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Certificates of Insurance04-?1-94 X 75212 PAGE 1 OF 2DECLARATIONS CONTINUED FLORIDA JOINT UNDERWRITING ASSOCIATION SERVICING CARRIER: STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY BLOOMINGTON, ILLINOIS 7401 CYPRESS GARDENS BOULEVARD WINTER HAVEN, FL 33888 12 POLICY NUMBER 805 5419-11318-59A POLICY PERIOD fEd-18-94 TO FE.S-18-95 TERR 32 ii 10 NAMED INSURED 9 ADDITIONAL INSURED 59-7967-7 DRAKE CARLTON DBA dUCCANNEER *** MONROE CO BOARD OF CO COMM r_OURIfR *C* PUBLIC SVC BLDG/WING 4 PO BOX 501439 *0* 5100 COLLEGE RD MARATHON FL 33050-1439 *P* KEY WEST FL 33040 *Y* *** ITEM 3 CAR YEAR MAKE MODEL BODY STYLE VEHICLE IDENTIFICATION NUMBER CLASS 1 83 DATSUN PU JN6NDU6S1DW000379 COMML 2 NONOWNED AUTO UNOA 3 00 HIRED CAR 00 0000 UNOA COVERAGES (AS DEFINED IN POLICY) DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE. SYMBOL -VEHICLE -PREMIUM -COVERAGE NAME -LIMITS OF LIABILITY CAR A -LIABILITY 1 $2132.00 BODILY INJURY/PROPERTY DAMAGE LIABILITY 2 $35.00 LIMITS OF LIABILITY -COVERAGE A -BODILY INJURY 3 $36.00 EACH PERSON, EACH ACCIDENT 100,000 300 000 LIMITS OF LIA91LITY-COVERAGE A -PROPERTY DAMAGE EACH ACCIDENT P-PERSONAL INJURY PROTECTION - SEE 50 000 POLICY SCHEDULE FOR LIMITS 1 $25.00 P10 COVERAGE $2228.00 TOTAL PREMIUM FOR POLICY PERIOD FEB-18-94 TO FE06-18-95 CAR 1 $2157.00 CAR 2 $35.00 CAR 3 $36.00 $2228.00 TOTAL CURRENT 12 MONTH PREMIUM FOR FEB-18-94 TO FE13-18-95 CAR 1 $2157.00 CAR 2 $35.00 CAR 3 $36.00 FOR QUESTIONS PROBLEMS, OR TO OBTAIN INFORMATION ABOUT COVERAGE CALL: (813) 325-4151. APPROVED BY RISK MANAGEMENT �p DATE �,L WAIvER: N/A ( YES CONTINUED THIS PAGE, ANY ENDORSEMENTS INDICATED HEREON AND FORM 9362U. 1 CONSTITUTE THE POLICY IDENTIFIED BY THE POLICY NUMBER. Includes Copyrighted Material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, 1975, 1976. REPLACED POLICY BU55419-59 CG S' 155-4078FL.2 -'`�`�' �'' 2�,1oi5 0892 EXPLANATION OF RATING ABBREVIATIONS ACC PREV DISC - ANTITHEFT DEVICE - BUMPER DISC - COMML- COMPACT CAR DISCOUNT - DEF DR DIS - DRIVER TR CRED - FIN RESPON SUR - GOOD DRIVER DISCOUNT - GOOD STUDENT DISC - INEXPER DRIVER - LIVERY - LIMITED DRIVE TO WORK DISCOUNT - NO COMPULSORY INS - PASSIVE RESTRAINT DISCOUNT - PERFORM VEH - SAFE DR - SR CITIZEN DISCOUNT - SUR - SYMBOL - TRAILER - UNOA - Accident Prevention Discount Antitheft Device Discount Bumper Discount Commercial Vehicle Compact Car Discount Defensive Driver Discount Driver Training Credit Financial Responsibility Surcharge Good Driver Discount Good Student Discount Inexperienced Operator Public or Private Livery Limited Drive to Work Discount Failure to Carry Compulsory Liability Insurance Passive Restraint Discount Performance Vehicle Safe Driver Discount Senior Citizen Discount Penalty Point Surcharge Rating Symbol Recreational or Utility Trailer Named Non -Owner Policy All Classes and Rating Factors are not Applicable in Every State. ACCIDENTS AND/OR VIOLATIONS The number of points shown on the front of this form following the description of the accident or violation indicates the number of points surchargeable as a result of the accident or violation. Includes Copyrighted Material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, 1975, 1976. 04 — 21— 9 4 X 75212 PAGE 2 OF 2 DECLARATIONS CONTINUED . FLORIDA JOINT UNDERWRITING ASSOCIATION SERVICING CARRIER: STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY BLOOMINGTON, ILLINOIS 7401 CYPRESS GARDENS BOULEVARD WINTER HAVEN, FL 33888 12 POLICY NUMBER 805 5419-618-59A POLICY PERIOD FEB-18-94 TO FE8-18-95 TERR 31 ,1 i0 NAMED INSURED 9 ADDITIONAL INSURED 59-7967-7 *** MONROE CO 80ARD OF CO COMM *C* PUBLIC SVC BLDG/WING 4 *0* 5100 COLLEGE RD *P* KEY WEST FL 33040 *Y* ITEM 3 DRAKE CARLTON DBA BUCCANNEER COURIER PO BOX 501439 MARATHON FL 33050-1439 CAR YEAR MAKE MODEL BODY STYLE VEHICLE IDENTIFICATION NUMBER CLASS 1 83 DATSUN PU JN6NDU6S1DW000379 COMML 2 NONOWNED AUTO UNOA 3 00 WIRED CAR 00 U000 UNOA COVERAGES (AS DEFINED IN POLICY) DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE. SYMBOL-VEHICLE-PREMIUM-001/ERAGE NAME -LIMITS OF LIABILITY EXCEPTIONS AND ENDORSEMENTS CAR 1 6028EE.1 NAMED PERSON(S) OR ORGANIZATIONS) AS INSURED—MONROE CO BOARD OF CO COMM, PUBLIC SVC BLDG/WING 4 5100 COLLEGE RD, KEY WEST FL 3304U. CAR 2 6028EE.1 NAMED PERSON(S) OR ORGANIZATIONS) AS INSURED—MONROE CO BOARD OF CO COMM, PUBLIC SVC BLDG/WING I4 511000 COLLEGE RD, KEY WEST FL 33040. BOARD Of COECOMM,MPUBLICSSVCSHLDG/WINGN4i510(INCOLLEGEIRD,RKEYMWES©EFL03 040. CAR 1,2,3 6516E.1 NUCLEAR ENERGY LIA9ILITY EXCLUSION. 6812E ADDITIONAL CONDITION. 6839Z.1 SPLIT LIABILITY LIMITS. 6853J.5 FLORIDA CHANGES. CAR 1 6810H.1 INDIVIDUAL NAMED INSURED. 6850EE.6 FLORIDA PERSONAL INJURY PROTECTION (COVERAGE P). ITEM 2—SYMBOL 7 SPECIFICALLY DESCRIBED AUTOS. CAR 2 ITEM 2—SYM90L 9 NONOWN17D AUTOS ONLY. CAR 3 6164FF.1 HIRED AUTOS SPECIFIED AS COVERED AUTOS YOU OWN. ITEM 2—SYMBOL 8 HIRED AUTOS ONLY. CARS 1 2,3. COMM USE INTERMEDIATE. SPEC DEL SEC. CAR 1. EMPLOYERS NON —OWNERSHIP LIABILITY/U-25 EMPLOYEES —CAR 2. HIRED CAR IF ANY BASIS —CAR 3. INSDS BUS INDIV. COURIER SVC. GVW UNDER 10,001 LBS. PRODUCER OF RECORD THE JOHNSON INS AGCY 13361 OVERSEAS HWY MARATHON SHRS, FL 33050-3508 THIS PAGE, ANY ENDORSEMENTS INDICATED HEREON AND FORM 9362U.1 CONSTITUTE THE POLICY IDENTIFIED BY THE POLICY NUMBER. Includes Copyrighted Material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, 1975, 1976. REPLACED POLICY 6355419-59 26196 08192 155-4078 FL.2 EXPLANATION OF RATING ABBREVIATIONS ACC PREV DISC - ANTITHEFT DEVICE - BUMPER DISC - COMML- COMPACT CAR DISCOUNT - DEF DR DIS - DRIVER TR CRED - FIN RESPON SUR - GOOD DRIVER DISCOUNT - GOOD STUDENT DISC - INEXPER DRIVER - LIVERY - LIMITED DRIVE TO WORK DISCOUNT - NO COMPULSORY INS - PASSIVE RESTRAINT DISCOUNT - PERFORM VEH - SAFE DR - SR CITIZEN DISCOUNT - SUR - SYMBOL - TRAILER - UNOA - Accident Prevention Discount Antitheft Device Discount Bumper Discount Commercial Vehicle Compact Car Discount Defensive Driver Discount Driver Training Credit Financial Responsibility Surcharge Good Driver Discount Good Student Discount Inexperienced Operator Public or Private Livery Limited Drive to Work Discount Failure to Carry Compulsory Liability Insurance Passive Restraint Discount Performance Vehicle Safe Driver Discount Senior Citizen Discount Penalty Point Surcharge Rating Symbol Recreational or Utility Trailer Named Non -Owner Policy All Classes and Rating Factors are not Applicable in Every State. ACCIDENTS AND/OR VIOLATIONS The number of points shown on the front of this form following the description of the accident or violation indicates the number of points surchargeable as a result of the accident or violation. Includes Copyrighted Material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, 1975, 1976. 13164FF•1 HIRED AUTOS SPECIFIED AS COVERED AUTOS YOU OWN Tlus endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM TRUCKERS COVERAGE FORM This endorsement is a part of your policy. Except for the changes it makes. all other terns of the policy remain the same and apply to this endorsement. It is effective at the same time as your policy if issued With it. If issued at a later date the name, policy cumber and effective date must be shown. Issued on behalf of the FLORMA JOINT UNDERWRTTING •ASSO Cagier. State Farm Mutual Automobile Insurance CompanyCby the Servicing of Bloomingtoonn., Min Named Insured Policy Number Counterzigned Ef ecdve Date H 19 _„ 12.01 A.M. Standard Time y A►uthotized Rrpteseatative of Association. [..M.1. O Ds=dPd.ao[AGM SmDwi=dom A. Any area deactf bed in the Declarations will be considered a covered acre you own and a not coveted acre you bite, borrow or lease under the coverage for which it is a covered awe. B. CHANGE 1N LiABB.TTY COVERAGE The following is added to WHO IS AN INSURED: While any covered acre described in the Declarations is rented or leased to you and is being used by or for you, its owner or anyone else from whom you rent or lease it is an k wred but only for that coveted arse. C.A. 9916 0I 37 6164FF.1 Includes copyrighted material of Insurance Services 01111ce, with its permission. 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O O O N O 0 0 0 O O O c o c U o o c o 0 o ca p co co 8 CD 00 0 0 0 0 !D CDCD m (p n y CD O Fro' o 0 0 0 0 0 0 0 CD o ,� 0• a o C Y ° O O O O O O O W O O O y O p O fit/ O cpo °RCD r fioCD S OZ zOZ zz zZ OZ O O O O O O O O O O O y y t� ►� O v, �i � O P.J.' eo rF' N m a q G n CCD 'b 'rJ l� �o 4do CD CD A C k i 1*1 GO`B� OwQO_�� b O o o 8 CD CD OQ 1�•ry�n' dQ C� R S Vi Q C R r7pq vwc S On S STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY BLOOMINGTON, ILLINOIS A Mutual Company DECLARATIONS POLICY PERIOD: The term of the policy shall be as stated under "Policy Period" and for such terms of twelve calendar months each thereafter as the required renewal premium is paid by the insured on or before expiration of the current term. The "Policy Period" shall begin and end at 12:01 A.M. standard time at the address of the named insured as stated herein. COVERAGES, LIMITS OF LIABILITY, PRE- MIUMS: The insurance afforded is only with re- spect to such of the coverages as are indicated by specific designation. The limit of the company's liability against each such coverage shall be as stated herein, subject to all terms of the policy having reference thereto. Various provisions in this policy restrict coverage duties and what is and is not covered. LOSS PAYEE: We will pay you and the loss payee named in the policy for loss to a covered auto, as interest may appear. The insurance covers the interest of the loss payee unless the loss results from conversion, secretion or embezzlement on your part. We may cancel the policy as allowed by the CAN- CELLATION Common Policy Condition. Can- cellation ends this agreement as to the loss payee's interest. If we cancel the policy we will mail you and the loss payee the same advance no- tice. If we make any payment to the loss payee, we will obtain their rights against any other party. Read the entire policy carefully to determine rights, Throughout.this policy the words "you" and "your" refer to the Named Insured shown in the Decla- rations. The words "we", "us" and "our" refer to the Company providing this insurance. Other words and phrases that appear in boldfaced italics have special meaning. Refer to SECTION V — DEFINITIONS. SECTION I — COVERED AUTOS ITEM TWO of the Declarations shows the autos A. DESCRIPTION OF COVERED AUTO DE - that are covered autos for each of your, coverages. The following numerical symbols describe the au- tos that may be covered autos. The symbols en- tered next to a coverage on the Declarations designate the only autos that are covered autos. 3 3801 U SIGNATION SYMBOLS SYMBOL DESCRIPTION 1 - ANY AUTO. = OWNED AUTOS ONLY. Only those autos you own (and for Includes copyrighted: material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 Liability Coverage any trailers you don't own while attached to power units you own). This includes those autos you acquire ownership of after the policy begins. 3 = OWNED PRIVATE PASSENGER AUTOS ONLY. Only the private passenger autos you own. This in- cludes those private passenger autos you acquire ownership of after the policy begins. 4 = OWNED AUTOS OTHER THAN PRIVATE PASSENGER AUTOS ONLY. Only those autos you own that are not of the private passenger type (and for Liability Coverage any trailers you don't own while attached to power units you own). This in- cludes those autos not of the private passenger type you acquire owner- ship of after the policy begins. 5 = OWNED AUTOS SUBJECT TO NO-FAULT. Only those autos you own that are required to have No - Fault benefits in the state where they are licensed or principally garaged. This includes those autos you acquire B. ownership of after the policy begins provided they are required to have No -Fault benefits in the state where they are licensed or principally ga- raged. 6 = OWNED AUTOS SUBJECT TO A COMPULSORY UNINSURED MOTORISTS LAW. Only those au- tos you own that because of the law in the state where they are licensed or principally garaged are required to have and cannot reject Uninsured Motorists Coverage. This includes those autos you acquire ownership of 4 3801U after the policy begins provided they are subject to the same state unin- sured motorists requirement. = SPECIFICALLY DESCRIBED AUTOS. Only those autos described in ITEM THREE of the Declara- tions for which a premium charge is shown (and for Liability Coverage any trailers you don't own while at- tached to any power unit described in ITEM THREE). 8 = HIRED AUTOS ONLY. Only those autos you lease, hire, rent or borrow. This does not include any auto you lease, hire, rent, or borrow from any of your employees or partners or members of their households. 9 = NONOWNED AUTOS ONLY. Only those autos you do not own, lease, hire, rent or borrow that are used in connection with your busi- ness. This includes autos owned by you employees or partners or mem- bers of their households but only while used in your business or your personal affairs. OWNED AUTOS YOU ACQUIRE AFTER THE POLICY BEGINS I . If symbols 1, 2, 3, 4, 5 or 6 are entered next to a coverage in ITEM TWO of the Decla- rations, then you have coverage for autos that you acquire of the type described for the remainder of the policy period. 2. But, if symbol 7 is entered next to a cover- age in ITEM TWO of the Declarations, an auto you acquire will be a covered auto for that coverage only if. a. We already cover all autos that you own for that coverage or its replaces an auto you previously owned that had that coverage; and Iticludes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 b. You tell us within 30 days after you ac- quire it that you wnat us to cover it for that coverage. If the declarations extend coverage to all owned autos of a specific type without list- ing individual autos, then newly acquired autos of the same type are covered auto- matically. C. CERTAIN TRAILERS, MOBILE EQUIP- MENT AND TEMPORARY SUBSTITUTE AUTOS If Liability Coverage is provided by this Cov- erage Form, the following types of vehicles are also covered autos for Liability Coverage: 1. Trailers with a load capacity of 2,000 pounds or less designed primarily for travel on public roads. 2. Mobile equipment while being carried or towed by a covered auto. 3. Any auto you do not own while used with the permission of its owner as a temporary substitute for a covered auto you own that is out of service because of its: a. Breakdown; b. Repair; c. Servicing; d. Loss; or e. Destruction. SECTION II — LIABILITY COVERAGE — COVERAGE A A. COVERAGE We will pay all sums an insured legally must pay as damages because of bodily injury or property damage to which this insurance ap- plies, caused by an accident and resulting from the ownership, maintenance or use of a cov- ered auto. We have the right and duty to defend any suit asking for these damages. However, we have no duty to defend suits for bodily injury or property damage not covered by this Coverage Form. We may investigate and settle any claim or suit as we consider appropriate. Our duty to defend or settle ends when the Liabil- ity Coverage Limit of Insurance has been ex- hausted by payment of judgments or settlements. 1. WHO IS AN INSURED The following are insureds: a. You for any covered auto. 5 3801 U b. Anyone else while using with your per- mission a covered auto you own, hire or borrow except: I j The owner or anyone else from whom you hire or borrow a covered auto. This exception does not apply if the covered auto is a trailer con- nected to a covered auto you own. 2) Your employee if the covered auto is owned by that employee or a member of his or her household. 3) Someone using a covered auto while he or she is working in a busi- ness of selling, servicing, repairing or parking autos unless that busi- ness is yours. 4) Anyone other than your employ- ees, partners, a lessee or borrower or any of their employees, while moving property to or from a cov- ered auto. Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 5) A partner of yours for a covered auto owned by him or her or a member of his or her household. c. Anyone else who is not otherwise ex- cluded under paragraph b. above and is liable for the conduct of an insured but only to the extent of that liability. 2. COVERAGE EXTENSIONS a. Supplementary Payments. In addition to the Limit of Insurance, we will pay for the insured. 1) All expenses we incur. 2) Up to $250 for cost of bail bonds (including bonds for related traffic law violations) required because of an accident we cover. We do not have to furnish these bonds. 3) The cost of bonds to release attach- ments in any suit we defend, but only for bond amounts within our Limit of Insurance. 4) All reasonable expenses incurred by the insured at our request, in- cluding actual loss of earnings up to $100 a day because of time off from work. 5) All costs taxed against the insured in any suit we defend. 6) All interest on the full amount of any judgment that accrues after en- try of the judgment in any suit we defend; but our duty to pay interest ends when we have paid, offered to pay or deposited in court the part of the judgment that is within our Limit of Insurance. b. Out of State Coverage Extensions. While a covered auto is away from the state where it is licensed we will: 1) Increase the Limit of Insurance for Liability Coverage to meet the lim- its specified by a compulsory or fi- nancial responsibility law of the jurisdiction where the covered auto is being used. This extension does not apply to the limit or limits spe- cified by any law governing motor carriers of passengers or property. 2) Provide the minimum amounts and types of other coverages, such as no-fault, required of out of state vehicles by the jurisdiction where the covered auto is being used. We will not pay anyone more than once for the same elements of loss because of these extensions. B. EXCLUSIONS 6 3801 U This insurance does not apply to any of the following: 1. EXPECTED OR INTENDED INJURY Bodily injury or property damage expected or intended from the standpoint of the in- sured. 2. CONTRACTUAL Liability assumed under any contract or agreement. But this exclusion does not apply to liabil- ity for damages: a. Assumed in a contract or agreement that is an insured contract; or b. That the insured would have in the ab- sence of the contract or agreement. 3. WORKERS COMPENSATION Any obligation for which the insured or the insured's insurer may be held liable under any workers compensation, disability ben- efits or unemployment compensation law or any similar law. Includes copyrighted material of Insurance Services. Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 4. EMPLOYEE INDEMNIFICATION AND EMPLOYER'S LIABILITY Bodily injury to: a. An employee of the insured arising out of and in the course of employment by the insured, or b. The spouse, child, parent, brother or sister of that employee as a conse- quence of paragraph;a. above. This exclusion applies: 1) Whether the insured may be liable as an employer or in any other ca- pacity; and 2) To any obligation to share damages with or repay someone else who must pay damages because of the injury. But this exclusion does not apply to bodily injury to domestic employees not entitled to workers compensation benefits onto liability assumed by the insured under an insured contract. 5. FELLOW EMPLOYEE Bodily injury to any fellow employee of the insured arising out of and in the course of the fellow employee's employment. 6. CARE, CUSTODY OR CONTROL Property damage to property owned or transported by the insured or in the insured's care, custody or control. But this exclusion does not apply to liability as- sumed under a sidetrack agreement. 7. HANDLING OF PROPERTY Bodily injury or property damage resulting from the handling of property: a. Before it is moved from the place where it is accepted by the insured for movement into or onto the covered auto; or 7 3 801 U b. After it is moved from the covered auto to the place where it is finally delivered by the insured. 8. MOVEMENT OF PROPERTY BY A MECHANICAL DEVICE Bodily injury or property damage resulting from the movement of property by a me- chanical device (other than a hand truck) unless the device is attached to the covered auto. 9. OPERATIONS Bodily injury or property damage arising out of the operation of any equipment listed in paragraphs 6.b. and 6.c. of the de- finition of mobile equipment. 10. COMPLETED OPERATIONS Bodily injury or property damage arising out of your work after that work has been completed or abandoned. In this exclusion, your work means: a. Work or operations performed by you or on your behalf; and b. Materials, parts or equipment fur- nished in connection with such work or operations. Your work includes warranties or rep- resentations made at any time with re- spect to the fitness, quality, durability or performance of any of the items in- cluded in paragraphs a. or b. above. Your work will be deemed completed at the earliest of the following times: 1) When all of the work called for in your contract has been completed. 2) When all of the work to be done at the site has been completed if your contract calls for work at more than one site. Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 3) When that part of the work done at a job site has been put to its in- tended use by any person or organ- ization other than another contractor or subcontractor work- ing on the same project. Work that may need service, mainte- nance, correction, repair or replace- ment, but which is otherwise complete, will be treated as completed. 11. POLLUTION Bodily injury or property damage aris- ing out of the actual, alleged or threat- ened discharge, dispersal, release or escape of pollutants: 1) That are, or that are contained in any property that is: a) Being transported or towed by, or handled for movement into, onto or from, the covered auto; b) Otherwise in the course of tran- sit by the insured; or c) Being stored, disposed of, treated or processed in or upon the covered auto; 2) Before the pollutants or any prop- erty in which the pollutants are contained are moved from the place where they are accepted by the insured for movement into or onto the covered auto; or 3) After the pollutants or any prop- erty in which the pollutants are contained are moved from the cov- ered auto to the place where they are finally delivered, disposed of or abandoned by the insured. b. Any loss, cost or expense arising out of any governmental direction or request that you test for, monitor, clean up. re- 8 3801 U move, contain, treat, detoxify or neu- tralize pollutants. Pollutants means any solid, liquid, ga- seous or thermal irritant or contam- inant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste includes materials to be recycled, reconditioned or reclaimed. Paragraph a.(1)(c) does not apply to fuels, lubricants, fluids, exhaust gases or other similar pollutants that are needed for or result from the normal electrical, hydraulic or mechanical functioning of the covered auto or its parts, if: 1) The pollutants escape or are dis- charged, dispersed or released di- rectly from an auto part designed by its manufacturer to hold, store, receive or dispose of such pollu- tants; and 2) The bodily injury or property dam- age does not arise out of the opera- tion of any equipment listed in paragraphs 6.b. and 6.c. of the defi- nition of mobile equipment. Paragraphs a(2) and a(3) of this exclu- sion do not apply if: 1) The pollutants or any property in which the pollutants are contained are upset, overturned or damaged as a result of the maintenance or use of a covered auto; and 2) The discharge, dispersal, release or escape of the pollutants is caused directly by such upset, overturn or damage. 12. WAR Bodily injury or property damage due to war, whether or not declared, or any act or Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office. Inc.. 1985 condition incident to war. War includes involved in the accident, the most we will pay civil war, insurrection, rebellion or revo- for all damages resulting from any one acci- lution. This exclusion applies only to li- dent is the Limit of Insurance for Liability ability assumed under a contract or Coverage shown in the Declarations. agreement. C. LIMIT agreement, INSURANCE All bodily injury and property damage result- ing from continuous or repeated exposure to Regardless of the number of covered autos, in- substantially the same conditions will be con- sureds, premium paid, claims made or vehicles sidered as resulting from one accident. SECTION. III — PHYSICAL DAMAGE COVERAGE A. COVERAGE 1. We will pay for Loss to a covered auto or its equipment under: a. D — Comprehensive Coverage. From any cause except: 1) The covered auto's collision with another object; or 2) The covered auto's overturn. b. E5 — Specified Causes of Loss Cover- age. Caused by: 1) Fire, lightning or explosion; 2) Theft; 3) Windstorm, hail or earthquake; 4) Flood; 5) Mischief or vandalism; or 6) The sinking, burning, collision or derailment of any conveyance transporting the covered auto. c. G — Collision Coverage. Caused by: 1) The covered auto's collision with another object; or 2) The covered auto's overturn. 2. H — Towing. We will pay up to the limit shown in the Declarations for towing and labor costs incurred each time a covered auto of the private passenger type is disabled. How- 9 3621 U ever, the labor must be performed at the place of disablement. 3. Glass Breakage - Hitting a Bird or Ani- mal — Falling Objects or Missiles. If you carry Comprehensive Coverage for the damaged covered auto, we will pay for the following under Comprehensive Cov- erage: a. Glass breakage; b. Loss caused by hitting a bird or animal; and c. Loss caused by falling objects or mis- siles. However, you have the option of having glass breakage caused by a covered auto's collision or overturn considered a loss un- der Collision Coverage. 4. Coverage Extension. We will pay up to $10 per day to a maximum of $300 for transportation expense incurred by you because of the total theft of a covered auto of the private passenger type. We will pay only for those covered autos for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 expiration, when the covered auto is re- turned to use or we pay for its loss. B. EXCLUSIONS 1. We will not pay for loss caused by or re- sulting from any of' the following. Such loss is excluded regardless of any other cause or event that contributes concur- rently or in any sequence to the loss. a. Nuclear Hazard. 1) The explosion of any weapon em- ploying atomic fission or fusion; or 2) Nuclear reaction or radiation, or radioactive contamination, how- ever caused. b. War or Military Action. 1) War, including undeclared or civil war; 2) Warlike action by a military force, including action in hindering or de- fending against an actual or ex- pected attack, by any government, sovereign or other authority using military personnel or other agents; or 3) Insurrection, rebellion, revolution, usurped power or action taken by governmental authority in hinder- ing or defending against any of these. 2. Other Exclusions. a. We will not pay for loss to any of the following: 1) Tape decks or other sound re- producing equipment unless per- manently installed in a covered auto. 2) Tapes, records or other sound re- producing devices designed for use with sound reproducing equip- ment. 3) Sound receiving: equipment de- signed for use as a citizens' band radio, two-way mobile radio or telephone or scanning monitor re- ceiver, including its antennas and other accessories, unless perma- nently installed in the dash or con- sole opening normally used by the auto manufacturer for the installa- tion of a radio. b. We will not pay for loss caused by or resulting from any of the following un- less caused by other loss that is covered by this insurance: 1) Wear and tear, freezing, mechan- ical or electrical breakdown. 2) Blowouts, punctures or other road damage to tires. C. LIMIT OF INSURANCE The most we will pay for loss in any one acci- dent is the lesser of: 1. The actual cash value of the damaged or stolen property as of the time of the loss; or 2. The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. D. DEDUCTIBLE to 3801 U For each covered auto, our obligation to pay for, repair, return or replace damaged or sto- len property will be reduced by the applicable deductible shown in the Declarations. Any Comprehensive Coverage deductible shown in the Declarations does not apply to loss caused by fire or lightning. Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 SECTION IV - BUSINESS AUTO CONDITIONS The following conditions apply in addition to the Common Policy Conditions: A. LOSS CONDITIONS 1. APPRAISAL FOR PHYSICAL DAM- AGE LOSS If you and we disagree on the amount of loss, either may demand an appraisal of the loss. In this event, each party will select a competent appraiser. The two appraisers will select a competent and impartial um- pire. The appraisers will state separately the actual cash value and amount of loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will be binding. Each party will: a. Pay its chosen appraiser; and b. Bear the other expenses of the ap- praisal and umpire equally. If we submit to an appraisal, we will still retain our right to deny the claim. 2. DUTIES IN THE EVENT OF ACCI- DENT, CLAIM, SUIT OR LOSS a. In the event of accident, claim, suit or loss, you must give us or our author- ized representative prompt notice of the accident or loss. Include: 1) How, when and where the accident or loss occurred; 2) The insured's name and address; and 3) To the extent possible, the names and addresses of any injured per- sons and witnesses. 11 3801 U b. Additionally, you and any other in- volved insured must: 1) Assume no obligation, make no payment or incur no expense with- out our consent, except at the insured's own cost. 2) Immediately send us copies of any demand, notice, summons or legal paper received concerning the claim or suit. 3) Cooperate with us in the investi- gation, settlement or defense of the claim or suit. 4) Authorize us to obtain medical re- cords or other pertinent informa- tion. 5) Submit to examination, at our ex- pense, by physicians of our choice, as often as we reasonably require. c. If there is loss to a covered auto or its equipment you must also do the fol- lowing: 1) Promptly notify the police if the covered auto or any of its equip- ment is stolen. 2) Take all reasonable steps to protect the covered auto from further dam- age. Also keep a record of your ex- penses for consideration in the settlement of the claim. 3) Permit us to inspect the covered auto and records proving the loss before its repair or disposition. 4) Agree to examinations under oath at our request and give us a signed statement of your answers. Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 3. LEGAL ACTION AGAINST US No one may bring a legal action against us under this Coverage Form until: a. There has been full compliance with all the terms of this Coverage Form; and b. Under Liability Coverage, we agree in writing that the insured has an obli- gation to pay or until the amount of that obligation has finally been deter- mined by judgment after trial. No one has the right under this policy to bring us into an action to determine the insured's liability. 4. LOSS PAYMENT — PHYSICAL DAM- AGE COVERAGES At our option we may: a. Pay for, repair or replace damaged or stolen property; b. Return the stolen property, at our ex- pense. We will pay for any damage that results to the auto from the theft; or c. Take all or any part of the damaged or stolen property at an agreed or ap- praised value. 5. TRANSFER OF RIGHTS OF RECOV- ERY AGAINST OTHERS TO US If any person or organization to or for whom we make payment under this Cov- erage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do- everything necessary to secure our rights and must do nothing after accident or loss to impair them. B. GENERAL CONDITIONS 1. BANKRUPTCY Bankruptcy or insolvency of the insured or the insured's estate will not relieve us of 12 3801 U any obligations under this Coverage Form. 2. CONCEALMENT, MISREPRESEN- TATION OR FRAUD This Coverage Form is void in any case of fraud by you at any time as it relates to this Coverage Form. It is also void if you or any other insured, at any time, inten- tionally conceal or misrepresent a material fact concerning: a. This Coverage Form; b. The covered auto; c. Your interest in the covered auto; or d. A claim under this Coverage Form. 3. LIBERALIZATION If we revise this Coverage Form to provide more coverage without additional pre- mium charge, your policy will automat- ically provide the additional coverage as of the day the revision is effective in your state. 4. NO BENEFIT TO BAILEE — PHYS- ICAL DAMAGE COVERAGES. We will not recognize any assignment or grant any coverage for the benefit of any person or organization holding, storing or transporting property for a fee regardless of any other provision of this Coverage Form. 5. OTHER INSURANCE a. For any covered auto you own, this Coverage Form provides primary in- surance. For any covered auto you don't own, the insurance provided by this Coverage Form is excess over any other collectible insurance. However, while a covered auto which is a trailer is connected to another vehicle, the Li- ability Coverage this Coverage Form provides for the trailer is: Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 1) Excess while it is connected to a motor vehicle you do not own. 2) Primary while it is connected to a covered auto you own. Regardless of the provisions of para- graph a. above, this Coverage Form's Liability Coverage is primary for any liability assumed under an insured con- tract. c. When this Coverage Form and any other Coverage Form or policy covers on the same basis, either excess or pri- mary, we will pay only our share. Our share is the proportion that the Limit of Insurance of our Coverage Form bears to the total of the limits of all the Coverage Forms and policies covering on the same basis. 6. PREMIUM AUDIT a. The estimated premium for this Cover- age Form is based on the exposures you told us you would have when this policy began. We will compute the fi- nal premium due when we determine your actual exposures. The estimated total premium will be credited against the final premium due and the first Named Insured will be billed for the balance, if any. If the estimated total premium exceeds the final premium due, the first Named Insured will get a refund. b. If this policy is issued for more than one year, the premium for this Cover- age Form will be computed annually based on our rates or premiums in ef- fect at the beginning of each year of the policy. 7. POLICY PERIOD, COVERAGE TER- RITORY Under this Coverage Form, we cover acci- dents.and losses occurring: a. During the policy period shown in the Declarations; and b. Within the coverage territory. The coverage territory is: a. The United States of America; b. The territories and possessions of the United States of America; c. Puerto Rico; and d. Canada. We also cover loss to, or accidents involv- ing, a covered auto while being transported between any of these places. 8. TWO OR MORE COVERAGE FORMS OR POLICIES ISSUED BY US If this Coverage Form and any other Cov- erage Form or policy issued to you by us or any company affiliated with us apply to the same accident, the aggregate maximum Limit of Insurance under all the Coverage Forms or policies shall not exceed the highest applicable Limit of Insurance un- der any one Coverage Form or policy. This condition does not apply to any Cov- erage Form or policy issued by us or an af- filiated company specifically to apply as excess insurance over this Coverage Form. 13 3801 U Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 SECTION V - DEFINITIONS A. "Accident" includes continuous or repeated exposure to the same conditions resulting in bodily injury or property damage. B. "Auto" means a land motor vehicle, trailer or semitrailer designed for travel on public roads but does not include mobile equipment. C. "Bodily injury" means bodily injury, sickness or disease sustained by a person including death resulting from any of these. D. "Insured' means any person or organization qualifying as an insured in the Who Is An In- sured provision of the applicable coverage. Except with respect to the Limit of Insurance, the coverage afforded applies separately to each insured who is seeking coverage or against whom a claim or suit is brought. E. "Insured contract" means: 1. A lease of premises; 2. A sidetrack agreement; 3. An easement or license agreement in con- nection with vehicle or pedestrian private railroad crossings at grade; 4. Any other easement agreement, except in connection with construction or demoli- tion operations on or within 50 feet of a railroad; 5. An indemnification of a municipality as required by ordinance, except in con- nection with work for a municipality; or 6. That part of any other contract or agree- ment pertaining to your business under which you assume the tort liability of an- other to pay damages because of bodily in- jury or property damage to a third person or organization, if the contract or agree- ment is made prior to the bodily injury or property damage. Tort liability means a li- ability that would be imposed by law in the absence of any contract or agreement. An insured contract does not include that part of any contract or agreement: 1. That pertains to the loan, lease or rental of an auto to you; or 2. That holds a person or organization en- gaged in the business of transporting pro- perty by auto for hire harmless for your use of a covered auto over a route or territory that person or organization is authorized to serve by public authority. F. "Loss" means direct and ,accidental loss or damage. G. "Mobile equipment" means any of the follow- ing types of land vehicles, including any at- tached machinery or equipment: 1. Bulldozers, farm machinery, forklifts and other vehicles designed for use principally off public roads; 2. Vehicles maintained for use solely on or next to premises you own or rent; 14 3801 U Vehicles that travel on crawler treads; Vehicles, whether self-propelled or not, maintained primarily to provide mobility to permanently mounted: a. Power cranes, shovels, loaders, diggers or drills; or b. Road construction or resurfacing equipment such as graders, scrapers or rollers. Vehicles not described in paragraphs 1, 2, 3 or 4 above that are not self-propelled and are maintained primarily to provide mo- bility to permanently attached equipment of the following types: a. Air compressors, pumps and genera- tors, including spraying, welding, building cleaning, geophysical explo- ration, lighting and well servicing equipment; or Includes, copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 b. Cherry pickers and similar devices used sis and used to raise or lower workers; to raise or lower workers. and 6. Vehicles not described in paragraphs 1, 2, c. Air compressors, pumps and genera- 3 and 4 above maintained primarily for tors, including spraying, welding, purposes other than the transportation of building cleaning, geophysical explo- persons or cargo. However, self-propelled ration, lighting or well servicing equip - vehicles with the following types of per- ment. manently attached equipment arenot mo- H. "Property damage means damage to or loss bile equipment but will be considered autos. of use of tangible property. a. Equipment designed primarily for: 1. "Suit" means a civil proceeding in which 1) Snow removal; damages because of bodily injury or property 2) Road maintenance, but not con- damage to which this insurance applies are al- struction or resurfacing; or leged. Suit includes an arbitration proceeding 3) Street cleaning; alleging such damages to which you must sub- b. Cherry pickers and similar devices mit or submit with our consent. mounted on automobile or truck chas- J. "Trailer" includes semitrailer. COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. CANCELLATION 3. We will mail or deliver our notice to the 1. The first Named Insured shown in the first Named Insured's last mailing address Declarations may cancel this policy by known to us. mailing or delivering to us advance written 4. Notice of cancellation will state the effec- notice of cancellation. tive date of cancellation. The policy period 2. We may cancel this policy by mailing or will end on that date. delivering to the first Named Insured writ- 5. If this policy is cancelled, we will send the ten notice of cancellation at least: first Named Insured any premium refund a. 10 days before the effective date of due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, cancellation if we cancel for nonpay- the refund may be less than pro rata. The ment of premium; or cancellation will be effective even if we b. 30 days before the effective date of have not made or offered a refund. cancellation if we cancel for any other 6. If notice is mailed, proof of mailing will be reason. sufficient proof of notice. 15 3621 U Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1982, 1983, 1985 B. CHANGES This policy contains all the agreements be- tween you and us concerning the insurance af- forded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. C. EXAMINATION OF YOUR BOOKS AND RECORDS We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. 1. Are safe or healthful; or 2. Comply with laws, regulations, codes or standards. This condition applies not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance in- spections, surveys, reports or recommen- dations. E. PREMIUMS D. INSPECTIONS AND SURVEYS F. We have the right but are not obligated to: 1. Make inspections and surveys at any time: 2. Give you reports on the conditions we find; and 3. Recommend changes. Any inspections, surveys, reports or recom- mendations relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not undertake to perform the duty of any person or organiza- tion to provide for the health or safety of workers or the public. And we do not warrant that conditions: The first Named Insured shown in the Decla- rations: 1. Is responsible for the payment of all pre- miums; and 2. Will be the payee for any return premiums we pay. TRANSFER OF YOUR RIGHTS AND DU- TIES UNDER THIS POLICY Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named insured. If you die, your rights and duties will be trans- ferred to your legal representative but only while acting within the scope of duties as your legal representative. Until your legal repre- sentative is appointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. We have caused this coverage form to be signed by our duly authorized representative, and counter- signed. 16 3621 U Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1982, 1983, 1985 Note: The following endorsement applies to this Coverage Form. 6035B CHANGES — COMMON POLICY CONDITIONS The COMMON POLICY CONDITIONS are amended as follows: A. CANCELLATION Paragraph 5. is amended as follows: 5. If this policy is cancelled, you may be enti- tled to a premium refund. If so, we will send you the refund. However, making or offering to make the refund is not a condi- tion of cancellation. If you or we cancel, the refund, if any, will be computed pro rata. B. CHANGES The following Condition is added under Para- graph B. to read as follows: PREMIUM CHANGES The premium for this policy is based on infor- mation we have received from you or other sources. You agree: 1. that if any of this information material to the development of the policy premium is incorrect or incomplete, we may adjust the premium accordingly during the policy pe- riod or within 90 days after the current policy period expires. 2. to cooperate with us in determining if this information is correct and complete. Any adjustment of your premium will be made using the rules and rates in effect at the inception of the current policy period. Mid -Term Premium adjustments shall be made as the result of a change in: 1. autos insured by the policy, including changes in use. 2. drivers or driver's marital status. 3. coverages, coverage limits, or deductibles. 4. rating territory. 5. eligibility for discounts or other premium credits. Mid -Term Premium adjustments shall not be made as the result of a change in: 1. additional point charges (unless it is to recognize the addition or deletion of an operator). 2. vehicle symbol assignment based on a re- view of doss experience. 3. attained age of a driver. Note: The following endorsement applies if the endorsement number is shown on the declarations. 6043DD.1 AUTO MEDICAL PAYMENTS COVERAGE (Coverage Q A. COVERAGE We will pay reasonable expenses incurred for necessary medical and funeral services to or for an insured who sustains bodily injury caused by accident. We will pay only those ex- penses incurred within three years from the date of the accident. B. WHO IS AN INSURED 17 3621 U You while occupying or, while a pedes- trian, when struck by any auto. Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 2. If you are an individual, any family mem- ber while occupying or, while a pedestrian, when struck by any auto. 3. Anyone else occupying a covered auto or a temporary substitute for a covered auto. The covered auto must be out of service because of its breakdown, repair, servic- ing, loss or destruction. C. EXCLUSIONS This insurance does not apply to any of the following` 1. Bodily injury sustained by an insured while occupying a vehicle located for use as a premises. 2. Bodily injury sustained by you or any fam- ily member while occupying or struck by any vehicle (other than a covered auto) owned by you or furnished or available for your regular use. 3. Bodily injury sustained by any family member while occupying struck by any ve- hicle (other than a covered auto) owned by or furnished or available for the regular use of any family member. 4. Bodily injury to your employee arising out of and in the course of employment by you. However, we will cover bodily injury to your domestic employees if not entitled to workers' compensation benefits. 5. Bodily injury to an insured while working in a business of selling, servicing, repairing or parking autos unless that business is yours. 6. Bodily injury caused by declared or unde- clared war or insurrection or any of their consequences. 7. Bodily injury to anyone using a vehicle without a reasonable belief that the person is entitled to do so. D. LIMIT OF INSURANCE Regardless of the number of covered autos, in- sureds, premiums paid, claim made or vehicles involved in the accident, the most we will pay for bodily injury for each insured injured in any one accident is the LIMIT OF INSURANCE for AUTO MEDICAL PAYMENTS COV- ERAGE shown in the Declarations. E. CHANGES IN CONDITIONS The CONDITIONS are changed for AUTO MEDICAL PAYMENTS COVERAGE as follows: The TRANSFER OF RIGHTS OF RE- COVERY AGAINST OTHERS TO US Condition does not apply. The reference in OTHER INSURANCE to other collectible insurance applies only to other collectible auto medical payments insurance. F. ADDITIONAL DEFINITIONS 18 3621 U The following are added to the DEFI- NITIONS Section: 1. "Family member" means a person related to you by blood, marriage or adoption who is a resident of your household, in- cluding a ward or foster child. 2. "Occupying" means in, upon, getting in, on. out or off. Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 Note: The following endorsement applies when Coverage U is listed in the declarations. 6250Z.3 FLORIDA UNINSURED MOTORISTS COVERAGE SCHEDULE Bodily Injury $ Each Person $ Each Accident Property Damage $ Each Accident (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. COVERAGE 1. We will pay all sums the insured is legally entitled to recover as damages from the owner or driver of an uninsured motor ve- hicle. The damages must result from bodily injury sustained by the insured caused by an accident. The owner's or driver's liabil- ity for these damages must result from the ownership, maintenance or use of the uninsured motor vehicle. 2. Any judgment for damages arising out of a suit brought without our written consent is not binding on us. B. WHO IS INSURED 1. You. 2. If you are an individual, any family mem- ber. 2. The direct or indirect benefit of any insurer or self -insurer under any workers compen- sation, disability benefits or similar law. 3. Anyone using a vehicle without a reason- able belief that the person is entitled to do so. D. LIMIT OF INSURANCE 1. Regardless of the number of covered au- tos, insureds, premiums paid, claims made or vehicles involved in the .accident, the limit of insurance is as follows: a. 3. Anyone else occupying a covered auto or a temporary substitute for a covered auto. The covered auto must be out of service because of its breakdown, repair, servic b. ing, loss or destruction. 4. Anyone for damages he is entitled to re- cover because of bodily injury sustained by another insured. C. EXCLUSIONS This insurance does not apply to: Any claim settled without our consent. The most we will pay for all damages resulting from bodily injury to any one person caused by any one accident, in- cluding all damages claimed by any person or organization for care, loss of services or death resulting from the bodily injury, is the limit of Bodily In- jury shown in the Schedule for each person. Subject to the limit for each person, the most we will pay for all damages re- sulting from bodily injury caused by any one accident is the limit of Bodily Injury shown in the Schedule for each accident. c. If coverage for property damage is pro- vided by this insurance, the most we will pay for all damages resulting from 19 3621 U Includes copyrighted; material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1986 property damage caused by any one ac- cident is the limit of Property Damage shown in the Schedule.- 2. Any coverage afforded under this endorse- ment shall apply over and above: a. All, sums paid by or for anyone who is legally responsible, including all sums paid or payable under the coverage form's LIABILITY COVERAGE; b. All sums paid or payable under any workers' compensation, disability ben- efits or similar law; and c. All sums paid or payable under any no-fault coverage or automobile med- ical payments coverage. 3. In no event will an insured be entitled to receive duplicate payment for the same el- ements of loss. 4. Any amount paid under this insurance will reduce any amount an insured may be paid for the same elements of loss under the coverage form's LIABILITY COVER- AGE. E. CHANGES IN CONDITIONS The CONDITIONS are changed for UNIN- SURED MOTORISTS COVERAGE as fol- lows: 1. The reference in OTHER INSURANCE to other collectible insurance applies only to other collectible uninsured motorists coverage. 2. DUTIES IN THE EVENT OF ACCI- DENT, CLAIM, SUIT OR LOSS is changed by adding the following: a. Promptly notify the police. if a hit-and- run driver is involved; and b. Promptly send us copies of the legal papers if a suit is brought. 3. TRANSFER OF RIGHTS OR RECOV- ERED AGAINST OTHERS TO US is changed by adding the following: If we make any payment and the insured recovers from another party, the insured shall hold the proceeds in trust for us and pay us back the amount we have paid. 4. The following Condition is added: ARBITRATION a. If we and an insured disagree whether the insured is legally entitled to recover damages from the owner or driver of an uninsured motor vehicle or do not agree as to the amount of damages, ei- ther party may make a written demand for arbitration. In this event, each party will select an arbitrator. The two arbitrators will select a third. If they cannot agree within 30 days, either may request that selection be made by a judge of a court having jurisdiction. Each party will pay the expenses it in- curs and bear the expenses of the third arbitrator equally. b. Unless both parties agree otherwise, arbitration will take place in the county in which the insured lives. Local rules of law as to the arbitration procedure and evidence will apply. A decision agreed to by two of the arbitrators will be binding. F. ADDITIONAL DEFINITIONS 20 3621U 1. Family member means a person related to you by blood, marriage or adoption who is a resident of your household, including a ward or foster child. 2. Occupying means in, upon, getting in, on, out or off. 3. Uninsured motor vehicle means a land mo- tor vehicle or trailer: Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1986 a. For which no liability bond or policy applies at the time of an accident; b. That is an underinsured motor vehicle. An underinsured motor vehicle is a motor vehicle or trailer for which the sum of all liability bonds or policies at the time of an accident provides a limit that is less than the amount an insured is legally entitled to recover as damages caused by the accident; c. For which an insuring or bonding company denies .coverage or is or be- comes insolvent; or d. That is a hit-and-run vehicle and nei- ther the driver nor owner can be iden- tified. The vehicle must hit an insured, a covered auto or a vehicle an insured is occupying. However, uninsured motor vehicle does not include any vehicle: a. Owned or operated by a self -insurer under any applicable motor vehicle law except a self -insurer who is or becomes insolvent and cannot provide the amounts required by that motor vehi- cle law; b. Owned by a governmental unit or agency; c. Designed for use mainly off public roads while not on public roads; or d. Owned by or furnished or available for the regular use of you or any family member. Note: This endorsement applies if the endorsement number is shown on the Declarations Page. 6259AE.1 PHYSICAL DAMAGE COVERAGE PHYSICAL DAMAGE COVERAGE is changed B. LIMIT OF INSURANCE is replaced by the as follows: following: A. EXCLUSIONS is changed by adding the fol- The most we will pay for loss in any one acci lowing exclusions: dent is the lesser of: We will not pay for loss to: 1. A covered auto while being operated in any prearranged or organized racing or speed contest or in practice or preparation for any such contest. 2. ,A covered auto arising out of or during its use for the transportation of any: a. explosive substance; b. flammable liquid; or C. similar hazardous materials except transportation incidental to your ordinary household or farm activities. a. The actual cash value of the damaged or stolen property at the time of the loss but not to exceed $35,000. b. The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality but not to exceed $35,000. C. DEDUCTIBLE is replaced by the following: For each covered auto our obligation to pay for, repair, return or replace damaged or sto- len property will be reduced by the applicable deductible shown in the Declarations. 21 3621 U Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1986, 1987 Note: The following endorsement applies when the endorsement number is shown in the declarations. 6262L.1 CHANGES — AUTO MEDICAL PAYMENTS COVERAGE CHANGES IN CONDITIONS is amended by adding the following Condition: ADDITIONAL CONDITION Any payment we make under this coverage to an insured shall be excess over any benefits paid or pay- able under the provisions of any workers' compensation law, disability benefits law, or any similar law. Note: The following endorsement replaces any similar provisions in the policy. 6516E.1 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (Broad Form) The insurance does not apply: A. Under any Liability Coverage, to bodily in- jury or property damage: (1) With respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability Underwriters, Nuclear Insur- ance Association of Canada or any of their successors, or would be an in- sured under any such policy but for its termination upon exhaustion of its limit of liability; or (2) Resulting from the hazardous proper- ties of nuclear material and with respect to which (a) any person or organiza- tion is required to maintain financial protection pursuant to the Atomic En- ergy Act of 1954, or any law amenda- tory, thereof, or (b) the insured is, or had this policy not been issued would be, entitled to indemnity from the United States of America, or any agency thereof, under any agreement entered into by the United States of America, or any agency thereof, with any person or organization. B. Under any Medical Payments coverage, to expenses incurred with respect to bodily injury resulting from the hazardous proper- ties of nuclear material and arising out of the operation of a nuclear facility by any person or organization. C. Under any Liability Coverage, to bodily injury or property damage resulting from the hazardous properties of nuclear mate- rial, if: (1) The nuclear material (a) is at any nu- clear facility owned by, or operated by or on behalf of, an insured or.(b) has been discharged or dispersed there- from; (2) The nuclear material is contained in spent fuel or waste at any time pos- sessed, handled, used, processed, stored, transported or disposed of by or on behalf of an insured, or (3) The bodily injury or property damage arises out of the furnishing.by an in- sured of services, materials, parts or equipment in connection with the 22 3621 U Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1983, 1984, 1987 planning, construction, maintenance, operation or use of any nuclear facility, but if such facility is located within the United States of America, its territories or possessions or Canada, this exclu- sion (3) applies only to property dam- age to such nuclear facility and any property thereat. As used in this endorsement: "Hazardous properties" include radioactive; toxic or explosive properties; "Nuclear material" means source material, special nuclear material or by-product mate- rial; Source material, special nuclear material, and by-product material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof, "Spent fuel" means any fuel element or fuel component, solid or liquid, which has been: used or exposed to radiation in a nuclear reac- tor; "Waste" means any waste material (a) con- taining by-product material other than the tailings or wastes produced by the extraction or concentration of uranium or thorium from any ore processed primarily for its source ma- terial content, and (b) resulting from the oper- ation by any person or organization of any nuclear facility included under the first two paragraphs of the definition ofnuclear facility. "Nuclear facility" means: (a) Any nuclear reactor; (b) Any equipment or device designed or used for (1) separating the isotopes of uranium or plutonium, (2) processing or utilizing spent fuel, or (3) handling, processing or packaging waste; (c) Any equipment or device used for the processing, fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the prem- ises where such equipment or device is located consists of or contains more than 25 grams of plutonium or ura- nium 233 or any combination thereof, or more than 250 grams of uranium 235; (d) Any structure, basin, excavation, premises or place prepared or used for the storage or disposal of waste; and includes the site on which any of the fore- going is located, all operations conducted on such site 'and all premises used for such oper- ations; Nuclear reactor means any apparatus designed or used to sustain nuclear, fission n a self-sup- porting chain reaction or to conta iin a critical mass of fissionable material; Property damage includes all forms of radio- active contamination of property. 23 3621 U Includes copyrighted material of Insurance Services Office, with its permission Insurance Services Office, Inc., 1983, 1984 Copyright, Note: The following endorsement applies to this policy. 6812B ADDITIONAL CONDITION ENDORSEMENT The following condition is: added to the policy. Declarations: This policy is issued by us on behalf of the Florida Joint Underwriting Association and, by acceptance of this policy you agree: (a) That the statements in the declarations are your representations; (b) That this policy is issued in reliance upon the truth of those representations; and (c) That this policy embodies all agreements existing between you and us or any of our agents re- lating to this policy. Note: The following endorsement replaces any similar coverage in the policy. 6839Z.1 SPLIT LIABILITY LIMITS SCHEDULE (See Declarations) The LIABILITY COVERAGE Limit of Insur- 2 ance is replaced by the following: Regardless of the number of covered autos, in- sureds, premiums paid, claims made or vehicles involved in the accident, the limit of insurance is as follows: - 1. The most we will pay for all damages resulting from bodily injury to any one person caused by any one accident, including all damages claimed by any one person or organization for care, loss of services or death resulting from the bodily injury, is the limit of Bodily Injury Liability shown in the Schedule for each per- son. Subject to the limit for each person, the most we will pay for all damages resulting from bodily injury caused by any one accident is the limit of Bodily Injury Liability shown in the Schedule for each accident. The most we will pay for all damages resulting from property damage caused by any one acci- dent is the limit of Property Damage Liability shown in the Schedule. All bodily injury and property damage resulting from continuous or repeated exposure to substan- tially the same conditions will be considered as resulting from one accident. 24 3621 U Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 Note: The following endorsement applies when Coverage P is listed in the declarations. 6850EE.2 FLORIDA PERSONAL INJURY PROTECTION ENDORSEMENT (Coverage P) We agreemith you, subject to all the provisions of this endorsement and to all of the provisions of the policy except as modified herein, as follows that: A. COVERAGE We will pay Personal Injury Protection bene- fits in accordance with the Florida Motor Ve- hicle No -Fault Law to or for an insured who sustains bodily injury in an accident arising out of the ownership, maintenance or use of an auto. Subject to the limits shown in the sched- ule, these Personal Injury Protection benefits consist of the following: 1. Medical expense. All reasonable expenses for necessary medical, surgical, x-ray, den- tal, ambulance, hospital, professional nursing and rehabilitative services, for prosthetic devices and for necessary reme- dial treatment and services recognized and permitted under the laws -of the state for an insured who relies upon spiritual means through prayer alone for healing in ac- cordance with his religious beliefs; 2. Replacement services expenses. With re- spect to the period of disability of the in- sured person all expenses reasonably incurred in obtaining from others ordinary and necessary services in lieu of those that, but for such injury, the insured person who have performed without income for the benefit of his household; and 3. Work loss. With respect to the period of disability of the insured, any loss of income and earning capacity from inability to work proximately caused by the injury sustained by the insured. 4. Funeral, burial or cremation expenses. B. WHO IS INSURED 1. You. 2. If you are an individual, any family mem- ber. 3. Any other person while occupying a cov- ered auto with your consent. 4. A pedestrian if the accident involves the covered auto. C. EXCLUSIONS 25 3621 U We will not pay Personal Injury Protection benefits for bodily injury: 1. Sustained by you or any family member while occupying any auto you own that is not a covered auto. 2. Sustained by any person operating the covered auto without your expressed or implied consent; 3. Sustained by any person: a. Caused by his or her own intentional act; or While committing a felony. 4. To you or any family member for work loss if an entry in the schedule or declarations indicates that coverage for work loss does not apply; 5. To any pedestrian, other than you or any family member, not a legal resident of the State of Florida; 6. To any person, other than you if that per- son is the owner of an auto for which secu- rity is required under the Florida Motor Vehicle No -Fault Law; Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1986 7. To any person, other than you or any fam- 4. ily member, who is entitled to personal in- jury protection benefits from the owner of an auto that is not a covered auto under this insurance or from the owner's insurer; or 8. To any person who sustains bodily injury while occupying an auto located for use as a residence or premises. D. LIMIT OF INSURANCE 1. Regardless of the number of persons in- sured, policies or bonds applicable, premi- ums paid, vehicles involved or claims made, the total aggregate limit of personal injury protection benefits available under the Florida Motor Vehicle No -Fault Law from all sources combined, including this policy, for all loss and expense incurred by or on behalf of any one person who sus- tains bodily injury as the result of any one accident, shall be $10,000; provided that payment for funeral, cremation or burial expenses, included within the total aggre- gate, shall not exceed $1,750. 2. Any amount paid under this coverage will be reduced by the amount of benefits an injured person has been paid or is entitled to be paid for the same elements of loss under any workers compensation law or medicaid program. 3. If personal injury protection benefits, un- der the Florida Motor Vehicle No -Fault Law, has been received from any insurer for the same elements of loss and expense benefits available under this policy, we will not make duplicate payments to or for the benefits of the injured person. The insurer paying the benefits shall be entitled to re- cover from us its pro rata share of the ben- efits paid and expenses incurred in handling the claim. The benefits that would otherwise be pay- able under this insurance for bodily injury sustained by any one person in any one ac- cident will be reduced by the deductible amount shown in the Schedule. If the total amount of the loss and expense exceeds the deductible, the total limit of benefits we are obligated to pay will be the difference between the deductible amount and the limit of our liability. The deductible does not apply to funeral, cremation or burial expenses. If an entry in the Schedule so indicates, an amount payable under this insurance to you or dependent family member will be reduced by any benefits payable by the Federal Government to active or retired military personnel and their dependent family member. If those benefits are not available at the time of loss, we will have the right to recompute and charge the ap- propriate premium. E. CHANGES IN CONDITIONS 26 3621 U The CONDITIONS are changed for PER- SONAL INJURY PROTECTION as follows: 1. DUTIES IN THE EVENT OF ACCI- DENT, CLAIM, SUIT OR LOSS In the event of an accident, you must give us or our authorized representative prompt written notice of the accident. If any injured person or his or her legal representative institutes a legal action to recover damages for bodily injury against a third party, a copy of the summons, com- plaint or other process served in con- nection with that legal action must be forwarded to us as soon as possible by the injured person or his or her legal represen- tative. Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1986 2. LEGAL ACTION AGAINST US is changed by adding the following: No one may bring a legal action against us under this insurance until 30 days after the required notice of accident and reasonable proof of claim has been filed with us. 3. TRANSFER OF RIGHTS OF RECOV- ERY AGAINST OTHERS TO US is re- placed by the following: Unless prohibited by the Florida Motor Vehicle No -Fault Law, in .the event of payment to or for the benefit of any in- jured person under this coverage: a. We will be reimbursed for those pay- ments, not including reasonable attorneys' fees and other reasonable expenses, from the proceeds of any set- tlement or judgement resulting from any right of recovery of the injured person against any person or organiza- tion legally responsible for the bodily injury from which the payment arises. We will also have a lien on those pro- ceeds; b. If any person to or for whom we pay benefits has rights to recover benefits from another, those rights are trans- ferred to us. That person must do ev- erything necessary to secure our rights and must do nothing after loss to im- pair them. C. The company providing personal in- jury protection benefits on a private passenger auto, as defined in the Florida Motor Vehicle No -Fault Law shall be entitled to reimbursement to the extent of the payment of personal injury protection benefits from the owner or insurer of the owner of a com- mercial auto, as defined in the Florida Motor Vehicle No -Fault Law, if such injured person sustained the injury while occupying, or while a pedestrian through being struck by, such com- mercial auto. F. ADDITIONAL CONDITIONS The following CONDITION is added: 1. MODIFICATION OF POLICY COV- ERAGES 27 3621 U Any Automobile Medical Payments Cov- erage and any Uninsured Motorists Cov- erage afforded by the policy shall be excess over any personal injury protection bene- fits paid or payable. Regardless of whether the full amount of personal injury protection benefits have been exhausted, any Medical Payments Coverage afforded by the policy shall pay the portion of any claim for personal in- jury protection medical expenses which are otherwise covered but not payable due to the limitation of 80% of medical expenses benefits but shall not be payable for the amount of the deductible selected. 2. PROOF OF CLAIM; MEDICAL RE- PORTS AND EXAMINATIONS; PAY- MENT OF CLAIM WITHHELD As soon as practicable, the person making claim shall give to us written proof of claim, under oath if required, which may include full particulars of the nature and extent of the injuries and treatment re- ceived and contemplated, and such other information as may assist us in determin- ing the amount due and payable. Such person shall submit to mental or physical examinations at our expense when and as often as we may reasonably require and a copy of the medical report shall be for- warded to such person if requested. If the person unreasonably refuses to submit to an examination, we will not be liable for subsequent personal injury protection Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1986 benefits. Whenever a person making claim is charged with committing a felony, we shall withhold benefits until at the trial level the prosecution makes a formal entry on the record that it will not prosecute the case against the person, the charge is dis- missed or the person is acquitted. 3. PROVISIONAL PREMIUM In the event of any change in the rules, rates, rating plan, premiums or minimum premiums applicable to the insurance af- forded, because of an adverse judicial finding as to the constitutionality of any provisions of the Florida Motor Vehicle No -Fault Law providing for the ex- emption of persons from tort liability, the premium stated in the declarations for any Liability, Medical Payments and Unin- sured Motorists insurance shall be deemed provisional and subject to recomputation. If this policy is a renewal policy, such re - computation shall also include a determi- nation of the amount of any return premium previously credited or refunded to the named insured pursuant to Section 12(2)(e) of the Florida Motor Vehicle No - Fault Law with respect to insurance af- forded under a previous policy. If the final premium thus recomputed ex- ceeds the premium stated in the declara- tions, the named insured shall pay to us the excess as well as the amount of any return premium previously credited or refunded. 4. SPECIAL PROVISIONS FOR RENTED OR LEASED VEHICLES Notwithstanding any provision of this coverage to the contrary, if a person is in- jured while occupying, or through being struck by, a motor vehicle rented or leased under a rental or lease agreement which does not specify otherwise in bold type on the face of such agreement, the personal injury protection coverage afforded under the lessor's policy shall be primary. 5. POLICY PERIOD; TERRITORY The insurance under this Section applies only to accidents which occur during the policy period (a) In the State of Florida; (b) As respects you or any family member, while occupying the covered auto out- side the State of Florida but within the United States of America, its territories or possessions or Canada; and (c) As respects you, while occupying an auto of which a family member is the owner and for which security is main- tained under the Florida Motor Vehi- cle No -Fault law outside the State of Florida but within the United States of America, its territories or possessions or Canada. G. ADDITIONAL DEFINITIONS 28 3621 U The definition of auto in the DEFINITIONS Section is replaced by the following: 1. Auto means any self-propelled vehicle with four or more wheels which is of a type both designed and required to be licensed for use on the highways of Florida and any trailer or semi -trailer designed for use with such vehicle; However, auto does not include: (a) A mobile.home; (b) Any motor vehicle which is used in mass transit or public school transpor- tation and designed to transport more than five passengers exclusive of the operator of the motor vehicle and which is owned by a municipality, a transit or public school transportation authority, or a political subdivision of the state; or Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1986 (c) A taxicab or limousine. 2. The following are added to the DEFI- NITIONS Section: a. Family member means a person related to the named insured by blood, mar- riage or adoption (including a ward or foster child) who is usually a resident of the same household as the named in - cured. b. Occupying means in or upon or enter- ing into or alighting from; c. Owner means person or organization who holds the legal title to an auto, and also includes: (i) A debtor having the right to pos- session, in the event an auto is the subject of a security agreement; SCHEDULE (ii) A lessee having the right to pos- session; in the event an auto is the subject of a lease with option to purchase and such lease agreement is for a period of six months or more; and (iii) A lessee having the right to pos- session, in the event a motor vehicle is the subject of a lease without op- tion to purchase, and such lease agreement is for a period of six months or more, and the lease agreement provides that the lessee shall be responsible for securing in- surance. d. Pedestrian means a person while not an occupant of any self-propelled vehicle; Benefits Limit per person Total aggregate limit Up to $10,000 Funeral expenses Up to $1,750 (included in aggregate) Medical expenses 80% of medical expenses subject to total aggregate limit Work loss 60% of work loss subject to total aggregate limit Replacement services expense subject to total aggregate limit 29 3621 U Includes copyrighted material of. Insurance. Services . Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 Work Loss Deductible Applies to: Does Not Apply to: Reduction for Military Each Benefits Named Insured Named Insured for Named First and Each and Insured and Coverage Named Dependent Named Dependent Dependent Symbol Insured Relative Insured Relatives Relatives PO4 None None No No Yes P05 None None Yes Yes Yes P06 None None Yes No Yes P10 None None No No No P13 None None Yes No No P14 None None Yes Yes No P20 $ 250 None No No No P21 $ 250 $ 250 No No No P30 $ 500 None No No No P31 $ 500 $ 500 No No No P40 $1000 None No No No P41 $1000 $1000 No No No P50 $2000 None No No No P51 $2000 $2000 No No No The Coverage Symbol listed in the declarations indicates which of the above factors apply to this policy. 30 3621Lj Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985, 1986 Note: The following endorsement applies when the endorsement number is shown in the declarations. 6853J.1 FLORIDA CHANGES For a covered auto licensed or principally garaged in Florida, PHYSICAL DAMAGE COVERAGE is changed as follows: 1. No deductible applies to loss to glass used in the windshield. 2. All other PHYSICAL DAMAGE COVERAGE provisions will apply. Note: This endorsement applies if the endorsement number is shown on the Declarations Page 6868E.1 CUSTOMIZING EQUIPMENT EXCLUSION PHYSICAL DAMAGE COVERAGE is changed by adding the following exclusion: We will not pay for loss to any custom furnishings or equipment in or upon any pick-up or van. Custom furnishings or equipment include but are not limited to: a. Special carpeting and insulation, furniture, bars or television receivers; b. Facilities for cooking and sleeping; c. Height -extending roofs; d. Custom murals, paintings or other decals or graphics. 31 3621 U Includes copyrighted material of Insurance Services Office, with its permission. Co Insurance Services Office, Inc., 1985, 1986 Copyright, QUICK REFERENCE COMMERCIAL AUTO COVERAGE PART BUSINESS AUTO COVERAGE FORM READ YOUR POLICY CAREFULLY DECLARATIONS PAGES Named Insured and Mailing Address Policy Period Description of Business Coverages and Limits of Insurance SECTION I — COVERED AUTOS Owned Autos You Acquire After The Policy Begins Certain Trailers, Mobile Equipment And Temporary Substitute Autos SECTION II — LIABILITY COVERAGE Coverage Who Is An Insured Coverage Extensions Supplementary Payments Out Of State Exclusions Limit of Insurance SECTION III — PHYSICAL DAMAGE COVERAGE Coverage Exclusions Limit of Insurance Deductible SECTION IV — BUSINESS AUTO CONDITIONS Loss Conditions Appraisal for Physical Damage Loss Duties In The Event Of Accident, Claim, Suit or Loss 33 3621 U Beginning On Page 3 4 4 4 5 5 5 8 8 9 9 9 10 10 Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 QUICK REFERENCE COMMERCIAL AUTO COVERAGE PART BUSINESS AUTO COVERAGE FORM Beginning On Page SECTION IV — BUSINESS AUTO CONDITIONS (Cont'd) Legal Action Against Us 10 Loss Payment — Physical Damage Coverages 11 Transfer Of Rights Of Recovery Against Others To Us 11 General Conditions Bankruptcy 1 I Concealment, Misrepresentation Or Fraud 11 Liberalization 11 No Benefit to Bailee — Physical Damage Coverages 11 Other Insurance 11 Premium Audit 12 Policy Period, Coverage Territory 12 Two Or More Coverage Forms Or Policies Issued By Us 12 SECTION V — DEFINITIONS 13 COMMON POLICY CONDITIONS Cancellation 14 Changes 15 Examination of Your Books and Records 15 Inspections and Surveys 15 Premiums 15 Transfer of Your Rights and Duties under this Policy 15 Policy Form 9362U.1 Includes copyrighted material of Insurance Services Office, with its permission. Copyright, Insurance Services Office, Inc., 1985 P.O.Bankers Shippers �IJA n�2�l� � North Carolina 27215 } ' Burlington, CERTIFICATE OF INSURANCE Received Risk Momr.& Loss Control DATE INITIAL THIS CERTIFICATE OF INSURANCE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED. Certificate Holder: MONROE COUNTY 2798 OVERSEAS HWY STE 300 MARATHON, FL 33050— Insured: BUCCANEER COURIER INC PO BOX 5601439 MARATHON, FL 33050— &ethis number topresent inquiries or Policy Number CFL 7042356 00 obtain information about coverage and to Policy Eff Date 04/17/95 provide assistance in resolving complaints Policy Exp Date 04/17/96 8W323HM _________________________________________________________________________ Insurance is provided insured as indicated below. _________________________________________________________________________ lFype of Insurance Limits of Liability Scheduled Autos Bodily Injury/Property Damage Auto Physical APPROVED BY RISK MANAr.EMP� OkIC- Scheduled Autos BY ?W-AtLesser of ACV or Collision Nil Stated Amount DATE Subject to $ Deduction from Each Comp Nil Lesser of ACV or Stated Amount Subject to $ Deduction from Each Loss _______Specified Nil Lesser of ACV or Stated Amount Perils Subject to $ Deduction from Each Loss GOVERNMENT ENTITY CANNOT BE LISTED AS ADDITIONAL INSURED. Agent: 0003163 ISLAND INSURANCE 3229 FLAGLER AVE #112 KEY WEST, FL 33040— c�'��4��s�� CV38 10/92 Auth i : P-- issue date 05/02/95 April 22, 1993 I st Printing MONROR COUNTY, FLORIDA Request For Waivcr of Insurancc Requirements It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following contract. Contractor: Azle 't�V r— Contract I'or: Address of Contractor: �� L� 1&5/r Phone: Scope of Work:< - Reason for Waiver: � t j�� i<�Z/�f X-C/ Signature of Contractor: Risk Management Date Approved Not A roved �;�r� County Administrator appcal: Approved: Date: Board of County Coin missioncrs appeal: Approved: Meeting Date: Not Approved: Not Approved: WAIVER a�� tea • CERTJ0' tF. C _.. ISSUE DATE MM!DD DF;A� Sl ( "Y' v ,v 3/21/96 PRODUCER Security Bond Associates, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, 10131 S .W. 40th Street EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Miami, Fl 33165 COMPANIES AFFORDING COVERAGE CODE SUB -CODE COMPANY - LETTER A preferred National Insurance Company COMPANY B INSURED LETTER On Time Delivery Systems, Inc. DBA: Buccaneer Courier LETTERNV C 6601 North West 15th Way Ft. Lauderdale, Fl 33309 COMPANY D LETTER COMPANY E " LETTER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDS 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. t CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 'POLICY EXPIRATION ALL LIMITS IN THOUSANDS LTR DATE (MM/DD!YY) DATE (MM/DD/YY) GENERAL LIABILITY " " " "" "" - _ " " GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOPS AGGREGATE $ CLAIMS MADE OCCUR.' PERSONAL & ADVERTISING INJURY $ G OWNER'S &CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ 1 MEDICAL EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED ANY AUTO SINGLE $ LIMIT Received D-_ _____-- ALL OWNED AUTOS BODILY 1 R.AsIl mt. &:Loss Control � INJURY $ SCHEDULED AUTOS g G (Per person) € HIRED AUTOS LiATECL,� BODILY F _,—Y-- -- INJURY $ NON -OWNED AUTOS (Per accident) 2 GARAGE LIABILITY PROPERTY $ DAMAGE EXCESS LIABILITY — 1 EACH AGGREGATE OCCURRENCE' $ $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY .. AND $ (EACH ACCIDENT) EMPLOYERS' LIABILITY $ (DISEASE —POLICY LIMIT) $ (DISEASE —EACH EMPLOYEE] OTHER.._ _.. _... __ -.. ._.... .. - .... �A Fidelity R01805 9/26/95 9/26/96 $10 000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/YEHICLESlTTESTRICTIONSlSPECIAL ITEMS " I CERTIFICATE MOLDER.gl;� ° '� � CIWCELL74TION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Attn: Rist. Management EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 5100 College Road MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Key West, Fl 33040 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SH L IMPOSE NO OBLIGATION OR j LIABILITY OF ANY KIND UPON THE Y, I ,AGENTS OR REPRESENTATIVES. I f AUTHORIZED REPRESENTATIVE Burton Harri� ACORD 25-S (3/88) �� J CACORD CORPORATION 1988 CERTIFICATE OF INSURANCE DATE (MM/DD/YY) !PRODUCER INSURED Southernmost Insurance Agency 1104 Truman Avenue P.O. Box 323 Key West, F1 33041-0323 Buccaneer Courier, Inc. P.O. Box 501439 Marathon, FL 33050 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 COMPANY A Wausa IPPROVED FRISK Wkl?.,rE!IF 'T 0� LG COMPANY COMPANY j C DATE %—A_� COMPANY D WAIVER: N/A YES COVERAGES i THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.CO i i TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MWDD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 6 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ ! j CLAIMS MADE OCCUR f PERSONAL & ADV INJURY $ OWNERS & CONT PROT EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) t PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ j ANY AUTO OTHER THAN AUTO ONLY. jf EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ I UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS' LIABILITY A 1416-00-132214 03.01/95 THE PROPRIETOR / / EACH ACCIDENT $ 10o,000 3 0 1 9 6 INCL PARTNERS/EXECUTIVE DISEASE - POLICY LIMIT $ 500s000 5 0 0 0 0 0 OFFICERS ARE: EXCL X DISEASE - EACH EMPLOYEE $ ----- DESCRIPTION OF OPERATIONSlLOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Risk Management EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 5100 College Road _3(�___ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Key West, FL 33040 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF A Y KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. n AUTHORI D REPRESENTATIV — ACORD 25-S (3/93) D o ACORD RPORATION 1993 I PLEASE REAR YOUR POLICY POLICY NUMBERCA O-5 1 — 1 2C��j O This declarations Page/Amended Declaration p0ge with the policy jacket identified by the form and edition date indcated3co4 tes the above Rutnoered policy. Previous policy no. Form 6908 Ed. 1 188 5 RECEIVED MICR - 3 CARLTON & KATHLEEN DRAKE PAGE 1 OF 3 DECLARATIONS .BUCCANEER COURIER NAMED INSURED POBOX (�501439 PolipyAAAU9&1 A.M. STANDAUT AYTHE ADDRESS OF THE NAMED INSURED AS STATED HEREIN c JOHNSONS INS AGCY FROM FEB 18, 1995 TO FEB 18, 1996 N PO BOX 2346 T MARATHON SHORES FL 33052 CA-27757 Rrogre17WMM9anier PROGRESSIVE AMERI CAN INS. CO. 1-800-444-4487 P.O. BOX 94739, CLEVELAND, OHIO 44101 The insurance afforded is only with respect to such and so many of the following coverages as are indicated with respect to each described vehicle. The limit of the company's liability against each such coverage shall be as stated herein, subject to all the terms of this policy having reference thereto. SCHEDULE OF COVERAGES AND LIMITS OF LIABILITY COVERAGES FULL TERM PREMIUM CHARGES A BODILY INJURY LIABILITY $100,000 EACH PERSON $2859 B PROPERTY DAMAGE LIABILITY 350,000 EACH ACC. 50,000 EACH ACC. D COMP OR FTCAC STATED AMT SEE SCHEDULE OF COVERED VEH FOR DED $69 E COLLISION OR UPSET —STD AMT SEE SCHEDULE OF COVERED VEH FOR DED $1771 BASIC PERSONAL INJURY PROTECTION $10,000 LIMIT/PERS. 345 LESS NO DED. WITHOUT WORKERS COMP I UN/UNDERINS MOTORIST —REJECTED ON APPLICATION 1652 (05-88) 2011 DRIVERS PAGE 2 FILING FEES $25.00 TOTAL POLICY PREMIUM $3,469.00 ATTACHMENT IDENTIFIED BY FORM NUMBER (05-94) 2029 (05-94) 2068 (05-88) 1197 (08-93) 1198 (08-93) , COVERED VEH PAGE 3 PUC—N Any loss under PaA I I is payable as interest may appear to named insured and above loss payee: nProt Premium BugTet: Fin. Resp. Filed: AEOFor Whom: Case No: RM791f %Factor Used 95055 CARL 10.0 CAICSIIC Countersigned: 1113 (5-88) AGENT'S COPY By OTH—N v.utnorizea rtepresentatrve CVFL001012871_1113.1 PLEASE READ YOUR POLICY POLICY NUMBERCA O— 1 — 1 2 �j O This declarations Page/Amended Declaration page with the policy jacket identified by the form and edition date nicated3com€te is the above numbered policy. Previous policy no. Form 69o8 Ed. 1 188 CARLTON r; KATHLEEN DRAKE PAGE 3 OF 3 DECLARATIONS BUCCANEER COURIER NAMED INSURED PO BOX 501439 �2 r(� Policy AAbd'Q,41 A.M. STANDAf��TFACA)OTHE ADDRESS OF THE NAMED INSURED AS STATED HEREIN FROM FEB 18, 1995 TO FEB 18, 1996 JOHNSONS INS AGCY E PO BOX 2346 T MARATHON SHORES FL 33052 CA-27757 prog/F.0J7 CZ7MR81Mr PROGRESSIVE AMER I CAN INS. CO. 1-800-444-4487 P.O. BOX 94739, CLEVELAND, OHIO 44101 The insurance afforded is only with respect to such and so many of the following coverages as are indicated with respect to each described vehicle. The limit of the company's liability against each such coverage shall be as stated herein, subject to all the terms of this policy having reference thereto. SCHEDULE OF COVERED VEHICLES VEH DR TRADE BODY DVR VEH TER RAD DSC DSC NO NO YR NAME TYPE SERIAL NO SCH CLS NO ZIP IUS COD PCT 1-01 3 88 TOYOTA PICKUP 1/2T JT4RN50RXJ5156829 15 U05 96 33o42 200 000 2-02 1 83 DATS PICKUP 1/2T JN6ND06S1DW000379 U05 96 33042 200 000 VEH NO 1 2 BI/PD 1,529 1,330 VEH COMP OR FT/CAC NO TYPE DED 1 COMP $500 2 LIABILITY PREMIUM BY VEHICLE MED RENT PAY UM/UIM REIN PIP $184 5161 PHYSICAL DAMAGE PREMIUM BY VEHICLE COLLISION ON —HOOK PREM DED PREM LIMIT DED $69 $500 $171 PREM III - QQ CT Any loss under 2Part is Pa able as interest may appear to named insured and above loss payee: OWrtlPremium Budget: Fin. Resp. FiletlJ AEO 9rj h9APL 1 U • 0 CA I CS 1 1 Base No: RIR %Factor Used: Countersigned: 1113 (5-88) By VEH TOTAL �?53 1, 91 r ucnunzea representative CVFL00101287L1113.3 gf4rrirecompanier P.O. Box 94739 Cleveland, Ohio 44101 CUSTOM PARTS AND EQUIPMENT ENDORSEMENT Issued by: AGENCY COMMERCIAL VEHICLE DIV PO BOX 94739 CLEVELAND OH 44101 Provided that you have paid any required premium, we agree with you to extend coverage under Part 111, Damage to your Auto, to the custom parts and equipment listed below. Coverage under this change extends only to parts and equipment which are permanently attached and forming part of your insured auto. The value declared below must be included in the stated amount of your insured auto for coverage. Our limit of loss -will be the least of: 1. the actual cash value of the stolen or damaged property at the time of loss, or 2. the amount shown below as the Total Declared Value of Equipment, or 3. the amount necessary to repair the property with other of like kind and quality, with deduction for depreciation. reduced by the Auto Damage Deductible shown in the Policy Declarations. No. Equipment/Parts To Be Insured Total Declared Value Of Equipment 01 NONE DECLARED 02 NONE DECLARED All other parts of this Policy remain unchanged. This endorsement changes Policy No. CA 05113255-0 Issued to: CARLTON & KATHLEEN DRAKE PO BOX 501439 MARATHON FL 33050 Name of Insured Address City/State Zip Endorsement Effective: 02/ 18/95 2011 (5-94) AGENT COPY AEO C3 0190 95055 CAICS28C CVFL0519940029L201 1 A 1 rA ff flf49gferrvecompanier Received Risk Mgmt. Ik Loss Control ADDITIONAL INSURED DATE�� INITIAL The person or organization named below is a person insured with respect to such liability overage as is afforded by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be excess insurance over any other valid and collectible insurance. NAME OF PERSON OR ORGANIZATION: MONROE CNTY BD COMM 5100 COLLEGE #4 KEY WEST FL 33040 APPROVED BY RISK MA�«GFMENT BY DATE WAIVER: N/A YES All other parts of this policy remain unchanged. This endorsement changes Policy No.: 0 - 5113255 - 0 Issued to (Name of Insured): CARLTON & KATHLEEN DRAKE Endorsement Effective: 02/18/95 Expiration: 02/18/96 ;Form No. 1198 (8-93) CVFLO51794000OL119801A CERTIFICATE OF INSURANCE Page 1 PROGRESSIVE AMERICAN INSURANCE COMPANY ORLANDO, FL 32891-5040 To: MONROE CTY BD OF CTY COMM 5100 COLLEGE RD PUBLIC SERVICE BLDG WING4 KEY WEST FL 33040 Date: 03/14/95 This is to certify that the compan)AP 6`Ab191U8►iftgE"orce as of the date hereof the following policy or policies: JFC 0006736837 �— Policy Effective Date: 02/18/95 DATE 3 ^_2l — Policy Expiration Date: 02/18/96 Name and address of insured: BUCCANEER COURIER INC 1028B PIRATE ROAD LITTLE TORCH KEY FL 33042 KIND OF INSURANCE POLICY NO. LIMITS OF LIABILITY Workers' Compensation Statutory Employers' Liability Each Person Each Accident Bodily Injury Liability Each Occurrence Other than Aggregate Products and Automobiles* Completed Operations Property Damage Liability Each Occurrence Other than Aggregate Operations Automobiles* Aggregate Protective Aggregate Contractual Aggregate Products and Completed Operations Automobiles: SEE ABOVE Bodily Injury Liability* 100,000 PER PERSON 300,000 PER ACCIDENT Property Damage Liability* SEE ABOVE 50,000 Each Accident Medical Payments Each Person Uninsured and/or Underinsured Motorist Received Risk Mgmt. & Loss Control DATE _ 3 `-2 INITIAL *If comprehensive, so state. This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy or policies shown above. In event of any material change in or cancellation of the policy or policies, the company will make every effort to notify the addressee but uhdertakes no responsibility by reason of failure to do so. Authorized representative: IS[ 0004 Batch Rep Cur Date Run Seq End Last Run Eff Date Pages Yr CERTINS B55231 N 95073 1979 001 95073 02/18/95 26112 95 POD Policy No: JFC 0006736837 Page 1 THIS ENDORSEMENT PAGE CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AP 90 24 12 90 THIS ENDORSEMENT IDENTIFIES PERSONS) OR ORGANIZATIONS WHO ARE ALREADY AN "INSURED" UNDER THE WHO IS AN INSURED PROVISION OF THE POLICY. THIS ENDORSEMENT DOES NOT ALTER COVERAGE PROVIDED IN THE POLICY. PERSON(S) OR ORGANIZATION(S) IDENTIFIED AS "INSURED(S)" This endorsement is for use with the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM TRUCKERS COVERAGE FORM Each person or organization listed below is an "insured" for LIABILITY COVERAGE, but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision of SECTION II — LIABILITY COVERAGE. (If no entry appears below, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Person(s) or Organ izations(s): MONROE COUNTY BD CTY COMM 5100 COLLEGE ROAD PUBLIC SERVICE BLDG WING4 KEY WEST FL 33040 Batch Rep Cur Date Run Seg End Last Run Eff Date Pages Yr PADDLINS B55231 N 95073 1978 001 95073 02/18/95 26111 95 POU I INSURED Buccaneer Courier. Inc. P 0 Box 501439 Marathon FL 33050-1439 ............................ ........................... DATE (MM/DD/YY) 06/30/95 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 COMPANY A Nova Casualty Company COMPANY APPROVED BY RISK MAM40FME B e COMPANY 'BY --- C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _[ POLICY EFFECTIVE POLICY EXPIRATION LIMITS TR I TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY 09GLOO6328 CLAIMS MADE ❑X OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS Recei) T y SCHEDULED AUTOS DA1 t HIRED AUTOS NON -OWNED AUTOS INFFIA1 _ 02/18/95 1 02/18/96 Control GENERAL AGGREGATE $1, 000, 000 PRODUCTS - COMP/OP AGG $1, 000, 000 PERSONAL & ADV INJURY $ 1 —, 000 , 000 EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE (Any one fire) $50, 000 MED EXP (Any one person) $5 , 000 COMBINED SINGLE LIMIT 16 BODILY INJURY $ (Per person) BODILY INJURY S (Per accident) PROPERTY DAMAGE IS AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM S OTHER THAN UMBRELLA FORM..777777777 WORKERS COMPENSATION AND STATUTORY LIMITS EACH ACCIDENT $ EMPLOYERS' LIABILITY DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL DISEASE -.EACH EMPLOYEE $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SI'tcwL II Mb premises/operations liability Express Companies Monroe County is listed as Additional Insured under this policy. MONRO-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Monroe County Risk Management BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Kay Miller OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 5100 College Road Key West FL 33040 AUTHORIZED REPRESENTATIVE PAM CURRY 041 F/C_&�, Todd-Dorroh Insurance, Inc. 4980 N. Pine Island Road Lauderhill, FL 33351-0000 PHONE -------------------------------------------------- INSURED Buccaneer Courier 6601 North West 15th Way Fort Lauderdale FL 33309 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 --------------------------------------------------------------------------- COMPANY LETTER A Hermitage Insurance Company --------------------------------------------------------------------------- COMPANY LETTER B B & E Mutual --------------------------------------------------------------------------- -COMPANY LETTER C Bankers & Shippers Insurance ---------------------------------------------------------------- COMPANY LETTER D --------------------------------------------------------------------------- COMPANY LETTER E > COVERAGES<____________________________________________________________________________________________________________________ THIS IS TO CERTIFY THAT 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 TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. --------------------------------------------------------------------------------------------------------------------------------- CO1 --- TYPE-OF-INSURANCE--------I-------POLICY-NUMBER-------I---POLICY-EFF--I--POLICY-EXP--I--------------LIMITS-------------- �ILTR --- DATE DATE GENERAL LIABILITY j[B] COMMERCIAL GEN LIABILITY [ ] CLAIMS MADE [X ] OCC. ( ] OWNERS'S & CONTRACTOR'S PROTECTIVE ---------------------------- AUTOMOBILE LIAB ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY [ ] UMBRELLA FORK [ ] OTHER THAN UMBRELLA FORM WORKERSS' COMP EMPLOYERS' LIAB OTHER ---------------- 95-413 10/03/95 10/03/96 APPROVED RISK R+r,+ Trr #F T BY—. DATE ------------------------------------------ 95-412 10/03/95 Risk bAgmt. ?. Coritroi DATE ___. /I` INITIAL _______ --------------------------- 95-414 --------------------------- 10/03/95 ----------------------------------------------------------------------------------------- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS GENERAL AGGREGATE 300,000 --------------------------------- PROD-COMP/OP AGG. 300,000 -------------------------------- PERS. 6 ADV. INJURY 300,000 ------------------- -------------- EACH OCCURRENCE 300,000 ------------------- -------------- FIRE DAMAGE (ANY ONE FIRE) 50,000 -------------------------------- NED. EXPENSE (ANY ONE PERSON) 5,000 ------------------- -------------- COMB. SINGLE LIMIT ------------------- -------------- BODILY INJURY (PER PERSON) 100,000 ------------------- -------------- BODILY INJURY (PER ACCIDENT) 300,000 --------------------------------- PROPERTY DAMAGE 50, 000 ---- -------------- EACH OCCURRENCE --------------------------------- AGGREGATE --------------------------------- STATUTORY LIMITS EA H ACCIDENT 100,000 DISEASE-POL. LIMIT 500,000 DISEASE -EACH EMP. 100,000 Certificate Holder is Named as Additional Insured Fax: 1 (305) 292-4564 > CERTIFICATE HOLDER <_______________________________> CANCELLATION = SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- = PIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3 0 Monrog County = DAYS WRITTEN NOTICE T6 THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT Compliance Division = FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF Attn: Kay Miller = ANY KIND UPON THE COMPANY, ITS AGENTS SENT IVES. 1500 College Road, Wing 2=--------------------------------- ---------- -- --------------------- Stock Island, Rey West FL = AUTHORIZED REPRESEN 33040 = ACORD 25-5 (7/90)__��_;��cr/As�.v_ Frcine T d F/c_E A6:401:10. CERTIFICATE OF INSURANCE ISSUE DATE (MM,rDD/YY) PRODUCER Security Bond Associates, Inc. 10131 S.W. 40th Street Miami, Florida 33165 CODE SUB -CODE 12-6-96 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 COMPANY LETTER A preferred National Insurance Company COMPANY B INSURED LETTER On Time Delivery Systems, Inc. COMPANY DBA: Buccaneer Courier LETTER C c 6601 N.W. 15th Way COMPANv Ft. Lauderdale, Florida 33309 LETTER D COMPANY E LETTER COVERAGES .,.. , THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER APPROVE BY RISK MG�IgC„Gti'rn!T BY GGc�2l� (ATE /c2 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS A Fidelity R 01805 9-26-96 (Contains a Conviction Clause) CERTIFICATE HOLDER ;Monroe County 'Attn: Risk Management 5100 College Road ;Key West, Florida 33040 1 LC r` ^ N I I �ACORD 25-S (3/BB);:: .CANCELLATION STATUTORY 9-26-97 GENERAL AGGREGATE $ PRODUCTS-COMP/OPS AGGREGATE S PERSONAL & ADVERTISING INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one tire) $ MEDICAL EXPENSE (Any one person) $ COMBINED SINGLE $ LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY $ DAMAGE EACH OCCURRENCE $ $ (EACH ACCIDENT) I (DISEASE— POLICY LIMIT) (DISEASE —EACH EMPLOYEE AGGREGATE $10,000.00 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 KKLND UPON Tf E MPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED ©ACORD CORPORATION 1988 URANCE: BUCCAN1 PRODUCER Todd-Dorroh Insurance, Inc. 4980 N. Pine Island Road Lauderhill FL 33351-0000 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 COMPANY ------------------------------------------------------------- A Hermitage Insurance Company INSURED------------------------------------------------------------------- COMPANY B B & E Mutual ------------------------------------------------------------------- COMPANY Buccaneer Courier c Bankers & Shippers Insurance 6601 N. W. 1 5 TH WAY ------------------------------------------------------------------- FORT LAUDERDALE FL 33309 COMPANY D > COVERAGES<____________________________________________________________________________________________________________________ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. --------------------------------------------------------------------------------------------------------------------------------- CO TYPE OF INSURANCE POLICY NUMBER • I POLICY EFF POLICY EXP LIMITS LTR IDATE (MM/DD/YY)IDATE(MM/DD/YY)I A C B ------------------------------- GENERAL LIABILITY IX ] COMMERCIAL GEN LIABILITY [ ] CLAIMS MADE [XI OCC. [ ] OWNERS'S & CONTRACTOR'S PROTECTIVE ------------------------------- AUTOMOBILE LIABILITY [ ] ANY AUTO [ ] ALL OWNED AUTOS [X ] SCHEDULED AUTOS [X ] HIRED AUTOS [X ] NON -OWNED AUTOS ------------------------------- GARAGE LIABILITY [ ] ANY AUTO [ ] ------------------------------- EXCESS LIABILITY [ ] UMBRELLA FORM [ ] OTHER THAN UMBRELLA FORM WORKERS COMP. AND EMP. LIAB. THE PROPRIETOR/PARTNERS/ EXECUTIVE OFFICERS ARE: [ ] INCL. [ ] EXCL. OTHER HGL308378 10/07/96I10/07/97 ------------- -- ------------ --------------- CFL7372098 10/03/96 ----------------- ---=-1------- 9052290096 10/03/97 10/03/96I10/03/97 OIR I i I � I -DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS--------------------- ;ertificate Holder is named Additional Insured pax: (305) 292-4564 NAIVES: > CERTIFICATE HOLDER MCRM002 Monroe County Board of County Commissioners Attn: Maria del Rio 5100 College Road Key West, FL 33040 ---------------------------------- GENERAL AGGREGATE 300,000 PROD-COMP/OP AGG. INCLUDED PERS. & ADV. INJURY 300,000 EACH OCCURRENCE 300,000 FIRE DAMAGE (ANY ONE FIRE) 50,000 MED. EXPENSE (ANY ONE PERSON) 5,000 COMB. SINGLE LIMIT BODILY INJURY (PER PERSON) 100,000 BODILY INJURY (PER ACCIDENT) 300,000 PROPERTY DAMAGE 50,000 ------------------- AUTO ONLY (EA ACC) -------------- OTHER / AUTO ONLY: EACH ACCIDENT AGGREGATE ------------------- EACH OCCURRENCE -------------- AGGREGATE ]STAT LIM [ ]OTH EL EA ACCIDENT 100,000 EL DISEASE-POL. LIM 500,000 EL DISEASE -EA EMP. ---------------------------------- 100,000 0AW-IF AM J-- - ---- ------------------ N/A —,✓ YES CANCELLATION<_______________________________________________________ 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 REPRESEN;A.UVE -ACORD 25-S (1/95) I Francine Todd �,,'��•'�' CERTIFICATE O INSURANCE ISSUE DATE (MM/DD/VYI 8-15-97 PRODUCER Security Bond Associates, 10131 S.W. 40th Street Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE DES BELOW. POLICIES Miami, FL 33165 COMPANIES AFFORDING COVERAGE COMPANY A LETTER preferred National Insurance Company INSURED On Time Delivery Systems, dba Buccaneer Courier Inc. ` COMPANY e LETTER COMPANY LETTER C' 6601 N.W. 15th Way Ft. Lauderdale, FL 33309 ✓ COMPANY LETTER D COMPANY LETTER E COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DO/YY) POLICY EXPIRATION DATE (MM/DD/YY) , LIMITS GENERAL LIABILITY BODILY INJURY OCC. $ BODILY INJURY AGG. S COMPREHENSIVE FORM PREMISES/OPERATIONS PROPERTY DAMAGE OCC. $ UNDERGROUND EXPLOSION B COLLAPSE HAZARD PROPERTY DAMAGE AGG. $ BI & PD COMBINED OCC. S PRODUCTS/COMPLETED OPER. BI & PD COMBINED AGG. S i CONTRACTUAL INDEPENDENT CONTRACTORS APcRnV n R} �1 TMER ,.'. -- PERSONAL INJURY AGG $ I 1 BROAD FORM PROPERTY DAMAGE PERSONAL INJURY pY AUTOMOBILE LIABILITY / ` BODILY INJURY ` ANY AUTO r)ATE (Per person) BODILY INJURY (Per accident) i $ ALL OWNED AUTOS I Priv. Pass. I ALL OWNED AUTOS ( Otner Than I Priv. Pass. HIRED AUTOS NON -OWNED AUTOS GARAGE L,ABIUTv I t1,A!1tER: N/A ,.l � 01, ^ L L YfS —' I PROPERTY DAMAGE S I BODILY INJURY 8 PROPERTY DAMAGE COMBINED S EXCESS LIABILITY u EACH OCCURRENCE $ i AGGREGATE $ i i;MCRELLA -0r.ra 1 OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION I EACH ACCIDENT $ AND DISEASE —POLICY LIMIT $ EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE S 1 �A OT"ERFidelity R 01805 9-26-97 9-26-98 $10,000.00 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Attn: Risk Management MAIL 30DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 5100 College Road LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Key West, FL 33040 LIABILITY OF ANY KIND UP COMPA . ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRES 'PATINE �� Burt :ERTIFICATE OF INS' PRODUCER Todd-Dorroh Insurance, Inc. 4980 N. Pine Island Road Lauderhill FL 33351-0000 C S R VB 10'?1 1_7___ 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 COMPANY -------------------------------- ---------------------------- a Hermitage Insurance Company INSURED------------------------------------------------------------------- COMPANY B ------------------------------------------------------------------- \ COMPANY Buccaneer Courier C 6601 N. W. 1 5 TH WAY ------------------ I ------------------------------------------- --- FORT LAUDERDALE FL 33309 COMPANY D > COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. --------------------------------------------------------------------------------------------------------------------------------- CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR DATE (MM/DD/YY) DATE(MM/DD/YY) ---------------------------------------------------------------------------- -------------- ---------------------------------- GENERAL LIABILITY GENERAL AGGREGATE 300,000 A IX ] COMMERCIAL GEN LIABILITY 978128378 10/10/97 10/10/98 PROD-COMP/OP AGG. INCLUDED [ ] CLAIMS MADE [ X] OCC. PERS. & ADV. INJURY 300,000 [ ] OWNERS'S & CONTRACTOR'S EACH OCCURRENCE 300,000 PROTECTIVE FIRE DAMAGE [ ] (ANY ONE FIRE) 50,000 [ ] MED. EXPENSE (ANY ONE PERSON) EXCLUDED AUTOMOBILE LIABILITY "'TR�4'.D B1' RISK MdNA AAF11j COMB. SINGLE LIMIT [ I ALL OWNED AUTOS -It1 L. r Y1 _ BODILY INJURY I �, (PER PERSON) [ ] SCHEDULED AUTOS [ I HIRED AUTOS [ ] NON -OWNED AUTOS ITF ------------------------------- -------------------'--=----- GARAGE LIABILITY [ ] ANY AUTO EXCESS LIABILITY [ ] UMBRELLA FORM [ ] OTHER THAN UMBRELLA FORM ------------------------------- -------------------------- WORKERS COMP. AND EMP. LIAR. THE PKOPRIEiOR/PARTNERS% EXECUTIVE OFFICERS ARE: [ ] INCL. [ I EXCL. OTHER BODILY INJURY (PER ACCIDENT) PROPERTY DAMAGE /Yrs AUTO ONLY (EA ACC) OTHER / AUTO ONLY: EACH ACCIDENT AGGREGATE �� -------------------- r ' EACH - OCCURRENCE- -- AGGREGATE -------------------- ]STAT LIM [ ]OTH EL EA ACCIDENT EL DISEASE-POL. LIM EL DISEASE -EA EMP. ---------------- -DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ------------------------------------------------------ ertificate Holder is named Additional Insured ax: (305) 292-4564 > CERTIFICATE HOLDER <____________________________________> CANCELLATION MCRM 0 0 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Commissioners 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Attn: Maria del Rio LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 5100 College Road KeyWest, FL 33040 LIABILITY OF ANY KIND UPON THE COMP AN ,ITS jY�ENTS OR REPRESENTATIVES.-� ur---- -- - - - ( - - --------� TNORIZED REPRESENTAT� ACGRD 25-5 (1 /95 ) �_ anC lne Todd � L� ..... ..w. s" , ...... - _-...wo, w ,.....�. .�. ..� . . �— .... _ � ... . ,tea . • *n, w w � /►., i+� 1�i.✓ �.I� i V/i 1 Y �W ' 6-6d-"iL.rr�d w u t'. vrd Y1 ur"'ruW rrJr�. 0:ii l7 2DrD1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCERInsurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Isak HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30233 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key„ FL 33043 P:305-872-0097 F:305-872-1005 INSURERS AFFORDING COVERAGE INSURED INSURER A: BURNS & WILCOX/Legion Indemnity BUCCANEER COURIER INSURERS: Hull & Company/Empire Fire & Marine Ins. P. O. BOX 430763 INSURERC: Western Surety INSURER D: BIG PINE KEY FL 33043- INSURERE: COVERAGES POLICIES OF INSURANCE LISTED REQUIREMENT, TERM OR CONDITION PERTAIN, THE INSURANCE AFFORDED AGGREGATE LIMITS SHOWN TYPE OF INSURANCE GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY ❑ CLAIMS MADE F2_11 OCCUR ❑ BELOW HAVE BEEN ISSUED TO THE INSURED OF ANY CONTRACT OR OTHER DOCUMENT BY THE POLICIES DESCRIBED HEREIN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER GL30296464 NAMED ABOVE WITH RESPECT IS SUBJECT TO POLICY EFFECTIVE O1/16/2001 FOR THE POLICY TO WHICH THIS ALL THE TERMS, LICY EXPIRATION PODATE (MMIDDIYY O1/16/2002 PERIOD INDICATED. NOTWITHSTANDING CERTIFICATE MAY BE ISSUED EXCLUSIONS AND CONDITIONS LIMITS EACH OCCURRENCE OR OF SUCH $ 11000,000 THE ANY MAY POLICIES. INSR ITR A FIREDAMAGE(Anyonefire) $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 ❑ PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRO- ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 500,000 B ❑ ALL OWNED AUTOS ® SCHEDULED AUTOS CL220335 10/06/2000 10/06/2001 (P DIILY$NJ)URY y ❑ HIRED AUTOS ❑ NON -OWNED AUTOS BODILY INJURY (Per accident) $ ❑ Av�ROVED BY RISK MANAGEM BY C� . , *) U ` C / NT PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT $ 50,000 E GARAGE LIABILITY ❑ ANY AUTO ❑ OTHER THAN ACC AUTO ONLY: AGG $ $ EACH OCCURRENCE $ EXCESS LIABILITY ❑OCCUR ❑❑ CLAIMS MADE WAnIER: NSA � YF$ AGGREGATE $ S $ ❑ DEDUCTIBLE ❑ RETENTION $ $ WC STATU- OTH- WORKERS COMPENSATION ANDLIMI E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ C OTHER Dishonesty Bond 68684436 01/12/2001 01/12/2002 10,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Small package courier service CERTIFICATE HOLDER I U I ADDITIONAL INSURED; INSURER LETTER: GANGELLATIUNI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County BOCC 030 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN 5100 College Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATIO OR LIABILITY OF ANY KI D UPOt T� H�E INSURER, ITS AGENTS OR Key West FL 33040- REPRESENTATIVES. }-{fir I AUTHORIZED REPRESENTATIVE ACORD 2" (7/97) ^tORD CORPORATION 1988 DATE (MM/DDNY) 01/17/2001 !': *,k v.✓ I n ;✓Tm `1.P Y :./!'� W 'rl✓'11Y W v0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Isaksen Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30233 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key„ FL 33043 P:305-872-0097 F:305-872-1005 INSURERS AFFORDING COVERAGE INSURED INSURERA: BURNS & WILCOX/Unionamerica Ins. Co. BUCCANEER COURIER INSURER B: P. O. BOX 430763 INSURERC: INSURER D: BIG PINE KEY FL 33043- INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ITR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY ❑ COMMERCIAL GENERAL LIABILITY ❑ CLAIMS MADE 10 OCCUR ❑ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ ❑ PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRO ❑ LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTO$ NON -OWNED AUTOS APPROVED BY RISK MANAGEM /� BY (%1 � L,31 DATE 1 YJAWFR: NIA / Y�S NT pv\ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ❑ JEDI BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ❑ ANY AUTO ❑ AUTO ONLY - EA ACCIDENT E OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY ❑ OCCUR F1_31 CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ EACH OCCURRENCE $ AGGREGATE $ S $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC TH STATU- O- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE E E.L. DISEASE - POLICY LIMIT $ A OTHER Motor Truck Cargo 9936 01/16/2001 01/16/2002 5,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Small package courier service CERTIFICATE HOLDER JC ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County BOCC 030 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRRTEN 5100 College Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040- REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S (7197) / aACORD CORPOFMTION 1988 AGO-RD. CERTIFICATE OF LIABILITY INSURANCE 04/13/2001 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Isaksen Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 30233 Overseas Highway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine _Key„ FL 33043 P:305-872-0097 F:305-872-1005 INSURERS AFFORDING COVERAGE INSURED INSURERA: BURNS & WILCOX/Legion Indemnity BUCCANEER COURIER INSURERS: Hull & Company/Empire Fire & Marine Ins. P. O. BOX 430763 INSURERC: Western Surety RE: 1517 NARCISSUS AVE., BPK INSURER D: BIG PINE KEY FL 33043- INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE fMWDDIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 FIRE DAMAGE (Any one fire) $ 50,000 A ® COMMERCIAL GENERAL LIABILITY GL30296464 01/16/2001 01/16/2002 MED EXP (Any one person) $ 5,000 ❑ CLAIMS MADE FXI OCCUR PERSONAL BADVINJURY $ 11000,000 ❑ ❑ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ ❑ POLICY ❑ PRO- ❑ LOC AUTOMOBILE El LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 500,000 BODILY INJURY (Per person) $ B ❑ ® ALL OWNED AUTOS SCHEDULED AUTOS CL220335 10/06/2000 10/06/2001 BODILY INJURY (Per accident) $ ❑ ❑ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ 50,000 ❑❑ GARAGE LIABILITY ❑ ANY AUTO ❑ .r AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN AUTO ONLY: AGG $ $ EXCESS LIABILITY ■ OCCUR CLAIMS MADE ;;^ 5'E ,� Ai — EACH OCCURRENCE $ AGGREGATE $ L� DEDUCTIBLE „ �4: '• " -- '' $ $ ❑ RETENTION $t WORKERS COMPENSATION ANDLq - WC STATU- OTHER- E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ C OTHER Dishonesty Bond 68684436 01/12/2001 01/12/2002 10,000 DESCFRIPTION OF OPERATIONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Small package courier service. CERTIFICATE MAI nFR IIVII w -- I erred• CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of Commissioners 5100 College Road 030 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 LIABI ITY OF ANY KIND UPON- THE INSURER, ITS AGENTS OR Key West FL 33040- REPRESENTATIVES. /y .3 .-F^4T / c3.�- V14C U AUTHORIZED R A ACORD 25-5 (7I97) / / ©AI:UKU GUKI-UKAI IUN 9W55 ACORD. CERTIFICATE OF LIABILITY INSURANCE �0/05/2001 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Isaksen Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 30233 Overseas Highway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key„ FL 33043 P:305-872-0097 F:305-872-1005 INSURERS AFFORDING COVERAGE INSURED INSURERA: BURNS & WILCOX/LEGION INDEMNITY BUCCANEER COURIER INSURERS: MORSTAN/GREENWICH INSURANCE CO. P . O. BOX 430763 INSURER C: WESTERN SURETY RE: 1517 NARCISSUS AVE., BPK INSURER D: BIG PINE KEY FL 33043- INSURER E: f.Alf=M A f%_ GC THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONlMWDDfYYj DDlYYI LIMITS A GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY ❑ CLAIMS MADE 1—ml OCCUR ❑ GL30296464 01/16/2001 01/16/2002 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: RO ❑ LOC ❑ POLICY ❑ PXT PRODUCTS - COMP/OP AGG $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS CAG040000103 08/07/2001 08/07/2002 COMBINED SINGLE LIMIT (Ea accident) $ 500,000 ❑ ❑ ® ❑ El BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ❑ ANY AUTO ❑ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR F CLAIMS MADE ■ DEDUCTIBLE ❑ RETENTION $ APPRQV �Y BY DATE K NAf m rn If �Nfi 4 EACH OCCURRENCE $ AGGREGATE $ a $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WAIVER NTORY /A YES 4. i WC STATU- OTH- LIMITS E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT y C OTHER DISHONESTY BOND 68684436 01/12/2001 01/12/2002 10,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS SMALL PACKAGE COURIER SERVICE CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE COUNTY BOCC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN 5100 COLLEGE ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATIO R LIABILITY OF ANY KIN UPO THE INTRER, ITS AGENTS O KEY WEST, FL 33040- REPRESENTATIVES. S AUTHORIZED RESENTATIVE ACORD 25-S (7/97) OACORD CORPCIRATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE 01/24/2002 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Isaksen Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 30233 Overseas Highway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key„ FL 33043 P:305-872-0097 F:305-872-1005 INSURERS AFFORDING COVERAGE INSURED INSURERA: WESTERN SURETY Buccaneer Courier A INSURERB: FIRESTONE AGENCY/LLOYDS PO Box 430763 INSURER C: Big Pine Key FL 33043- 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. ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MWDDIYY) POLICY EXPIRATIONDATE DATE (MM/DD/YY) LIMITS B GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY BINDER # 01SP1805 01/14/2002 01/14/2003 EACH OCCURRENCE $ 11000,000 ❑ CLAIMS MADE OCCUR FIRE DAMAGE (Anyone fire) $ 50,000 ❑ MED EXP (Any one person) $ 1,000 PERSONAL BADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ INCLUDED El POLICY ❑ PECjRO ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ❑ ALL OWNED AUTOS ■ SCHEDULED AUTOS NT BODILY INJURY (Per person) $ ❑ HIRED AUTOS A GEM Fj NON -OWNED AUTOS nBODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) $ ❑ v- i AT .• - �. GARAGE LIABILITY ;«tVE„�1 Nla ' AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO PlEll $ AUTO ONLY: AGG EXCESS LIABILITY ❑ ❑ EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE j (_ -y �� $ DEDUCTIBLE ❑ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE LICY LIMIT $ OTHER ADISHONESTY BOND 68684436 01/12/2002 01/12/2003 �\ 10,000 S��,�,'j'-.,, / DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONScq SMALL PACKAGE COURIER SERVICE �4* rvt --•-••••—•••—••�---•� nuu•�wniaL �n.7uRcu; IR.7UKCK Lt1 ILK: 1.F%F'4l-CLLF%I IVn MONROE COUNTY BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN 5100 COLLEGE ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATIO OR LIABILITY OF ANY rIND U N THE INSURER, ITS AGENTS OR KEY WEST FL 33040- REPRESENTATIVES. Q i6 inLved. ENTA VE (305) 292-4542 (305) 295-4342 FAX AUTHORI D REPRES' ACORD 25-S (7/97) ©ACORD ORPORATION 1988 /)icovAuVCR 1 11'IVH 1 C VI" Li#%on-1 1 i inou 'v"1rmtr- 102/06/2003 RODUCER Isaksen Insurance Inc 30233 Overseas Highway 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. Big Pine Rey„ FL 33043 P:305-872-0097 F:305-872-1005 INSURERS AFFORDING COVERAGE ISURED INSURER A: MacNeill / Century Surety Ins. Co. Buccaneer Courier INSURERS: iIESTSRN SURBTY PO Box 430763 INSURER C: INSURER D: Big Pine Rey FL 33043- INSURER E: :OVERAGES 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. SR LIL TYPE OF INSURANCE POLK Y HNNIBER POLK:Y ETEMFFECTIVDWME POLICY EXPIRATION LIMBS GENERAL LIABILITY ® COMMERCIAL GENERAL LABILITY ❑ CLAIMS MADE n OCCUR ❑ Binder # 5295 - 01162 02/06/2003 02/06/2004 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one Ike) $ 50,000 MED EXP Any one person $ 2,000 PERSONAL & ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLES PER: ❑ POLICY ❑ PRO- JECT ❑ LOC PRODUCTS - COMPIOP AGG $ 1,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNED AUTOS APP �Y ED B 1 MIA EME f COMBINED SINGLE LIMIT (Ea aaadent) $ ■ ❑ BODILY INJURY (P-P—on) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE (Peraccident) $ ❑ GARAGE LABILITY 1❑ ANY AUTO 1:11 B�yy yAT WAIVER N/A ----YES-- AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG S S EXCESS LIABILITY ❑ OCCUR FE-11 CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ % , ( I t/ L " EACH OCCURRENCE S AGGREGATE $N --- $ $ $ WORKERS COMPENSATION ANDER EMPLOYERS' LIABILITY MAC [—]I AA OTH- E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE19S E.L. DISEASE - POLICY LIMIT $ B OTHER Dishonesty Bond 68684436 01/12/2003 01/12/2004 10,000 )ESCRIPTION OF OPERATIONSILOCATIONSFVEN CLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Monroe County BOCC 1100 Simonton Street Rey West (305) 292-4542 FL 33040- (305) 295-4342 FAX SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE ANY KIND UPON THE INSURER, ITS AGENTS OR (7197) CORPORATION 1988 AC-ORD,. CERTIFICATE OF LIABILITY INSURANCE 02/06/2o 3 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Isaksen Insurance Inc 30233 Overseas Highway ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key„ FL 33043 P:305-872-0097 F:305-872-1005 INSURERS AFFORDING COVERAGE INSURED INSURERA: Firestone / United National Buccaneer Courier INSURER B: Progressive PO Box 430763 INSURERC: Firestone / Lloyds Big Pine Key FL 33043- INSURER D: WESTERN SURETY 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 LTRDATE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DD/YYI POLICY EXPIRATION DATE (MM/DDNY) LIMITS A GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY ❑ CLAIMS MADE ❑❑ OCCUR ❑ Binder # 01162 APP ED SIK M BY DATE 02/12/2003 GEMENT 02/12/2004 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone fire) $ 50,000 MED EXP (Any one person) $ 2,000 PERSONAL 8 ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRO ❑ LOC PRODUCTS - COMP/OP AGG $ 1,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS WAIVER N/A CA 01816151-0 YES 08/15/2002 08/15/2003 COMBINED SINGLE LIMIT (Ea accident) $ 500,000 BODILY INJURY (Per person) $ ❑ ■ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ ❑ GARAGE LIABILITY ❑ ANY AUTO ❑ / AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ C EXCESS LIABILITY ❑ OCCUR F CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ Binder # 01162 02/12/2003 02/12/2004 EACH OCCURRENCE $ 5,000 AGGREGATE $ 10,000 Motor Truck Cargo $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- I _OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ D OTHER Dishonesty Bond 68684436 01/12/2003 01/12/2004 10,000 )ESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS -ERTIFICATE HOLDER lZILADDITIONAL INSURED; INSURER LETTER: CANCELLATION Monroe County B O C C 1100 Simonton Street Key West FL 33040- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR 25-S (7197) ©ACORD CORPORATION 1988 MOW,. CERTIFICATE OF LIABILITY INSURANCE 02/06/2003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Isaksen Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 30233 Overseas Highway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key„ FL 33043 P:305-872-0097 F:305-872-1005 INSURERS AFFORDING COVERAGE INSURED INSURERA: Firestone / United National Buccaneer Courier INSURER B: Progressive PO Box 430763 INsuRERc: Firestone / Lloyds INSURER D: WESTERN SURETY Big Pine Key FL 33043- INSURER E: rn11FRAn FR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY ❑ CLAIMS MADE 12J OCCUR ❑ Binder # 01162 �( i0 AP BY T �` �� DATE 02/12/2003 f� MENT 02/12/2004 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 2,000 PERSONAL &ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRO ❑ LOC PRODUCTS - COMP/OP AGG $ 1,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS WAIVER NIA CA 01816151-0 YES 08/15/2002 08/15/2003 COMBINED SINGLE LIMIT (Ea accident) $ 500,000 ❑ ❑ ❑(Per ■ EnBODILY ❑ BODILY INJURY person) - $ INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ❑ ANY AUTO ❑ / AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ C EXCESS LIABILITY ❑ OCCUR FEII CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ Binder # 01162 02/12/2003 02/12/2004 EACH OCCURRENCE $ 5,000 AGGREGATE $ 10,000 Motor Truck Cargo $ $ $ COMPENSATION AND EMPLOYERS' LIABILITY WC SLIMIT OH- TATUWORKERS S Il! E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ D OTHER Dishonesty Bond 68684436 01/12/2003 01/12/2004 10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I PXj I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County B O C C DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN 1100 Simonton Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION O ILITY Y INS R, AGENTS OR Key West FL 33040- REPRESENT Es ACORD 25-S (7197)/ ©ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE 02/06/20 3 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Isaksen Insurance Inc 30233 Overseas Highway ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key„ FL 33043 P: 305-872-0097 F: 305-872-1005 INSURERS AFFORDING COVERAGE INSURED INSURERA: MacNeill / Century Surety Ins. Co. Buccaneer Courier INSURER B: WESTERN SURETY PO Box 430763 INSURER C: INSURER D: Big Pine Key FL 33043- INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY ❑ CLAIMS MADE ❑❑ OCCUR ❑ Binder # 5295 - 01162 02/06/2003 02/06/2004 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone fire) $ 50,000 MED EXP (Any one person) $ 2,000 PERSONAL &ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ❑POLICY ❑ PRO ❑ LOC PRODUCTS - COMP/OP AGG $ 1,000,000 AUTOMOBILE ❑ ❑ ❑ ❑ ❑ ❑ ❑ LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AP=EDBTI Qv U I114 MAEME T COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ❑ ANY AUTO ❑ DAT WAIVER N/A r YES AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN AUTO ONLY: AGG $ $ EXCESS LIABILITY ❑ OCCUR ❑❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ �, 1 EACH OCCURRENCE $ AGGREGATE $ $ $ $ COMPENSATION AND EMPLOYERS' LIABILITY WC STATTj_ULIM OTH- DRYWORKERS E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ B OTHER Dishonesty Bond 68684436 01/12/2003 01/12/2004 10,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER JC ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County BOCC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN 1100 Simonton Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATIO R LIABI14rY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040— REPRESE TIVI AUTHO ZE REPR NTATIVE (305) 292-4542 (305) 295-4342 FAX ACORD 25-S (7lp) oACORD CORPORATION 1988 CC A ORD. CERTIFICATE OF LIABILITY INSURANCE 2/08/2 0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Isaksen Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 30233 Overseas Highway Big Pine Key,, FL 33043 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P:305-872-0097 F: 305-872-1005 INSURERS AFFORDING COVERAGE INSURED INSURERA: PROGESS= CC)IO ERCIAL Buccaneer Courier PO Box 430763 INSURER B: INSURER C: Big Pine Rey FL 33043- 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE fMWDDfYYI POLICY EXPIRATION DATE (mmipannn LIMBS GENERAL LIABILITY ❑ COMMERCIAL GENERAL LIABILITY ❑ CLAIMS MADE �❑ OCCUR ❑ EACH OCCURRENCE $ FIRE DAMAGE Arty one fire) $ MED EXP (Any one $ PERSONAL BADV INJURY S ❑ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 02406108-0 12/05/2003 12/05/2004 SINGLE LIMIT (Ea accidED ent) $ 500,000 BODILY INJURY (Per person) $ ❑ BODILY INJURY (Per accident) $ ❑ PROPERTY DAMAGE (Per accident) S ❑ GARAGE LIABILITY ❑ ANY AUTO ❑ AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY ❑ OCCUR ❑❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ APO B H BY_AGGREGATE DATE MAN M 14T EACH OCCURRENCE S $ S S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WCRY STATU- OTH- IM E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ OTHER C DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLU31ON3 ADDED BY ENDORSEMENT13PECIAL PROVISIONS vcM r rrrvmr V_ w-rvL.vcra 1 U 1 ADDITIONAL INSURED: INSURER LETTER: l;ANC:tLLAI IVN Monroe County BOCC 2200 Simonton Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LbiBILITY OF ANY IINO UPON THE INSURER ITS AGENTS OR Rey West FL 33040- (305) 295-4342 FAX ul) OACORD CC ACORD. CERTIFICi'"E DATE (MM/DDNY) OF LIABILITY INSUP'XNCE 02/19/2004 PRODUCER Isaksen Insurance Inc 30233 Overseas Highway THIS CERTIFICATE la 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. Big Pine Rey„ FL 33043 P:305-872-0097 F:305-872-1005 INSURERS AFFORDING COVERAGE INSURED INSURERA: Firestone / United National INS CO INSURERS: Progressive Buccaneer Courier PO Box 430763 INSURERC: Firestone / Lloyd's INSURER D: CNA Surety / Western Surety Company Big Pine Rey FL 33043- INSURERE: t.vvalcnvw THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDD4M POLICY EXPIRATION LIMITS A GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY L7180445 02/10/2004 02/10/2005 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyon.f1m) $ 50,000 MED EXP (Any one ) S 5,000 ❑ CLAIMS MADE ❑❑ OCCUR PERSONAL & ADV INJURY S ❑ ❑ '-NE.RAL AGGP.ECPTE $ 1. 000. 000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S ❑ POLICY 70 PRO ❑ LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (En accident) i 500,000 BODILY INJURY (Per pe—) i B ALL OWNED AUTOS SCHEDULED AUTOS 02406108-0 12/05/2003 12/05/2004 BODILY INJURY (Per accident) S C HIRED AUTOS NON -OWNED AUTOS O4ST1115 02/12/2004 02/12/2005 ❑ PROPERTY DAMAGE (Per accklwd) S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG S ❑ ANY AUTO ❑ AF1Q)WVEWRIS0ANAGEMENT $ EXCESS LIABILITY OCCUR ❑❑ CLAIMS MADE BY DATE EACH OCCURRENCE $ AGGREGATE $ $ ❑ DEDUCTIBLE WAIVER N/A ES $ $ ❑ RETENTION $ WC STAT7 OTH- Y LIMITS WORKERS COMPENSATION AND E.L. EACH ACCIDENT S EMPLOYERS' LIABILITY DISEASE - EA EMPLOYEE $ CE.L. E.L. DISEASE -POLICY LIMIT S —� D OTHER Dishonesty Bond 68684436 01/12/2004 01/12/2005 10,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSK)NS ADDED BY ENDORSEMENTISPECIAL PROVISIONS C - is MOTOR TRUCK CARGO INSURANCE G01-1CL0 C2 GtK I ItIGA 1 C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To DO SO SHALL Monroe County BOCC IMPOSE NO OBLIGATION OR LIABILITY OF ANY rKIND� UPON THE INSURER, ITS AGENTS OR REPRESENTA 1100 Simonton St "� 1:�-e A - Rey West FL 3 3 04 0 - AUTHORIZED REPRESENTATIVE (305) 292-4482 (305) 295-4342 �2-7 ACORD 25S (7/97) GACORD CORPORATION 1988 �C AORD CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE (MM/DD/YYYY) BUCCA-3 08/04/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency 30975 Avenue A HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 Phone: 305-872-2888 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Progressive 02962 INSURER B: Buccaneer Courier Joanne Kaestner INSURER C: INSURERD: P O BOX 430763 Big Pine Key FL 33043 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. IMM LTR rUU SR TYPE OF INSURANCE POLICY NUMBER POCY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROT Ll LOC JEC PRODUCTS - COMP/OP AGG $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 08192963-0 faPP�`"� E' /- , 08/04/05 08/04/06 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 250000 X BODILY INJURY (Per accident) $ 500000 PROPERTY DAMAGE (Per accident) $ 100000 GARAGE LIABILITY ANY AUTO HOTHER DA i - ---.. /•_,• AUTO ONLY - EA ACCIDENT $ THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ APPMVVEll �., d _ DAIL= 1 cirla ✓aril% __. EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? H yes, describe under SPECIAL PROVISIONS below --"_ _ 1 yyAIVP_R p(,r �( 1� -•_ _..._. - TORY LIMITS I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ L. DISEASE - POLICY LIMIT $ A OTHER Commercial Applica 08192963-0 08/04/05 08/04/06� DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 1996 Chevy Suburban SUV 1GNFC16FXTJ373961 ***HOLDER IS ADDITIONAL INSURED*** GERTIFIGATE HOLDER CANCELLATION MONRO— 6 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County BOCC 1100 Simonton Street Key West FL 33040 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 OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVjfS. TIVE ACORD 25 (2001/08) CG -c14� 1988 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 DATE MMJDD/WI DATE MM/DDJYY N LIMITS GENERAL LIABILITY A X X COMMERCIAL GENERAL LIABILITY BINDER # 9903 EACH OCCURRENCE $ 1 , 000 , 000 08/09/05 08/09/06 CLAIMS MADE i X i OCCUR PREMISES(Eaocourence) $50,000 I MED EXP (Any one person) $ 2 000 i PERSONAL & ADV INJURY $ 1 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1 r 000 , 000 POLICY JECT PRO- LOC PRODUCTS - COMP/OP AGG $ eXCl AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTYDAMAGE $ GARAGE LIABILITY ANY AUTO � �a� _. AUTO ONLY - EA ACCIDENT $ ---'--" "`�' OTHER THAN EA ACC $ EXCESS/UMBRELLA LIABILITY - _ --- AUTO ONLY: AGG $ OCCUR CLAIMS MADE WAIV P, Nl/ A - _, _,.. { :,. _ EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND $ EMPLOYERS' LIABILITY TORY LIMITS ER ANY CERIMEMB PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ /� If yes, describe under SPECIAL PROVISIONS below r / J�� _J�� L. DISEASE - EA EMPLOYEE $ OTHER DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS courier service *The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and locations* *THE HOLDER IS ALSOADDITIONAL INSURED*** GC'F—'•�<<r7ce__ CERTIFICATE HOLDER CANCELLATION MONRO_ 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESE TIVES. UTHOR, REPRER ENTATIV T ACORD 25 (2001/08) "" r ©ACORD CORPORATION 1988 ACORD PRODUCERTIFICATE OF LIABILITY INSURANCE OP ID D CER FDATE(MM/Dil T BUCCA-3 08 HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONO 05 The Johnsons Insurance Agency ONLY AND CONFERS NO 30975 Avenue A HOLDER. THIS CERTIFIRIGHTS UPON THE CERTIFICATE CATE DOES NOT AMEND, EXTEND OR Big Pine Key FL 33043 ALTER THE COVERAGE AFFORDED BY THE POLICIES _- INSURED iNsuRED INSURERS AFFORDING COVERAGE INSV!:! NAIC # e Com anBuccaneer Courier INSJoanne Kaestner P O BOX 430763 INSBig Pine Key FL 33043 INSUCOVERAGES INSU 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. TR NSR TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY -- A X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Iii OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n PRO- n JEC`T L OC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY 7 ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If es, describe under LIMITS BINDER # 9903 EACH OCCURRENCE $ 1, l r 000 08/09/05 08/09/06 PREMISES (Ea occurence) $ 50 r 000 MED EXP (Any one person) $ 2 r 000 PERSONAL BADV INJURY $ 1 r 000 r 000 GENERAL AGGREGATE $ 1 r 000 r 000 PRODUCTS - COMP/OP AGG $ eXcl COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ FOP, i) BODILY INJURY (Per accident) $ -_ PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ NA1,/Y:FF, y!ifi-�� OTHER THAN EA ACC $ AUTO ONLY: •• AGG $ r�I]j�C(��) l EACH OCCURRENCE $ \/ AGGREGATE $ C - $ ti. $ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ .. yr vrerW770NS /LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS courier service *The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and locations* *THE HOLDER IS ALSO ADDITIONAL INSURED*** CC- 1 h CL V%_ C �, CERTIFICATE HOLDER CANCELLATION MONRO- 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 Monroe County BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DAYS SO SHALL 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 N7fldln REPRESE VFc ACORD 25 (2001/08) ©ACORD CORPORATION 1 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MM/DD/YYYY) BUCCA-3 09 15 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 Phone:305-872-2888 INSURED Buccaneer Courier Joanne Kaestner P O Box 430763 Big Pine Key FL 33043 INSURERS AFFORDING COVERAGE INSURER A: Old Republic Su: INSURER B: INSURER C: INSURER D: INSURER E: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER P LIC F E DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE , e - _ __.. _._ _-- EACH OCCURRENCE $ AGGREGATE $ $$ DEDUCTIBLE I AI':' - �-�- J�1� 444 —�� _ RETENTION $ Iri :,.1 • ; � $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY (Al TWQ LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE ' OFFICER/MEMBER EXCLUDED? C I If yes, describe under � E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below OTHER E.L. DISEASE -POLICY LIMIT $ X $10,000 Dishonesty OCB0556258 08/04/05 08/04/06 Bond DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Dishonest Bond $10,000 GG % _i4 n Q n C. CERTIFICATE Hnl nFR vi11�l,GL L-M I IVII MONRO— 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County BOCC 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTA�VES. -- Cll V - ACORD 25 (2001/08) 61 © 41CORD CORPORATION 1988 JOHNSONS INS AGCY 13361 OVERSEAS HWY MARATHON, FL 33050 305-289-0213 RECEIVED FEB 1 2ow Certificate of Insurance rtrivr .w...a,.winmemrs Policy number: 08192963-1 Underwritten by: PROGRESSIVE EXPRESS INS. COMPANY lanuary 31, 2007 Page 1 of 1 certificate Holder ...................................................................................................................................................... Insured Agent Additional Insured JOANNE KAESTNER . " IOHNSONS IN AGCY MONROE COUNTY BOCC BUCCANEER COURIER 13361 OVERSEAS HWY 1100 SIMONTON S P 0 BOX 430763 MARATHON, FL 33050 KEY WEST, FL33040 BIG PINE KEY, FL33043 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. ...................................................................................................................................................................... Pol.icy Effective Date: Aug 4, 2006 Policy Expiration Date: Aug 4, 2007 Insurance coverage(s) Limits ..................................................................................................................................................................... BODILY INIURY/PROPERTY DAMAGE $250,000/$500,000/$100,000......................................................................................................... . UNINSURED MOTORIST CK'ED....................................................... $250,000/$500,000 NON-STACKED.......................................................................................................................................................................... PERSONAL INJURY PROTECTION $10,000 W/$0 DED -NAMED INSD &RELATIVE Description of LocationNehicles/Special Items Scheduled autos only ...........6. lv. ..................... rE1........................................... .......... ........... ...... .................... ................. ...................... 19940LDSMOBILE SILHOUETTE 1GHDU06LSRT320874 Certificate number 03107NET963 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241 (10102) cc w4L� ` 6� a cc, A W., 0CERTIFICATE OF LIABILITY INSURANCE OF ID D DATE(MM/DD/YYYY) PROD BUCCA-3 11 16 1 06 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT IFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 Phone: 305-872-2888 )NSURERS AFFORDING COVERAGE NAIC# INSURED f _ - { IRSURER A. Western H—t.,. Ine company Buccaneer Courier INSURER B. Joanne Kr mo V J P O Box 430763- INSURERC wsUR RD: ! Big Pine Key FL 33043 } - _ INSURE: CfIVFDAGGC � - THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN RIOD 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 POLI Y EFFECT E DATE MM/DD/YY POLI Y EMfi N DATE MMIDDM' LIMITS A X GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1XI OCCUR SCP0622289 11/13/06 11/13/07 EACH OCCURRENCE $1,000,000 X PREMISES (Ea 000urence) $50,000 MED EXP (Any one person) $ 2,000 PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO- JECT LOC PRODUCTS-COMPIOP AGG EeXcl AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS - IL'' - •. +n n,-;_. r; i•%F Y 4 'r_ia? + � \ I1 4/Q7.L/- -,,.. ...... COMBINED SINGLE LIMIT (Ea attdenQ $ BODILY INJURY (Per person) $ BODILY INJURY (Par aoodenQ S PROPERTY DAMAGE (Perer a.,daccitlenq $ - GARAGE LIABILITY ANY AUTO ^/ (` 1' L-J j/ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY. AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ / l ` EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER - TORY LIMITS ER E. L EAC H ACCIDENT $ El. DISEASE - EA EMPLOYEE $ EL DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS -- courier service *The amount of coverage on this cerificate applies for the total amount of coverage available for all jobs and locations" ***HOLDER IS ALSO ADDITIONAL INSURED** C C.: �" V.OL YL C �. CERTIFICATE Wni nro VIVYMCLIgI IVIN MONRO-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX%RATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County BOCC 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESRNTATIVES. (2001/08) JOHNSONS INS AGCY f'Iri�ip• 13361 OVERSEAS HWY MARATHON, FL 33050 oozzra Policy number: 08192963-1 Underwritten by: Progressive Express Ins Company MONROE COUNTY BOCC Insured: JOANNE KAESTNER 1100 SIMONTON S February 2, 2007 KEY WEST, FL 33040 Policy Period. Aug 4, 2006 - Aug 4, 2007 Irrllrr.11,llrrrdrrllIt, r„ III rrrllrrrll111IIli r,lIli rrlrlfI Mailing Address Progressive Express Ins Company PO Box 94739 Additional insured endorsement Cleveland, OH 44101 800-444-4487 Name of Person or Organization For customer service, 24 hours a day, MONROE COUNTY BOCC 7 days a week 1100 SIMONTON S KEY WEST, FL 33040 The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page. Limit of Liability Bodily lniury $250,000 each person/$SOO,nno each accident Property Damage $100,000 each accident Combined Liability Not applicable All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 08192963-1 Issued to (Name of Insured): JOANNE KAESTNER BUCCANEER COURIER Effective date of endorsement: 01/31/2007 Policy expiration date: 08/04/2007 Form 1198(01104) GG • �'' nanCe W3 l ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID PS DATE (MIA ODmyv) BUCCA-3 04 25 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 RLCEIV INSURERS FFORDING COVERAGE NAIC# Phone:305-872-2888 _ INSURED INSUR RA. Progressive 02962 I APR 2 8 20 Buccaneer Courier suERc: Joanne Kaestner P.O. Box 430763 INSU ER D: Big Pine Key FL 33043L-- ,Mmm�nr nnueINSURER E: nmr�nAnvc I RIIR �Ip NAIrAILIIT I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NUN LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEyMM%DDM/E CYEXPIRATION PDATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES (Ea ocNpNcurence) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO1-1 LOC ECT A AUTOMOBILE LIABILITY ANY AUTO 08192963-2 08/04/07 08/04/08 COMBINED SINGLE LIMIT (Ea accident) $ $ BODILY INJURY (Per person) 5250000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY ecade t) (Per acdtlent) $ 500000 I HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per amidenp $10 0 _ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGO $ $ EXCESS/UMBRELLA LIA131LIW `q/$ EACH OCCURRENCE $ OCCUR J L CLAIMS MADE or I AGGREGATE $ DEDUCTIBLE � $ $ RETENTION $ $ WORKERS COMPENSATION AND --- TOR Y LIMITS ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE /� E.L. EACH ACCIDENT $ EE LL DISEASE -EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED" If yes, describe under SPECIAL PROVISIONS below 0 0E. L. DISEASE -POLICY LIMIT -- —"— $ OTHER V DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 2002 Chev Tracker SU2CNBE13CR26900674 *The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and locations.*HOLDER IS ALSO ADDDITIONAL INSURED* CERTIFICATE HOLDER CANCELLATION MONRG-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County BOCC 1100 Simonton Street IMPOSER OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRE TATIVES. AUTH D REPRESENTATNE e ohnsons Ice en ACORD 2512001/08Y © ACORD CORPORATION 1988 G C (Tq-- ACORDT., CERTIFICATE OF LIABILITY INSURANCE DA07/15/20 9) PRODUCER THE JOHNSONS (TAVERNIER) 89015 Overseas Highway Tavernier, FL 33070 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Buccaneer Courier P O Box 430763 Big Pine Key, FL 33043 INSURER A: COLONY INSURANCE CO 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. INSR TF'cINSURANCEDATE(MM DD'L POLICY NUMBERPOLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurence $ 50,000 CLAIMS MADE FxIOCCUR MED EXP (Any one person) s5,000 A GL3573903 7/14/2009 7/14/2010 PERSONAL BADVINJURY $ 1,000,000 Owners & Contractors GENERALAGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 1 , 000, 000 POLICYF-] PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ BODILY INJURY ALL OWNEDAUTOS SCHEDULED AUTOS (Per person) $ BODILY INJURY HIREDAUTOS NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ r AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY i EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ R WORKERS COMPENSATION AND WC STATU- OTH- T RY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? C 4a If yes, describe under SPECIAL PROVISIONS below ` ' E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER Monroe County BOCC 1100 Simonton St Key West, FL 33040- is named as additional insured ACORD 25 (2001/08) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Ar Hull & Co., Inc. - Tampa Bay ©A RD CORPORATION 1988 / gi �� JOHPJSONS INS AGCY PROGREll/UE" 13361 OVERSEAS HWYf"A . v MARATHON, FL 33050 L a �_� 1 : 305-289-0213 Policy number: 08192963-4 i0Underwritten by: s.. PROGRESSIVE EXPRESS INS COMPANY January 7, 2010 r Page 1 of 1 Certificate of Insurance Certificate Holder ......................................... Additional Insured MONROE COUNTY BOCC 1100 SIMONTON S KEY WEST, FL 33040 Insured .......................................... JOANNE KAESTNER BUCCANEER COURIER P 0 BOX 430763 BIG PINE KEY, FL 33043 Agent ................................................................. JOHNSONS INS AGCY 13361 OVERSEAS HWY MARATHON, FL 33050 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. Policy Effective Date: Aug 4, 2009 Policy Expiration Date: Aug 4, 2010 Insuriance coverage(s) Limits BODILY INJURY/PROPERTY DAMAGE $250,000/$500,000/$100,000 ................................................................................................. UNINSURED MOTORIST$250,000/$500,000 NON -STACKED PERSONAL INJURY PROTECTION $10,000 W/$0 DED -NAMED INSD & RELATIVE Description of L,ocationNehicles/Special Items Scheduled autos only 2002 CHEVROLET TRACKER 2CNBE13CX2690067................................................................................................................................... Certificate number 0071 ONET963 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term can(:ellation. Form 5241 10102) G C.- ' C This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate- is issued far information ..purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. Poli(.y Effective Date: Aug 4, 2009 Polity Expiration Date. Aug 4, 2010 Insurance 0"Wagos) limits BODILY INJURY/PROPERTY DAMAGE$250,000/$ UNWSURED MOTORIST ...... ... ....,..$25ti,U(11$50t},Ot}0 NON-STACKED ....I...........I........................................................ ......... ..... ................... ........... . PERSONAL INJURY PROTECTION $10,000 W/$O DED NAMED INSD & RELATIVE Description of Location/Vehicles/Special Items Scheduledautos only .................... ..........,... ................................................. 2010 KIA SOUL +/]/SPORT KNDJT2A26A7130882 Stated Amount $18,532 COMPREHENSIVE $500 DED COLLISION $500 DED Certificate number 0741ONET963 Please be advised that additional insureds and Kass payees will be notified in the event of a mid-term cancellation. Form 5241 (10102) .. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08/02/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CER IFICATE HOLDER. IMPORTANT: If the certificate holder is an AD the terms and conditions of the policy, certain p y, certificate holder in lieu of such endorsement(sCONTACT ITIONAL INft0es) must olicies may ement. A y s endorsed. If SUBROGATION IS WAIVED, subject to m n n to e t o this certificate does not confer rights to the PRODUCER Hull & Company, Inc. 800 Carillon Parkway, Suite 150 St. Petersburg AG FL 33716 IN RO E 00 NAME: 2o. Ext : 3 5 852-9247 A/C No): (305)852-2734 ADDRESS: dfr is@johnsonsinsure.com PRODUCER eustemeg-hT #. 86 06 1 NITY I SURER(S) AFFORDING COVERAGE NAIC # INSURED Buccaneer Courier `"' '�` P O Box 430763 Big Pine Key FL 33043 `' `°'INSURER —Insurance Company 39993 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION Nl1MRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F)_r1OCCUR DAMAGE TO RENTED PREMISES Ea occurrence)$ 50,000 + MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A x GL3573903-1 07/29/10 07/29/11 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY PRO- LOC JECT F $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS $ L UMBRELLA LIAB OCCUR VolEACH OCCURRENCE $ AGGREGATE _ $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under N / A 0kit"WC h T RY IMIT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below et DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) GERTIFIGATE HOLDER CANCELLATION Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 Is Named as Additional Insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Surplus Lines Agent #A305417 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2 R9/09) The ACORD name and logo are registered marks of ACORD BUCCA-3 OP ID: rIF '`�� Rom` CERTIFICATE OF LIABILITY INSURANCE 81021IYYYYi 70EB/02/11 THIS CERTIFICATE IS ISSUED AS A MATTER CERTIFICATE DOES NOT AFFIRMATIVELY OR N QNl Y ANn C�QUE "0 RIGHTS UPON THE CERTIFICATE HOLDER. THIS NEGA11V I G D OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE OES NIO= NTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE C TIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADD the terms and conditlons of the policy, certain p certificate holder in lieu of such endorsements . IONAL INSURED, the policy(ies) must licies me ire anpne�Irment. A s 111 Uv I I endorsed. If SUBROGATION IS WAIVED, subject to tement on this certificate does not confer rights to the PRODUCER The Johnsons Insurance Agency 30975 Avenue A Big Pine Key, FL 33043 The Johnsons Insurance Agency 305-872-2888 MONROE C RISK MANA CONTACT PHONE Ext : FAX A/C No A L INSUREPAS AFFORDING COVERAGE NAICtr INSURER A:Colon National Insurance Co. . INSURED Buccaneer Courier Joanne Kaestner INSURER B INSURER C : P.O. Box 430763 INSURER D : Big Pine Key, FL,33043 INSURER E : INSURER F : s: COVERAGES r-w IWIr ATe u1 Ieaoeo. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER MM1D01YYYY POLICY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X GL35739032 07/29/11 07/29/12 PREMISES Ea occurcence $ 50,000 CLAIMS -MADE a OCCUR 6,00 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE S 1,000,00 GEMLAGGREGATELIMIT APPLIES PER: PRODUCTS - COMP/OPAGG S 1,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ HIREDAUTOS NON -OWNED AUTOS {, '- : ;?y ;`,` - PROPERTY DAMAGE Per accident $ $ UMBRELLA LIASH EXCESS LIAB OCCUR CLAIMS -MADE ! r - - ## - - "` j ...., -4--•---^ EACH OCCURRENCE $ AGGREGATE ' $ DED RETENTION $ $ WORKERS COMPENSATION �; r :: ' •? - WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ` • • ' E.L. EACH ACCIDENT S ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A s E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under E, L. DISEASE - POLICY LIMIT — $ DESCRIPTION OF OPERATIONS below n DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addllional Remarks Schedule, if more space Is required) courier service *The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and locations* **HOLDER IS ALSO ADDITIONAL INSURED*** -- 4.AIYliELLFI I IVIY MONRO-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE trd 19t1U-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD .46. R CERTIFICATE OF LIABILITY INSURANCE DATE (M1/2012 Y) os/o1/2o1z THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CER IMPORTANT: If the certificate holder is an ADDIT NAL INS )must be ndorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poll ies may require an end ent. A sta meet on this certificate does not confer rights to the certificate holder in lieu of such endorsement(, . PRODUCER Hull & Company, Inc. 800 Carillon Parkway, Suite 15 AUG 3 St. Petersburg FL 33716 CONTACT I FAX x A/C No): ADDRE-MAIESS, IN RER S AFFORDING COVERAGE NAIC It Colon Insurance Com an ; 39993 WONMI INSURED Buccaneer Courier INSURER C : P O Box 430763 INSURER D : INSURERE: Big Pine Key FL 33043 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY FPCLAIMS-MADE IJ OCCUR I GL3573903-3 07/29/12 07 /29/13 1 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,0()0 GENERALAGGREGATE $ 1,000,0()0 GENL AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY I ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED HIRED AUTOS AUTOS DA WAN /�yyL IG ER V � Q COMBINED SINGLE LIMIT La accident __ BODILY INJURY (Per person) $ BODILY BODILY INJURY (Per accident) $ DAMAGE Per acciden t $ UMBRELLA UAB EXCESS LIAB HCLAIMS-MADE OCCUR I V �l✓ EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) UM describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Courier Service Additional insured for the above insured Buccaneer Courier MONROE COUNTY BOARD OF COUNTY COMMIS IONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 SIMONTON ST. T THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN KEY WEST, FL. 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE / /mot Surplus Lines Agent #A30541 Oc 19M2010 ACORD CORPORATION. All rights reserved. ACORD 25 (P90/05)- LOD The ACORD name and logo are registered marks of ACORD BUCCA-3 OP ID: SC -A-T � RE'* CERTIFICATE OF LIABILITY INSURANCE DATE 0116/201 Yr) 08/16/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . PRODUCER Phone:305-872-2888 3097b Avenue A Fax:305-872-2324 Big Pine Key, FL 33M The Johnsons Insurance Agency COACT NAAME' PHONE No); ADO INSURER(S) AFFORDING COVERAGE NAIC $ INSURER A:Pr rOSSiVOCommercial INSURED Buccaneer Courier Joanne Kaestner P.O. Box 430763 INSURERS: INSURER C : Big Pine Key, FL 33043 INSURER D : INSURER E : INSURER F: --.--A^= f-00TICI0-ATC alI IMRRO. REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY � Y EFP POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMI ES a $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one Person) $ CLAIMS -MADE F—IOCCUR PERSONALS AOV INJURY $ GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ S POLICY JECTPRO LOC AUTOMOBILE LIABILITY COMBINED �a CIlnt) E LIMIT BODILY INJURY (Per person) $ 250,00 A ANY AUTO ALLOOSWNED [K]AS UTOSULED NON -OWNED HIRED AUTOS AUTOS 08192963-8 08/04/2013 08/04/2014 BODILY INJURY (Per accident) $ 500,00 PPR�OPER, nDAMAGE $ 100,0 0(3 S UMBRELLA LIAR EXCESS LIAR CLAIMS -MADE BY i i 7 r EACH OCCURRENCE $ HOCCUR AGGREGATE $ DED RETENTION $ DA ` ` WORKERS COMPENSATION r TH- WC STATU- OFR AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? YIN (Mandatory in NH) N / A T E.L.EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT I $ If yos describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) 2010 Kia Wagon SW KNDJT2A26A7130882 **Certificate Holder is also Additional Insured** MONRO-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West. FL 33040 AUTHORIZED REPRESENTATIVE The Johnson Insurance Agent ©1988-2010 64ORD CORPORATION. All rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD BUCCA-3 OP ID: SC " CERTIFICATE OF LIABILITY INSURANCE °"' 01912312013°'"3 9/23/ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(% AUTHORIZED REPRESENTATIVE.011 PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the Policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain Policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endomemen s . PRooUCINt Phone: 306-872-2888 11Br'Pine rgg75 Avenue A Fax: 306472-232 Big Pine Key, Ft.33043 The Johnsons Insurance Agency cNAMOT PHONE o r Mal INSUR 3 AFFORMO COVERAGB NAIL IWAIRERA-Colony National Insurance Co. INSURED Buccaneer Courier Joanne Kaestner B+sLRiERe: INSURERC: P.O. Box430763 Big Pine Key, FL 33043 INSURER 0: INSURER E : INBU ERF- eccvraIUM rvumacrc: 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. LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L R TYPE OF INSURANCE AOOL POLICY NUMBER POLICY M � YYYI UNITS LIABILITY X EACH oCCUkWNM s 11000,00 PD=81181 ffmENTED ; 50,00 01 A COMMERCIAL GENERAL LIABILITY GL4020635 09/20/2013 09120/2014 CLAMS -MADE ❑X OCCUR MED EXP Wv one Parson s rooll PERSONAL aADVINJURY ; 1,000,00 GENERAL AGGREGATE S 1,000,00 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S 1,000,00 POLICY PRO- Lac ` $ AUTOMOBILE LIMUrY COMBMJED BUNGLE M ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS P RISK �A , nl BODILY INJURY (Per perom) ; BODr_Y INJURY S HIREDAUTOS NON43MED Wa / ln I L� (Par acddenl) PR PERTY S AUTOS � ; UMBRELLA LIAS OCCUR EACH OCCURRENCE 3 AGGREGATE s EXCESS LIAS CLAN94AADE DED I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITYRR WC STATU- OTH ANYPROPRIETOR/PARTNERIEKFCUTIVE YIN OFFICERIMEMBEREXCLUDED? MIA E.LEACH ACCIDENT S - EA EMPLOY ; (Mmdatory In NH) dandbe undwE.L.DISEASE E.L. DISEASE - POLICY LIMB W ON OF OPERATIONS below 7 N r.0 DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (Alhch ACORD 101, AddUlonal Remarks edwdule, if more apace Io requkad) --_ I-- " — courier service. Limits of coverage on this certificate apply for all jobs & locations. Holder is also Additional Insured. n CD MONRO-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street WITH TH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORae The Johl < Surplus -Lines Agent 4*A305417 leas-ZU1U AUVKV t;VKFURATION. All rights reserved. ACORD 25 (2010/05) . The ACORD name and logo are registered marks of ACORD '4� b® CERTIFICATE OF LIABILITY INSURANCE Y) 9/23/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER The Johnsons Insurance Agency 30975 Ave A Big Pine Key FL 33043 CONTACT NAME: Debra Friis—Pettitt PHONE (305) 872-2888 ac No: (305)072-2324 EAI -ML .Dfriis@johnsonsinsure.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Colon Nat'l Ins Co. INSURED Buccaneer Courier P.O. BOX 430763 Big Pine Key FL 33043 INSURER B : INSURER C : INSURERD: INSURER E INSURERF: COVERAGES CERTIFICATE NUMBER:CL1492307813 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR rypE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_] OCCUR X GL40206351 9/20/2014 9/20/2015 DAMA E T RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ $RED EXCESS LIAB CLAIMS -MADE RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The limits of coverage on this certificate applies to all jobs and all locations. Description of operations: Courier service. Certificate holder is also Addl Insd when required by written contract. AP 44344 1171EM Q WAIVER — CC- . 4 iV CERTIFICATE HOLDER CANCELLATION Monroe County Board Of County Commissioners 1100 Simonton Street Key West, FL 33040 ACORD 25 (2010/05) INS025 (201005) 01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE S Cherrybon/SUECHE ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGES Ref # Description Property damage -single limit Coverage Code PD Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount 500 Deductible Type Percent Premium Ref # i Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium nDe scription TCoverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium rOFADTLCV Copyright 2001, AMS Services, Inc. .�^ 1 m- DATE(MWDON"Y) ,4� EW CERTIFICATE OF LIABILITY INSURANCE 9/9/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate bolder in lieu of such endorsemen s . PRODUCER The Johnsons Insurance Agency 30975 Ave A Big Pine Key FL 33043 �Ar Debra Friia—Pettitt PHONE Fitt, (305) 872-2888 F . (305) 872-2324 �''>Dfriis@joAnsonsinsure.com INSURE!SS) AFFORDING COVERAGE NAIC 0 INSURER A'Mercury Insurance Indemnity Co 09050 INSURED Buccaneer Courier P.O. Box 430763 jBig Pine Key FL 33043 INSURERS .INSURERC INSURER0: INSURER E.:. INSURER F; rwooar_cc rcvr�c�r nr� �unMaw•cr,r a"wtj rn / / W! VEf Fgjm 1aiLIMKFK' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS„ INSR TYPE OF INSURANCE PO CY NUMB PTOC E7 XP POLI Y LIMITS GENERAL LIABILITY EACH.. OCCURRENCE:. $ - c $• COMMERCIAL GENERAL LIABILITY EXP (Any one person} g CLAIMS -MADE EJ OCCUR 090000006614 /3/ 2014 /3/2015MED PERSONAL & ACV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ $ POLICY_ PRO LOC AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ 500,000 A ANY AUTO ALL. OWNED SCHEDULED AUTOS X. AUTOS HIRED AUTOS AUTOSWNED X 090000006614 /3/2014 /3/2015 BODILY INJURY (Per accident) $ E $ 500 000 .PIP -Basic _ $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ W HCLAIMS-MADE. AGGREGATE $ EXCESS LIAR DED RETENTION $ $ WORKERS COMPENSATION WC $TA - T - - AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE E,.L EACH ACCIDENT ---^- •^ $ OFFICERlMEMBER EXCLUDED? (Mandatory in NH) NIA E. L DISEASE - EA EMPLOYE $ E L DISEASE -POLICY LIMIT _ $ If yes, describe under DESCRIP `ION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Courier Service PRO GE B /M,ENTATE ,,/� 'VY �� WAIVE N/A — 'J�� /" e CC r 1= l HOLDER IS ALSO ADDITIONAL INSURED (305)295-3179 Monroe County Board of County,Commssioner 1100 Simonton Street L,, Key West, FL 33040 ACORD 25 (2010105) N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T4IE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE all 0 c1te 01 W2010 ACORD INS025 (201005) 01 The ACORD name and logo are registered marks of ACORD All rights reserved. A� �® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD 2/19/201515 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER The Johnsons Insurance Agency 30975 Ave A Big Pine Key FL 33043 CONTACT Debra Friis—Pettitt NAME: PHONE (305) 872-2888 A/C No : (305) 872-2324 E-MAIL .Dfriis@johnsonsinsure.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Colon Nat'l Ins Co. INSURED Buccaneer Courier P.O. BOX 430763 ,Big Pine Key FL 33043 INSURER B : INSURER C : INSURER D: INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:CL1521908787 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER CY EFF MM DPOLID/YYYY POLICY EXP MM IDDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEU— PREMISES Ea occurrence — $ 50,000 A CLAIMS -MADE FX-1 OCCUR X GL4020961 /13/2015 /13/2016 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,000 $ JECTX POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ d AGGREGATE $ EXCESS LIAR I CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- FIR AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NI A` (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ E L DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The limits of coverage on this certificate applies to all jobs and a 1 loca ions. B PPRO GFjVIFNT Courier !, t WAN . A O . HOLDER IS ALSO ADDITIONAL INSURED — ' C G "I CERTIFICATE HOLDER (305)295-3179 Monroe County%oa� 1 d un-cy Smmssioner 1100 Simonton Key West, FL 41�gtiai� 80 J 031IJ �Qj1 ACORD 25 (2010105) INS025 (201005) 01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZ ED REPRESENTATIV S ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A� CERTIFICATE OF LIABILITY INSURANCE P9/24/2015Y' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Debra Friis—Pettitt NAME: The Johnsons Insurance Agency HONK o, Extt (305) 872-2888 (AIC, No): (305) 672-2324 30975 Ave A E-MAIL Dfriis@johnsonsinsure.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Big Pine Key FL 33043 INSURER AMercury Indemnity Co of Florida 11201 INSURED INSURER B : WILLIAM J KAESTNER DBA BUCCANEER COURIER INSURERC: PO Box 430763 INSURER INSURER E Sig Pine Key FL 33043-0763 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1592410129 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS AaOL SUER IITR POLICY EFF POLICY EXP TYPE OF INSURANCE POLICYNUMBER Mt"DIYYYYI (MM/DQfYYYY1 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED A CLAIMS -MADE OCCUR PREMISES (Ea occurrence)__ $__ BA090000006614 9/3/2015 9/3/2016 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ POLICY PRO- JECT L.00 PRODUCTS - COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY (Ea w COMBINEDSINGLEI Lk LIMIT$ 500,000 ANY AUTO BODILY INJURY (Per person) $ `A ALL OWNED SCHEDULED BA090000006614 x 9/3/2015 9/3/2016 BODILY INJURY (Per accident) $ AUTOS AUTOS X X NON -OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident ____ _ ___$ Adddralaltnauted $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION PER STATUTE ERN AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) EL DISEASE - EA EMPLOYEE $ If yyeess describe under DESCRIPTION OF OPERATIONS below E-L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The limits of coverage on this certificate applies to all jobs and all locations. Courier PO AMENTB q;y/ G% WAIV briggs-clarkEfmj Monroe Cty Brd of Cty Comm Engineering Dept 1100 Simonton St, Rm 216 ?£ :g WV 62 d3S S Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 08OJ38 �OJ 0311�. W U CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401) ,:m L+ CERTIFICATE OF LIABILITY INSURANCE DATEYY 99/2Y' /9/20,14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s ._ PRODUCER The Johnsons Insurance Agency 30975 Ave A Big Pine Key FL 33043 AMI .. Debra Friia-Pettitt. PHONE (305) 872-2888 : (305) 972-2324 "AlL ,Dfriis@johnsonsinsure.com INSURERS AFFORDING COVERAGE NAIC M INSURER A.Mercury Insurance Indemnity Co 09050 INSURED Buccaneer Courier P.O. Box 430763 JBig Pine Key FL 33043 INSURER B : INSURER C : INSURERO: INSURER E : Eli INSURER F; 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, INER I L TYPE OF INSURANCE3UBRI POLICY NUMB ICY IEXP POLICY LIMITS GENERAL LIABILITY EACH. OCCURRENCE.. PREMISES (Ea ""greml$,.„-..........,,,,�., COMMERCIAL GENERAL LIABILITY MED EXP (Any one Pe150n) $ A CLAIMS -MADE D OCCUR 090000006614 /3/2014 /3/2015 PERSONAL & ACV INJURY 3 GENERAL AGGREGATE '$ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ $ .POLICY PRO- LOC AUTOMOBILE LIABILITY I 1 .. L. BODILY INJURY (Per person) 3 500,000 A ANY AUTO ALL. OWNEDX SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS X 090000006614 /3/2014 /3/2015 BODILY INJURY (Per accident) $ P OA $— -500,000 PIP Basic 5 101000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ _ EXCESS LIAR CLAIMS -MADE DED I I RETENTIONS $ WORKERS COMPENSATION WC 5TATU- T - ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE E,L. EACH ACCIDENT' $ E.L DISEASE - EA EMPLOYEF f OFFICER/MEMBER EXC LUDEU'? (Mandatory in NH) NIA E. L. DISEASE -POLICY LIMIT. $ If yes, describe under DESCRIP iION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Courier Service APPRO GEMENT ATE • 1 U WAIVE N A _ 1` CCI l HOLDER IS ALSO ADDITIONAL INSURED �tui",f ;_V (305)295-3179 Monroe County Board of CountylCommssioner 1100 Simonton Street 1E t r l•+ :; Key West, FL 33040 ACORD 25 (2010/05) SMULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE all w CAU ©1 W2010 ACORD All rights reserved. INS025 (201005) 01 The ACORD name and logo are registered marks of ACORD A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/Y 9/23/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED CRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Debra Friis-Pettitt NAME: The Johnsons Insurance Agency IMC.NONE . (305) 872-2888 aC No: (305)872-2324 EMAIL 30975 Ave A E-MAIL AnnRFqq.Dfriis@johnsonsinsure.com Big Pine Key FL 33043 INSURERA:Colon Nat'l Ins Co. INSURED INSURER B : Buccaneer Courier INSURER C : P.O. BOX 430763 INSURERD: INSURER E : ,Big Pine Key FL 33043 INSURERF: J-^%1nn Ar CQ rc DTr Cl/"ATC twuAl2C0.CT.1 AQ2'An 7R1 3 RFVl-glnN NI IMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCEJa& ADDL UBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDNYYY LIMITS GENERALLIABILIT* EACH OCCURRENCE $ 1,000,000 - X COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED PREMISES Ea occurrence $ 50 000 MED EXP (Any one person) $ 5,000 A CLAIMS -MADE � OCCUR X L40206351 9/20/2014 9/20/2015 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES.PER. PRODUCTS - COMP/OP AGG $ 2,000,000 $ X POLICY PRO JFCT LOC ..... AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS DAMAGE Pea cdent $ UMBRELLA LIAB EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION TATU$ WC SLIMIT ER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The limits of coverage on this certificate applies to all jobs and all locations. Description of operations: Courier service. Certificate holder is also Addl Insd when requir by written contract. BY N71ENT � A - p ER N/A cc t%CDTlVI!`ATc unI ncD RANCFI I ATIr]N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board Of County Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 01 J S Cherrybon/SUECHE ACORD 25 (2010/05) U 1983-2010 ACORD GORPORATION. All rlgnts reserveU. INS025 (201005) 01 The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGES Ref # Description Property dSmage-single limit Coverage Code PD Form No. Edition Date snit 1 Limit 2 Limit 3 Deductible Amount 500 Deductible Type Percent Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 TLimit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date pit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 T Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date it 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium OFADTLCV Copyright 2001, AMS Services, Inc. '4CC)IIRID0 CERTIFICATE OF LIABILITY INSURANCE F DATE Y) 2/19/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Debra Friis—Pettitt NAME: The Johnsons Insurance Agency PHONE . (305)872-2888 ac No: (305)872-2324 30975 Ave A E-MAIL AnnRFSS•Dfriis@ ' ohnsonsinsure . com Big Pine Key FL 33043 INSURED Buccaneer Courier P.O. Box 430763 INSURER C : AFFORDING COVERAGE I NAIC # '1 Ins Co. LBig Pine Key FL 33043 I INSURER F : COVERAGES CERTIFICATE NUMBER:CL1521908787 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X GL4020961 /13/2015 /13/2016 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ —AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. EACH ACCIDENT $ E L DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The limits of coverage on this certificate applies to all jobs and a 1 loca ions. AP E GEPAENT Courier BY WAN A HOLDER IS ALSO ADDITIONAL INSURED GtKIIF-IGAIt MULUtK I A HI-1 -%ill GANGELLATIUN (305)295-3179 Monroe County oarV L�uTrcy mmssioner 1100 Simonton �SB62% 80 J 037� Key West, FL pj SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATI V S /Che=dBR" ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005) 01 The ACORD name and logo are registered marks of ACORD AC<>Rbr DATE (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 9/24/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEA T Debra Friis-Pettitt The Johnsons Insurance Agency PHONE No,ExtL (305) 872-2888 (A /C, No): (305)972-2324 30975 Ave A E-MAIL ADDRESS.Dfriis@johnsonsinsure.com Big Pine Key FL 33043 INSURED WILLIAM J KAESTNER DBA BUCCANEER COURIER PO Box 430763 Big Pine FL 33043-0763 INSURER(S) AFFORDING COVERAGE NAIC # INSURERAMerCUry Indemnity Co of Florida 11201 INSURER B INSURER C INSURER O INSURER E COVERAGES CERTIFICATE NLIMRFR-CL1592410129 REVISION Nl1MBER! 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 WSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE 11jap Wvp POLICY NUMBER tMMIDDIYXYYI (MMIDO-IYYYYILIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED A CLAIMS -MADE OCCUR PREMISES(Eaoccurrencel___S__ BA090000006614 9/3/2015 9/3/2016 -. MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ POLICY JEa LOC PRODUCTS - COMP/OP AGG S -- --- -- OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT(Ea accderl) $ 500,000 ANY AUTO BODILY INJURY (Per person) $ A ALL OWNED SCHEDULED AUTOS X AUTOS BA090000006614 9/3/2015 9/3/2016 BODILY INJURY (Per accident) $ X NON -OWNED : PROPERTY DAMAGE HIRED AUTOS AUTOS (Per.accidentl _ __$ Addilwallttstaed -$ UMBRELLA LIAR OCCUR .EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ S WORKERS COMPENSATION PER OTH, AND EMPLOYERS' LIABILITY Y t N STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) E L DISEASE - EA EMPLOYEE $ If yes. descrbo under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The limits of coverage on this certificate applies to all jobs and all locations. Courier yPONA EMENT (9 q ; GI Q✓I�-- WA/ CC- TION briggs-cla=k'Llko ", 'Ad u Ill m iffo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Cty Brd of Cty Comm THE EXPIRATION DATE THEREOF, NOTICE WILL BE D LIVERED IN Engineering Dept ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St, Rm. 216 ?£ :$ w 6Z d3S Sf Key West, FL 33040 THO,RIZEDREPRES ATIV r� �9 �1 �11 I 3 9138-2014 A RD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 ;201401)