~ I !O;~' EMPLOYERS' L1ABIUTY " ---- EL. EACH ACCIDENT $ ANY PROPRIETOAJPARTNEFVE)CECUTlVE OFFICEFlIMEM9ER EXCLUDED? E.L. OISF.,ll.SE . EA EMPLOYEE $ II re~' da~e(,bo unCer E.L. OISEASF. ,POLICY LIMrr $ S ECIAL PROVISIONS l)elow OTHER DESCRIPTION OF OPERATIONS / LOCATIONS/ veHICLES' EXCLUSIONS ADDEO BY ENDORSEMENT 19PECI,ll.L PI:OVISION9 :ertificate Holder is named as an Additional Insured with regards to "An; mal Control .. and only as agreed to by a signed written agreement/contract. / c...c....~ c E c C SHOUl.D ANY OF THE A8DVE oeSCRIBED POLlCIES Be CANCELLED BEFORE THE EXPiRATION CATE Tl1EREOF, THE ISSUING INSURER WILL ENCEAoVOR TO MAIL .2.2.- DAYS \\IRI TEN NOT1ce TD THE CERTIFICATE HOLDER N"MI!D TO THe LEFT, BUT AI URE"'O M L SUCH NO"CE SHALL IMPOSE NO OBl.IGATION OR LIABILI'J'f Monroe County Board of Comm;ssions Attn: Risk Manager 1100 Simonten Street Room Z-2-68 Key west, FL 33040 era' ACORD 25 (2001/08) @ACORD CORPORATION 1988 05/09/2005 10:31 5168226554 PRINCE ASSOC PAGE 02/06 ACOBA CERTIFICATE OF LIABILITY INSURANCE 1 DATE IMM/DDIYVY'f1 05/06/2005 PRODUCER (516)822-6550 FAX (516)822-6564 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Prince Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 183 Broadway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hicksville, NY 11801 INSURERS AFFORDING COVERAGE NAIC# IIlSUI\EO HUMANE ANIMAL CARE COALITION INC INSURER A: St. Paul travelers Ins. Co. 283 Saint Thomas Avenue INSURER e: Hartford Insurance Co. Key Largo, Fl ~3037 INSURER c: INSURER 0: INSURER E: coveAAGE~ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABove FOR THE POLICY PER10D INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY OONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, eXCLUSIONS AND CONDITIONS OF SUCH pOLICies AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'NSR /IollO'L TYPE OF INSURIINCe POLICY NUMBER P.P.!J.,B,Y EFFECTIVe "OLICY EXPIRATION LllolrTS GENERAL UA81Lm' BL02057639 04/01/2005 - X COMMERCIAL GENERAL LIA9U.lTY l CLAIMS MADE 00 DCCUFl f.--- GEN'L AGGREGATE LIMIT ""PLIES PER: I PDLICY n ~:8T n LOC ~TOr.ll08ILE U/lBlLITY ...!. ANY AUTO _ ALl. OWNED AUTOS B _ SCHEDUI.F.D AUTOS _ HIRED AUTOS ~ NON.OWNED AUTOS ~ 04/01/2006 EACH OCCURRENCE S 1,000.000 oAMAOETO RENTEO . 300 , OO(] MEO EXP (Any ana p41l"11anl $ 10,OOCl PERSDNAL & AOV INJURY S 1,000,000 GENERAL ^GGREGATE S 2,000.000 PRODUOTS . COMP/OP AGG ,. 2 OOO,OOCl A 12UECUI7468 04/01/2005 04/01/2006 COMBINEO SINGLE LIMIT (EG ~CClcI.ntl $ 1.000,000 BODILY INJURY (p~r pa'~anl , APF)~Y€D&~RI iK MA'1'JAGEMENT BY D1 L. "iJn. · LL. ) ... .~~ '~ - ')..../') e::, ...,,,, eOOll Y INJURY (Per accldenll s PROPERT"( DAMAGE (Per llCCidenl) ~ ~ LIABIUT1 I fW'( AUTO ~ESS'UMeRELLA LlA81UTY ......J DCCUA 0 CLAIMS MACE RDECUCTIBlE RETENTION S WORJ<6R9 COMPENSATION AND EMPLOYERS" LIABILITY 8 ANY PRDPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ~~M.t8~~bOJiS?~~S bel"'" OTHER WAIVER N/A ~~.___YES (\ _ . rrL () D-~,.~rn M r.n+:, AUTO atoll Y . Et. ACOIDENT $ EA Ace I OTHER THAN AUTO ONLY: AGG t EACH OCCURRENCE . AGGREGATE S S S $ 12WECGZ9346 04/01/2005 04/01/2006 I we ST^TU' I IOJ~. E,L, EACH AOCIDENT $ E,L. OISEASE. EA EMPLOYEE S e,l, DISEASE. PO\.ICY LIMIT S 100.000 100~OOO 500 000 oesCRIPTlDN OF OPERATIONS I LOCATIONS I VEHICLes I EXCI.USIONS ADDIiD BY ENDORSEMENT I SPECIAL PROVIStONS ~ertificate Holder is included as Additional Insured with regard to Animal control and only as agreed to by a signed written agreement/contract. c C Monroe County Board of Commissions Attn: Risk Manager P.o. Box lOZ6 Key West, Fl 33041-1026 J ACORD 25 (2001(08) Cc... :~ SHOULD /lilY OF THE ABOVE DesCRIBED POUCII!S BE CAlIICELLI!D BEFORE T\oIE EXPIRATION DATE THEREOF, THE lSSulMGlINSURER WILL END!!AVOR TO MAIL ...12- DAYS WRI N NOTICE TO THE CERTIFIC/lTE HOLDE~ NAMED TO THE LEFT, BUT FAIL SuCfI NOTICE SHALL IUPOSI! NO OBuQATION OR L1ABIUTY OF ANY ND NT E INSUReR. ITS AGENTS OR Rl!PRESENTATlVES. AUTHORlZI!D REI' E Crai ~ACORD CORPORATION 1988 AGO~DTM CERTIFICAT'- OF LIABILITY INSURf \ICE I DATE (MMIDDNY) OS/20/2003 PRODUCER (516)8,22-6550 FAX (516)822-6564 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Prince Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 183 Broadway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hicksville, NY 11801 INSURERS AFFORDING COVERAGE Isabelle Carpentier INSURED HUMANE ANIMAL CARE COALITION INC INSURER A: St. Paul Fire" Marine 283 Saint Thomas Avenue INSURER B: Hartford Insurance Co. Key largo, Fl 33037 INSURER c: INSURER D: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER Pgl+~~i~~ggWr Pgk!fl/~J;~~N LIMITS LTR GENERAL LIABILITY BlO1359167 04/01/2003 04/01/2004 EACH OCCURRENCE $ 1,000,00(J - X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 300,OO(J I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ 10,000 A PERSONAL & ADV INJURY $ 1,000,000 - 2,000,000 - GENERAL AGGREGATE $ GEN'L AGGREnE LIMIT APPLIES PER: PRDDUCTS - COM PlOP AGG $ 2,000,000 I PRD- n POLICY JECT LOC AUTOMOBILE LIABILITY 12UECUI7468 04/01/2003 04/01/2004 COMBINED SINGLE LIMIT I-::-,- $ X ANY AUTO (Ea accident) 1,000,00(J - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) B - HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (Per accident) - "('pAN~~E ~. .~"'. A,. ~ ~T PROPERTY DAMAGE $ ~1l': \ (Per accident) ~GE LIABILITY BV 't\.1+'~1 Vfl '..Ll.?J. AUTO DNL Y - EA ACCIDENT $ ANY AUTO J~ --l)?; OTHER THAN EAACC $ DATE _._-,,~...-. / ~ AUTO ONLY: AGG $ EXCESS LIABILITY WAIVEr\ N/A_ b_ v~~ / I h AU~ EACH OCCURRENCE $ W OCCUR D CLAIMS MADE /~ .., 1 '/) AGGREGATE $ :~~L nD: $ H DEDUCTIBLE tL IQ $ RETENTION $ $ ;.. WORKERS COMPENSATION AND 12WECGZ9346 04/01/2003 04/01/2004 I TORY L1MITST IOd~- EMPLOYERS' LIABILITY E.L EACH ACCIDENT $ 100,000 B E.L DISEASE - EA EMPLOYEE $ 100,000 EL DISEASE. POLICY LIMIT $ 500,00(J OTHER DESCRIPTION OF OPERATlONSlLOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertificate holder is included as Additional Insured Managers/lessor of Premises at loc.#l 105951 Overseas _HW Key largo, Fl. 33037 CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of COIMl. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Attn: Risk Manager ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1100 Simonton St. BUT FAILURE TO MAIL SUC)~j: S~%~OSE Z~BLlGATlON OR LIABILITY Rm 2-2-68 OF ANY KIND UPON THE CO PANY ITS ENTS OR PIJESENTATlVES. Key West, Fl 33040 AUTHORIZED REPRESENTATIVE '\.j~~~ Isabelle CarDentier y ACORD 25-S (7/97) I' f @ACORD CORPORATION 1988 ACORQ" CERTIFICATE OF LIABILITY INSURANCE r DATE (MMlDDIYYYY) 03/14/2006 PRODUCER (516)822-6550 FAX (516)822-6564 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Prince Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 183 Broadway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hicksville, NY 11801 INSURERS AFFORDING COVERAGE NArc # INSURED HUMANE ANIMAL CARE COALITION INC INSURER A: St. Paul Travelers Ins. Co. 283 Saint Thomas Avenue INSURER B: Hartford Insurance Co. Key largo, Fl 33037 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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~~~ ~~~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION LIMITS GENERAL LIABILITY I6609146H762COF06 04/01/2006 04/01/2007 EACH OCCURRENCE $ 1,000,000 rx COMMERCIAL GENERAL LIABILITY DAMAGE TD RENTED $ 100,000 I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $ 2,000,000 - 2,000,00<J GEN'LAGGREGATE LIMIT APPliES PER: PRODUCTS - COMPIOP AGG $ I POLICY n ~f8r n LOC AlITOMOBILE LIABILITY 12UECUI7468 04/01/2006 04/01/2007 COMBINED SINGLE LIMIT 7 ANY AUTO (Ea accident) $ t-- 1,000.000 ALL OWNED AUTOS BODILY INJURY '-- $ SCHEDULED AUTOS (Per person) B I-- HIRED AUTOS \"n1.~(; CI,~'-~ Er iT BODILY INJURY I-- i'i"'-'<, ,';":: I $ NON-OWNED AUTOS ) ---- -_.~:..- 01\ I J:: (Per accident) - . I. -_. '... PROPERTY DAMAGE I-- .~ - ,.::)( -1'"11.. (Per accident) $ nk" ~GE UABIUTY ',- -:1 --. - AUTO ONlY. EA ACCIDENT $ ANY AUTO WAlvr:,' 'b YFf:' EAACC $ '..... .-".-'-- n.O_ OTHER THAN AUTO ONLY: AGG $ - \ ExCESSIUMBRELLA L1ABIUTY {)~5 - li- EACH OCCURRENCE $ tJ OCCUR 0 CLAIMS MADE ({). AGGREGATE $ C"" ~ rf1c&Z ~ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 12WECGZ9346 04/01/2006 04/01/2007 -1T~~~TfJ.\!~ I IOJ~- EMPLOYERS' UABIUTY B ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ lOO,OOC. OFFJCERlMEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $ 100, 00l mscl~~r:ov':s?6~s below E.L DISEASE. POLICY LIMIT $ 500 OO( OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS erti fi cate Holder is included as Additional Insured with regard to Animal Control and as agreed to by a signed written agreement/contract. . CERTIFICATE HOLDER Monroe County Board of Comnrission Attn: Risk Manager 1100 Simonton Street Room 2-2-68 Key West, Fl 33040 CANCELLATI N SHOULD ANY OF TliE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TliE EXPIRATION DATE THEREOF, TliE ISSUING INSURER WILL ENDEAVOR TO MAIL ..lQ.... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAl CH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY KI ,0 UPO THE. SURER, ITS AGENTS OR REPRESENTATIVES. R NTA ACORD 25 (2001/08) / . c::;.c......~ Crai @ACORDCORPORATION1988 PRODUCER (516)822-6SS0 Prince Associates" Inc. 183 Broadway Hicksville, NY 11801 FAX (516) DATE (MM/DDlYYYy) 03/15/2007 ->HIS~EfH'lFIOAT-EIS ISSUED AS A MATTER OF INFORMATION R C t" :-1~/JIt'r!~NO CONFEFlS NO RIGHTS UPON THE CERTIFICATE L. " ~ PllR. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR .__..u...:_ ..-AHERTHE-j;OVEFt4GE AFFORDED BY THE POLICIES BELOW. ACORD .. CERTIFICATE OF LIABILITY INSURANCE '",UREO HUMANE ANIMAL CARE COALITION INC 283 Saint Thomas Avenue Key Largo, FL 33037 ",~0~!~ mS~"i G COVERAGE Insurance Co. NAIC# COVERAGE~ THE POLICIES OF INSUfU\NCE 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 INSUHANCE 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 DO' TYPE OF INSURANCE POLICY NUMBER P.?H~ EFFECTIVE POLICY EXPIRATION lJMITS _~ERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL CENERAL LIABILITY DAMAGE TO RENTED $ I CLAIMS WIDE 0 OCCUR - MED EXP (Anyone parson) . ~ PERSONAL & ADV INJURY $ GENERAl AGGREGATE $ - GEN'L AGG:Er~r UMfT APPLIES PER PRODUCTS - COMP/OP AGG $ I PRO- n, POLICY JECT LOC ~TOMOBILE LIABILITY 12UECUI7468 04/01/2006 04/01/2007 COMBINED SINGLE LIMIT (Eaaccident) . ~ ANY AUTO 1,000,000 - ALL OWNED AUTOS BOOIL Y INJURY lPerpafSon) $ A X SCHEDULED AUTOS HIRED AUTOS BODILY lillJURY T (pElfaccidenll $ -'-'- NON.OWNEDAI)TOS - .-/\ {'" h n ..J PROPERTY DAMAGE $ (Pereoodenl) ~RAGE UA.'UTY . .'PI~ AUTO ONLY. EA ACCIDENT . ANY AUTO .~-ol OTHER THAN EA ACC $ AUTO ONLY: AGG $ :.5ESSlUMBRELlA LJABILITV ~ }. EACH OCCURRENCE . OCCUR [J CLAIMS MADE ((II AGGREGATE $ ~ . R OEDUCnSLE . -; ,'0: $ RETENTION . ' " I. ' . WORI<ER5 COMPENSATION AND '- ,-" I ~~{Ln~J,~;, I IOJ,;'- EMPLOYERS' LIABlL.ITY ~l\ ~ . ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E,e DlSEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS bl,lloll'{ EL DISEASE. POLICY LIMIT $ ~ER. Damage 12UECUI7468 04/01/2006 04/01/2007 Deduct i b 1 es: A P YSlcal Comprehensive: $250 Collision: $250 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHJCLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAl. PROVISIONS ertificate holder is Additional Insured & Loss Payee with respects 2007 Ford Cargo Van IFTNEl4W8 7DA46030.. CC . ~i~",c~ CERTIF ATE HOLDER CANCE TION Monroe County Board of Conmissioners Att: Ri sk M,anager 1100 Simonton Street Rm 2-2-68 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.LED BEfORE THE EXPIRATION DATE THEREOf, THE ISSUING INSURER WILL ENDEAVOR TO MAIL. ~ DAYS WRITTEN NonCE TO THE CERTIFlCATE HOL.DER NAMED TO THE LEfT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR L.IABILITY OF AWf K1NO UPON THE INSURE AUTHORlZED REPRESENTATIVE Linda Godnick @ACORDCORPORATION 1988 ACORD 25 (2001/08) PRODUCER (516)822-6550 Prince Associates. Inc. 183 Broadway Hicksville, NY 11801 FAX (516)822-6564 REeDV DATE IMMlDDNYYYj 03/30/2007 CATE IS ISSUED AS A MATTER OF INFORMATION NL Y AND C NFERS NO RIGHTS UPON THE CERTIFICATE LDER. TH CERTIFICATE DOES NOT AMEND, EXTEND OR THE OVERAGE AFFORDED BY THE POLICIES BELOW. Af,.;(.;B}) ,. CERTIFICATE OF LIABILITY INSURANCE 'NSURED HUMANE ANIMAL CARE COALITION NC 283 Saint Thomas Avenue Key Largo, FL 33037 RDING COVERAGE aul Travelers Ins. Co. ord Insurance Co. NAIC# ---..--- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLlCIES 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 ~!-l~, POLICY EFFECTIVE POLICY EX~IRAllON -- TYPE OF INSURANCE POLICY NUMBER LIMITS GE~ERAL LIABIUTY 16609146H762COF06 04/01/2007 04/01/2008 EACH OCCURRENCE $ 1,000,000 I- ...! OMMERCIAL GENERAL LIABII.ITY DAMAGE TO RENTED $ 100,000 \A - CLAIMS tl!.'>'OE 0 OCCUR MED EXP (Anyone person) $ 5,000 I PERSONAL & /lDV INJURY , 1,000,000 GENERAL AGGREGATE , 2,000,000 -- I GEN'L AGGREGATE LIMIT APPlIF.S PER PRODUCTS - COMPIOf> AGe , 2,000,000 -'l-, ,n rRO --~I , POLICY JECT LOG ~TOMOBILE LIABILITY 12UECUI7468 04/01/2007 04/01/2008 COMBINED SINGLE LIMIT , ~ ANY AUTO (Eilaccid~f1t) 1,000,000 I- AU. OWNeD AUTOS BODILY INJURY , SCHEDULED Auras {Per person) B l- I- HIRED AUTOS BODilY INJURY \r{\3~"1 J'{& $ NON-OWNED AUTOS (pi:lfaccident) I- - PROPERTY DAMAGE , (Peraccideol) ~RAGE LIABILITY I \\ ~ \.\" aLP AUTO ONLY - EAACCIDENT , my AUTO '{ OTHER THAN EAACC $ if'1 !1 AUTO ONLY: -- AGG , :=JESS/UMBRELLA LIABILITY \ U 111..1 EACH OCCURRENCE $ OCCUR 0 CLAIMS MADE n1 AGGREGATE , (c " , ,.~Dv\ (Y/GW~' , -- ~ OEDUCTI"" <::" , -- RETENTION $ , WORKERS COMPENSATION AND 12WECGZ9346 04/01/2007 04/01/2008 WC STATU- 10J~- EMPLOYERS' LIABILITY 100,000 B ANY PROPRIETORJPARTNERlEXECUTIVE E_L EACH ACClDENT , OFFICER/MEMBER EXCLUOED? EL DISEASE - EA EMPLOYEE $ 100,000 Irye-s, describe under 500,000 SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS J VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS erti fi cate Holder is included as Additional Insured with regard to Animal Control and as agreed to y a signed written agreement/contract. COVERAGES CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of Commission EXPIRATION DATE THEREOF, THE ISSUING INSURER.WILL ENDEAVOR TO MAll Attn: Risk Manager ---1L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1100 Simonton Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABILlTY Room 2-2-68 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, Key West, FL 33040 AUTHORIZED REPRESENTA TlVE Craiq Sherman ACORD 25 (2001IOB) / . c.c..:~ @ACORD CORPORATION 1988 PRODUCER (516)822-6550 Prince Associates, lne. 183 Broadway Hicksville, NY 11801 FAX (516)822-6564 DATE (MM~.oD(YYYYi._ 03/13/2008 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. T RTIFICA TE ODES NOT AMEND, EXTEND OR AL T R THE CO RAGE AFFORDED BY THE POLICIES BELOW. A CORa. CERTIFICATE OF LIABILITY INSURANCE '.SUREO HUMANE ANIMAL CARE COALITION IN 283 Saint Thom;~s Avenue Key Largo, FL 33037 MAR 1 S H ING COVERAGE 1 Travelers Ins. Co. d Insurance Co. NAIC# E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. NOlWlTHST ANDING 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 15 SUBJECT TO All THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POliCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR 00' TYPE OF INSUFtANCE POLlCY NUMBER POLICY EFFECTIVE POLle EXPIRATION LIMITS ~NERAL LIABILITY 16609146H762COF06 04/01/2008 04/01/2009 EACH OCCURRENCE . 1,000.000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED . 100, DOl l ClAIMS MADE 0 OCCUR MED EXP (Any OM perSOfl) . 5,001 A I- PERSONAL & ADV INJURY . 1,000,00l I- GENERAL AGGREGATE , 2,000,000 h'L AGGREGATE LtMlT APPLIES PER PRODUCTS - CDMP10P AGG . 2,000,000 ,nPRO. n POLICY JECT LOC ~OMOBILE LIABIl.ITY 12UECUI7468 04/01/2008 04/01/2009 COMBINED SINGLE LIMIT ~ ANY AUTO {Eaaccident} $ 1,000,001 - All OWNED AUTOS BOOIL Y INJURY (Per person) , SCHEDULED AUTOS B - - HIRED AUTOS BQDll Y INJURY ~.:'~l D~!...~q . I NON-OWNED AUTOS j ,-- L- (Petaccldenl) - ,. ,I PROPERTY DAMAGE A(/"'\X (Pet accident) $ ~~GE "AO'''TY .__.____:.0 _.l.U-. ...... AUTO ONLY-EAACCIDENT $ ANY AUTO 'r ti'._ "t '. n OTHER THAN EAACC . ... " ,"'- I,-/) AUTO ONLY' AGG . OESSlUMBRELLA L1,1\BIUTY U'h' \ EACH OCCURRENCE $ OCCUR CI CLAIMS MADE ~ AGGREGATE $ ~','<: $ --_._.~.- R OEOUCT,BLE ! ~.-.~ . RETENTION " ~~"'~ $ WORKERS COMPENSA nON AND 12WECGZ9346 04/01/2 04/01/2009 J ~"i.s. sT~l,~;" I IOJ~- EMPLOYERS' LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT , 100,000 OFFICERJMEMBER EXCLUDEJ? E.L DISEASE - EA EMPLOYEE $ 100.000 If yes. describa under SPECIAL PROVISIONS belOW El. DISEASE. POLICY LIMIT , 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCA TlONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ~ertificate Holder 1is Additional Insured with regard to Animal Control and as agreed to y a signed written agreement/contract. COVERAGES CERTIFICATE HOLDER CANCEL LA TION SHOULD ANY OF THE ABOVE DESCRIBED POL1ClES BE CANCELLED BEFORE THE EXPIRATION DATE tHEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAil Monroe County Board of Commission ~ DAYS WRITTEN NOTICE TO THE CERTIfICATE HOLDER NAMED TO THE LEFT, Attn: Risk Manager BUT FAILURE TO MAil SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY noo Simonton St.- Rm 2-2-68 OF ANY KIND upoN THE INSURER, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESBNTATlVE / . Craia Sherman ACORD 25 (2001/06) Gc,:--= , @ACORD OR C PORATION 1988 ACORQ. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDtYYYY) 06/01/2009 p~ (516)822-6550 FAX (516)822-6564 THIS CERTFICATE IS ISSUED AS A MAneR OF INFORMATION Prince Associates~ Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TtIS CERTFlCATE DOES NOT AlIENO, EXTEND OR 183 Broadway AlTER THE COVERAGE AFFORDED BYntE POUC1ES BELOW. Hicksvil1e, NY 11801 INSURERS AFFORDING COVERAGE HAle .. INSURED IIJMANE ANIMAL CARE COAlITION INC INSURER A: St. Paul Travelers Ins. Co. l83 Saint ThOllils Avenue INSURER B: Hartford Insurance Co. Key largo, Fl 33037 --- INSURER c: INSURER D: I j ! lNSURfR E COVERAGES THE POLICIES OF INSURANCE USTED BelOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDfTION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTtFlCATE 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 UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. LTR TYPE OF If8URANCE POLICY __ =:=v =" EXPIRA110N LMT8 GENERAL LWIIUTY I6609146H762COF06 04/01/2009 04/01/2010 X COMMERCIAl. GENERAL llABlUiY ct.AIMS MADE D OCCUR A 8 GENERAL AGGREGATE PRODUCTS - COMPlOP AGG ANY AUTO All OWNED AUTOS SCHEDUlED AUTOS HIRED AUTOS NON-OVlINED AUTOS 12UECUI7468! 04/01/2009 04/01/2010 COMBINED SINGlE LIMIT (Ell accid8nl) $ ~------------ __no_ -i-------1,OOO-L- i 80DIL Y INJURY ! s I (Per petSOn) 'lJi\- GARAGE UABIUTY AHYAUTO EXCESS I UMBRELLA LIA8ILfTY I J OCCUR n CLAIMS MADE I ! OEOUCT&..E RETENTION $ WORKERS COIIIPENSATION AND EMPLOYERS' UA8IUTY Y I N AMY PROPRIETORIPARTNERlEXECUllVED ! 8 OFFICERlMEMBER EXCLUDED? (~inNH) . yea. desctbt under SPECIAl. PROVISIONS below I OTHER lZWECGZ9346 04/01/2009 04/01/2010 DESCRIPTION OF OPERATIONS I LOCAlIONS I VENCLES I EXCUISIOHS ADDEO BY ENDORSEIIENT I SPECIAL PROVISIONS BODL Y INJURY (Per 1ICCidenI) $ PROPERTY DAMAGE (Per accident) $ AUTO OMl y. EA ACCIDENT $ EA ACe $ AGO $ OTHER THAN AUTO 0Nl. Y: I EACH OCCURRENCE I $ ! AGGREGATE I S $ --.-.--.--..-- ---"----- $ $ S $ S 100, 100. SOOt ertificate Holder ;s Additional Insured with regard to Animal Control and as agreed to y a signed written agreement/contract. CERTIFICATE HOLDER CANCELLATION SHOULD Atf'f OF TIE ABOVE D1!SCR18ED POLICIES BE CAMr.I:1 11m 8EFORE THE EXPIRATION Monroe County Board of Co.rissions DATE lHEREOF. llfE ISSUING INSURER WILl ENDEAVOR TO MAlI. ~ DAYS WRITTEN Attn: Risk Manager NOTICE TO THE CERTlACATE HOLDER NAMED TO THE LEFT, BUT FAIlURE TO 00 so SHALL 1100 Simonen Street IMPOSE NO 08UGATION OR UABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Room 2-2-68 REPRESENTATIVES. Key West, Fl 33040 AUTHORaEDREPRESENTATIVE I Craig Sherman ACORD 25 (2009101) 6. . cc:~ @ 1988-2009 ACORD CORPORATION. AD rights reserved. The ACORD name and fogo are registered marks of ACORD ACORi CERTIFICATE OF LIABILITY INSURANCE 1 DATE (MM/DD/YYY1) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH /2011 S 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 ADDITI t must a er dorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poll les may re nt. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NEE` Princiates, Inc. 183' Prince A Associates, )1 '. Ext1: (514)822 -6550 1 FAX No): (516)822 -6564 Hicksville, NY 11801 PPRROODUCCEER CUSTOMER ID N: MONROE COUNTY 11 SURER(S) AFFORDING COVERAGE NAIL 0 INSURED RISK MANAG S I. Paul Travelers Ins. Co. HUMANE ANIMAL CARE COALITION INC INSURER B : Hartford Insurance Co. 283 Saint Thomas Avenue INSURER C : Key Largo, FL 33037 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER Monroe Cnty Board REVISION 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. LTR TYPE OF INSURANCE INSR 1 W POLICY NUMBERY EFF POLICY EXP _ INSR GENERAL LIABIUTY (MWDDnYYY) (MM(DDIYYYY) LIMITS I6609146H762C0F06 04/01 /2011 04/01/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES (Ea occurrence) $ 100,000 A MED EXP (Any one person) _ $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: — 1 POLICY JECOT- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 - AUTOMOBILE LABILITY 12UECUI7468 04/01/2011 04/01/2012 COMBINED SINGLE LIMIT $ X ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY (Per person) $ B SCHEDULED AUTOS , bp- BODILY INJURY (Per accident) $ HIRED AUTOS PROPERTY DAMAGE $ — (Per accident) NON -OWNED AUTOS - - �J X 1 $ $ UMBRELLA UAB OCCUR ! 1 EACH OCCURRENCE $ — EXCESS LIAR CLAIMS -MADE — AGGREGATE $ DEDUCTIBLE $ RETENTION $ - WORKERS COMPENSATION $ AND EMPLOYERS LIABiuTY Y/ N 12WECGZ9346 04/01/2011 04/01/2012 I WC STA I I 0TH- TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE B OFFICER /MEMBER EXCLUDED? I I N / A ` (Mandatory E.L. EACH ACCIDENT $ 100,000 y In NH d er 1 + / E.L. DISEASE - EA EMPLOYEE $ 100,Q00 DESC OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 r 44 - 1 - t DESCRIMION OF Certificate H S / L A VE ICLE$ ch ACORD 101, Remarks Schell e, more Is Holder is A Insured w r egard to Animal ontrrol, as agreed by signed written contract. ea .. ` it amt c..& 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 Commissions ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Bisk Manager 1100 Simonen Street AUTHORIZED REPRESENTATIVE Room 2 -2 -68 Key West, FL 33040 Craig Sherman m 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD PDF created with pdfFactory trial version www.pdffactorv.com i ACORD TM CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 05/16/2012 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 NAME: NE Prince Associates, Inc. PA/HCO,NoExt): 516.822 FA N o 1. 516.822.6564 270 Duffy Avenue E-MAIL ss: Suite D PRODUCER CUSTOMER ID #: Hicksville, NY 11801 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Insurance Group HUMANE ANIMAL CARE COALITION INC INSURERS: Hanover Insurance Group 283 Saint Thomas Avenue INSURERC: Hartford Insurance Co. Key Largo, FL 33037 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: Monroe Cnty BOCC 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 S WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM /DD/YYYI() (MM /DDIYYYY) GENERAL LIABILITY I6609146H762PHX1204/01/2012 04/01/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES 100,000 PREMISES (Ea occurrence) CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE _ $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 — 7 POLICY PRO JECT LOC $ { AUTOMOBILE LIABILITY AZY945843200 04/01/2012 04/01/2013 COMBINED SINGLE LIMIT X ANY AUTO (Ea accdent) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ B SCHEDULED AUTOS AP V ^ PROPERTY DAMAGE $ HIRED AUTOS BY (Per accident) NON -OWNED AUTOS W ( 4/A TWA $ UMBRELLA LIAB OCCUR CC. l ,6 kit/ EACH OCCURRENCE $ , EXCESS LIAB CLAIMS -MADE 14:1 Wo AGGREGATE _ $ DEDUCTIBLE $ e RETENTION $ $ WORKERS AND EMPLOYERS' LIABILITY Y / N 12WECGZ9346 04/01/2012 04/01/2013 TORY LIMITS ER ANY C OFFICER/MEMBER EXCLUDED? ECUTIVEn N / A E.L. EACH ACCIDENT $ 100,000 E (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 VEHICLES Attach ACORD 101, Additional Remarks Schedule, It mom space is requi ) Certificate Holder is Ad Ad ona Insured with regard to Animal Contro as agreed by signed written contract. 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 BOCC AUTHORIZED REPRESENTATIVE � � • 5 � � � ;tz 1100 Simonen Street GG •C =T "' Key West, FL 33040 Craig Sherman /DI © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD A CORN, CERTIFICATE OF LIABILITY INSURANCE I DATE (MIAD YYY) 04/03/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY 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()es) 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 Neu of such endorsement(s). PRODUCER CONTACT Prince Associates, Inc. tell Erttl: • 516 822 6550 1 ax ,k,$ 516.823.6564 270 Daffy Avenue - Suite 0 BAWL Hicksville, NT 11801 weak INSLRIER(S) AFFORDING COVERAGE NAIC It INSURED INSURERA: Travelers Insurance Group HUMANE ANIMAL CARE COALITION INC wsuRERa: Hanover Insurance Gre,up 283 Saint Thomas Avenue WSURERC: Hartford Insurance Co. Rey Large, FL 33037 INSURER 0: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: Memrse Caty M of Cm 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 DOCUMEM' 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. L1 TYPE OP INSURANCE I yy - . POUCY NUMBER 1MMDO/YYTYI IMINDWYYYYTI UST$ GENERAL UABIUTM I00091411703P'1113 04/01/2013 04/01/2014 EACH OCCURRENCE $ 1,000,000 CCuMERC AL GENERAL LJABLTY DAMAGE TO RENTED IMAMS-MACE n OCCUR M D PREMISES EXP (Any one ninon) _ $ 1 CL 3 ,000 A PERSONAL & ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE I.MTAPPUES PER: PRODUCTS - CC •AP/OP AGO $ 2,000,000 I POUCY n 7 Loc $ AUTOMOBILE UABIUTY AZY045843201 04101/2013 04101/2014 SINGLE Liar s 1,000,000 Z ANY AUTO BODILY INJURY (Per person) $ — ALL OWNED AUTOS e H scHEDULED AUTOS AP • ;ye ' % $ . 1 ` PROPE INruRr der accident) $ RTY DAMAGE — HIRED AUTOS BY df: Ql'ii� ~ GC' — 4( • MANAGEMENT r,�t (Per accident) ; MONOWNEDAUTOS w' g• Y • � T I, 'C $ UMBREUA UAB OCCUR EACH OCCURRENCE _ EXCESS UAB - CLAMS -MADE AGGREGATE 1 _ DEDUCTIBLE $ — RETENTION $ $ WORKF-RII COMPENSATION AND EMPLOY i TY 121110620344 04101/2013 04/01/2014 2 Y iesMTS 1°114- ER YI C Yc acRT �� Q N IA E.L. EACH ACCIDENT $ 100,000 G (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 100,000 I deaodbe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POUCY UNIT $ S00, 0O0 G ma rate r s rr eure i th r� t Astral - Coe ) as agreed by signed erittea contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIE8 BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Meares Comity Beard of Commissions ACCORDANCE WITH THE POUCY PROVISIONS. Attu: Sisk Manager 1100 Simons Street AUTHORIZED REPRESENTATIVE .turnru 0- Room 2 -2 -08 Rey West, FL 33040 Linda G.dnick/DI a ®1958.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD PDF cr tad with pdfFactory trial version www.odffactory.com L 4- . ACOREP CERTIFICATE OF LIABILITY INSURANCE a /2/ 4 KA T TY) 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 WANED, 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 OCINTACT Li nda Godnick Prince Associates Inc. ExN: (516) 822 -6554 'rm. , (516)822 -6564 270 Duffy Avenue AaDRESS: Suite D INSURERS) AFFORDING COVERAGE NBC 0 Hicksville NY 11801 INSURERA:The Phoenix Insurance Company 25623 INSURED WSURER a : Hanover Insurance Company Humane Animal are Coalition, Inc. INSURER C :Hartford Underwriters Ins Co. 30104 283 Saint Thomas Avenue INSURER D: INSURER E : Key Largo FL 33037 INSURER F : COVERAGES CERTIFICATE NUMBERnroe Cnty Board of Comm 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. LLTR TYPE OF INSURANCE MD POLICY NUMBER (M YYYY) (MMtODIYYYY Y) UNITS GENERAL UAB►uTY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL UABIUTY USES Ms occurrence) $ 100, 000 A I CLAIMS-MADE © OCCUR 26609146576295514 4/1/2015 4/1/2016 MEDEXP (any one person) S 5,000 PERSONAL 3 ADYV INJURY $ 1,000,000 GENERAL AGGREGATE $ • 2,000,000 GE AGGREGATE UMIT APPUES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 -�� i POLICY i 1 T I 1 LOC S AUTOMOBILE UABIUTY CONIBINED SINGLE UMIT $ 1,000,000 (Ea accident/ X ANY AUTO BODILY INJURY (Par person) $ H ALL OWNED SCHEDULED &82945843203 4/1/2015 4/1/2016 BOaLY INJURY (Per accid.r $ HIRED AUTOS — AUTOS D PROPERTY DAMAGE $ (Per accident) Uninsured motorist combined $ UMBRELLA LIAR OUR EACH OCCURRENCE $ EXCESS URI CLAIMS-MADE AGGREGATE $ DED 1 I RETENTIONS i C WORKERS COMPENSATION x 1 C I I I AN EMPLOYERS* LIABI TY ANY PROPRIE1OR/PARTNERIEXECUT 1E n N r A (Mandatory in NH) E.L. EACH ACCIDENT $ 100,000 �RCER�ti 12W L SCGE9346 4/1/2015 4/1/2016 E . DISEASE - EA EMPLOYEE $ 100,000 NH) OF OPERATIONS b EL. DISEASE - PCUCY OMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHIiLES (Attach ACORD 101, Additional Remarks Schedule, I more space Is required Certificate Holder is Additional Insured with regard to Animal Control, /- ja• • signed written contract. 1 A��4 WENT DA v &A - XS = WAI R /A��'ES__ �. 1'I Llf r 6 V 7 I ?I °I(l.) iflAyilJ CERTIFICATE HOLDER " "1 ' 813 ' S4 11 CANCELLATION y N // �d i 7 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE Z :ZI lid . — H 510Z ACC RDA NCE WITH TM POLICY PRO,VISIONSE WILL BE DELIVERED IN Monroe County Bo ard or Comm Attn: Risk Mana ; - , ; t , 1100 Si mo nen S t g r; . J-A d 6 0 J 0311A AUTHORIZED REPRESENTATIVE Room 2 -2 -68 Key West, FL 33 ' C;a" •r.4.r ei...r Linda Godnick /DI ACORD 25 (2010105) ®1983 -2010 ACORD CORPORATION. AU rights reserved. INS025 ninrmni Tha A mon name and Innn am ranietararf m arine of At ARfl ® DATE (MMlDDlYYYY) A /e° CERTIFICATE OF LIABILITY INSURANCE 4/11/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 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 NAME: CONTACT Linda Godnick Prince Associates Inc. PHONE (516) 822 -6550 (A/C, (516)822 -6564 lA /C. No. EXtl: 270 Duffy Avenue ADDRESS: - Suite D INSURER(S) AFFORDING COVERAGE NAIC 8 Hicksville NT 11801 INSURER A :Travelers Property & Casualty 25674 INSURED INSURER 8 Hanover Insurance Company Humane Animal Care Coalition, Inc. INSURER Hartford Underwriters Ins Co. 30104 283 Saint Thomas Avenue INSURERD: INSURER E : ' Key Largo FL 33037 INSURER F : COVERAGES CERTIFICATE NUMBERionroe Cnty Board 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 1NSD' VD POLICY NUMBER ( /Y (NI1W00 YYYYY) LIMITS LTR 1NSD WVD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 A CLAIMS-MADE X OCCUR PREMISES (Ea occurrence) $ I6609146H762TIL16 4/1/2016 4/1/2017 MED EXP (Any one person) $ 5,000 PERSONAL E. ADV INJURY $ 1,000,000 GENT. AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO LOC PRODUCTS - COMP /OP AGG $ 2,000,000 PRO- $ OTHER' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) $ B ALL OWNED SCHEDULED AUTOS AUTOS AZY945843204 4/1/2016 4/1/2017 BODILY INJURY (Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) Uninsured melons( combined $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS L)AB CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X I PER I OTH _ STATUTE 1 ER A ND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNER/EXECUTIVE I (N 1 A E.L. EACH ACCIDENT $ 100,000 OFFICER/MEMBER XCLUDED? C (Manddatoo ry y (n NH) H) 12WECGZ9346 4/1/2016 4/1/2017 E.L. DISEASE - EA EMPLOYEE $ 100,000 In It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 . Lit DESCRIPTION OF-OPERATIONS (LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) Certtficate Hol4i" Additional Insured with regard to Animal Control, as a•.eed by signed written (-- contract." " � Z' - � JO AP• ' ( L r L L rA ►/J` •" " O • C w NA,,G. ES, CC_ : - Fr /i w..r. •-,, _ CER-TIFICATE HOLDEk' CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Cnty Board of Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Risk Manager ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonen Street Room 2 -2 -68 AUTHORIZED REPRESENTATIVE Key West, FL 33040 }7.sct:cz , 0r- z.catis.A. Linda Godnick /DI © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD I NS025 (?01401)