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Certificates of Insurance ACORD,. CERTIFICATE OF LIABILITY INSURANC~~~~lsM I DATE (MM/DDIYY) 10/23/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33122 INSURERS AFFORDING COVERAGE Phone: 305-714-4400 Fax: 305-714-4401 INSURED INSURER A: HARTFORD INS. CO. OF THE SE INSURER B: -- Condo Electric Motor Repair INSURER C: 3615 E. 10TH Court INSURER 0: Hialeah FL 33013 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. II~f~ TYPE OF INSURANCE POLICY NUMBER b~~W7M~:;5W~jE POL~~~FXP!!Y~:r~?N LIMITS DATE MM/DDIYY GENERAL LIABILITY EACH OCCURRENCE $ 500000 f-- A ~ COMMERCIAL GENERAL LIABILITY 21UUNLH6921K3 10/22/02 10/22/03 FIRE DAMAGE (Anyone fire) $ 300000 ::::J CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 f-- PERSONAL & ADV INJURY $ 500000 - GENERAL AGGREGATE $ 1000000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000 I -nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 500000 A ~ ANY AUTO 21UUNLH6921K3 10/22/02 10/22/03 (Ea accident) ALL OWNED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS - ~ HIRED AUTOS BODILY INJURY (Per accident) $ ~ NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ r=I ANY AUTO OTHER THAN EA ACC $ lTlIlGEMENT -- .. J"u:,K MJ AUTO ONLY: AGG $ EXCESS LIABILITY BY II k '\ l//. " L ~ EACH OCCURRENCE $ :=J OCCUR D CLAIMS MADE I If) ~~ lDo AGGREGATE $ I DATE 1$ R DEDUCTIBLE WAIVER NfA K ,rES $ RETENTION $ T ~ $ WORKERS COMPENSATION AND ~'.~ n (/ I TORY LIMITS I IOJ~- EMPLOYERS' LIABILITY ll) 1,': EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ ._-~ E. L. DISEASE - POLICY LIMIT $ OTHER -j O/), 1.}~rJ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE BELOW IS ALSO NAMED AS ADDITIONAL INSURED CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PURCHASING OFFICE 1100 SIMONTON ST ROOM 2-213 REPRESENTATIVES. KEY WEST FL 33040 AUTHO~NTATIVE __ I ACORD 25-5 (7/97) @ACORDCORPORATION 1988 A CORD_ CERTIFICATE OF LIABILITY INSURANC~~~~lsM I DATE (MM/DDIYY) 10/23/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33122 INSURERS AFFORDING COVERAGE Phone: 305-714-4400 Fax:305-714-4401 INSURED INSURER A: HARTFORD INS. CO. OF THE SE -- INSURER B: Condo Electric Motor Repair INSURER C 3615 E. 10TH Court INSURER D Hialeah FL 33013 , 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 SU13JECT TO ALL THE TERMS, EXCLLiSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER E9!.ITi~lfFEC }YE ~t~~~~hl~~l~?N LIMITS LTR DATE MMIDDIYY GENERAL LIABILITY EACH OCCURRENCE $ 500000 - A X COMMERCIAL GENERAL LIABILITY 21UUNLH6921K3 10/22/02 10/22/03 FIRE DAMAGE (Anyone fire) $ 300000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 PERSONAL & ADV INJURY $ 500000 - GENERAL AGGREGATE $ 1000000 - GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1000000 I nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 500000 A ~ ANY AUTO 21UUNLH6921K3 10/22/02 10/22/03 (Ea accident) ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - ~ HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) -----j ---" PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ r=I ANY AUTO OTHER THAN EA ACC $ ^ ,,~~TO ONLY: AGG $ \'"' EXCESS LIABILITY PPR.mD ~ "j'/, IJ.J..~;)" EACH OCCURRENCE $ :=J OCCUR o CLAIMS MADE -AGGREGATE $ ~- \ fl-?,Ul iYS $ =j DEDUCTIBLE lATE ~~es- $ -- RETENTION $ .-... ...., $ WORKERS COMPENSATION AND nl"\l~"" I TORY LIMITS I IUER- EMPLOYERS' LIABILITY -- E.L. EACH ACCIDENT $ -- EL DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER ..-------- DESCRIPTION Of OP.:RA-, iONS/L0CAj',ON5iVcriiGL"S;EXCLUS:G~jS f,;:J:'E::l BY END()RS~Mf:~!T/SPF.r.!AL PROVISIONS THE BELOW IS ALSO NAMED AS ADDITIONAL INSURED CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION BOARD-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN BOARD OF COUNTY COMMISSIONERS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PURCHASING OFFICE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST ROOM 2-213 REPRESENTATIVES. KEY WEST FL 33040 AUTHOR'(V"NTATIVE , - ACORD 25-5 (7/97) / . c.c.:~ @ACORDCORPORATION 1988 A CORD_ CERTIFICATE OF LIABILITY INSURANC~~~~lsM I DATE (MM/DD/YY) 11/07/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33122 Phone: 305-714-4400 Fax:305-714-4401 INSURERS AFFORDING COVERAGE INSURED INSURER A: HARTFORD INS. CO. OF THE SE INSURER B: Condo Electric Motor Repair INSURER C: 3615 E. 10TH Court INSURER D: Hialeah FL 33013 , 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~TR TYPE OF INSURANCE POLICY NUMBER DATt MM/DDIY~ LIMITS EACH OCCURRENCE $ 1000000 10/22/03 FIRE DAMAGE (Any one fire) $ 300000 MED EXP (Anyone person) $ 10000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 PRODUCTS - COMP/OP AGG $ 2000000 GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY 21UUNLH6921K3 CLAIMS MADE ~ OCCUR 10/22/02 LOC A X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS 21UUNLH6921K3 10/22/02 COMBINED SINGLE LIMIT 10/22/03 (Ea accident) BODILY INJURY (Per person) GARAGE LIABILITY ANY AUTO EXCESS LIABILITY OCCUR 0 CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE BELOW IS ALSO U.AlY1ED AS ADDITIONAL INSURED / : - ,." - . Cc.~ CERTIFICATE HOLDER CANCELLATION Y ADDITIONAL INSURED; INSURER LETTER: $ 500000 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ OTHER THAN AUTO ONLY: $ EA ACC $ AUTO ONLY - EA ACCIDENT EACH OCCURRENCE AGGREGATE AGG $ $ $ $ $ E.L. DISEASE - POLICY LIMIT $ MONROE COUNTY BOARD OF COUNTY COMMISSIONERS PURCHASING OFFICE 1100 SIMONTON ST ROOM 2-213 KEY WEST FL 33040 MONRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZ ES NTATIVE ACORD 25-5 (7/97) Lf(7 @ACORDCORPORATION 1988 ACORD~ CERTIFICATE OF LIABILITY INSURANCI;,N8~J~ E~ DATE (MM/DDIYY) 03/31/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33122 INSURERS AFFORDING COVERAGE Phone: 305-714-4400 Fax:305-714-4401 INSURED INSURER A: THE HARTFORD INSURER B: Harbor Specialtv Insurance Co Condo Electric Motor Repair INSURER C: 3615 E. 10TH Court INSURER D: Hialeah FL 33013 , INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. II~~~ TYPE OF INSURANCE POLICY NUMBER ~~~lfiMit:;'5T,l.W I Prl'.k+'E IMMIDDlVYi N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 e- A X COMMERCIAL GENERAL LIABILITY 21UUNLH6921K3 10/22/02 10/22/03 FIRE DAMAGE (Anyone fire) , $ 300000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 - PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2000000 I ,nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ~ $ 500000 A ~ ANY AUTO 21UUNLH6921K3 10/22/02 10/22/03 (Ea accident) ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - ~ HIRED AUTOS BODILY INJURY $ ~ NON-OWNED AUTOS (Per accident) e- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY APPrl D ~ ~ MA~~ME AUTO ONLY - EA ACCIDENT $ R ANY AUTO NT OTHER THAN EA ACC $ RV . r~/// ~ AUTO ONLY: AGG $ EXCESS LIABILITY ~ 117/ b.. -71 D '=? EACH OCCURRENCE $ o OCCUR D CLAIMS MADE DATE ..... 1_ YES AGGREGATE $ WAIVER N/A~ $ ~ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X I TORY LlMrrS I IUJ~- B EMPLOYERS' LIABILITY 995336203 03/31/03 03/31/04 E.L. EACH ACCIDENT $ 100000 E.L. DISEASE - EA EMPLOYEE $ 100000 E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The below is also named as Additional Insured with respects to General Liability and Auto Coverages. CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION MONRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COMM:I SS IONERS PURCHASING OFFICE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST ROOM 2-213 REPRESENTATIVES. KEY WEST FL 33040 AUTHORr. ,t:7NTATlVE I COVERAGES ACORD 25-S (7/97) @ ACORD CORPORATION 1988 vi :7 CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDfYY) ~M 05/10/06 .~RODUCER 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 1175 John Street AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. West Henrietta, NY 14586 INSURERS AFFORDING COVERAGE INSURED INSURER k NEW HAMPSHIRE INSURANCE COMPANY Paychex Business Solutions, Inc. INSURERS CONDO ELECTRIC MOTOR REPAIR CO. INSUAERC 911 Panorama Trail South INSURERD, Rochester, NY 14625 877-266-6850 INSUREAE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUAED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OA OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOADED 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, INSA. POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIODIYY) DATE (MMlDDNY) LIMITS ~ERA1.LIASJUTY EACH OCCURRENCE , COMMERCIAL GENERAL LIABILITY FIRE DAMAGE {Any one tire) , l CLAIMS MADE o OCCUR MED EXP (Any one person) , L- PERSONAL & ADV INJURY , L- GENERAL AGGREGATE , A'LAGGREGArlIT APPlIEn PRODUCTS - COM PlOP AGG , PRO. POliCY JECT coe ~OMOBILFi: LIABILITY COMBINED SINGLE LIMIT I, ANY AUTO (Eaaccidem) L- I L- ALL OWNED AUTOS BODILY INJURY I' (Per person) L- SCHEDULED AUTOS L- HIRED AUTOS .(\\~. I BODILY INJURY I' NON.OWNED AUTOS (Pereccidanl) L- L- ! PROPERTY DAMAGE I . r}.(], v< (PefllCCidenl) , RAGE UAB'LlTY . "-l.. ,;~ AUTO ONLY - EA ACCIDENT , ANY AUTO .. ' I.'.:t,~ ,..-. r:, <;\ r- EAACC $ OTHER THAN AUTO ONLY AGG , , OESS LIABILITY V ~ ~:GD I EACH OCCURRENCE , OCCUR o CLAIMS MADE cO AGGREGATE $ , , :,AtJ~~ $ R DEDUCTiBlE I $ RETENTION , JL , A WORKERS COMPENSATION AND EMPLOYERS' 7656672 06/01/06 06/01/07 X I T~;I~~s I I OJ~- LIABILITY E-L EACH ACCIDENT $ 1,000,000 EL. !)JS8\SE _ EA EMPLOYEE , 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER , , , DESCRIPTION OF OPERATlONS/lOCATIONSlVEHICLESlEXCLUSIONS ADDEO SY ENDORSEMENTISPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR CERTIFICATE HOLDER .. I 1 ADDrrlONALINSUREO; INSURER LETTiR, CANCELLATION SHOULD ANY OF THE ABOVE DESCFlIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION 1100 SIMONTON STREET OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. KEY WEST, FI.. 33040 AUTHORIZED REPRESENTATIVE t:.... ~ 4- USA :r- o ACORD 25-S (7197)/ cmg1e..o : 4-. ~31B248 <::C~ @ ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder. nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-5 (7/97) ACORD. CERTIFICA TE OF LIABILITY INSURANCE CSR SM I DATE (MMlDD!YVVY) COND-01 08/08/03 PRODUCSR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33122 Phone: 305-714-4400 Fax: 305-714-4401 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER .. Ha:~rord Fire In.urane. Co. 'NSURER B Harbox Sp.ai.l~r In.uzanc. Co Condo El.ectric Motor Repair INSURER c' 3615 E. 10TH Court 'NSURER D: Hial.eah FL 33013 INSURER E COVERAGES TI-E POLICIES OF INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING No4Y REQUREMENT. TERM OR CQlII)ITION OF NfY CONTRACT OR OTHER DOCI.Jf"ENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAJol. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS No4D CONDITIONS OF SUCH POLICIES. AGGREGATE L....TS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. "N5R 1"'0'1. POUCY NUMBER P~~~~~~E Pg~':=EYI~.z~~~ UMIT9 LTR NSRD TYPE OF 'NSURANCE GENERAl LIABIUTY EACH OCCURRENCE $ 1000000 - A ~ COMMERCI^L GENERAL UAB'UlY 21UUNLH6921K3 10/22/02 10/22/03 I ~';:fiE~ (E;~~~~~nceJ $ 300000 - ~ ClAJMS IMOE ~ OCCUR MED EXP (Nroj one person) $ 10000 PERSONAL g AfN !/lUURY $ 1000000 GENERAl. AGGREGATE $ 2000000 GEN'L AGGREGATE 1WI1T APPliES PER: PRODUCTS - COIotPIOP AGG $ 2000000 hi nPRO- nlOC POUCY JECT AUTOMOBIIJi LWIIUTY COMll'NEO S'NGLE U.'T I-- $ 1000000 A t-!-- ANY AUTO 21UUNLH6921K3 10/22/02 10/22/03 (Ea aCCident) ~ All OWNED AUTOS BOD'L V INJrnY $ SCHEO\!LED AUTOS (Per person) ~ ~ H'RED AUTOS "GE~N~ BODILY INJURY ''''RISK.fe CPer rf'de~) $ ~ NON-OWNED AUTOS -. APP'\\\l R J IN" 1'1} U)' '".~,.....,.., ) ~ AMAGE BY . .- - (~er accident) $ i ..... GARAGE LIABRJTY DATE - LA ICHlY) AUTO ONl V . EA AeC'DENT $ R ANV AUTO -..". _/ NIA .~_ Y~ S OTHER THAN EAACe $ WAIVER - AUTO ONLY !>OG S OSSlUMBRELLA LIABIJTY ~aJJ,- EACH OCCURRENCE $ OCCUR D ClAIMS MADE OYQ~ Ai::;CPEGATE $ u~ ~ $ R DEDUCTIBLE $ . '/II' RETENT'ON $ 'Q~ ....r $ 11 we STATU- I 10TH- WORKERS COMPENSAnON AND X TORV UM,TS ER B !MPLOY!IlS' UAB1UTY 995336203 03/31/03 03/31/04 $ 100000 ANY PROPR,ETOR.f>ARTNERJeXECUTIVE EL EACH ACCIDENT OFFICERIMEMBER EXClUOED? E l DISEASE - EA EMPLOYEE $ 100000 ll'ye5, descnbe un(ler $ 500000 SPECIAl PRINS'ONS Oelow El DISEASE. POLICY U"'T OTHER 0I!1CAlP110N 0.. OftIltATIONS I LOCATIONS' YMCLIII I!XCLUSIONS ADDID BY INDoRSeMINT I speCIAL P~OVIIIONI THE BELOW IS ALSO NAMED AS ADDITIONAL INSURED AS RESPECTS TO GENERAL LIABILITY INSURANCE CERTIFICATE HOLDER CANCELLATION MONRCOU SHOULD Nl'( OF lHE ABOVE DESCRIBED POUCES BE CANCELLED BEFDRE lHE EXPIRAnON DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 OA YS WRITTEN MONROE COUNTY BOARD OF COUNTY COMMISSIONERS MONROE CO. RISK MANAGEMENT 1100 SIMONTON STREET KEY WEST FL 33040 NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LE". BUT FAlWRE TO DO SO SHALL IMPOSE NO OBllGAnON OR UABIUTV OF ANY MIND UPON THE INSURER. ITS AGENTS OR ACORD 25 (2001/0'> cc:~ @ ACORD CORPORATION 1988 CERTIFICATE OF LIABILITY INSURANCE cofJ!;.o8f4 I DA11!~;7:;~Y~)3 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. Date: 9/5103 10:16 AM Sender's Fax 10: 305-714-4401 ACORD. PROOUCER HBA Insurance Group 2500 NW 79th Ave Suite Hiami FL 33122 Phone: 305-714-4400 101 Page 1 of 1 Fax: 305-714-4401 INSURERS AFFORDING COVEF AGE INSURER A THE HARTFORD - IJ L I 'I- I fIA'H# . - ....... COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDI ~TED. NOTWI~ ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFIC E MAY BE Iss~~~1fAGEMENT MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, EXCLUSIONS SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS, 1'''0'' I""D\' LTR NIRO MONRCOU IMOULD ANY OF '!liE ABOVE DESCRllED POUCIES IE CANCELJ.ED IEFORE '!liE EXPIRATION DA11! THEREOF, '!liE ISSUING INSURER WIll. ENDEAVOR TO MAIL 30 DAYS WIlITTEN MONROE COUNTY BOARD OF - NonCE TO '!liE CERTlFICA11! HOLDER NAMED TO '!liE LEFT, BUT FAlWRE TO DO SO SHALL COUNTY COYMISSIONERS MONROE CO. Rl SK WWAGEMENT IMPOSE NO OBUOATION OR UABlUTY OF ANY KIND UPON '!liE INSURER, ITB AGENTS OR 1100 SIMONTON STREET REPREBENTATlVEB. KEY WEST FL 33040 AUTHORlDO.--,0I.1IYE (U INSURED 'NSURER B: Condo Eleotric Motor Repair 3615 E. 10TH Court Hialeah FL 33013 'NSURER C ---~--' 'NSURER D' INSURER E A TYPE OF INSURANCE ~ERAL UABlUTY X COMMERCIAl GENEPAL UABlur.( - --- '"""] ClAIMS MADE [iJ OCCUR POUCY NUMIER ':Ti ;MMiii'DIYVI Pg~;. ~:o~~~~ 21utJNLH6921K3 10/22/02 10/22/03 I-- A ~L AGGRfGA~I~:-UES ~ I POw(r I I JECT I I LOC ~MO'ILE UABIUTY ~ ANY AUTO 21utJNLH6921K3 10/22/02 10/22/03 I-- I-- ~ X AU. (J'M;ED AUTOS Y'\./ ~ffi~1 APPNO~.cr' ~'\()A.~;~~T BY_____ ..~. ~-<-( 'cr-) DATE -- f-.---'-'T7'-' WAIVER ~.i A_~ .. YES __, r\l.a ((11 rI ~ ."" I. 7 \--~ "71 V 'lfnVtJ {(, v ~ ~~uy SCHEDUl.ED AUTOS HIRED AUTOS NON--iJWNED AUTOS I-- GARAGE UAlIUTY R ANY AUTO EXCESBlUMBIlElJ.A UABIUTY b OCCUR D ClAIMS MADE RDEOUCTlBLE RETENTION $ WORKERS ClOMPENlAnoN AND EMPLOYERS' UABIUTY AN\' PROPRIETORIPARTNERiEXECUTIVE OFF'CERJMEMBER EXCLlIDED? ltyes, describe under SPECIAL PROVISIONS below OTHER A Property - Special 21utJNLH6921K3 10/22/02 10/22/03 BLKT-BLDG/BPP DEllCRlPTlON OF OPERATIONS I LOCATIONS I VEHICLES I EXCWSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVlBIONS THE BELOW IS ALSO NAMED AS ADDITIONAL INSURED AS RESPECTS TO GENERAL LIABILITY INSURANCE CERTIFICATE HOLDER CANCELLATION ACORD 25 (2001/08) / . c..c. : ~ -m--g -lOO3 m_._.__ __ m_ I... UMITi EACH OCCURRENCE I. 1000000 ~~'sEsJ~a_","-cu~~"~.i_ _ _11300000 MEDE><PIAnyon.pe~~n)~ _. Ll_0QQQ_ PERSONAL&ADV'NJUR', i. 10000()0 _.._..._~-.-.._. -_....._-- $ 2000000 $ 2000000 GENERAL AGGREGATE PRODUCTS - COMP/OP ~G COMB'NED S'NGLE UM'T (Ea accident) $ 1000000 BOD'L I' INJURY (Per person) BOD'L I' 'NJURY (Peracckient) $ t---------.--.- PROPERTY DAMAGE (Per aCCident) AUTO ONLY. EA ACC,DENT OTHER THAN AlJTO ONLY EAACC $ N3G $ EACH OCCURRENCE ~GREGATE --- I T6:iyS~~T~ I EL EACH ACCIDENT $ 10TH I E!:_ t-.---. _______ $ E L D'SEASE . EA EMPLO'EE $ E L DISEASE - POUCY LIMIT Prop Tran $50000 $1365100 @ACORDCORPORATION 1988 ACORDN CERTIFICATE OF LIABILITY INSURANCE CSR SM I DATE (MMIDDIYYYY) COND 01 10/17/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI'I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Miami FL 33122 Phone: 305-714-4400 Fax: 305-714-4401 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: THE HARTFORD Condo Electric & Motor Repair INSURER B: Harbor Specialty Insurance Co Condo Electric & Industrial INSURER C: sU~~ll Inc. 36 . 10TH Court INSURER 0: Hialeah FL 33013 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. POLICY NUMBER ~qIdCY E;.~E.E_C.",:~E t-'8k~~Yr~f.C6~J~~N LIMITS LTR NSRC TYPE OF INSURANCE DATECMM/DDIYY GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - 10/22/03 PRE'MISEs (Ea occurence) A X COMMERCIAL GENERAL LIABILITY 21UUNLH6921K3 10/22/04 $ 300000 U CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 t-- PERSONAL & ADV INJURY $ 1000000 r-- GENERAL AGGREGATE $ 2000000 t-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ 2000000 'I nPRO- n Emp Ben. 1000000 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1000000 A X ANY AUTO 21UUNLH6921K3 10/22/03 10/22/04 (Ea accident) - ALL OWNED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS t-- ~ HIRED AUTOS BODILY INJURY (Per accident) $ X NON-OWNED AUTOS / ~EM - AP~f ~ r11 K MAt A ...N1 PROPERTY DAMAGE - ~ (Per accident) $ n. . GARAGE LIABILITY BY I I (~~ () ~ AUTO ONLY - EA ACCIDENT $ q ANY AUTO OAT; __1.7 - EA ACC $ \l V~Q.- OTHER THAN AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY WAIVE'r' , -t". EACH OCCURRENCE $ o OCCUR o CLAIMS MADE AGGREGATE $ $ =1 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I TORY L1Mmi I IU~~- B EMPLOYERS' LIABILITY 099000005336203 03/31/03 03/31/04 EL EACH ACCIDENT $ 100000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 100000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500000 SPECIAL PROVISIONS below OTHER . DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The below is also named as Additional Insured with respects to General Liability and Auto Coverages. C c:> r~ ~r H V\. G\.. Y\ C~ CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS PURCHASING OFFICE 1100 SIMONTON ST ROOM 2-213 KEY WEST FL 33040 MONRO -1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZ ES NTATIVE ACORD 25 (2001/08) @ACORDCORPORATION 1 ACORD,. CERTIFICATE OF LIABILITY INSURANCE CSR SM I DATE (MMIDD/YYYY) COND 01 10/17/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI\ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Miami FL 33122 Phone: 305-714-4400 Fax:305-714-4401 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: THE HARTFORD Condo Electric & Motor Repair INSURER B: Harbor Specialty Insurance Co Condo Electric & Industrial INSURER C: Su~~l2 Inc. 36 . 10TH Court INSURER D: Hialeah FL 33013 -- INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' . LTR NSRC TYPE OF INSURANCE POLICY NUMBER POLI~TNEF;E.E..EJ;lYJE ~k~~YI~~mfJ~~N LIMITS DATE MM/DDIYY GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - UAMAGt: A X COMMERCIAL GENERAL LIABILITY 21UUNLH6921K3 10/22/03 10/22/04 PREMISES (Ea occurence) $ 300000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 PERSONAL & ADV INJURY $ 1000000 - GENERAL AGGREGATE $ 2000000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000 I nPRO- n Emp Ben. 1000000 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1000000 A ~ ANY AUTO 21UUNLH6921K3 10/22/03 10/22/04 (Ea accident) ALL OWNED AUTOS BODILY INJURY - A~~ B~ $ SCHEDULED AUTOS 3,,~A~Ae ME (Per person) - T X HIRED AUTOS - BODILY INJURY $ ~ NON-OWNED AUTOS BY '- ./ -..... -' V' (Per accident) - DATEVJ{)I :14 \ 15? PROPERTY DAMAGE $ , ." (Per accident) GARAGE LIABILITY WAIVER N/A......; ",,--YES AUTO ONLY - EA ACCIDENT $ l ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ ::::J OCCUR D CLAIMS MADE AGGREGATE $ $ l DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I TORY LIMITS I IUEft B EMPLOYERS' LIABILITY 099000005336203 03/31/03 03/31/04 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100000 If yes, describe under $ 500000 SPECIAL PROVISIONS below E:L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The below is also named as Additional Insured with respects to General Liability and Auto Coverages. COf:J : ~1AC\V"I(e.., CERTIFICATE HOLDER CANCELLATION BOARD OF COUNTY COMMISSIONERS PURCHASING OFFICE 1100 SIMONTON ST ROOM 2-213 KEY WEST FL 33040 BOARD-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZ ES NTATIVE ACORD 25 (2001/08) @ ACORD CORPORATION 1 CERTIFICA TE OF LIABILITY INSURANCE I DATE (MMlDD1YY) ACORDrM 05/18/04 PRODUCER 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 430 Linden Avenue AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 Rochester, NY 14625 INSURERS AFFORDING COVERAGE INSURED 'NSURER A: Twin City Fire Insurance Company Paychex Business Solutions. Inc. CONDO ELECTRIC INDUSTRIAL SUPPLY INC 'NSURER B: INSURER c: 911 Panorama Trail South 'NSURER D: Rochester, NY 14625 877-266-6850 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY) DATE (MMlDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S - COMMERC'AL GENERAL LIABILITY F'RE DAMAGE (Anyone roe) S - ~ CLAIMS MADE o OCCUR MED EXP (Anyone person) S - PERSONAL & ADV INJURY $ - GENERAL AGGREGATE $ t-- GEN'L AGGREGATE L1M'T APPLIES PER: PRODUCTS - COMP/OP AGG $ n nPRO-n POLICY JECT LOC ~OMOBILE LIABILITY COMBINED SINGLE L1M'T ANY AUTO (Ea accident) $ - ALL OWNED AUTOS BODILY INJURY >-- (Per person) $ SCHEDULED AUTOS APPltIsy. \f, ~~NtE_MENT >-- HIRED AUTOS - BV_ \...) BOD'L Y INJURY NON-OWNED AUTOS (Per accident) $ - ._-~- . - DATE"5:--;l c: &f'JL/ PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY WAIVER ~t:~ t- YES AUTO ONLY. EA ACCIDENT $ R ANY AUTO bJ (l_ OTHER THAN AUTO EA ACC $ ONLY: AGG $ EXCESS LIABILITY L~ JJf), EACH OCCURRENCE S ~ OCCUR o CLAIMS MADE AGGREGATE $ of $ ~ DEDUCTIBLE $ RETENTION $ S A WORKERS COMPENSATION AND EMPLOYERS' 01 WN J71900 06/01/03 06/01/04 X I WC STATU- I I OTH- LIABILITY TORY LIMITS ER E.L EACH ACC'DENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESJEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Workers Com~ensation coverage is ~rovided to only those employees leased to, but not subcontractors of: CONDO ELECT IC INDUSTRIAL S PPLY NC c:; C)/:?iE'.S: ~ h <L Y) C e.. CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 2Q... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION 1100 SIMONTON STREET OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE /0~ USA ACORD 25-S (7/97) khirsch1 1813676 @ ACORD CORPORATION 1988 CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYY) t ACORDrM 08/24/04 PRODUCER 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1175 John Street AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. West Henrietta, NY 14586 INSURERS AFFORDING COVERAGE INSURED 'NSURER A: NEW HAMPSHIRE INSURANCE COMPANY Paychex Business Solutions. Inc. CONDO ELECTRIC INDUSTRIAL SUPPLY OF ORLANDO, INC. 'NSURER B: INSURER c: 911 Panorama Trail South INSURER 0: Rochester, NY 14625 877-266-6850 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) DATE (MIIIIDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S ~ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone r.e) S '-- ~ CLA'MS MADE D OCCUR - MED EXP (Anyone person) S - PERSONAL & ADV 'NJURY S GENERAL AGGREGATE S - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S I nPRO-n POLICY JECT LOC ~OMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) S ~ - ALL OWNED AUTOS BODILY INJURY (Per person) S SCHEDULED AUTOS APl! 'Zt s;n;\: ~JMEN1. - HIRED AUTOS BOD'L Y INJURY ~ NON-OWNED AUTOS (Per accident) S '-- BY -"~-9"''''' r:{)\(J - )-,. PROPERTY DAMAGE -........ ~' (Per accident) $ LJn. ~ - i\'in- ~RAGE LIABILITY YlO111 / (LA AUTO ONLY. EA ACCIDENT S ANY AUTO WAIVER EA ACC S OTHER THAN AUTO -----.. ~ "'"' ONLY: AGG $ 5ESS LIABILITY u~ .'-'U' ~~ VO EACH OCCURRENCE S OCCUR o CLAIMS MADE [LI'-J AGGREGATE $ S ~ DEDUCTIBLE , L-e 00 J S RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' WC 0929457-FL 06/01/04 06/01/05 X I WC STATU- T T OTH. LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POLICY lIM'T $ 1,000,000 OTHER $ S S DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESJEXCLUSlONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR CERTIFICATE HOLDER I I ADDmONAL INSURED; INSURER LETTER: CANCElLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION 1100 SIMONTON STREET OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE p~ USA D (20: @ ACORD CORPORATION 1988 ACORD. CERTIFICA TE OF LIABILITY INSURANCE OP 10 Y~ DATE (MMlDDIYYYY) COND-Ol 08/31/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group, Inc. HOLDER. THIS CERTlfllCATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave. Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33122 Phone: 305-714-4400 Fax: 305-714-44'01 INSURERS AFFORDING COVERAGE NAIC II 'NSURED INGURCR A: lIart;f'ord r:i.r. ::rn.ur-.nc::. CD. INSURER B: Condo Electric Industrial INSURER C SU~l! Inc. 36 . 10TH Court INSURER b: Hialeah I!'L 33013 IN>:I JRFR,F-! COVERAGES THF pnl IC:JF~ elF IN:;,IRANCF t ISTFrJ RFt nw HAVF AFFN JS:;;] IFn Tn THF II\ISllRFn NAMFn AAnVF FnR THF Pili Ir.V PFRlnn INnlr:ATFn NnTWITH~ANnINr.. AN'" Ht:t.)urht:.fV1l:.r'~I, It:.Hrvt OK (..:ONUIIION Or ,",N'1' CONiH.f'lc...:1 01-< OtHt:.H UU<";U"'It:r-.l1 WIIH Ht:.tsl-'t:.CI l() VVHI<.;H IHI:::S Ct:.HIll'''It.:AIt:. /'ItA)' ljt: 1;::S;::SUl:.l.) uH MAY r'Er<TAIN, THE IN::.un.A!'tlCE AFFonOEO Er'f THE rOllCIE::. DE3Cr<1BED HEREIN 16 \sUBJECT TO.A.LL THE TERM5, EXCLU&IQN5 f'lNQ CONDITION6 OF ;:.oUCH POLlCIES._ /\GC.;REC.;ATE LIMITS SHOW~~ MAY HAVE: BEEN REDUCED BY PAID CLAIMS. ..- ------ LTR NSRC TYPE OF INSURANCE POLICY NUMBER DATE (MMlDDIYY) DATE (MMlDD/VY) LIMITS GENERAL LIABILIlY EACH OCCURRENCE $ 1000000 - 10/22/04 ~ A X X COMMERCIAL GENERAL LIABILITY 21UUNLH6921K3 10/22/03 PREMISES (EOa occurence) $ 300000 ~D CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 PERSONAL & ADV INJURY $ 1000000 I-- GENERAL AGGREGATE $2000000 I-- GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2000000 h POLICY n r;~& n LOC I!:mp Ben. 1000000 AUTOMOBILE LIABILIlY COMBINED. SINGLE LIMIT $ 1000000 I-- ! A ~ ANY AUTO 21UUNLH6921K3 10/22/03 10/22/04 lEa accident) - ALL OWNED AUTOS BODIL Y INJURY (Per person) $ SCHEDULED AUTOS I-- ~ HIRED AUTOS BODIL Y INJURY $ ~ NOI",OWNED AUTOS (Per acc,dent) I-- PROPERTY DAMAGE $ (Per acc,dent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ A R ANY AUTO 21UUNLH6921K3 10/22/03 10/22/04 OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ =:J OCCUR 0 CLAIMS MADE AGGREGATE $ $ ~ DEDUCTIBLE App,tf ~K ~ ~~ ~9MENT $ RETENTION $ RV l.. 81 $ WORKERS COMPENSATION AND . Q RlaP T,-6'fl'y t:~I'fs I IU~~ EMPLOYERS' LIABILITY DATE tiNY PROPP.IETOP./P,.o.,P.Tfl.IEPJE.'\(,ECUTIVE N/ A \I.. EL EACH ACCIDENT $ (..lI-t-I.~'I::.j...!/MI:::.MI:::II:.I--! 1::.~,CLUUcU') WAIVER E. L DISEASE - EA EIvIPLO'-EE $ If yes, descnbe LInder YES /1 "" SPE':IAL PROVISIONS below I ,. r\ EL DISEASE - POLICY LIMIT $ OTHER ptQ: ~~ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT / SPECIAL PROVISIONS THE BELOW IS ALSO NAMJm AS ADDITIONAL INSURED WITH RESPECTS TO G!:NZRAL LIABILITY AND AUTO LIABILITY INSURANCE. r\_ _^ 0 .. Co r i e,;<; ~\ ro...~(\Ce.... wn\ ,~~ CERTIFICATE HOLDER CANCELLATION MON1lc:::OU SHOI II " AIoIV nF TlolF' ARnVt= m=SIlRIRF=" pnlllllF=S RF= IlANIlF'11 1"" RF=FnRF= TlolI" F=ltPIRATlnN DA'1"I! THf!!"E'O~, THI!! IAMMNC 1f>'8U'U!pt WILL e"~Ol!!A.VOpt TO MAlly 3 0 .. --QAV".'NlOI'I'fEN _ _ MONROI!l COtJNllly BOARD OJ!' NOTlQEi TO THE CERTIFICATE HOLIDIiiR NAMED TO Tl-fS LEFT, BUT FAILURE TO DO 80 SHALL COUNTY COMMISSIONERS IMPOSE NO OBLIGATION OR L1ABllI1'V OF AIoIV KIND UPON TlolE INSURER, ITS AGENTS OR MONRO!! CO. R:rSK IANAGB:MIENT 1100 SIMONTON STREET REPRESENTATNES, KEY WEST I'L 33040 AUTHORIZE AT1VE ({~ ACORD 25 (2001/08) @ACORDCORPORATION 1988 A CORD_ CERTIFICATE OF LIABILITY INSURANCE CSR SM I DATE (MMIDDIYYYY) COND-01 10/22/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIDr ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave. Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Miami FL 33122 Phone: 305-714-4400 Fax:305-714-4401 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: THE HARTFORD Condo Electric Motor Repair & INSURER B: Condo Electric & Industrial INSURER C: Su~~l~ Inc. 36 . 10TH Court INSURER D: Hialeah FL 33013 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR[ TYPE OF INSURANCE POLICY NUMBER PD'i~~iME~rDEtf~!XE Pgk~~Y(~~~b'b1y~~N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 - A X X COMMERCIAL GENERAL LIABILITY 21UUNLH6921 10/22/04 10/22/05 UI\IVll\...,t:: $ 300,000 PREMISES (Ea occurence) I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10,000 PERSONAL & ADV INJURY $1,000,000 - GENERAL AGGREGATE $2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 I n PRO- nLOC Emc Ben. 1,000,000 POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 - A ~ ANY AUTO 21UUNLH6921 10/22/04 10/22/05 (Ea accident) ALL OWNED AUTOS APP~~ ~1\f2 ~ '''It:r,1E ~T BODILY INJURY - $ SCHEDULED AUTOS (Per person) - l-IOII :...- X HIRED AUTOS ~\01 ..- - BY ---- LD\r BODILY INJURY $ ~ NON-OWNED AUTOS D.Al :: \c (Per accident) i PROPERTY DAMAGE - 1.1, ~"'> - (Per accident) $ ,I^ i'l: 0) , , GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ 300,000 A ;l:ANY AUTO 21UUNLH6921 10/22/04 10/22/05 OTHER THAN EA ACC $ 300,000 X Non-Owned Autos AUTO ONLY: AGG $ 300,000 EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 3,000,000 A ~ OCCUR D CLAIMS MADE 21UUNLH6921 10/22/04 10/22/05 AGGREGATE $ 3,000,000 Ol/~<- ( t In J L -On $ ~ DEDUCTIBLE $ X RETENTION $10,000 ..-f t lJJ~ $ WORKERS COMPENSATION AND I..--\.. tJ O/lA-j_ I TORY LIMITS I IUER- "- EMPLOYERS' LIABILITY . ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E:L. DISEASE - POLICY LIMIT $ OTHER A Garagekeeper Legal 21UUNLH6921 10/22/04 10/22/05 40,000 40,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS THE BELOW IS ALSO NAMED AS ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY AND AUTO LIABILITY INSURANCE. C 0 f>~: ~~ '^- CL ~",,- C L CERTIFICATE HOLDER CANCELLATION MONRCOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZ ES NTATIVE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS MONROE CO. RISK MANAGEMENT 1100 SIMONTON STREET KEY WEST FL 33040 @ ACORD CORPORATION 1 ACORD 25 (2001/08) "A~'\ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYY) ACORDrM 04/27/05 PRODUCER 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1175 John Street AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. West Henrietta, NY 14586 INSURERS AFFORDING COVERAGE INSURED INSURER A: NEW HAMPSHIRE INSURANCE COMPANY Paychex Business Solutions, rnc, CONDO ELECTRIC MOTOR REPAIR CO. INSURER B: 'NSURER c: 911 Panorama Trail South 'NSURER D: Rochester, NY 14625 877-266-6850 'NSURER 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYV) DATE (MMIDDIYV) LIIIIITS GENERAL LIABILITY EACH OCCURRENCE S - COMMERCIAL GENERAL LIABILITY F'RE DAMAGE (Anyone fire) S - ~ CLAIMS MADE D OCCUR MED EXP (Anyone person) S - PERSONAL & ADV INJURY S ~ GENERAL AGGREGATE S ~ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S h nPRO-n POLICY JECT LOC ~OMOBILE LIABILITY AP 1 ~ ~~, . fJ/ IL-.-/ COMBINED SINGLE LIMIT ANY AUTO (Ea accidenQ S ~ BY ALL OWNED AUTOS . <2 3/~ BODILY INJURY ~ --/ (Pet" pet"son) S SCHEDULED AUTOS DATE ~ "\ V -- HIRED AUTOS BODILY INJURY ~ WAIVER _YF NON-OWNED AUTOS N/A ___ .-.- (Per accident) S ~ ~' (U A12'" ~ m PROPERTY DAMAGE (Per accident) S RAGE LIABILITY ~y AUTO ONLY - EA ACCIDENT S ANY AUTO ~ EA ACC S OTHER THAN AUTO ONLY: AGG S OESS LIABILITY EACH OCCURRENCE S OCCUR D CLAIMS MADE AGGREGATE S $ R DEDUCT'BLE S RETENTION $ S A WORKERS COMPENSATION AND EMPLOYERS' WC 4170942 06/01/05 06/01/06 X I WC STATU- I I OTH- LIABILITY TORY LIMITS ER E.L EACH ACC'DENT S 1,000,000 E.L DISEASE - EA EMPLOYEE S 1,000,000 E.L D'SEASE - POLICY L1M'T S 1,000,000 OTHER S S S DESCRIPTION OF OPERAnONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL J1..Q... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION 1100 SIMONTON STREET OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE 1~.iJ.~&-.? USA / D ACORD 25-S (7/97) khirsch1 2667948 c.c:~ @ ACORD CORPORATION 1988 ,~(l Date: 11/10/2000 BA Time: 12:1::J !-1M Page: 2 '1'0: Mary (!!i ::JOoo~:Hooo'=l: t1 ACORD~ CERTIFICA TE OF LIABILITY INSURANCE OP ID C3/ DATE (MM/DO'YYYY) COND-01 11/15/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATlor ONLY AND CONFERS NO RIG HTS UPON THE CERTIFICATE HBA Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave. Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Miami !"L 33122 Phone: 305-714-4400 rax:305-714-4401 INSURERS AFFORDING COVERAGE NAIC# INSLRED I NSURER A Hartford Fire Insurance Co. 19682 Condo Electric MOtQr Repair INSURER B COaR' COndo ElectrJ.C INSURER C . In ustrial SU~ly Inc. 3615 E. 10~H ourt INSURER D Hialeah F.L 33013 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTlMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR N A TYPE OF INSURANCE POLICY NUMBER GSIIERAL LIABILITY X COMMERCIAL GENERAL LIABiliTY 21UUNLH6921 CLAIMS MADE [!] OCCUR DATE MM/DDIYY) DATE MM/DDIYY) LIMITS EACH OCCURRENCE $ 1000000 $ 300000 $ 10000 $ 1000000 $ 2000000 $ 2000000 1000000 10/22/05 10/22/06 PREMISES (Ea occurence) MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS. COMP/OP AGG Ben. LOC A X ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS 21UUNLH6921 10/22/05 COMBINED SINGLE LIMIT 10/22/06 (EaaCCldent) $ 1000000 BODILY INJURY (Per person) BOOl L Y INJURY (Per aCCIdent) GARAGE LIABILITY A X ANY AUTO PROPERTY DAMAGE (Per acc'dent) 21UUNLH6921 10/22/05 10/22/06 AUTOONLY-EAACODENT $ 300000 OTHER THAN AUTO ONLY: EA ACC $ $ $ $ $ $ $ EXCESS/UMBRELLA LIABILITY OCCUR 0 CLAIMS MADE AGG A Garaqekeeper Leqal 21UUNLH6921 EACH OCCURRENCE DEDLCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ~~~MtS~~~v~g?3~s below OTl-ER 10/22/05 10/22/06 40000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The certificate holder is listed as additional insured in reference to All Liability Coverage. *10 clays for non-payment of premium CERTIFICA TE HOLDER CANCELLATION NJNRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN MONROE COUNTY BOAlID NOTICE TO THE CERTIFICATE HOLDER NAMED TO Tl-E LEFT, BUT FAlLLRE TO 00 SO SHALL or COUN!I'Y IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGEI'ffil OR cm.MISSIONERS 1100 SJ:MONT~ S~ REPRESENTATIVES. KEY WEST F.L 33040 AUTHO~ATIVE ACORD 25 (2001108) @ ACORD CORPORATION 1 A CORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID C31 DATE (MMIDD1YYYY) COND 01 11/15/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave. Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33122 Phone: 305-714-4400 Fax:305-714-4401 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Fire Insurance Co. 19682 Condo Electric Motor Repair INSURER B Corp. Condo Electric INSURER C: Industrial Sugply Inc. 3615 E. 10TH ourt INSURER 0: Hialeah FL 33013 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. '~~~ ~~~[ POLICY NUMBER P'OL!<!Y. ~f.~_ES;.TI~E I Pf5k~(;EY(~~b'1f~~N LIMITS TYPE OF INSURANCE DATE iMM/DDIYV GENERAL LIABILITY EACH OCCURRENCE $1000000 f-- UAMAUl: 10 Kl:N I tU A X COMMERCIAL GENERAL LIABILITY 21UUNLH6921 10/22/05 10/22/06 PREMISES (Ea occurence) $ 300000 f-- =:J Ci...AirYlS fviADE ~ OCt;uR MED EXP (Anyone person) $ 10000 f-- PERSONAL & ADV INJURY $ 1000000 f----- -- GENERAL AGGREGATE $2000000 f-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 h nPRO- n Emp Ben. 1000000 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f-- $ 1000000 A ~ ANY AUTO 21UUNLH6921 10/22/05 10/22/06 (Ea accident) ALL OWNED AUTOS BODILY INJURY f-- $ SCHEDULED AUTOS (Per person) f-- ~ HIRED AUTOS BODILY INJURY 1$ X NON-OWNED AUTOS (Per accident) ~ i f-- f----- ----~-~- PROPERTY DAMAGE I (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ 300000 A M ANY AUTO 21UUNLH6921 10/22/05 10/22/06 OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ , ::::J OCCUR D CLAIMS MADE ~\~~ -~~(];:~~, r-J;~(" -, " AGGREGATE $ :-' _'__I' Ie I " . . )~..~ ~,,"-. " ; $ =l DEDUCTIBLE V ------- --____oe_oe____ I~ ---------.. $ RETENTION $ 0,1.\ T E 11::JJ-c $ WORKERS COMPENSATION AND I WC STATU-, I IU~~- WAIVER 1'.1(,,\ ~ r:(' TORY LIMITS EMPLOYERS' LIABILITY ---_.~ f-EL E^,C~^.r.:C;~DENT _~ ~ I ANY PROPI{IE:', OkIPA,UNEH/l:XLGU f1Vl: ~ --.. """_. OFFICER/MEMBER EXCLUDED? ~. I If yes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below E. L DISEASE - POLICY LIMIT i $ OTHER '-" A , Garagekeeper Legal 21UUNLH6921 10/22/05 10/22/06 ~ /7_ /L 40000 I ('c. ~ -:; f-'C"rn 7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The certificate holder is listed as additional insured in reference to All Liability Coverage. *10 days for non-payment of premium C C '. ~ ""~ n( -'L- MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST FL 33040 CANCELLATION MONRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZ ES NTATIVE CERTIFICATE HOLDER ACORD 25 (2001/08) @ ACORD CORPORATION 1988 Date: 11/lo/ZOOo BA Time: lZ:l::S PM Page: 2 '1'0: Mary l!!J ::SOoo81ootill t1 A CORD_ CERTIFICATE OF LIABILITY INSURANCE OP 10 C31 DATE (MMID[IT('(Y) COND-Ol 11/15/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOt ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave. Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Miami I!"L 33122 -' Phone: 305-714-4400 Fax: 305-714-4401 INSURERS AFFORDING COVERAGE NAIC# INSlRED INSURER A' Hartford rire Insurance Co. 19682 COndo Electric MOtQr Repair INSURER B co~ . COndo Electr1C INSURER C: . In ustrial sugglY Inc. 3615 E. 10TH ourt INSURER D Hialeah I!"L 33013 INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTV\llTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR[ TYPE OF INSURANCE POLICY NUMBER D~';!Ii1riMroo'1-Wit; DA TEi CMMIDDNY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 f-- A ~ COMMERCi Ai.. GENERAL UAElIUTY 21UUNLH6921 10/22/05 10/22/06 PREMISES (Ea occurence) $ 300000 ~ CLAIMS MADE ~ OCCUR , f-- MED EXP (Anyone person) $ J.OOOO PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPlSPER PRODUCTS - COMP/OP AGG $ 2000000 II ' n PRO- '1!'.mP Ben. 1000000 POll CY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1000000 A .!.. ANY AUTO 21UUNLH6921 10/22/05 10/22/06 lEa acc,dent) ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - ~ HIRED AUTOS BODILY INJURY $ .!.. NON-OWNED AUTOS (Per awdenl) I - PROPERTY DAMAGE $ (Per eccident) GARAGE LIABILITY AUTO ONLY - EAACODENT $ 300000 A ~ ANY AUTO 21UUNLH6921 10/22/05 10/22/06 OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ tJ OCCUR o CLAIMS MADE 'y h,' .~~~ ,; :: ,[~_kME.I h1\GGREGATE $ , I' '~ Ih $ R DEDJCTIBLE ...,.. $ RETENTION $ If b.~ In:, $ WORKERS COMPENSATION AND ,- '. -,. ..-~ .- IT~R'y "J~,~'t I IU~~- EMPLOYERS' LIABILITY (Ef~:1.l I ~ ~CH ACCIDENT ANY PROPRIETORIPARTNER/EXECUTIVE $ OFFICER/MEMBER EXCLUDED? ~L. DISEASE - EA EMPLOYEE $ ~~~~I~~sg~b~J:~?~~s below EL ClSEASE - POLICY LIMIT $ OTHER ~..- (C'.~ A Garaqekeeper Leqal 21UUNLH6921 10/22/05 10/22/06 40000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The certificate holder is listed as additional insured in reference to All LiaDili ty coveraqe. *10 days for non-payment of premium CERTIFICATE HOLDER CANCELLATION COVERAGES M:>NROE COUNTY BOAEID OF COUN'l'Y CO!loMISSIONJ!:RS 1100 SIMON'1'~ ST KEY WEST r.L 33040 MDNRO-l SHOULD At-N OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZ S A TIVE @ ACORD CORPORATION 1 ACORD 25 (2001108) ACORD. CERTIFICATE OF LIABILITY INSURANCE INSURED ,. CSR SM COND-Ol 10 20 06 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. . fl i~ C (~ij'~~!,RS,. AFF4DING_ CO~ERAGEi NAIC # I~NSlJRER~,,-T~ IfAR'l'FORD__1- 022~ r. ,. INSURER B_ .; _--j' L !~:~::::i . _~ -=- ---r- PRODUCER HHA Insurance Group, Inc. 2500 NW 79th AVe. Suite 101 Miami FL 33122 Phone: 305-714-4400 i Fax:305-714-4 01 Condo Electric Motor 3615 E. 10TH Court Hialeah FL 33013 Repa r COVERAGES ERE 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 UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS RISK MANAGEMEIIT L TR NSR A TYPE OF INSURANCE GENERAL LIABILITY , ,l_X_L~o~MERCIAL GENE~L ~'ABILJTY I i --j _J CLAIMS MADE l~i OCCUR I r ~ I _ IGEN'lAGGREGATE LIMIT APPLIES PER: I . -, POLICY I I ff8i I --I LOC L~UTOMOBILE LIABILITY f X --: ANY AUTO ---I ALL OWNED AUTOS I -I SCHEDULED AUTOS r>;:] HIRED AUTOS ~:X__I NON-OWNED AUTOS 1- I POLICY NUMBER ---PD~~~YJ=~rDE.fmE Pgk~1Y ~~h'b1i~ONT -- ---. ~MITS---- 10/22/071*Em~~:~~,,'L i!~_66~6~L_~ ~EDEXP(Anyoneperso~ UIOOOO_ I_~~RSON~L &ADV INJUR~~ OOOOO_~__ I ;::~:-~~;~:~~:;~:A~-G f~-~-6-666-66 -. -.---- -- --- -- --- --- -- .--- -- Em Ben. 1000000 I I COMBINED SINGLE LIMIT 1$1000000 I 10/22/06 10/22/07 I(E""'d'~I)_ _ _ f- r\ ~'1 IW'~iL I.!$!D.'LY'NJURY 1$ . '1' - - - ~ ~~.re~per~~~) I .t IC) dl ;"\1-1 . BODILYINJURY '~ l IV? l (pe~ccld-=-nl) J$ I 'XII i n ~ PROPERTY DAMAGE I $ ~.~ accident) I' AUTO_~NL~_ E~_AC~DE~! r_~.309000 10/22/06 I 10/22/07 I OTHER THAN EAAC;C' .. I AUTO ONLY. AGGj$ I EAC~OC~.UR~ENC~_ $ I AGGREGATE .p I' +' I 10/22/06 I , I I I A 21UUNLH6921 21UUNLH6921 A GARAGE LIABILITY I X.I ANY AUTO I 21UUNLH6921 I EXCESSfUMBRELL~. LIABILITY I__~ OCCUR 1-'1 CLAIMS MADE I DEDUCTIBLE RETENTION I WORKERS COMPENSATION AND I EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE I E.,-. ~~CiI!,CC~Er-.T L~ I OFFICER/MEMBER EXCLUDED? I EL. DISEASE ~A E'1~LOYEEL~ Ifyes,descnbeunder SPECIAL PROVISIONS below EL DISEASE POLICY LIMIT $ OTHER All Property RC 21UUNLH6921 10/22/0611 10/22/07 SEE NOTE PAD . NIL Coins/S ecial $1000 DED BLDG!MACHINERY* DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT { SPECIAL PROVISIONS *10% WIND/HAIL DEDUCTIBLE WITH A 72 HOUR WAITING PERIOD WITH REGARDS TO BUSINESS INCOME. THE BELOW IS ALSO NAMED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION BOARD-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZ ES NTATIVE @ACORD CORPORATION 1988 Board of County Comissioners Key West Florida Purchasing Office 1100 Simonton St Room 2-213 Key West FL 33040 /. ACORD 25 (2001108) Ce.. NOTEPAD: *Property Breakdown: 3615-3625 East 10th Court, Hialeah, FL 33013 Building - $335,300. BPP (Incl. Stock) - $409,500. Personal Property of Others - $147,000. Business Income ~{i th Extra Expense - $500,000. 3746 East 10th Court, Hialeah, FL 33013 Building - $55/105. BPP (Including Stock) - $440,600 Business Income with Extra Expense - $200,000. ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP 10 J41 DATE (MMIODNYYY) COND-01 10/24/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave" Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33122 Phone: 305-714-4400 Fax:305-714-4401 INSURERS AFFORDING COVERAGE NAIC# ----- ------ -- , ---- n -----..--- __m..____ INSURED INSURER A: ~HE HARTFORD 02231 - ----- NOV INSUR;:~~~ ----- - ------- Condo Elelctric Motor Repair I~URER: cJ j - - ----- u_ __________ ---..- --..- 3615 E. 10TH Court INSURER 0 Hialeah E'L 33013 - --------- n__ . ".--- 'INS~E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE~NSURED NAMED ABOVE FORrHE POLICY PIORIOD INDICATED. NOTVV'lTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH1CH 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. L TR NSR TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY A X COMMERCIALGENE~LLlABILlTY I 21UUNLH6921 I CLAIMS MADE l_~1 OCCUR I PD'1.1f~\~~rDE~;wE P DktEY ~ff,biff~ON 10/22/07 10/22/08 LIMITS EACH OCCURRENCE $ 1, OOOfPOO_ DAMAGE TO RENTED f'~E.~ISES(Eaoccurence) 1_$ ~QQ, OQO MEDEXP(~yoneperson) I $1()J()9_Q_ PERSONAL & ADV INJURY $1,000,00_0. GENERAL AGGREGATE $ 2,900,000 PRODUCTS-COMP/OPAGG I $ 2, 000,000 i GEN.L AGGREGATE LIMIT APPLIES PER X ~I~T LOC AUTOMOBILE LIABILITY EXCESS/UMBRELLA LIABILITY OCCUR I CLAIMS MADE COMBINED SINGLE LIMIT 10/22/07 10/22/08 (Eaaccident) -------------- BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT 10/22/07 10/22/08 OTHER THAN EA ACC AUTO ONLY AGG EACH OCCURRENCE , : $1,000,000 AI X ANY AUTO 21UUNLH6921 ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY A ANY AUTO 21UUNLH6921 X SYMBOL 30 GKLL $40,000 COMP/$40,OOO COLL DEDUCTIBLE , RETENTION $ , WORKERS COMPENSATION AND I EMPLOYERS. LIABILITY I ANY PROPRIETORiPARTNEH.lEXECUTIVE OFFICER/MEMBER EXCLUDI~D? , ~~Etl~t:;~fRbOVIS1oNS belOW OTHER '\\\, fflA-H --~-- C'/m: lER"1 , I EL DISEASE - EA EMPLOYEE; $ EL DISEASE - POLICY LIMIT $ A , PROPERTY 21UUNLH6921 10/22/07 10/22/08 SEE COMMENTS/ REMARKS DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *10% WIND/HAIL DEDUCTIBLE WITH A 72 HOUR WAITING PERIOD WITH REGARDS TO BUSINESS INCOME. THE BELOW IS ALSO NAMED AS ADDITIONAL INSURED c..c... , ~\ ""-Ovv'\ I! ~ CERTIFICATE HOLDER CANCELLATION Board of County Comissioners Key West Florida Purchasing Office 1100 Simonton St Room 2-213 Key West FL 33040 BOARI:- - 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR r R'PR'2V ACORD 25 (2001/08) _ . ._ _. __ ;ORPORA TION 1988 *Property Breakdown: 3615-3625 East 10th Court, Hialeah, FL 33013 Building - $335,300. BPP (Incl. Stock) - $409,500. Personal Property of Others - $147,000. Business Income with Extra Expense - $500,000. 3746 East 10th Court, Hialeah, FL 33013 Building - $55,105. BPP (Including Stock) - $440,600 Business Income with Extra Expense - $200,000. ACORD ," CERTIFICATE OF LIABILITY INSURANCE PRODUCER Serial # A32972 DATE (MM/DDIYY) 02/06/2008 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE AON RISK SERVICES, INC. OF FLORIDA 1001 BRICKELL BAY DRIVE, SUITE #1100 MIAMI, FL 33131-4937 PHONE: 800-743-8130 FAX: 800-522-751 REC Nl;UY AMER CAN HOME ASSURANCE COMPANY INSURED ADP TOT ALSOlJRCE FL XI. INC 10200 SUNSET DRIVE MiAMI. FL 3311:3 ALTERNATE EMPLOYER: CONDO ELECTRIC MOTOR REPAI COMPANY B FER '12oJIJ08 , C "- t,:<~~>~:y ,~nN6:~ COVERAGES -, co LTR 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 B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. r POLICY EFFECT;;E-I-~~L1CY E~;I~ATI~~ 'I TYPE OF INSURANGE POLICY NUMBER DATE (MMIDDIYY) DATE (MMIODIYY) GENERAL LIABILITY GENERAL AGGREGATE LIMITS : COMMERCIAL GENERAL LIABILITY f-j----l CLAIMS MADE [__--I OCCUR ~_ _.' OW~ER'S & CONTRACTORS PROT $ PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY i $ AUTOMOBILE LIABILITY ANY AUTO S", ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS EACH OCCURRENCE $ -- I FIRE DAMAGE (Anyone fire) $ ---- MED EXP (Anyone person) $ GARAGE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ BODILY INJURY $ {Per person) -- BODILY INJURY $ (Per accident) - ----- PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY -- -- --.- EACH ACCIDENT $ EXCESS LIABILITY I UMBRELLA FORM I --I OTHER THAN UMBRELLA FORM ' WORKER'S COMPENSATION M,'JWC 1106956 FL A EMPLOYERS' LIABILITY _ _ I THEPROPRIET,O, RI -- INCL PARTNERSIEXECUTIVE OFFICERS ARE ~o; AGGREGATE $ EACH OCCURRENCE $ 07/01/2007 07/01/2008 AGGREGATE ----t- ---,,-- ----- - - -- $ X WC STATU_ OTH_ TERYLlMITS__ ER_I ELEACHACCIDENT ~$ --"---" -- EL DISEASE - POLICY LIMIT $ "------,,--- El DISEASE - EA EMPLOYEE - $ 1,000,000 ---"'- 1,000,000 1,000,000 OTHER I DESCRIPTION OF OPERATlONSILOCATIONSNEHICLES/SPECIAL ITEMS ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY. PAID UNDER ADP/TOTALSOURCE. INC,'S PAYROLL, WILL BE COVERED UNDER THE ABOVE STATED POLICY, 'THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY, RTIFICAtl! HOLDER MONROE COUNTY RISK MANAGEMENT 110 SIMONTON STREET KEY WEST, FL 33041 (;AN(;~"'LAtloN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAil SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Cc.. ~ ~ AON RISK SERVICES INC, OF FLORIDA i~*,!<ORPCO ' ACORD -- ---TM CERTIFICATE OF LIABILITY INSURANCE AON RISK SERVICES, INC. OF FLORIDA 1001 BRICKELL BAY DRIVE, SUITE #1100 MIAMI, FL 33131-4937 PHONE: 800-743-8130 FAX: 800-522-75 4 REC -1\ ,...'" DATE (MMIDDfYY) 06/25/2008 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. "UIIIPANIES AFFORDING COVERAGE MERI AN HOME ASSURANCE COMPANY ~- PRODUCER Serial # A32972 - INSURED " ADP TOTALSOURCE FL XI, INC. 10200 SUNSET DRIVE MIAMI, FL 33173 ALTERNATE EMPLOYER: CONDO ELECTRIC MOTOR REPAII' I tolll!PlAGE!:$ .... .,' 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 B YTHE 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 1--- - ---- -~ r ;-~-~ICY EFFECTI-VE I POLIC~EX~~ LTR TYPE OF INSURANCE I POLICY NUMBER i DATE (MMfDD/YY) i DATE (MMJ~:':'~)~ I I COMPANY JUL ~~008 COMPANY --(' MONRO fOUnn RISK MANA't,u,~l' -- LIMITS GENERAL LIABILITY ! 20..'MMERCIAL GENERAL LIABILITY , --l..:::-~.J CLAIMS MADE 0 OCCUR OWNER'S & CONTRACTOR'S PROT - ! GENERAL AGGREGATE I, PERSONAL & ADV INJURY PRODUCTS - COMPfOP AGG $ , , , , -- EACH OCCURRENCE ~_~ [)AMAGE (Any_~ne fire) MED EXP (Anyone person) AUTOMOBILE LIABILITY -- ANY AUTO ALL OWNED AUTOS ~. SCHEDULED AUTOS _ HIRED AUTOS _ NON-OWNED AUTOS - -~ we 5881068 FL 'i't,~~\<~=- . l' ~,~ - ,~A~ ()\& "~ , /;9, j '00 '--.,' , L/ /7''', " ~. 07/01/2008 COMBINED SINGLE LIMIT I--- ~~~~~~1URY 1$ BODILY INJURY 1$ 11'0'."'1'00'1 -~_I PROPERTY DAMAGE ' $ , GARAGE LIABILITY H ANY AUTO 1--- -~ I AUTO ONLY - EA ACCIDENT $ 07/01/2009 OTHER THAN AUTO QNl Y: EACH ACCIDENT $ -~ AGGREGATE $ $ $ $ X I ~WSC STATU- I IOTH- i ~'(L1M':r~i ~~-t--- ----,---- ~_:C~;:~~~~:~~IMIT };- ~:~~~:~ EL DISEASE - EA EMPLOYEE-Is 1,000,000 ~---- EXCESS LIABILITY o UMBRELLA FORM 1--- --I OTHER THAN UMBRELLA FORM ,I WORKER'S COMPENSATION AND A I EMPLOYERS' LIABILITY I THEPRQPRIETORI PARTNERSIEXECUTIVE , OFFICERS ARE EACH OCCURRENCE ---- -"----- AGGREGATE ~- n'NeL r--!EXCL I OTHER I DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY, PAID UNDER ADP/TOTALSOURCE, INC'S PAYROLL, WILL BE COVERED UNDER THE ABOVE STATED POLICY. 'THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY. hnCbn- L.L. cc: CERTIFICATE HO~DIiR CAN!)liuAJlbtoj SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE MONROE COUNTY RISK MANAGEMENT 110 SIMONTON STREET KEY WEST, FL 33041 I 2&<' ""$1 "0< " , AON RISK SERVICES INC, OF FLORIDA '"'' ,I P I'" ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIODfYYYY) 10/24/2008 PRODUCER (305) 714-4400 FAX: (305) 714-4401 THIS CERTIFICATE IS ISSUED AS A MAHER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HBA INSURANCE GROUP, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite# 101 Miami FL 33122 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Cas. Ins. Co. 221533 Condo Electric Motor Repair Corp. and Condo INSURER B Electric Industrial Supply, Inc. . INSURER C 3615 EAST 10TH COURT INSURER 0 HIALEAH FL 33013 INSURER E THE POLICIES OF INSURANCE USTED 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. Ar,C REGATE LIMITS SHOWN MAY HAVE BEEN- ocnllf""EO BY PAID CLAIMS. INSR ADD'L P~.k+~~~~j6g~\E Pg~!fJI~~~t~,gN LIMITS TYPE OF INSURANCE POLICY NUMBER ~NERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LiABILITY ~~~~~~J9E~~~Ju~~ncel $ 300,000 A I CLAIMS MADE 0 OCCUR 21UUNLH6921 10/22/2008 10/22/2009 MED EXP An" one nerson\ $ 10,000 - PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $ 2,000,000 -il'L AGGREnE LIMIT AFlES PER PRODIIr.TS - COMPIOP AGG $ 2,000,000 X POLICY ~~p,: LOC ~OMOBILE LIABILITY COMBINED SINGLE LIMIT I 1,000,000 ~ ANY AUTO (Eaaccident) A - ALL OWNED AUTOS 21UUNLH6921 10/22/2008 10/22/2009 BODILY INJURY (Per person) $ - SCHEDULED AUTOS ~ HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) - - PROPERTY DAMAGE $ (Per accident) kiAGE LIABILITY 21UUNLH6921 AUTO ONLY - EA ACCIDENT $ A ANY AUTO $40000 Compo $100 Ded 10/22/2008 10/22/2009 OTHER THAN EA ACC $ 1,000,000 X Svmbol 30 GKLL $40000 CoIl. $500 Ded AUTO ONLY' $ AGG =:JESS/UMBRELLA LIABILITY _~~LII9 $ OCCUR D '::;LAIMS MADE :~;-s AGGREGATE $ $ ~ DEDUCTIBLE ... $ RETENTION - -;-':"1 ~'.:5.\](" , WORKERS COMPENSATION AND ~.,', ' - ... \~.~ 1-/-- -- "_....~ I TVX'6JT~Wc I 10J^, EMPLOYERS' LIABILITY . 'X ANY PROPRIETORIPARTNERlEXECUTIVE ... IffiA --, rail E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L. DISEASE- EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE POLICY LIMIT $ OTHER ~-~ CC~ .~ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISION ~ Certificate Holder is named as Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE BOARD OF COUNTY COMMISSIONERS EXPIRATION DATE THEREOF, THE ISSUING INSURER WlLL ENDEAVOR TO MAIL KEY WEST FLORIDA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT PURCHASING OFFICE - 1100 SIMONTON ST. ROOM 2-213 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE KEY WEST/ FL. 33040 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE U-/ C-c..:~~ HBA INSURANCE _..__.,,-,~--- ACORD 25 (2001108) INS025 (0108)08.0 @ ACORD CORPORATION 1988 Page 1 012 ACORDm CERTIFICA TE OF LIABILITY INSURANCE DATE (MMJDDIYYYY) 2/2/2009 PRODUCER (305) 714-4400 !"AX : (305)714-4401 THIS CERllFICATE IS ISSUED AS A MATTER OF INFORMAll0N HBA INSURANCE GROUP, mc. ONLY AND CONFERS NO RIGHTS UPON THE CERTlFICA TE HOLDER.LlJHIS CERllFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Avenue -'_._-'-~"--- _-AL-n:g -- GE AFFORDED BY THE POLICIES BELOW. suite# 101 HE "CPJED ILl V Miami !"L 33122 r----- 1NsttftI!ftS""A"FFC-RDIN( COVERAGE NAIC# INSURED I INSURER A: Har'tj I:ord Cas. Ins. Co. 221533 Condo El.ectric Motor :Repair COrp. anc CODdo FEB INS~ERXlnQ El.ectric Industrial. Suppl.y, Inc. I INSURER C: I 3615 EAST 10TH C~ : IN~I IR1=R n. HIALEAH !"L 33013 Mm RfJslOO~f!TY I .- - - GES K!.', i\ I!IM! {i~U ~.:\11:.111 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IsslJED 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 WiICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER P~}+~~:5~ Pg~~(ij~~~~ LIMITS LTR INSRn GENERAL LIABILITY EACH OCCURRENCE $ ~,OOO,OOO t-- ~~~~~J?E~~~Er?ence , X COMMERCIAL GENERAl LIABILITY $ 300,000 A I CLAIMS MADE l1U OCCUR 21UUNLH6921 ~0/22/2008 ~0/22/2009 MED EX? rMV one nerson) $ ~O,OOO PERSONAL & ADV IN...LJRY $ ~,OOO,OOO r-- 2,000,000 r-- GENERAl AGGREGATE $ GEN'L AGGREAE LIMIT APPLIES PER: pR()nllrT<;: . rm.ApK"lp AGG $ 2,000,000 Iil PRO- n X POLICY i'=cT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ~,OOO,OOO r-- (Ea accident) $ X ANY AUTO r-- ~O/22/2008 ~O/22/2009 A AlL OVvNED AUTOS 21UUNLH6921 BODIL Y INJJRY r-- (Per person) $ SCHEDULED AUTOS - X HIRED AUTOS BODIL Y INJJRY - (Per accident) $ X NON-O'v\NED AUTOS '- - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY 21UUNLH6921 AUTO ONLY - EA ACCIDENT $ A ~ ANY AUTO $40000 Camp. $100 Dad ~O/22/2008 ~O/22/2009 OTHER THAN EA ACC $ ~,OOO,OOO X Svmbo~ 30 GKLL $40000 Co~~. $500 Dad AUTO ONLY AGG $ EXCESSJUMBRELLA LIABILITY ~JJg EACH ()rrIIRR1=Nr1= $ =:J OCCUR D CLAIMSMADE 1l~~ t ): AGGREGATE $ $ ~ DEDUCTIBLE $ RETENTION $ ~.......... $ WORKERS COMPENSATION AND -'({J / U"{ IT~tT~H~1 I01~- EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE ~ EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? If) f7 EL DISEASE - EA EMPLOYEE $ If yes, describe under ..(,^ SPECiAl PROVISIONS below EL DISEASE - POL ICY LIMIT $ OTHER O-pt . \.jtVl)L. .7 )' ........~- ~ 1/""'[ '; M DESCRlPTlON OF OPERATIONSA.DCATIONSIVE"CLESoaCLUSIONS ADDED BY ENlJORSEMENTISl'EClAL PRDV1SIONS .. ~fJQj Certificate Ho~der is named as Additional Insured ~-;rU 1 1J.O CERTl FICA TE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE COUNTY OF MONROE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1100 SJlwJONTON STREET 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT KEY WEST, !"L 33040 - FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILIlY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~- HBA INSURANCE - ACORD 25 (2001/08) INS025 (0108)08ai. _ c.G:~ @ACORDCORPORAll0N 1988 Page 1 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) INS025 (0108)08a Page 2 of 2 A COR~M CERTIFICA TE OF LIABILITY INSURANCE DATE (MMJDDNVVY) 10/21/2009 PRODUCER (305)714-4400 WAX: (305)714-4401 THIS CERllFICATE IS ISSUED AS A MAlTER OF INFORMAll0N BROWN & BROliN :INSURANCE-HBA DIV:r ;::~:; ONl V A Nn cn~lI: RS NO RIGHTS UPON THE CERTIFICATE REG. Ll1'\I.ftl:R. THIS CE ~l1FICATE DOES NOT AMEND. EXTEND OR 2500 NW 79th Avenue I W1J:rdft THE COVER ~GE AFFORDED BY THE POLICIES BELOW. Suite' 101 I l' '-..." '''.._--~ Miami I'L 33122 INSURERS AF~ ORCIN ~ COVERAGE NAle # INSURED JAN n I -. .-- var1 ford Casualty :Ins. 29424 Condo BJ.ectric Motor Repair i!. ~ '1 II" "... OUtc"l::l'f" c, P. o. Box 3340 INSURER c: - MONROI Hialeah n. 33013-03~P ....',.., l~I:: f\ld r If \ "-I __ 'l.. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEl N 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 BEE~ REDUCED BY PAID CLAIMS. IN8R IAOO'L TYPE OF INSURANCE POLICY NUMBER PO~L+~~=8;Wr Pg~~t~':k=N LIMITS LTR flNSRD GENERAL L1ABJLlTV EACH OCCURRENCE $ 1,000,000 t-- DAMAFE TO RENTED cel X OMMERCIAl GENERAl. LIABILITY $ 300,000 ~ CLAIMS MADE ~ OCCUR 10/22/2009 10/22/2010 A ~ 21UD'NLH6921 MED EXP CAnv one person) $ 10,000 ~ PERSONAL & ADV IN.JJRY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS ~ COMP/OP AGG $ 2,000,000 rx-J POLICY n ~~i n LaC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 f-- $ X ~y AUTO (Ea accident) I--- 10/22/2010 A AlL OVIJNED AUTOS 21UONLH6921 10/22/2009 BODILY INJJRY f-- (Per person) $ f-- SCHEDULED AUTOS ~ HIRED AUTOS BODILY INJJRY $ X NON~O\I\NED AUTOS (Per accident) - !--- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILllY 21 OUNLH6921 AUTO ONLY -EAACCIDENT $ A ~ ANY AUTO $40000 Compo $100 Dad 10/22/2009 1.0/22/201.0 OTHER THAN EA PeC S 1,000,000 X Symbol. 30 GKLL $40000 Col.l.. $100 Ded AUTO ONLY: AGG $ EXCeSS/UMBRS.LA LIABJUTY EACH nrCll!:;l!:;ll=l\lrl: $ o OCCUR o CLAIMS MADE tJa-~ AGGREGATE $ (M( t Is R DEDUCTIBLE D 1$ RETENTION $ ~ ~:7 ') ~" .../ 1$ WORKERSCOMPENSAnONAND ~~b~fO I T~~r~IHs , OJ~~ EMPLOYERS' LIABILITY H4Y PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 't E.L. DISEASE ~ EA EMPLOyeE 1$ If yes, describe under SP!;'CIAl PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OlliER Dlt '.~ V DESCRIPTION OF OPERATJONS4..0CATIONSNEHICLESIEXCLUSIONS ADOEO BY ENOORSEMENTISPECIAl PROVISIONS Certificate Hol.der is named as Additional. Insured :~ -h()Qy)CL, C( ;TDcJ~ CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE OESCRlBED POLICIES BE CANCELLED BEFORE THE BOARD 01' COUNT!' COMM:[SSJ:ONERS EXPIRATION OATE THEREOF, THE ISSUING INSURER WLL ENDEAVOR TO MAIL KEY WEST FLORIDA ~ DAYS WRllTEN NOnCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT PURCHASJ:NG Orr:rCE 1100 S~ONTON S~. R.OON 2-213 FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR liABILITY OF ANY KIND UPON THE KEY WEST, rL 33040 INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~ H INSURANCE GROUP/8Ml CANCELLA nON ACORD 25 (2001/08) INS025 (0108).08a C>ACORD CORPORATION 1988 Page 1 of 2