Certificates of Insurance DATE(MMIDD/YYYY)
A�" CERTIFICATE OF LIABILITY INSURANCE
03/09/2023
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 rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Maggie Palbicke
NAME:
Brown&Brown of Florida,Inc. a/cNr o Ext: (954)874-5508 a/c,No): (305)714-4401
8825 NW 21 st Terrace E-MAIL Maggie.palbicke@bbrown.com
ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC#
Doral, FL 33172 INSURERA: National Liability&Fire Insurance Company 20052
INSURED
INSURER B
Florida Keys Wild Bird Rehabilitation Center,Inc. INSURER C:
93600 Overseas Hwy INSURER D:
INSURER E:
Tavernier, FL 33070 INSURER F:
COVERAGES CERTIFICATE NUMBER: 23-24 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 MAYBE 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 INSURANCEAUULbUBK POLICY EFF POLICY EXP
LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO TED
CLAIMS-MADE OCCUR -PREMISES Ea occurrence) $
MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GEN'LAGGREGATE LIMITAPPLIES PER: qr^ GENERAL AGGREGATE $
PRO- �r �II PRODUCTS-COMP/OP AGG $
A"7 POLICY JECT LOC �11, M"+�
OTHER: e $
AUTOMOBILE LIABILITY " m —�^^^^ COMBINED SINGLE LIMIT $
Ea accident
ANYAUTO 3 14 2 0 2 3 WC__QaLy_ BODILY INJURY(Per person) $
OWNED SCHEDULED T" ^^^^ '"'"'AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
�
HIRED NON-OWNED WAMMf w °' PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LAB HCLAIMS-MADE AGGREGATE $
DED I I RETENTION $ $
WORKERS COMPENSATION PER
/� STATUTE OTH-
ER
AND EMPLOYERS'LIABI LI TY Y/N 1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
A OFFICER/MEMBER EXCLUDED? � N/A A9WC470405 03/02/2023 03/02/2024
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under 1,000,000
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)
""Workers Comp Information—
Proprietors/Partners/Executive Officers/Members Excluded:
Dennis Caltagirone
Cert Holder Cont'd:MONROE COUNTY BOCC&TDC,including all of it's divisions,subsidiaries,affiliated companies,officers and directors.
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&TDC ACCORDANCE WITH THE POLICY PROVISIONS.
1100 SIMONTON STREET
AUTHORIZED REPRESENTATIVE
KEY WEST, FL 33040
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDmm)
�.� 1 12-18-2023
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 rights to the certificate holder in lieu of such endorsements.
O
PRODUCER 305-453-6241 800-506-7661 NAAAME07 Houston Insurance Agency Inc.
Houston Insurance Agency Inc. PHONE 305-453-6241 No),800-506-7661
EAIL
89015 Overseas Hwy Ste 2 ADDDRESS, magAhoustoninsuranceageng.net
Tavernier, FL 33070 INSURERS)AFFORDING COVERAGE NAICN
INSURERA: Nautilus Insurance CompaTy_ 17370
INSURED 305-852-4486 wsuRERB: Nautilus Insurance Company 17370
Florida Keys Wild Bird Rehabilitation Center Inc. INSURERC:
92080 Overseas Hwy INSURER 0 i
INSURER E:
Tavernier FL 33070 INSURERF:
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.
INBR .... .... .... .... .....�ADDLSUBR... .... .... .... ... ...—Po UCYEFF... .....POLICYEXP
LTR TYPE OF INSURANCE POLICY NUMBER MID MWDD LIMITS
COMMERCIAL GENERAL LIABILITY EACH CURRENCE 51,000,000
A CLAIM",40E cccuR PREMISES E rr a '-' s 100 000
t Y person) $5,0
NN1830926 12/1512023 1211512024' MEDExP An ®roe 000
,,,,,,, _o_ �._._....-.... ..._.. _......... .... WP�RSotJ-AL'BAV'd13��1RV,,,,.�,,, s,,,,,1,voaa�ooa,...�.,...-.....,
GEN'L AGGREGATE LIMIT APPLIES PER: _GENERAL AGGREGATE $2,OOg000
POLICY ...] PRO- [....-�L + I PRODUCTS-COMP/OP A -
JE�T GG $ 1,000,000
OTHER $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
...,_.... ® E4..ao�4eroK.... .... .... .... ......
ANY AUTO BODILY INJURY(Par parson) $
OWNED SCHEDULED rodent) $
AUTOS ONLY AUTOS ��- ]
AIVER W BODILY INJURY Par a... . .._. ._. _...._.. _.....
HIRED NON-OWNED
_.......... AUTOS ONLY „......... AUTOS ONLY
ACH
A 1300382 12/1512023 1211512024 .-E_._ ..
uMBRELLALu►B � _OCOUR RENCE $ 1,000,000
CUR � .. ..m_ _.w .....
g EXCESS LIAR ....... CLAIMS-MADE AGGREGATE $
,- ...E� ...."uRETENTI ,..,.m.... m.._..... .... .... .... .... ..... ...._.....
D ON$ i $
WORKERSCOMPENSATION PER OTH-
STATUTE ER
AND EMPLOYERS'LIABtLnY YIN .L.EACH,AC IDE.. ...........W.__ s.mm..m....mmmmm......mmmmmmm.........Y..
ANYPROPRIE.TORIPARTNERIEXECUTIVE E
OFFICERIMEMBEREXCLUDED7 N/A J~°°-•..-..-.---.-°-._-
(MandatorylnNH) """"""' E.L.DISEASE-EAEMPLOYE $
If es,describeunderii .... . ..... _ ......,.,.._ ...... , _ ... ....
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
II
DESCRIPTION OF OPERATIONS 0 LOCATIONS 1 VEHICLES(ACORD 101,,Additional Remarks Schaduls,may be attached if more space is required)
Additional insured when required by written contract
CERTIFICATE HOLDER Phone Fax,, CANCELLATION
Monroe County BOCC&TDC
1100 Simonton St SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Key West, FL 33040
AUTHORIZED REPRESENTATIVE
Mary Houston, CPIA
1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
�� BOARD OF COUNTY COMMISSIONERS
County of Monroe �li Mayor Craig Cates,District 1
The Florida Keys Mayor Pro Tem Holly Merrill Raschein,District 5
y Michelle Lincoln,District 2
James K.Scholl,District 3
Robert B.Shillinger,County Attorney** David Rice,District 4
Pedro J.Mercado,Sr.Assistant County Attorney**
Cynthia L.Hall,Sr.Assistant County Attorney**
Christine Limbert-Barrows,Assistant County Attorney** Office of the County Attorney
Derek V.Howard,Assistant County Attorney** I I 1112rh Street,Suite 408
Peter H.Morris,Assistant County Attorney** Key West,FL 33040
Patricia Fables,Assistant County Attorney (305)292-3470 Office
Joseph X.DiNovo,Assistant County Attorney** (305)292-3516 Fax
Kelly Dugan,Assistant County Attorney
Christina Cory,Assistant County Attorney
**Board Certified in City,County&Local Govt.Law
RE: Waiver of insurance Requirements
Risk Management is waving the contract requirement of Auto liability insurance for Florida Keys Wild Bird
Rehabilitation Center. They presently do not own a vehicle and will raise their limits to the required level once
A new vehicle is purchased
Thank you,
Brian Bradley
Risk Manager