Loading...
Certificates of Insurance H m1 DATE(MMIDD ) CERTIFICATE OF LIABILITY INSURANCE 0411112024 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 E EE THE ISSUING I S R (S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 3105µ94-6677 CONTACT Norman Fuller The Fullers,Inc PHONE 3 5- 4 7 FAX 3 ® 4-30 25 1432 Kennedy Drive (A/C,No,EYt)e _ (A/c,He): Key West,FL 33040 E-MAIL. - Norman Fuller ADD)t; w., INMERI$}AFFOROINCa C VE DE, NAIC INSURERA.e,,,,Retail First Insurance Corn any INSURED INSURER®e William P Horn Architect PA Ill Horn I INSURER Cm, 15 Eaton St. INSURER D e Key West,FL 33040 _ INSURER E INSIiRER F e CQygRAQES rERTIFIGATE REVI I m THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' TYPE OF INSURANCE POLICY NUMBER i LIMITS ADDLsUBRI PO11 LICY EFF POLICY EXP CO 11 MMERCIAL GENERAL LIABILITY CLAIMS-MADE ❑OCCUR DAMAGE TO EACH OC TO RENTED REMISE$ 0 ova enra) � MED EXP fAny one parson), ,,$ PE FdSO,_L&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER:T GENERAL AGGREGATE i CDo r�ER LICY❑j� LOC NT PRODUCTS-COMPI�P AG¢...,.$............ AUTOMOBILE LIABILITY BY, COMBINED SINGLE LIMIT ry,., LcI�apkl, ... ANY AUTO OWNED SCHEDULED TE �^ "�?�-_�---" m SODILY,IIVILIRI Peer mony AUTOS ONLY AUTOS AMM al " BBODILYIBVJPRY(Per accident), ,,, O I (,(,Paracc „ 4 AUTOS ONLY AUTOSNLY RTY I� GE HIRED NON- NED 1 I ROPE��nk�, � $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS- DE AGGREGATE ......, $ DIED RETENTION$ _ WORKERS COMPENSATION PER OTH- AND EMPLO IERSa LIARILI Y/N 'SIA11PIL _.�k.P ®„ ANY PROPRIETORIPARTNERIEXECUTIVE 520�40146 01/01/2024 01/01/2025 1,000,000 OFF da E.L.EACH ACCIDENT $ ry�n NH) (Man to E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes, describe ON under EXCERIMkMOER LUDED?®4S belowN!A I i E.L.DISEASE-_POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE LD ANCELLATI N MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management 1100 Simonton St. Key West, FL 33040 AUTHORIZED REPRESENT iV Norman Fuller p ACORD 25(2016/03) © 88 15 RD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of CO I D CERTIFICATE OF LIABILITY INSURANCE FTgE,(MM/DDIY2023YYY) 022/ 023 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME:Progressive Commercial Lines Customer and A ent Servicing The Fullers Insurance PHONE FAX 1432 KENNEDY DRIVE,KEY WEST,FL 33040 A/C,No,Ext:1-800-444-4487 A/C No): E-MAIL ADDRESS:progressivecommercial@email.progressive.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Progressive Express Insurance Company 10193 INSURED INSURER B WILLIAM HORN 151 KEY HAVEN RD INSURER C: KEY WEST,FL 33040 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 811149596536050302DO92223T205853 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. ILTR TYPE OF INSURANCE NSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (POLICY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE❑OCCUR PREMISESO(Ea occur ence) $ APPROVED BY RISK MANAGEMENT MED EXP(Any one person) ev _ y C r- PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: DATE 9125/203 GENERAL AGGREGATE PRO- WAIVER N/A_YES_POLICY JECT LOC PRODUCTS-COMP/OP AGG OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $1 000_000 ANY AUTO OWNED SCHEDULED BODILY INJURY Per person) $ A AUTOS ONLY X AUTOS Y N 02158316 05/29/2023 05/29/2024 BODILY INJURY Per accident X AUTOS ONLY X AUUTOS ONLYY Perr a'.,dent DAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION Y/N - H- AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MONROE COUNTY BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 SIMONTON St KEY WEST,FL 33040 AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD HORNW-11 QR 10; � a DATE(MM/DO YYYY) E TIFI TE F LIABILITY INSURANCE ICE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTSTHE CERTIFICATE HOL Rm THIS CERTIFICATE ES NOT AFFIRMATIVELY OR NEGATIVELYAMEND, EXTEND OR ALTER THE COVERAGE F Y THE POLICIES BELOW. THIS CERTIFICATE INSURANCE S NOT CONSTITUTE A CONTRACT THE ISSUING I S (S), AUTHORIZED REPRESENTATIVE C ,AND THE CERTIFICATE L IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the ollcy(les)must have ADDITIONAL INSURED provisions or 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 rl lat to the certlficade Iwolder in Lieu o suc eno a ent s PRODUCER 30 -294-6677 1 CONTACT Norman Fuller TheFullers,Inc F�uIt E ...... 143 Kennedy rive PHONE,Ext)e 4 FAX Ie3 4.. 25 (A/C,No Key West,FL 33040 a�D ,SS Norman Fuller . ....,,,,. "_,INSURI 6RISI AFFO,ND,ING CO 9ERAGE NAIC# INSURER ...... e Fi_r,st Community Insurance Co, _. __... 13990 ,, INSURER B:RetailFirst Insurance Company William Horn Arc Ictec A,Inc. III Horn INSURER c e 915 Eaton St, Key West,FL 33040 INSURER D e INSURER E; I — INSURER F COVERAGES C TI IC T - REVIWON 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. ..m�,. " _.. ,. INSR PE OF INSURANCE ADDLISl1®R1 POLICY EFF ( POLICY EXP 1 POLICY NU BER LIMITS COMMERCIAL GENERAL LIABILITY 2, EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR000,000 00049 62995819 1 112 24 AGE�0 RENTED ,.......Business neC1'IreLL..F.roCtainsz�4 .5 ,. s ,MED EXP gAny one persona � 5s0 PERSQNAL X ADV INJURY $ 2' 000,000 APPROVED BY RISK MANAGEM✓ENNT - POLICY ECT LOC DATE125_� 2 PRODUCTSBy, GENERAL, COME AGGREGATE � 2,O , GENT AGGREGATE APPLIES COMP/OP AGO $ s a 9 / 03 OTHER, AUTOMOBILE LIABILITY WAIVER N/A YES_ COMBINED SINGLE LIMIT , 1 IL a ds�lddallN $ ANY AUTO OWNED SCHEDULED BODILY IN4VRY,hPer person) ,,$ � AUTOS ONLY sAUTOS BODILY,INJURY,f,Feraccidenal $ HIRED NON- WNED PROPERTY[DAMAGE AUTOS ONLY AUTO ONLY JPer ecoidePtl $ I ry UMBRELLA LIAB OCCUR I 1,EACH OCCURRENCE $ EXCES$LIAB CLAIMS MADE _AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS`LIABILITY SJA1,UTL1, , .. EIS ANY PROPRIETORIPARTNER/EXECUTIVE Y/N 520-4 146 1/ 112 23 0110112024 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N f A - _ (Mandatory an NH) E.L.DISEASE- A EMPLOYEE,$ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) certificate holder is an additional insured as per form BP04070187 CERTIFICATE H LDER CANCELLAIIQN MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATEkTHEOF,, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH' HE PISIONS. Risk Management1100 Simonton St. Norman FullerIVEKey West, FL 33040 AUTHORIZED idler EN A ACORD 25(2016/03) ©188- 1S'AC RD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of AORD.W, Client#: 1049512 WILLIPH01 ACORD-,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8102/2023 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Jackie Bernos USI Insurance Services, LLC PHHONN,EXt:813 321-7500 FAAc,No: 813 321-7525 2502 N Rocky Point Drive E-MAIL Ess: Jackie.Berrios@usi.com Suite 400 Tampa, FL 33607 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Aspen American Insurance Company 43460 INSURED INSURER B William P. Horn,Architect, P.A. INSURER C: 915 Eaton Street Key West, FL 33040 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY W MM/DD/YY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE1:1 OCCUR PREMISES ERENTED nce $ MED EXP(Any one person) $ APPROVED BY RISK MANAGEMENT BY PERSONAL&ADV INJURY $ . GEN'L AGGREGATE LIMIT APPLIES PER: a° r , GENERAL AGGREGATE $ PRO- LOC 23 E DATE 9/25/20 PRODUCTS-COMP/OPAGG $ POLICY JECT OTHER: WAIVER NIA—YES_ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN "ST F ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ A Professional AAAE10004105 8/20/2023 08/20/2024 $2,000,000 per claim Liability $3,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Professional Liability coverage is written on a claims-made basis. Project: All Projects for Monroe County, FL;Annual Contract for Architectural Services. CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S41040878/M41040089 PDNZP H m1 DATE(MWDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 0411112024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOLDER, 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 E EE THE ISSUING I S RE (S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 Ilea of such endorsement s PRODUCER 305-294-6677 CONTACT Norman Fuller The Fullers,Inc 1432 Kennedy Drive IACC'PHONE E )e 3 5m 4 77 (A/c,Ne)e3 4®30 Key West,FL 33040 E-MAIL --- Norman Fuller ADD(R01 , INSUII;ER(S)AFFORDING COVERAGE NAIC Retail First Insurance Compny... INSURED INSURER William P Horn Architect PA Ill Horn I INSURER Cm _ .... 15 Eaton St. INS8IRER D Key West,FL 33040 INSURER E INSIiRER F e C RTIAE NUMBER: REVISION m 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 POLICY N61rA®ER _ I COMMERCIAL GENERAL LIABILITY A®DEISM" POLICS EFF P�LICY EXP LIMITS EACH OCCURRENCE $ , CLAIMS-MADE �OCCUR � O GE TO RENTED ...... PRE ISE$i'Ea nPmirTeH re) ..� MEET EXP tAny one Luerson), ,,$ PERSONAL&ADV„NJURY GENL AGGREGATE LIIMI.LIMIT PER: GE�E_.,L AGGREGATE ,,� Ik I JET I PRODUCTS-COMPIOP AGG LOCNT I OTHER, 6� "„� „�.�, AUTOMOBILE LIABILI „,, ,�,�, -," COMBINE[?SINGLE LIMIT Le dndaalulL... $,. ANY AUTO 4 1 L2,4—, ,,.. —� _ ^� BODILY INJURY Per OWNS® SCHEDULE® �7 dk G 5ersony AUTOS 0 HIRED ONLY AlO9T�S NLY WAMM tk> " .� P®OPERTY¢ G„accident), BODILY INJURY dPer ... P Idert E $ UMBRELLALIAe7 OCCUR EACH OCCURRENCE $ EXCESS LIAS I CLAIMS- DE AGGREGATE $ DIEDI RETENTIOFI$ ' AND EMPLOYERIP LIADILI WORKERS COMPENSATION Y r N ' �520-40146 1/01/ 02 { PER r 'tl�Te H , OFFISERIMEMBEREXCLUDE�7ECUTI4lE NIA 11 1/202 E.L.EACH ACCIDENT i $ 1,000,000 (Mandeto E.L.DISEASE-EA EMPLOYEE $ 1,000,000'' If yes,describe under 1,000,000 In NH D SCRIPTION OF OPE TBONS beI E.L.DISEASE-POLICY LIMIT i I DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATI N MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management 1100 Simonton St. Key West, FL 33040 AUTHORIZED REPRESENT Norman Fuller 2016/03 . ( ) O 88 15 RD CORPORATION All r_m. ACORD 25 � fights reserved. The ACORD name and logo are registered marks of CO I D CERTIFICATE OF LIABILITY INSURANCE FTgE,(MM/DDIY2023YYY) 022/ 023 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME:Progressive Commercial Lines Customer and A ent Servicing The Fullers Insurance PHONE FAX 1432 KENNEDY DRIVE,KEY WEST,FL 33040 A/C,No,Ext:1-800-444-4487 A/C No): E-MAIL ADDRESS:progressivecommercial@email.progressive.