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Certificate of Insurance
ACCOR"® CERTIFICATE OF LIABILITY INSURANCE D08/21/2023DIYYYY) 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 MARSH USA,LLC. NAME: PHONE FAX TWO ALLIANCE CENTER A/C,No Ext: A/C,No): 3560 LENOX ROAD,SUITE 2400 E-MAIL ATLANTA,GA 30326 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# CN 1 02996924-BPKH-GL-23-24 INSURER A:Hartford Underwriters Insurance Company 30104 INSURED INSURER B Big Pine Key Holdings,LLC Big Pine Key Owner,LLC INSURER C 279 Key Deer Boulevard INSURER D: Big Pine Key,FL 33043 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-005633223-05 REVISION NUMBER: 6 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 EFF POLICY EXP LIMITS LTR IN SD WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY 20SBMAZ1Y05 08/11/2023 08/11/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE 1XI OCCUR PREMISES (a occurrDence $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑ JECT PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ Ec AUTOMOBILE LIABILITY APPROVED BY RISK MANAGEMENT Ea aB.,dsDtSINGLE LIMIT $ ANY AUTO . ' ''� BODILY INJURY(Per person) $ By,»... a ....,., OWNED SCHEDULED :. AUTOS ONLY AUTOS DATE 3�27JO0 '4 BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY WAIVER N/A YES Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Employment Practices Liability 20 SBM AZ1Y05 08/11/2023 08/11/2024 Each Claim Limit 25,000 Annual Aggregate Limit 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:Big Pine Key Shopping Center 251 Key Deer Blvd,Big Pine Key,FL 33043 MCB Property Management LLC 2002 Clipper Park Road,Suite 105,Baltimore,MD 21211 is/are included as additional insured where required by written contract. CERTIFICATE HOLDER CANCELLATION Big Pine Key Holdings,LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Big Pine Key Owner,LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2002 Clipper Park Road,Suite 105 ACCORDANCE WITH THE POLICY PROVISIONS. Baltimore,MD 21211 AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) A�oRo® EVIDENCE OF PROPERTY INSURANCE 1 02/21/2024 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW.THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE ADDITIONAL INTEREST. AGENCY PHONE COMPANY MARSH USA,LLC. A/C No Ext Hartford Fire Insurance Co TWO ALLIANCE CENTER 3560 LENOX ROAD,SUITE 2400 ATLANTA,GA 30326 Attn:Phone:404-995-3000,Fax:404-995-3333 CN102996924--Prop-24-25 153852 FAX E-MAIL A/C No): ADDRESS: CODE: SUB CODE: AGENCY CUSTOMER ID#: INSURED LOAN NUMBER POLICY NUMBER Big Pine Key Holdings,LLC 20 UUN 014245 Big Pine Key Owner,LLC 2022 Clipper Park Road Ste 105 EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL Baltimore,MD 21211 01/01/2024 01/01/2025 El TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCATION/DESCRIPTION APPROVED BY RISK MANAGEMENT RE:Store#:JV 153852,Location:279 Key Deer Boulevard,Big Pine Key,FL 33043 effective 08/11/2023 BYE„. ,;--, DATE 3/27/2024°.. � WAIVER N/A_YES_ 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION PERILS INSURED BASIC BROAD SPECIAL COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE All Risk of direct physical loss or damage to real and personal property on a replacement cost basis,subject to policy terms, 25,000,000 NONE conditions and exclusions.Coverage Includes,but is not limited to fire,extended perils such as vandalism,malicious mischief, flood,earthquake and boiler&machinery.Other deductibles may apply as per policy terms and conditions. FLOOD-ANNUAL AGGREGATE 25,000,000 NONE EARTHQUAKE FOR LOCATIONS OUTSIDE THE STATE OF CALIFORNIA-ANNUAL AGGREGATE 25,000,000 NONE NAMED STORM 25,000,000 NONE TRANSIT 5,000,000 NONE NEWLY ACQUIRED/NEWLY CONSTRUCTED LOCATIONS(120 DAYS REPORTING) 10,000,000 NONE MISCELLANEOUS UNNAMED LOCATIONS 10,000,000 NONE REMARKS(including Special Conditions CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST ATL-005633485-02 NAMEANDADDRESS ADDITIONAL INSURED H LENDER'S LOSS PAYABLE Ll LOSS PAYEE MORTGAGEE MCB Property Management,LLC LOAN# 2002 Clipper Park Road,Ste 105 Baltimore,MD 21211 AUTHORIZED REPRESENTATIVE ACORD 27(2016103) ©1993-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF COVERAGE Certificate Holder Administrator Issue Date 1/24/23 UH US BIG PINE 2019 LLC Florida League of Cities,Inc. C/O DOCUTRAX Department of Insurance Services P.O.Box 538135 8 WOOD HOLLOW ROAD,SUITE 201 Orlando,Florida 32853-8135 PARSIPPANY,NJ 07054 COVERAGES THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST AGREEMENT NUMBER: FMIT 0386 COVERAGE PERIOD: FROM 10/1/22 COVERAGE PERIOD: TO 10/1/23 12:01 AM STANDARD TIME TYPE OF COVERAGE-LIABILITY TYPE OF COVERAGE-PROPERTY General Liability ❑ Buildings ❑ Miscellaneous ❑X Comprehensive General Liability,Bodily Injury,Property Damage, ❑ Basic Form ❑ Inland Marine Personal Injury and Advertising Injury ❑ Special Form ❑ Electronic Data Processing ❑X Errors and Omissions Liability ❑ Personal Property ❑ Bond ❑X Employment Practices Liability ❑ Basic Form ❑X Employee Benefits Program Administration Liability ❑ Special Form APPROVED BY RISK MANAGEMENT ❑X Medical Attendants'/Medical Directors'Malpractice Liability ❑ Agreed Amount 0 Broad Form Property Damage ❑ Deductible N/A DATE 1/712023 ❑ Law Enforcement Liability ❑ Coinsurance N/A WAIVER N/A YES_ ❑X Underground,Explosion&Collapse Hazard ❑ Blanket Limits of Liability ❑ Specific *Combined Single Limit ❑ Replacement Cost Deductible N/A ❑ Actual Cash Value Automobile Liability Limits of Liability on File with Administrator ❑X All owned Autos(Private Passenger) TYPE OF COVERAGE-WORKERS'COMPENSATION ❑X All owned Autos(Other than Private Passenger) ❑ Statutory Workers Compensation ❑X Hired Autos ❑ Employers Liability $1,000,000 Each Accident ❑X Non-Owned Autos $1,000,000 By Disease $1,000,000 Aggregate By Disease Limits of Liability ❑ Deductible N/A *Combined Single Limit ❑X $500,000 Self Insured Retention Deductible N/A Automobile/Equipment-Deductible ❑X Physical Damage Per Schedule-Comprehensive-Auto Per Schedule-Collision-Auto NA-Miscellaneous Equipment Other The limit of liability is$5,000,000(combined single limit)bodily injury and/or property damage each occurrence in excess of a self-insured retention of$200,000. This limit is solely for any liability resulting from entry of a claims bill pursuant to Section 768.28(5)Florida Statutes or liability/settlement for which no claims bill has been filed or liability imposed pursuant to Federal Law or actions outside the State of Florida. Description of Operations/Locations/Vehicles/Special Items RE:Evidence of Insurance—201 Key Deer Blvd,Unit#82,Big Pine Key THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE AGREEMENT ABOVE. Designated Member Cancellations Monroe County Board of County Commissioners SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOTICE TO THE 1111 12th Street Suite 408 CERTIFICATE HOLDER NAMED ABOVE,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PROGRAM,ITS AGENTS OR REPRESENTATIVES. Key West FL 33040 AUTHORIZED REPRESENTATIVE FMIT-CERT(10/2011) UNITHAM-01 MSULLIVAN ACORO"° CERTIFICATE OF LIABILITY INSURANCE DAT8/5/2 D/YYYY) 022 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: Alliant Insurance Services,Inc. PHONE FAX 1050 Wilshire Dr Ste 210 (A/C,No,Ext): (248) 540-3131 (A/C,No):(248)203-7528 Troy, MI 48084 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA:Starr Indemnity& Liability Company 38318 INSURED INSURER B:Chubb Insurance Company of New Jersey 41386 United Hampshire US Real Estate Investment Trust INSURERC:Liberty Insurance Underwriters Inc 19917 22 Maple Avenue INSURER D: Morristown,NJ 07960 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 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 POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE j OCCUR 1000305383211 12/31/2021 12/31/2022 DAMAGE TO RENTED 1,000,000 PREMISES Ea occurrence $ MED EXP An one person) $ 5,000 APPROVED BY RISKMhN MANAGEMENT 2,000,000 ,r✓.„ PERSONAL&ADV INJURY $ By /�yy/�`�r��y` - 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: OATLL� GENERAL AGGREGATE $ POLICY PRO � LOC WAVBRMA__YEs_ PRODUCTS-COMP/OPAGG $ 4,000,000 JECT OTHER: POLICY AGGREGAT $ 50,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 25,000,000 EXCESS LIAB CLAIMS-MADE 78195511 12/31/2021 12/31/2022 AGGREGATE $ 25,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE 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 $ C Excess Commercial Li 100038952803 12/31/2021 12/31/2022 $25MM xs$25MM 25,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Location:251 Key Deer Blvd,Big Pine Key,FL 33043 Named Insured:UH US Big Pine 2019 LLC CERTIFICATE HOLDER CANCELLATION 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. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT Policy Number: 1000305383211 Effective Date: 12/31/2021 at 12.01 A.M. Named Insured: United Hampshire US Real Estate Investment Trust This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION II - WHO IS AN INSURED, is amended to include as an additional insured: Any person or organization to whom you become obligated to include as en additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of your operations or premises owned by or rented to you. However, the insurance provided will not exceed the lesser of: • The coverage and/or limits of this policy, or • The coverage and/or limits required by said contract or agreement. All other terms, exclusions, and conditions of this policy remain unchanged. Signed for STARR INDEMNITY & LIABILITY COMPANY ? `�-------------- t 'W d ✓ ' Steve Blakey, IPr sident � Neilherniah B. Ginsburg, General Counsel OG 184(04/12) Page 1 of 1 Copyright©C.V.Starr&Company and Starr Indemnity&Liability Company. All rights reserved. Includes copyrighted material of ISO Properties,Inc.,used with its permission.