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Certificates of Insurance illi 00 DATE(MM/DD/YYYY) ► "+ CERTIFICATE OF LIABILITY INSURANCE 8/ W2023 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 polic 11 y(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(si. CONTACT PHONE NE l nR1, .. . 31 9014 ... ......., PRODUCER NAME Con �2ngce SUNZ Insurance Solutions, LLC ID:(Convergence) PtiDNiw � �� _904-731 0059 .. c/o,Convergence Employee Leasing, Inc. E-MAIL p ( 9 -1 Dill Spprin s Drive 90a" nvergp_rgpecaµcom ......... ..._ .... ... Fps 227 — ... ..... JaCNcsonvilie, _ lrtlsuRERfi�Y AFFORr)ING CaVSdtA�wt= NAIL .._ ._ ...... �...r INSUREB. mlron�— 34762 INSURED .. ........ INSURE .. .. ... ` Ei�A nSUranCp O Co'nver ence pplo ee Leasing, Inc. INSURER -- g g -'1 bill S nn{y��s f��r)ve � � ... ,Jacksonville L �L257 INSURER U — INSURER E: -------- ... .....__ �.."..._ INSURER F COVERAGES CERTIFICATE NUMBER: 75992722 REVISION NUMBER: THIS 16 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, EDUCED BY PAID CLAIMS. EXCLUSIONS COMMERCIALENERA�uABaIrY H POLICIES, POLICY MAY HAVE BEEN R _ TYPE o CONDITIONS OF SUCH r�ADDL stdBR� NUMBER MPo&dI Y S.LIMITS SHOWN dNSR EfF mmigoLu Y EXP LIMITS T YYY M l DAYYYY EACH OCCURRENCE „ 0AM7913 I'0 rem E_ CLAIMS-MADE OCCUR „' REMLmE .,(I�",,a;+cuererly,^, ).„„„•,.",.' ..... ......_ MED EXP(Any one pars,r S - PERSONAL&ADV INJURY $_ P N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E ,,,,,,••, „" ... ... ..�RAL A jj ..... POLICY D PECl. LOC ...PRODUCTS... OMF" PAGG...V,... .....,,, ...... ...... COM9114FD SINGLE.IJ11T 1 AUTOMOBILE LIABILITY ( .... As-,— rdyi�?,),pm„�,,._,----..�.... �.....,. ....... .......... ANY AUTO ,(' 16t( BODILY INJURY(Per person) $ OWNED SCHEDULED B ... I"ZMr cadent) $ BODILY INJURY(Per a AUTOS ONLY —_.. AUTOS - 'HIRED NON-OWNED �Ai .. F�ROPERTYPAAt'I%AGE $ AUTOS ONLY �,......J AUTOS ONLY _ "'-"`�"" (."�* r+dasrhS)_ .... ... ... __........, 29 WAMF N X i$ UMBRELLA LIAB OCCUR EACH OCCURRENCE j EXCESS LIAB CLAIMS-MADEx AGGREGAT DSD E RE'IE!Ir1'TXON^> $ '.... A WORKERS COMPENSATION `WC00'li•°0000'1.-023 10/1/2023 10/1/2024 ,« 'S7F" ']E_ ... ,tR -_-- AND EMPLOYERS'LIABILITY YIN WC006-00001-022 10/1/2022 10/1/2023 _ 1 000 000� ANYPROPRIETORIPARTNER/EXECUTIVE NIA I • � OFFICERIMEMBEREXCLUDED? d-OY'EE $1,Q'I ,QQ'l,� (Mandatory in NH) '...EL SEASEC�AE..B4tP...,....,. � ,_. -.... If yyas„describe undar EL OISEASF-PO(.1CY LIMIT S 1 000 000 DESCRIPTION OF OPERATIONS btOow '' I Remarks Schedule may VEHICLES ACORD 101 Additional Y be attached if more space is required) DESCRIPTION OF OPER ATIONS I LOCATIONS I VEH , Coverage provided for all leased employees but not subcontractors of:Key West Wildlife Center Inc Client Eff Date:11/14/2020 CERTIFICATE HOLDER CANCELLATION 5028 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC (Board Of County Commissioners) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN and Monroe County TD (Tourism Development Council ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Rick Leonard ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25( 016/03) The ACORD name and logo are registered marks of ACORD 75992722 1 5028 1 Convergence PEO 006 1 Taylor Imhoff 1 8/28/2023 3:19:14 PM (EST) I Page 1 of 1 RP-RA LPHA Alphabetical Listing 10/13/23 09 : 19 AM Produced by: KEY WEST WILDLIFE CENTER, INC Name Soc Sec Num Dept Hire Date BABICH, DEBRA A XXX-XX-6487 - 08/Ol/22 COONTZ, MARY M XXX-XX-7127 11/13/20 CYR, ANNE T XXX-XX-6131 10/20/20 DAVIS, BRIT-TANY E XXX-XX-5374 06/27/22 GOODWIN, SARAH C XXX-XX-7164 PLENCNER, SAMANTHA M XXX-XX-0906 01/04/21 SWEETS, THOMAS F XXX-XX-7756 11/13/20 VANDIERENDONCK, MIRANDA H XXX-XX-1174 06/26/23 Number of Employees : 8 DATE(M WDWYYYY i AC"RiY CERTIFICATE OF LIABILITY INSURANCE dT10&2021 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 INSURFR(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT. It the certificate holder Is an ADDITIONAL INSURED,the pollty(les) must have ADDITIONAL INSURED provisions or be rondo d. If SUBROGATION IS WAIVED, subject to the terms and conditions of tho policy,certain policies may require an ondorsemom A statement on this certificate does not confer riahts to the certificate holder in lieu of such andorsoment(sL_ PROWCEA CONTAZ7 Maisr,rcio sathrrosas ........... S PKONE-,tafeFarrn Elide Mills insurance Agency Inc '38-86813 FAX I305J'n� B-BPMH 2033D Old CLI.ler Road MAJIL irlifAd co m Is miunciaQG IN91)KERISt AF FORDING COVERAGE NAIC 0 Cullar Bay FL 33189 INSURER A, Stale FrlTM Mutual A-wimottilie Insurance Cornpany 26178 ............ rNSURED INSURER 6 ............ Key'A Iol INSUIRER C' PO Box 22V K 5 UP EJ R D ............ Key West FL 3,3 D45 COVERAGES CERTIFICATE NUMBER REVISION NUMBER: THIS IS TD CERTIFY THAT THE FE71i],iiT,"OF INSURANCE LISTED HILLOV0 HAVE BE FN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED N07VIAT14STAN DING ANY REQUIREMENT TERM ON GOND1110N Cl, ANY (,0NTRAGT OR OTHF,4, CT)C(IljjFNT VOITH RESPECT TO VMICH THIS� CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY rtIL,,, POUCA,'S DIFSCRIBED, HEREIN IS SAWECT TO ALL THE TERMS, EXCLUSIONS ANDC ONDITLONSOF SUCH POLICIES.LRAFTS SHOWN MAY HAVE BEEN REDUCED BY PAID C 04S INSk i L POU0 L 114 ry P9 co�rN SU Nume" 4y1Rw= ==,--' I, C 0MAERCIAL GENERAL,LIASILtrY T-,,;tZ FiCCILP,R F W F MADE 001-11-M "Ar P I .................------------.................. ........... G, NL k C-J5>-dZ GA7 E r; 11-'Arp P'-I E F F C�T y OT t-ER AUT010ORTLE I-MB&M nc Y E 70, 104-CAS 'L# 1 OT28)2021 0?,2&'2022gal............. 0,1)0 I ABB6 1335 A05 59 07,10512021 olffi!422 1,0()0 ,022 ' %;Iji— J'0G0 000 A '-ve%47� V �0 I i 4IM 'i QN V A J T(111-" I 04M 59J2022 n71 8752-015-59C s 100,000 ro UPMBAE LIAR EXCESS LIAB 0 W,�- 7 1, r-ISK I'�JT I 'WO RKERS COMPENSATION Alit)LNIPLOYERS'UARILM ,M—o —n Y N By E- I L I, I�L'�M H L��L xc L L,C,4 u N;A1 11 10 . 20,21 w ...... I MarkdAtocy rn N H) — AM MV d S It d'M'1C1Mw W�'W' WAy.vv t" �v �"O'F-A'RF k"A'11 1 cr- dr KAW W' .5� IPTILDN��orCPEaA;C OCATIONS VEMC1,TS IACORD lot,A4dldonai Rawks Scha4wfe,temv be abo Dhed It mumv,spaco f*qadF*,0J Posutance is prknary aryJ non-wntribulory%-410 respects to daims arisiq oId of tyre operawn of The described vehide '60280V AdcildDnai Insured hlonioe County Bowd of Counly rwnn)rsewori�rs,InCluding afl delii its di,�isjqns, affiliated companies,officefS and directors .............—J CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE AqdQ D�Sg BED POLICIES 13E CANCELLED BEFORE DES 11 I THE EXPRATON no(TEAH61 F, NOTICE MLL BE DELIVERED IN r. �RC ACCORDANCE WI H C OVISIONS� hlpnme Coully Board of Counly Coinrrwtiswtiers �nsu:Fance Como(lance AUTHORZED,srTREs rr TvF V P 0 Boy 1 DOW84 FX DI,jiuIt A 300945 Cc,1988-2015 ACORN CORPORATION. All rights reserved, ACORO 25(2016M3) The ACORD name and logo are registered marks of ACORD I DATE(MMIDDIYYYY) A�V CERTIFICATE OF LIABILITY INSURANCE 91912021 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 SUNZ Insurance Solutions, CONTACT LLC ID: (Convergence} NAME: C/o Convergence Employee Leasing, Inc. PHO-1&.-No_ex : 904-731-9014 C FAX No: 904-731-0059 9393-1 Mill Springs Drive E-MAIL Jacksonville, FL 32257 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA: SUNZ Insurance Company 34762 INSURED INSURERS: Convergence Employee Leasing, Inc. 9393-1 Mill Springs Drive INSURERC: Jacksonville FL 32257 INSURERA: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 63800264 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TypE OF INSURANCE ADD(SUBR POLICY EFF POLICY NUMBER MMQ131YYYY MMIbb1YYYY LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED CLAIMS-MADE OCCUR 'REM SES(Ea occu ence S MED EXP(Any one person) S PERSONAL&ADVINJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: AP -_.I T GENERALAGGREGATE $ POLICY❑jEO LOC ,I PRODUCTS-COMPIOPAGG S OTHER: Y_.. � _ .� AUTOMOBILE LIABILITY - 11 - - 2 0 2 1 COMBINED SINGLE LIMIT 5 Ea accident ANY AUTO - BODILY INJURY{Per person} 5 OWNED SCHEOULED „- ,� BODILY INJURY(Per accident) 5 AUTOS ONLY AUTOS WAW HIRED NON-OWNED PROPERTY DAMAGE 5 AUTOS ONLY AUTOS ONLY Per accident 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DEC) RETENTIONS S A WORKERS COMPENSATION WC006-00001-021 10/1/2021 10/1/2022 STATUTE I ERH AND EMPLOYERS'LIABILITY Y 1 N WC006-00001-020 10/1/2020 10/1/2021 ANY PROPRIETORMARTNERIEXECUTIVE ❑ NIA E,L.EACH ACCIDENT I S 1 OOO O00 OFFICERIMEMBEREXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ 00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 1 o 0o0 DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Coverage provided for all leased employees but not subcontractors of:Key West Wildlife Center, Inc. Client Effective:11/14/2020 CERTIFICATE HOLDER CANCELLATION 5028 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC (Board of County Commissioners) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN and Monroe County TDC (Tourism Development Council ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Rick Leonard ' O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 63600264 1 Convergence PEC 006 PIASTER CERT I Kandi Smith 1 9/9/2021 10:18:06 AM IEDT) I Page 1 of 1 � ® CERTIFICATE OF LIABILITY INSURANCE DATE(M7// 0212021 ) ACORU 07/0 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 Maria Gonzalez NAME: Porter-Allen Company PHONE (305)294-2542 FAX (305)296-7985 A/C No Ext: AIC o 513 Southard Street E-MAIL maria@porterallencompany.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Key West FL 33040 INSURERA: Nautilus Insurance Company INSURED INSURER B: National Union Fire Ins CO of Pittsburgh PA Key West Wildlife Center,Inc. INSURER C: PO BOX 2297 INSURER D: INSURER E: Key West FL 33045 INSURER F: COVERAGES CERTIFICATE NUMBER: CL217709675 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. LTR TYPE OF INSURANCE IN SD WVD POLICY NUMBER MM/DDY/YYYY MM/DD//YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE N7.1 OCCUR PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 5,000 A Y N NN1176651 01/29/2021 01/29/2022 PERSONAL&ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X JECT LOC PRODUCTS $POLICY ❑PRO Included OTHER: Employee Benefits $ 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 $ 1,000,000 B X EXCESS LIAB CLAIMS-MADE BE042761802 01/29/2021 01/29/2022 AGGREGATE $ 1,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OT - AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER. ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 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 IS LISTED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County Board of Co.C(mmissioners&Monroe ACCORDANCE WITH THE POLICY PROVISIONS. County TDC C/O Risk Management AUT IZ REPRESENTATIVE PO BOX 1026 Key West FL 33041 C�r� -201 rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD