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Certificates of Insurance
ACORD EVIDENCE OF COMMERCIAL PROPERTY INSURANCE 12/18/2023 THIS EVIDENCE OF COMMERCIAL 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 INSURERS AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE ADDITIONAL INTEREST. PRODUCER NAME, I PHONE 954-475-3600 COMPANY NAME AND ADDRESS NAIC NO:37362 CONTACT PERSON AND ADDRESS A/C,No.Ext Hays Companies a Brown&Brown Company 1201 W. Cypress Creek Road, Suite 130 General Star Indemnity Company Fort Lauderdale, FL 33309 FAX(A/C,No): 954-475-2120 E-MAIL ADDRESS: IF MULTIPLE COMPANIES,COMPLETE SEPARATE FORM FOR EACH CODE: SUB CODE: POLICY TYPE AGENCY CUSTOMER ID#: Commercial Pro ert NAMED INSURED AND ADDRESS APPROVED BY RISK MANAGEMENT LOAN NUMBER POLICY NUMBER Rockland Investment Corp,Inc. BY .._.... IMA413521 615-B United Street DATE 7/22/2024 EFFECTIVE DATE EXPIRATION DATE Key West,FL 33040 WAIVER N/A YES 12/8/2023 12/8/2024 CONTINUED UNTIL TERMINATED IF CHECKED ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION Use REMARKS on page 2,if mores ace is required) BUILDING OR BUSINESS PERSONAL PROPERTY LOCATION/DESCRIPTION I I I Overseas Hwy,Key West,FL 33040 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 I X I BASIC BROAD X SPECIAL COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $1,807,820 DED: $5,000 YES NO NIA X BUSINESS INCOME X RENTAL VALUE X If YES,LIMIT: $340,000 X Actual Loss Sustained, #of months:12 BLANKET COVERAGE X If YES,indicate value(s)reported on property identified above: $ TERRORISM COVERAGE X Attach signed Disclosure Notice/DEC IS THERE A TERRORISM-SPECIFIC EXCLUSION? X IS DOMESTIC TERRORISM EXCLUDED? X LIMITED FUNGUS COVERAGE X If YES,LIMIT: DED: FUNGUS EXCLUSION(If"YES",specify organization's form used) X REPLACEMENT COST X AGREED AMOUNT X COINSURANCE X If Yes,80% EQUIPMENT BREAKDOWN(If Applicable) x If YES,LIMIT: Included DED: $5,000 ORDINANCE OR LAW-Coverage for loss to undamaged portion of building X - Demolition Costs If YES,LIMIT: DED: - Incr.Cost of Construction If YES,LIMIT: DED: EARTHQUAKE(If Applicable) X If YES,LIMIT: DED: FLOOD(If Applicable) X If YES,LIMIT: DED: WIND/HAIL INCL DYES X NO Subject to Different Provisions: X If YES,LIMIT: DED: NAMED STORM INCL OYES X NO Subject to Different Provisions: X If YES,LIMIT: DED: PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS 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 MORTGAGEE CONTRACT OF SALE LENDER SERVICING AGENT NAME AND ADDRESS LENDERS LOSS Loss Payee PAYABLE NAME AND ADDRESS Monroe County Board of County Commissioners 1100 Simonton St. Key West, F1 33040 AUTHORIZED REPRESENTATIVE ACORD 28(2016/03) Page 1 of 2 ©2003-2016 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD EVIDENCE OF COMMERCIAL PROPERTY INSURANCE REMARKS—Including Special Conditions(Use only if more space is required) Commercial Location Specific Coverage: Buildiniz Rents 111 Overseas Hwy, Key West, FL 33040 $1,807,820 $340,000 REMARKS—Including Special Conditions(Use additional sheets if more space is required(CONT'D) Special Form Excluding Earthquake,Flood,Wind/Hail and Mold Replacement Cost-Building&Contents/Actual Loss Sustained-Business Income 80%Coinsurance-Real Property 1/6a`Monthly Limitation-Rents $5,000 Per Occurrence-All Other Perils Deductible Terrorism Excluded ACORD 28(2016/03) Page 2 of 2 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 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 . PRODUCER CONTACT Dannit Pierce NAME: PHONE FA Hays Companies a Brown&Brown Company (A/C.No.Ext:954475-3600 (A/C,No):954-475-2120 1201 W. Cypress Creek Road, Suite 130 E-MAIL ADDRESS: Danni[Pierce bbro—corn Fort Lauderdale, FL 33309 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Westchester Surplus Lines Insurance Company 10172 INSURED INSURER B: StarStone National Insurance Company 44776 Rockland Investment Corp,Inc. INSURER C: 615-B United Street INSURER D: INSURER E: Key West,FL 33040 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 iNSu WVD MMIDDIYYYY) (MMIDD/YYYY) GENERAL LIABILITY $ 1,000,000 EACH OCCURENCE A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 PREMISES Ea occurrence CLAIMS-MADE 51 OCCUR MED EXP(Any oneperson) $ 5,000 GLWF17475526 001 12/08/2023 12/08/2024 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS—COMP/OP AGG $ Excluded X I POLICY PRO LOC JECT Deductible $ $500 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT g 1,000,000 (Ea accident) A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED GLWF17475526 001 12/08/2023 12/08/2024 BODUY INJURY(Per accident) $ AUTOS AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS AUTOS Per accident $ X UMBRELLA OCCUR EACH OCCURANCE $ 1,000,000 F, LIAB B EXCESS LIAB CLAIMS-MADE 81574Q231ALI 12/08/2023 12/08/2024 AGGREGATE $ 1,000,000 DED I I RETENTION WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN N/A STATUE ER ANY ROPRIETOR/PARTNER/EXECUTIVE $ OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT (Mandatory in NH) E.L.DISEASE—EA EMPLOYEE $ If yes,describe under $ DESCRIPTION OF OPERATIONS below E.L.DISEASE—POLICY LIMIT Directors and Officers Crime DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Property Address: 111 Overseas Hwy,Key West,FL 33040 Terrorism Excluded CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of Count Commissioners THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN .I tY Y ACCORDANCE WITH THE POLICY PROVISIONS. 1 100 Simonton St. AUTHORIZED REPRESENTATIVE Key West , FI 33040 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD