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Certificates of InsuranceGO V ERALatS 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 TYPE OF INSURANCE POLICY NUMBER LI DATE MM/DD/YY DATE MM/DD/YYN LIMITS EACH OCCURRENCE s2,000,000 A GENERAL LIABILITY � _._ X COMMERCIAL GENERAL LIABILITY 210ESQC3845 10/01/00 10/01/01 ' FIREDAMAGE(Anyon.fv-) i $ 560,000 MED EXP (Any one person) $ 10,000 HCLAIMS MADE X'j OCCUR rPERSONAL &ADVINJURY $2,000,000 -�-- GENERAL AGGREGATE $ 3 , 000,000 — - - PRODUCTS -COMP/OP AGG $ 2 , OOO , OO O GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO Ap�ROVED BY RISK MAN((AG��EMEN' •. BODILY INJURY (Per person) $ ALL OWNED AUTOS a\ " � /] I t �jCT��" SCHEDULED AUTOS BY�� HIRED AUTOS ' BODILY INJURY $ F DATE (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE -- _ ---. ----------- -- IItIb11/FR; NIA ,�...� r GS (Per accident) $ . GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EACH OCCURRENCE $ EXCESS LIABILITY OCCUR CLAIMS MADE AGGREGATE $ $ - DEDUCTIBLE $ -- RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER $ EMPLOYERS'LIABILITY E.L. EACH ACCIDENT $`- E.L. DISEASE - EA EMPLOYEE -_ E.L. DISEASE - POLICY LIMIT ! $ OTHER DESCRIPTION OF OPERATIONSfLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Monroe County Fair 03-01-01 to 03-10-01. (:thL 111'IUA I It MULL/CI( I AUU111VNAL 1N0UKCU; `Kau RCK i c 1 1 crt. v�rr MOCOBDC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Board of County Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Kay Miller IMPOSE NO OBLIGATION O LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5100 College Road 42 Key West FL 33040 ENTATIV a West Insurance, Inc. r+vv.._ __-v I. v., ©ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCk DATE(MM/DD/ 0 TIILI-, 10/25/O1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 5487 Key West FL 33045-5487 Phone:305-294-1096 Fax:305-294-8016 I INSURED Util Bid of the City Key West City Electric System P.O. Box 6100 Key West FL 33041-6100 COVERAGES INSURERS AFFORDING COVERAGE INSURER A: National Insurance INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR POLICY E IVE TYPE OF INSURANCE POLICY NUMBER ATMM/DD/YY j POLICY EX AE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE s2,000,000 FIRE DAMAGE (Any one fire) $ 500,000 A X COMMERCIAL GENERAL LIABILITY WL00000007 10/01/01 10/01/02 MED EXP (Any one person) $ 10 000 CLAIMS MADE I X OCCUR PERSONAL & ADV INJURY I $2,000,000 GENERAL AGGREGATE s3,000,000 PRODUCTS - COMP/OP AGG s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: I POLICY ! PERLOC AUTOMOBILE LIABILITY AP 0 BY RI A COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BY ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS SATE --. -I (Per person) HIRED AUTOS WAIVER NIA , YES �--�^ BODILY INJURY $ NON -OWNED AUTOS (Per accident) I — PROPERTY DAMAGE $ " (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ $ ANY AUTO C NJ& OTHER THAN EA ACC $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE_ $ 10,000,000 A X OCCUR CLAIMS MADE XL00016395 10/01/01 10/01/02 ,AGGREGATE $10,000,000 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I TORY LIMITS ER EMPLOYERS' LIABILITY 31dQ E.L. EACH ACCIDENT $ Ala E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT ' $ OTHER 1N3W30`�NdW DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS GtK I II-IUA 1 t HULULK N I ADDITIONAL INSURED; INSURER LETTER: t ANt CLLA I IVN MOCOBDC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Board of County Commissioners 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 INSURER, ITS AGENTS OR 5100 College Road Key West FL 33040 E SENTATI West Insurance, Inc. AQ,l4'Z,(�S'" ACORD 25-S (7/97) V AUUKU L:UKrUKA I IUN I V00 ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMI1/0 TILI-1 03/1/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 5487 Key West FL 33045-5487 Phone:305-294-1096 Fax:305-294-8016 INSURED Util Bid of the City Key West Keyys Energqyy Services Key West FL033041-6100 INSURERS AFFORDING COVERAGE INSURER A: National Insurance Company INSURER B: 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 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. INPOLICYTYPE OF INSURANCE POLICY NUMBER POLI Y EFFE TIVE ,POLICY EXPIRATION ' LIMITS DATE MMIDDM! DATE MM/DD/YY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 WA00000018 10/01/02 10/01/03 FIREDAMAGE(Anyonefire) $ 500,000_ A X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 10,000 CLAIMS MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2 , , PRODUCTS - COMP/OP AGG $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY f PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2 , 000 , 000 WA00000042 10/01/02 10/01/03 (Ea accident) _ — A X ANY AUTO ALL OWNED AUTOS BODILY INJURY 1 (Per person) $ SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per accident) $ X �'. NON -OWNED AUTOS '�. PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY i ANY AUTO ANY ACC OTHER THAN $ I AUTO ONLY: AGG $ EACH OCCURRENCE $ 10 , 000 , 000 EXCESS LIABILITY XL00017377 10/01/02 10/01/03 AGGREGATE $ 10,000,000 A X OCCUR CLAIMS MADE $ DEDUCTIBLE -- $ RETENTION $ ''. WORKERS COMPENSATION AND TORY LIMITS'' ER _ _- EMPLOYERS' LIABILITY [lV a E.L. EACH ACCIDENT $ r ` E.L. DISEASE - EA EMPLOYEE $ DATEV7 E.L. DISEASE - POLICY LIMIT $ OTHER WAI N A DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Dop y . ram•-«- P1 CC_ — . 1 '... CANCELLATION Monroe County BOCC & TDC Attn: Risk Management 1100 Simonton Street Key West FL 33040 MONBOCC 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 Aii 1 D UPON THE INSURER, ITS AGENTS OR ArnRn 75_1.9 17/971 nsurance, Inc. CACORD CORPORATION 1988 ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MMIDD/0 TILI-1 09/23/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 INSURERS AFFORDING COVERAGE Phone:305-294-1096 Fax:305-294-8016 --. INSURED INSURER A: National Insurance Company INSURER B: Util Bd of the City Key West INSURERC: Ms Ener Services . BOX �OO INSURER D: Key West FL 33041-6100 INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. P LICY EFFECTIVE P LICY EXPIRATI N IN R POLICY NUMBER li DATE MMIDD/ YY DATE MM/DD/YY TYPE OF INSURANCE LIMITS LTR EACH OCCURRENCE ' $ 1 , OOO , 000 GENERAL LIABILITY. A X'COMMERCIAL GENERAL LIABILITY WA00000018 10/01/02 10/01/03 FIRE DAMAGE (Anyone fire) $500,000 MED EXP (Any one person) $ 10 , 000 CLAIMS MADE X OCCUR I - PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE s2,000,000 — PRODUCTS - COMP/OP AGG $ 1 , 000 , OOO GEN'L AGGREGATE LIMIT APPLIES PER: I PRO - POLICY ! JECT JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s2,000,000 A X ANY AUTO WA00000042 10/01/02 10/01/03 (Ea I ALL OWNED AUTOS BODILY INJURY (Per person) $ ., SCHEDULED AUTOS APP B 1 K MANA E ENT X HIRED AUTOS BY BODILY INJURY (Per accident) $ X NON -OWNED AUTOS DATE PROPERTY DAMAGE $ _ - (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY '., -- ANY AUTO OTHER THAN EA ACC $ j AUTO ONLY: AGG $ ''. j EACH OCCURRENCE $ 10f000,000 EXCESS LIABILITY A X 'OCCUR CLAIMS MADE XL00017377 10/01/02 10/01/03 AGGREGATE $10,000,000 DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND 1 TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS GERTIFIGAIt KULUtK N AUUIIIUNAL=_„_ —._ MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Monroe County BOCC & TDC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn : Risk Management IMPOSE NO OBLIGATION OR LIABILITY F ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street Key West FL 33040 R SENTATIVES. ITunRI fn RFP ATIVFr .i 25-S (71971 1°1 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID B DATE(MM/DD/YYYY) UTILI-1 08 11 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone:305-294-1096 Fax:305-294-8016 INSURED Util Bd of the City Key West Ke s Energy Services P.9. Box 6100 Key West FL 33041-6100 v V V C r%j'iV r_0 INSURERS AFFORDING COVERAGE INSURER A: National Casual INSURER B: INSURER C: INSURER D: INSURER E: Ins 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 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. HO LTR NSR TYPE OF INSURANCE POLICY NUMBER P LIE DATE MWDD/YY P L EXPI I N DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 000, 000 A X1 COMMERCIAL GENERAL LIABILITY CLAIMS MADE DX OCCUR WL00000039 10/01/04 10/01/05 PREMISES (Ea occurence) $100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY A ANY AUTO WA00000450 10/01/04 10/01/05 COMBINED SINGLE LIMIT (Ea accident) $ 1, 0 0 0, 0 0 0 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ HANY AUTO APPN -a 4+' OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESWUMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE ���\(E rx RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ ------ $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEPIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below — — E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 4)VIA 5e_AV1K CERTIFICATE LDER t _ANTI 1 ATrnu GC , 01'na/9 e-<_ Monroe County BOCC 1100 Simonton Street Key West FL 33040 MONCNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATIOV01 ILITY OF/W)f KIND N THEI SURER, ITS AGENTS OR REPRESENTATIVES.� XJ iii ACORD 25 (2001108) © ACORD CORPORATION 1988 . ,. ' .„„4 `^' z,4, 9i DATE (MMIODIYY) ACIRDn « ,,� ATEf.. 5/25/2006 PRODUCER - THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION" KEYWEST INSURANCE, INC. Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE 646 United St. Suite #1 , _-±, HO DER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR , Key West, FL 33040 L;;_��,:. `{,.; AL ER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ------- - - -'--'�""-"' COMPANIES AFFORDING COVERAGE �I I COMP�NY A iNational Casualty Co. INSURED ! I Utility Board Of The City Of Key West�� COMP V IS Energy Services MONROE COUNTY P.O. BOX 6100 RISK%1ANAGEMENi COMPA V Key West, FL 33041 COMPANY D ` THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR 7ypE OF INSURANCE POLICY NUMBER POLICY LIMITS DATE (MWDDIYY) DATE(MM/DD/YY)N GENERAL LIABILITY GENERAL AGGREGATE $ 2000000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG $ 2000000 A CLAIMS MADE X❑ OCCUR W L00000055 10/1 /2005 10/1 /2006 PERSONAL & ADV INJURY $ 1000000 EACH OCCURRENCE $ 1000000 OWNER'S & CONTRACTOR'S PROT X FIRE DAMAGE (Any one fire) $ 100000 Empl Ben Liab $1,000,000 MED EXP (Any one person) $ Excluded AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 X ANY AUTO BODkYINJURY Excluded ALL OWNED AUTOS A SCHEDULED AUTOS WA00000763 10/1/2005 10/1/2006 (Per person) $ BODILY INJURY $ Excluded HIRED AUTOS NON -OWNED AUTOS (Per accitleM) PROPERTY DAMAGE $ Excluded GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ EXCLUDED OTHER THAN AUTO ONLY: ANYAUTO Jy t,. EACH ACCIDENT $ EXCLUDED AGGREGATE $ EXCLUDED EXCESS LIABILITY EACH OCCURRENCE $ EXCLUDED UMBRELLA FORM AGGREGATE $ EXCLUDED $ EXCLUDED OTHER THAN UMBRELLA FORM 1 l I WORKERS COMPENSATION AND TA- OTH- TWC RYSIMTUT I MPLOVERS' LIABILITY EL EACH ACCIDENT $ EXCLUDED THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE / `—' EL DISEASE - POLICY LIMIT $ EXCLUDED EL DISEASE - EA EMPLOYEE $ EXCLUDED OFFICERS ARE: EXCL OTHER PIP (Symbol 5) $10,000 A Comp & Collision (Symbol 7, 3) W A00000763 111112001 10/1 /2006 $1,000,000 DESCRIPTION OF OPERATTONSILOCATIONS/VEHICLES/SPECIAL ITEMS ' ExCept 10 Days in the Event of Non Payment i Monroe Cty Bd Of County Comm SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Attn: Maria Slavik EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Risk Management Administrator 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Re: Traffic Signal & Street Light Maintenance 1100 Simonton Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENT'S OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Key West, FL 33040- CERTIFICATE OF COVERAGE ..�..��..:_.._ _ f -A ii i tr ator Issue Date 09/24/09 Certificate Holder f MONROE COUNTY BOARD OF COUNTY CO MISSI*ERS Florida League of Pities, Inc. 1100 SIMONTON ST Public RisklServic$s �, KEY WEST FL 33040 �, -� 8d.tP.ox 53�0065 _ r .;. Orlando, Florida 3� 853-00fi5 COVERAGES �--- !ME B iiVE COVERAGE PERIO INDICATED. NOTWITHSTANDING ANY REQUIREMENT, THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN I SUED TO THE DESIGI�=CH TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEN WITH RESPECT TO V';Ilk ��tat� IF MAY BE ISSUED OR MAY PERTAIN, THE COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TER EXCLUSIONS AND QTjl hl l'JS�M �Sd1C li] OREEMENT. COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST AGREEMENT NUMBER: FMIT 0303 COVERAGE PERIOD: FROM 10/1/09 COVERAGE PERIOD: TO 10/1/10 12:01 AM STANDARD TIME TYPE OF COVERAGE - LIABILITY TYPE OF COVERAGE - PROPERTY General Liability ❑ Buildings ❑ Miscellaneous ❑ Basic Form ❑inland Marine ® Comprehensive General Liability, Bodily Injury, Property Damage and ❑ Special Form ❑ Electronic Data Processing Personal Injury ❑ Errors and Omissions Liability ❑ Personal Property ❑ Bond ❑ Supplemental Employment Practice ❑ Basic Form ❑ ❑ Employee Benefits Program Administration Liability ❑ Special Form ® Medical Attendants'/Medical Directors' Malpractice Liability ❑ Agreed Amount ® Broad Form Property Damage ❑ Deductible N/A ` ❑ Law Enforcement Liability ❑ Coinsurance N/A ® Underground, Explosion & Collapse Hazard ❑ Blanket ❑ Specific Limits of Liability ❑ Replacement Cost '' Combined Single Limit ❑ Actual Cash Value Deductible $5,000 Limits of Liability on File with Administrator Automobile Liability TYPE OF COVERAGE - WORKERS' COMPENSATION ❑ All owned Autos (Private Passenger) ❑ All owned Autos (Other than Private Passenger) ❑ Hired Autos ❑Statutory Workers' Compensation ❑ Non -Owned Autos ❑ Employers Liability $1,000,000 Each Accident $1,000,000 By Disease $1,000,000 Aggregate By Disease Limits of Liability Deductible N/A ` Combined Single Limit Deductible N/A ❑ Automobile/Equipment — Deductible ❑ Physical Damage N/A - Comprehensive - Auto N/A - Collision - Auto N/A - Miscellaneous Equipment Other The limit of liability is $100,000 Bodily Injury and/or Property Damage per person or $200,000 Bodily Injury and/or Property Damage per occurrence. These specific limits of liability are increased to $1,000,000 (combined single limit) per occurrence, solely for any liability resulting from entry of a claims bill pursuant to Section 768.28 (5) Florida Statutes or liability imposed pursuant to Federal Law or actions outside the State of Florida. Description of Operations/LocationsNehicles/Special Items Re: Street Light Maintenance. The Certificate Holder is hereby added as additional insured, as respects the member's liability regarding the above described item. 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 AGREEMENT ABOVE. DESIGNATED MEMBER CANCELLATIONS SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS UTILITY BOARD OF THE CITY OF KEY WEST WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PO DRAWER 6100 PROGRAM, ITS AGENTS OR REPRESENTATIVES. KEY WEST FL 33041 6100 AUTHORIZED REPRESENTATIVE FMIT-CERT (10/96) CERTIFICATE OF COVERAGE Certificate Holder Administrator Issue Date 10/13/10 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS Florida League of Cities, Inc. 1100 SIMONTON ST Department of Insurance and Financial Services KEY WEST FL 33040 P.O. Box 530065 Orlando, Florida 32853-0065 COVERAGES THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT. COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST AGREEMENT NUMBER: FMIT 0303 COVERAGE PERIOD: FROM 10/1/10 COVERAGE PERIOD: TO 10/1/11 12:01 AM STANDARD TIME TYPE OF COVERAGE - LIABILITY TYPE OF COVERAGE - PROPERTY General Liability ❑ Buildings ❑ Miscellaneous ® Comprehensive General Liability, Bodily Injury, Property Damage and ❑ Basic Form ❑ Inland Marine Personal Injury ❑ Special Form ❑ Electronic Data Processing ❑ Errors and Omissions Liability ❑ Personal Property ❑ Bond ❑ Supplemental Employment Practice ❑ Basic Form ❑ ❑ Employee Benefits Program Administration Liability ❑ Special Form ® Medical Attendants'/Medical Directors' Malpractice Liability ❑ Agreed Amount ® Broad Form Property Damage ❑ Law Enforcement Liability El Deductible N/A ❑ Coinsurance N/A ® Underground, Explosion & Collapse Hazard ❑ Blanket J� ❑ Specific Limits of Liability Combined Single Limit ❑Replacement Cost , ❑ Actual Cash Value Deductible $5,000 6( JAA Limits of Liability on File with Administrator Automobile Liability TYPE OF COVERAGE - WORKERS' COMPENSATION ❑ All owned Autos (Private Passenger) ❑ All owned Autos (Other than Private Passenger) ❑ Hired Autos ❑ Statutory Workers' Compensation ❑ Non -Owned Autos ❑ Employers Liability $1,000,000 Each Accident $1,000,000 By Disease $1,000,000 Aggregate By Disease Limits of Liability ' Combined Single Limit ❑ Deductible N/A Deductible WA ❑ Automobile/Equipment — Deductible ❑ Physical Damage N/A - Comprehensive - Auto N/A - Collision - Auto N/A - Miscellaneous Equipment Other The limit of liability is $100,000 Bodily Injury and/or Property Damage per person or $200,000 Bodily Injury and/or Property Damage per occurrence. These specific limits of liability are increased to $1,000,000 (combined single limit) per occurrence, solely for any liability resulting from entry of a claims bill pursuant to Section 768.28 (5) Florida Statutes or liability/settlement for which no claims bill has been filed or liability imposed pursuant to Federal Law or actions outside the State of Florida. Description of Operations/LocationstVehicles/Special Items Re: Street Light Maintenance. The Certificate Holder is hereby added as additional insured, as respects the member's liability regarding the above described item. 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 AGREEMENT ABOVE. DESIGNATED MEMBER CANCELLATIONS SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS UTILITY BOARD OF THE CITY OF KEY WEST WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PO DRAWER 6100 PROGRAM, ITS AGENTS OR REPRESENTATIVES. KEY WEST FL 33041 6100 - ") AUTHORIZED REPRESENTATIVE FMIT•CERT (4/2010) CERTIFICATE OF COVERAGE Certificate Holder Administrator Issue Date 10/13/10 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS Florida League of Cities, Inc. 1100 SIMONTON ST Department of Insurance and Financial Services KEY WEST FL 33040 P.O. Box 530065 Orlando, Florida 32853-0065 COVERAGES THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT. COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST AGREEMENT NUMBER: FMIT 0303 COVERAGE PERIOD: FROM 10/1/10 COVERAGE PERIOD: TO 10/1/11 12:01 AM STANDARD TIME TYPE OF COVERAGE - LIABILITY TYPE OF COVERAGE - PROPERTY General Liability ❑ Buildings ❑ Miscellaneous ® Comprehensive General Liability, Bodily Injury, Property Damage and ❑ Basic Form ❑ Inland Marine Personal Injury ❑ Special Form ❑ Electronic Data Processing ❑ Errors and Omissions Liability ❑ Personal Property ❑ Bond ❑ Supplemental Employment Practice ❑ Basic Form ❑ ❑ Employee Benefits Program Administration Liability ❑ Special Form ® Medical Attendants'/Medical Directors' Malpractice Liability ❑ Agreed Amount ® Broad Form Property Damage ❑Deductible N/A ❑ Law Enforcement Liability ❑ Coinsurance N/A ® Underground, Explosion & Collapse Hazard ❑ Blanket ❑ Specific Limits of Liability Combined Single Limit El Replacement Cost vt �Q(sls� ❑ Actual Cash Value Deductible $5,000 Limits of Liability on File with Administrator Automobile Liability TYPE OF COVERAGE - WORKERS' COMPENSATION ❑ All owned Autos (Private Passenger) ❑ All owned Autos (Other than Private Passenger) ❑ Statutory Workers' Compensation ❑ Hired Autos ❑ Non -Owned Autos ❑ Employers Liability $1,000,000 Each Accident $1,000,000 By Disease $1,000,000 Aggregate By Disease Limits of Liability ❑ Deductible N/A Combined Single Limit Deductible WA ❑ Automobile/Equipment — Deductible ❑ Physical Damage N/A - Comprehensive - Auto N/A - Collision - Auto N/A - Miscellaneous Equipment Other The limit of liability is $100,000 Bodily Injury and/or Property Damage per person or $200,000 Bodily Injury and/or Property Damage per occurrence. These specific limits of liability are increased to $1,000,000 (combined single limit) per occurrence, solely for any liability resulting from entry of a claims bill pursuant to Section 768.28 (5) Florida Statutes or liability/settlement for which no claims bill has been filed or liability imposed pursuant to Federal Law or actions outside the State of Florida. Description of Operations/Locations/Vehicles/Special Items Re: Street Light Maintenance. The Certificate Holder is hereby added as additional insured, as respects the member's liability regarding the above described item. 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 AGREEMENT ABOVE. DESIGNATED MEMBER CANCELLATIONS SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS UTILITY BOARD OF THE CITY OF KEY WEST WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PO DRAWER 6100 PROGRAM, ITS AGENTS OR REPRESENTATIVES. KEY WEST FL 33041 6100 - ,) AUTHORIZED REPRESENTATIVE FMIT-CERT (4/2010) CERTIFICATE OF COVERAGE Certificate Holder Administrator Issue Date 3/9/12 MONROE COUNTY BOARD OF Florida League of Cities, Inc. Department of Insurance and Financial Services COUNTY COMMISSIONERS P.O. Box 530065 1100 SIMONTON ST Orlando, Florida 32853-0065 KEY WEST, FL 33040 COVERAGES THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS OEM ISSUED TO TEE DESIGNATED MEMBER FOR THE COVERAGE PERIOD INDICATED. NO'TMRTHSTANDING ANY REQUIREMENT, WITH RESPECT TO WHICH THIS CERTIFICATE MAY 9E ISSUED OR MAY PERTAIN, THE COVERAGE AFFORDED BY THE TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST AGREEMENT NUMBER: FMrT 0303 COVERAGE PERIOD: FROM 10/1/11 COVERAGE PERIOD: TO 10/1/12 12:01 AM STANDARD TIME TYPE OF COVERAGE - LIABILITY TYPE OF COVERAGE - PROPERTY General UabllitY ® Buildings ® Miscellaneous Basic Form Inland Marine ® Comprehensive General Lability, Bodily Injury, Property Damage, Personal Injury and Advertising Injury ® Special Form ® Electronic Data Processing ® Errors and Omissions Liability ® Personal Property Bond ® Employment Practices Liability Basic Form ® Employee Benefits Program Administration Liability ® Special Form ® Medical Atter(dants'/Medical Directors' Malpractice Liability Agreed Amount ® Broad Form Property Damage ® Deductible f 1,000 Law Enforcement Liability ® Coinsurance 100% APV ® Underground, Explosion d Collapse Hazard ❑ Blanket 8Y Limits of Liability ® SpecW YES - • Combined Single Umit ® Replacement Cost Deductible $5,000 ❑ Actual Cash Value Automobile Liability Limits of Liability on File with Administrator TYPE OF COVERAGE - WORKERS' COMPENSATION ® AI owned Autos (Private Passenger) ® Al owned Autos (Other than Private Passenger) Statutory Workers' Compensation ® Hired Autos ® Employers Liability $1,000,000 Each Accident ® NorrOwned Autos 51,000,OW By Disease $1,000,000 Aggregate By Disuse Limits of Liability � Deductible N/A Combined Single Limit F1 SIR Deductible N/A Deductible N/A Automobile/Equipment - Deductible ® Physical Damage Per Schedule - Comprehensive • Auto Per Schedule - Collision - Auto NA - Miscellaneous Equlprnent Other The limit of liability is $200,000 Bodily Injury and/or Property Damage per person or $300,000 Bodily Injury and/or Property Damage per occurrence, These for Automobile Liabllty (combined single limit) per occurrence, solely for specific limits of liability are Increased to $5,000,000 for General Liability and $1,000,000 to Section 76&28 (5) Florida Statutes or fiablity/settlement for which no claims bill has been filed or liability any liability resulting from entry of a claims bill pursuant Imposed pursuant to Federal Law or actions outside the State of Honda. Description of Operatlons/Locations/Vehlcies/Special Items RE: Street Light Maintenance The Certificate holder Is hereby added as an additional Insured, except for Workers' Compensation and Employers Liability, as respects the member's liability for the above described event 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 AGREEMENT ABOVE. Designated Member Cancellations SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELED BEFORE THE Utility Board of the City of Key West EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAR 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL P, O. Drawer 6100 SUCH NOTICE SHALL IMPOSE No OBLIGATION OR LIABILITY OF ANY KIND UPON THE PROGRAM, ITS AGENTS OR REPRESENTATIVES, Key West FL 33041-6100 ADTHORIrEDRFVRESMTAIWE WTCHlr (E0IM11)