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Progressive Express Insurance Company 10193 INSURED INSURER B WILLIAM HORN 151 KEY HAVEN RD INSURER C: KEY WEST,FL 33040 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 811149596536050302DO92223T205853 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. ILTR TYPE OF INSURANCE NSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (POLICY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE❑OCCUR PREMISESO(Ea occur ence) $ APPROVED BY RISK MANAGEMENT MED EXP(Any one person) ev _ y C r- PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: DATE 9115/20Z- GENERAL AGGREGATE PRO- WAIVER N/A_YES_POLICY JECT LOC PRODUCTS-COMP/OP AGG OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $1 000_000 ANY AUTO OWNED SCHEDULED BODILY INJURY Per person) $ A AUTOS ONLY X AUTOS Y N 02158316 05/29/2023 05/29/2024 BODILY INJURY Per accident X AUTOS ONLY X AUUTOS ONLYY Perr a'.,dent DAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION Y/N - H- AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MONROE COUNTY BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 SIMONTON St KEY WEST,FL 33040 AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD HORNW-11 QR 10; � a DATE(MM/DO YYYY) E TIFI TE F LIABILITY INSURANCE ICE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTSTHE CERTIFICATE HOL Rm THIS CERTIFICATE ES NOT AFFIRMATIVELY OR NEGATIVELYAMEND, EXTEND OR ALTER THE COVERAGE F Y THE POLICIES BELOW. THIS CERTIFICATE INSURANCE S NOT CONSTITUTE A CONTRACT THE ISSUING I S (S), AUTHORIZED REPRESENTATIVE C ,AND THE CERTIFICATE L IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the ollcy(les)must have ADDITIONAL INSURED provisions or 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 rl lat to the certlficade Iwolder in Lieu o suc eno a ent s PRODUCER 30 -294-6677 1 CONTACT Norman Fuller TheFullers,Inc F�uIt E ...... 143 Kennedy rive PHONE,Ext)e 4 FAX Ie3 4.. 25 (A/C,No Key West,FL 33040 a�D ,SS Norman Fuller . ....,,,,. "_,INSURI 6RISI AFFO,ND,ING CO 9ERAGE NAIC# INSURER ...... e Fi_r,st Community Insurance Co, _. __... 13990 ,, INSURER B:RetailFirst Insurance Company William Horn Arc Ictec A,Inc. III Horn INSURER c e 915 Eaton St, Key West,FL 33040 INSURER D e INSURER E; I — INSURER F COVERAGES C TI IC T - REVIWON 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. ..m�,. " _.. ,. INSR PE OF INSURANCE ADDLISl1®R1 POLICY EFF ( POLICY EXP 1 POLICY NU BER LIMITS COMMERCIAL GENERAL LIABILITY 2, EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR000,000 00049 62995819 1 112 24 AGE�0 RENTED ,.......Business neC1'IreLL..F.roCtainsz�4 .5 ,. s ,MED EXP gAny one persona � 5s0 PERSQNAL X ADV INJURY $ 2' 000,000 APPROVED BY RISK MANAGEM✓ENNT - POLICY ECT LOC DATE125_� 2 PRODUCTSBy, GENERAL, COME AGGREGATE � 2,O , GENT AGGREGATE APPLIES COMP/OP AGO $ s a 9 / 03 OTHER, AUTOMOBILE LIABILITY WAIVER N/A YES_ COMBINED SINGLE LIMIT , 1 IL a ds�lddallN $ ANY AUTO OWNED SCHEDULED BODILY IN4VRY,hPer person) ,,$ � AUTOS ONLY sAUTOS BODILY,INJURY,f,Feraccidenal $ HIRED NON- WNED PROPERTY[DAMAGE AUTOS ONLY AUTO ONLY JPer ecoidePtl $ I ry UMBRELLA LIAB OCCUR I 1,EACH OCCURRENCE $ EXCES$LIAB CLAIMS MADE _AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS`LIABILITY SJA1,UTL1, , .. EIS ANY PROPRIETORIPARTNER/EXECUTIVE Y/N 520-4 146 1/ 112 23 0110112024 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N f A - _ (Mandatory an NH) E.L.DISEASE- A EMPLOYEE,$ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) certificate holder is an additional insured as per form BP04070187 CERTIFICATE H LDER CANCELLAIIQN MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATEkTHEOF,, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH' HE PISIONS. Risk Management1100 Simonton St. Norman FullerIVEKey West, FL 33040 AUTHORIZED idler EN A ACORD 25(2016/03) ©188- 1S'AC RD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of AORD.W, HORNW-11 CERTIFICATE OF LIABILITY INSURANCE FDATEE( DD ) 0111912023 THIS CERTIFICATE IS ISSUED S A MATTER OF INFORMATION ONLY AND CONFERS IO TS UPON THE CERTIFICATE OLD THIS CERTIFICATE DO S NOT AFFIRMATIVELY OR NEGATIVELYAMEND, EXTENDO ALTERTHE COVERAGE AFFORDED V TPOLICIES BELOW. THIS CERTIFICATE F INSURANCE DOES T CONSTITUTE A CONTRACT THE ISSUING I S (S), AUTHORIZED REPRESENTATIVE OR PO C ,AND THE CERTIFICATE OL R, IMPORTANT: If the certificate holder is an ADDITIONAL IN 3URED,the olicy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject tote terms and conditions of the policy, certain olicles may require an endorsement. A statement on this certificate does not confer d2hts to the certificate holder In lieu of such endo a en s PRODUCER 3 4 7 CONTe!r NAIL o ulcer The Fullers,Inc , ,,, 1, �,. .. m .. PHONE 4 77 F ®2 4® 1432 Kennedy rive (A,C,No Ext): _ PAX NeBe_ ®,A, ---- Key West,FL 33p40 ,��R���.,,,, _. Norman Fuller ......... INSUR Sp AFF0 DING COVE GE....-.... _.. INSURERA Retail First Insurance ComPany� _.,... _, illiam P Horn Architect PA Y lNSURER.R Bill Horn IN$ ER e 915 Eaton St, Key West,FL 33040 INSURER D: INSURER F C V C T I CA V THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE. BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO 11 LICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY NUMBER �COMMERCIAL INSURANCE POLICY EFF POLICY EXP LIMITS L LIABILI $ CLAIMS-MADE OCCUR DAMAGE TO RENTED rJII (L � urrrir�rl $ ME6.-E-XP(,Any one,Terson)_..$ _ PERSONAL&A7V INJURY $ GE, POD OYEGATEpeT APPLIES®�: GENERAL AGGREGATE $ PROOIJCTS-CAMPIOP AGG 11 OTHER: Ip AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ATE 12 AUTOS ONLY AUTOS � � � ANl AUTO D � �° �pp �SO®ILYINJURI IPq,(„I�srson) w_$ AUTOS I SOHEDl1LEO C _� • y� INJURY'(Per acc)dentp $ AURr®S ONL P AUTO fJNF1L� PROPERTY DAMAGE RPer accident, $ UMBRELLA LIAR � OCCUR � OCCURRENCE $ EAc4i OO ....EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEO RETENTION$ WORKERS COMPENSATION AANDPROP IETOR EXCBILITY LUDEDX v r N N r A 52 ¢4014 E L AC:�:A IT X. � 1 PER ANVPROPRIETOR/PXCLUD lEXEGUTIVE � 1/0112 1/011 4 EACH 1,000,000 (FA SF.Is,ERIdeory in NH) ,EL,L.pis SE EMPLOYEE„ 1,000,000 If yes,describe andsr DESCRIPTION OF OPERATIONS below 1 E.L.DISEASE-POLICY LIMIT" IMIT 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) L_ ERTIFICATE HOLDER CANCELLATION MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County BOCC ACCORDANCE W THDATE THE POLICY PROVISIONS.E WILL BE DELIVERED IN Risk Management 1100 Simonton St. Key West, FL 33040 AUTHORIZED REPRESENT E Norman Fuller , ACORD 25(2016/03) © 98 2016/ CORD CORPORATION:"All rights reserved. The ACORD name and logo are registered marks ACORD Client#: 1049512 WILLIPH01 ACORD-,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8102/2023 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Jackie Bernos USI Insurance Services, LLC PHHONN,EXt:813 321-7500 FAAc,No: 813 321-7525 2502 N Rocky Point Drive E-MAIL Ess: Jackie.Berrios@usi.com Suite 400 Tampa, FL 33607 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Aspen American Insurance Company 43460 INSURED INSURER B William P. Horn,Architect, P.A. INSURER C: 915 Eaton Street Key West, FL 33040 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY W MM/DD/YY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE1:1 OCCUR PREMISES ERENTED nce $ MED EXP(Any one person) $ APPROVED BY RISK MANAGEMENT BY PERSONAL&ADV INJURY $ . GEN'L AGGREGATE LIMIT APPLIES PER: a° r , GENERAL AGGREGATE $ PRO- LOC 23 E DATE 9/25/20 PRODUCTS-COMP/OPAGG $ POLICY JECT OTHER: WAIVER NIA—YES_ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN "ST F ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ A Professional AAAE10004105 8/20/2023 08/20/2024 $2,000,000 per claim Liability $3,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Professional Liability coverage is written on a claims-made basis. Project: All Projects for Monroe County, FL;Annual Contract for Architectural Services. CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S41040878/M41040089 PDNZP HORNWI1 AC'CSRrO" DATE(MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE 10/25/2022 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 have ADDITIONAL INSURED provisions or 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 endorsements. PRODUCER 305-294-6677 CONTACT Norman Fuller NAME:__ The Fullers,Inc PHONE 305-294-6677 (.Fnx o 305-294-3025 1432 Kennedy Drive 1, JI IA No,Extl:� (A/C,N ): Key West,FL 33040 E-MAIL Norman Fuller ADDRESS.: __ ....... INSUREFEQSI AFF�RDINSa COVERAGE ,,,,,,® ®,�®... NAli # INSURER A:Progressive INSURED INSURER B: William Horn 151 Key Haven Rd. INSURER C: Key West,FL 33040 INSURER D: '. INSURER E: INSURER F: CQYVERA999 CERTIFICATE NUMBER: REY1619N N- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL�SUBR„ POLICY NUMBER l POLICY EFF POLICY EX P LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURENCE $ CLAIMS-MADE OCCUR DAMAGE TOR I ENTED I MED EXP Any one.person) $ ..... .... PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F1 JECT LOC i PRODUCTS-COMP/OP AGG ,$ I OTHER: A AUTOMOBILE LIABILITY COMBINED`SINGLE LIMIT $ 1,000,000 ANY AUTO X 02158316 05/2912022'05/29/2023, BODILYINJURY Perg,orson, $ OWNED SCHEDULED L_ AUTOS ONLY X AUTOS SSW BODILY INJURY gPer accidents S AUTOS ONLY AUTOS O i $Perraccide tDAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE 'AGGREGATE $ DED RETENTION$ !WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LUIBILITY Y!N STATUTL ER ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑�N/Ai E.L.EACH ACCIDENT (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTI N F PERATI S below E.L.DISEASE-POL CY LIMIT ' I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE H LDER CANrdELLAJlQN MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLY PROVISIONS. Risk Management 1100 Simonton St. AUTHORIEDREPRESENTATV�t Key West, FL 33040 Norman Fuller ACORD 25(2016103) © 88-2 15 ACO CORPORATION. All rights reserved. The ACORD name and logo are registered marks of A ORD i Client#: 1049512 WILLIPH01 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/1712022 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 poiicy(ies)must have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Jackie BerrioS USI Insurance Services,LLC PHONE o£ :813 321-7500 FAX 2502 IN Rocky Point Drive (AlE-MAIL Arc No: 813 321-7525 Suite 400 ADDREss: Jackie-Berrios@usi.com INSURER(S)AFFORDING COVERAGE NAIL# Pampa,FL 33607 INSURER A:Aspen American Insurance Company 43460 INSURED INSURER B: William P.Horn,Architect,P.A. 915 Eaton Street INSURER C: INSURER D: Key West,FL 33040 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMiDDtYYYY MMIDD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ea accu ence)__$ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE Is PRO- POLICY F_1 JECT E LOC PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ jUMBRELLA LIAB OCCUR EACH OCCURRENCE $ CESS LIAB CLAIMS-MADE AGGREGATE $ D RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY 'TA T TE ANY PROPRIETORIPARTNER/EXECUTIVE Y I N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.C.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ A Professional AAAE10004104 0812012022 0812012023 $2,000,000 per claim Liability $3,000,000 anni aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Professional Liability coverage is written on a claims-made basis. Project:All Projects for Monroe County,FL;Annual Contract for Architectural Services. CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Attn. Risk Management 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West,FL 33040 O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S370624801M37062226 HKYZP HOR m1 CERTIFICATE OF ffi LIABILITY z p THIS CERTIFICATE IS ISSUED AS A MATTER ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICHOLDER. CERTIFICATE DOES NOT AFFIRMATIVELY C NEGATIVELY AMEND, EXTEND C ALTER T COVERAGE AFFORDED S BELOW THIS CERTIFICATE O INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE ( ), REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(i ) must have ADDITIONAL INSURED provisions or 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 n its to the certificate holder in lieu of such endorsement's). PRODUCER 0 ® d677 ACT l an LII er _ The Fullers,Inc PHONE 305 294 6677 _.___ 1432 rAX 3 5 2 4-3025 Kennedy Drive ;Arc_NP Eel ..._ .__. __ _.. __.._._.IArF. P _ I __. ------ Key .._ West,FL 33040 • ...._...._� . Norman Fuller _PE___. . .w, - NAIL#_. __ _.._..._. _..., _lNS BER-Ft_Fi g9M;munet Insurance Ca. 13990 INSURED Ie�� 6 F William Horn Arcl�ictect Pa Inc t „ . ... Architect,PA,Inc. Bill Horn 915 Eaton St, Key West,FL 33040 INSURER E .. _._.___. INSURER F T THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS - ._ . n„_ _..w w.._ . ._..._-.m� _ .. ...._ INSR TYPE OF INSURANCE POLICY NU AODL SUBR° POLICY EFF POLICY EXP LIMITS NUMBER A COMMERCIAL GENERAL LIABILITY Cla oec�esaREnsc 2,000,000 CLAIMS-MADE OCCUR i DAMAGE TO RENTED _ ❑ 09 000 962996 S 1 E 09121/2022,09121/202 FF ISI S.t ,s3 rk x l $ 60,000 X Business Owners _.._.._. P onp �a 6,00 onee(s , _ -PERSONAL, Dw NJ�Rv_ 2,000,000 GE,N'L AGGREGATE LIMIT APPLIES PER: 4,000,000 POLICY 71 �cOy ❑ Lo£ 2,000,000 3 pF3UDtJ£TS,£ 4�1'/. P AS3c+ w _...._. AUTOMOBILE LIABILITY £CIM9G�lNED SINGLE LIMIT iGaT ANY AUTOL?!?ILY ItdJURY(Per#erart ._$ . OWNED e SCHEDULED AUTOS ONLY AUTOS SODILYlBV, SURYIPer,akxrdentg,.,, HIRED NOro ED PROPERTY DAMAGE AUTOS ONLY AUTO NLY �fFe( �4�JI,, ...,. _... ... UMBRELLA LIAR OCCUR �' PAO Q£rUlts EKE__, EXCES S CLAIMS-MADE DED RETENTION!$ i WORKERS COMPENSATION YIN ., PERAND OTH- T11 `.ANY PROPRIETORtrPARTNIERMXECUTIVE r (M ..PRIM PABER EXCLUDED? :N i Aa£CIEA EMPLOYE $ (Mandataryoa NH) - E DI$ }$) _._ If yes,describe under ___QEMqR1QMQF 2P T w P LI Y 1 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached N more space is required} architect z l 1 9 MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OnrOe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVI 'ONS. Risk Management �'o 1100 Simonton St. AUTHORIZED REPRESENTA F Key West, FL_33040 Norman Fuller �" �'�°X�" ACORD 26(2016/03) a 19 -20' 5 AC ! CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACRD I " HORNW-11 CERTIFICATE OF LIABILITY INSURANCE FDATEE( DD ) 0111912023 THIS CERTIFICATE IS ISSUED S A MATTER OF INFORMATION ONLY AND CONFERS IO TS UPON THE CERTIFICATE OLD THIS CERTIFICATE DO S NOT AFFIRMATIVELY OR NEGATIVELYAMEND, EXTENDO ALTERTHE COVERAGE AFFORDED V TPOLICIES BELOW. THIS CERTIFICATE F INSURANCE DOES T CONSTITUTE A CONTRACT THE ISSUING I S (S), AUTHORIZED REPRESENTATIVE OR PO C ,AND THE CERTIFICATE OL R, IMPORTANT: If the certificate holder is an ADDITIONAL IN 3URED,the olicy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject tote terms and conditions of the policy, certain olicies may require an endorsement. A statement on this certificate does not confer d2hts to the certificate holder In lieu of such endo a en s PRODUCER 3 4 7 CONTe!r NAIL o ulcer The Fullers,Inc , ,,, 1, �,. .. m .. PHONE 4 77 F ®2 4® 1432 Kennedy rive (A,C,No Ext): _ PAX NeBe_ ®,A, ---- Key West,FL 33p40 ,��R���.,,,, _. Norman Fuller ......... INSUR Sp AFF0 DING COVE GE....-.... _.. INSURERA Retail First Insurance ComPany� _.,... _, illiam P Horn Architect PA Y lNSURER.R Bill Horn IN$ ER e 915 Eaton St, Key West,FL 33040 INSURER D: INSURER F C V C T I CA V THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE. BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO 11 LICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY NUMBER �COMMERCIAL INSURANCE POLICY EFF POLICY EXP LIMITS L LIABILI $ CLAIMS-MADE OCCUR DAMAGE TO RENTED rJII (L � urrrir�rl $ ME6.-E-XP(,Any one,Terson)_..$ _ PERSONAL&A7V INJURY $ GE, POD OYEGATEpeT APPLIES®�: GENERAL AGGREGATE $ PROOIJCTS-CAMPIOP AGG 11 OTHER: Ip AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ATE 12 AUTOS ONLY AUTOS � � � ANl AUTO D � �° �pp �SO®ILYINJURI IPq,(„I�srson) w_$ AUTOS I SOHEOl1LEO C _� • y� INJURY'(Per acc)dentp $ AURr®S ONL P AUTO fJNF1L� PROPERTY DAMAGE RPer accident, $ UMBRELLA LIAR � OCCUR � OCCURRENCE $ EAc4i OO ....EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEO RETENTION$ WORKERS COMPENSATION AANDPROP IETOR EXCBILITY LUDEDX v r N N r A 52 ¢4014 E L AC:�:A IT X. � 1 PER ANVPROPRIETOR/PXCLUD lEXEGUTIVE � 1/0112 1/011 4 EACH 1,000,000 (FA SF.Is,ERIdeory in NH) ,EL,L.pis SE EMPLOYEE„ 1,000,000 If yes,describe andsr DESCRIPTION OF OPERATIONS below 1 E.L.DISEASE-POLICY LIMIT" IMIT 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) L_ ERTIFICATE HOLDER CANCELLATION MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County BOCC ACCORDANCE W THDATE THE POLICY PROVISIONS.E WILL BE DELIVERED IN Risk Management 1100 Simonton St. Key West, FL 33040 AUTHORIZED REPRESENT E Norman Fuller , ACORD 25(2016/03) © 98 2016/ CORD CORPORATION:"All rights reserved. The ACORD name and logo are registered marks ACORD