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Certificates of Insurance .4 CORDTM CER~Ir=ICP.~E()FI..IP.Bll..l~~INSt..JIlANlCE8=~1 DATE IMM/DDIYYI 01/12/98 PRODUCEft THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION InSource, Inc. ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9500 South Dadeland Blvd. ,#200 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR P.O. Box 561567 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33256-1567 COMPANIES AFFORDING COVERAGE David R. Love CDMPANY A Aries Insurance Company Phone No. 305-670-6111 Fax No. 305-670-9699 INSURED COMPANY B Mandalay Marina Corp. COMPANY Canalis Holding Corp. dba C 80 East 2nd Street COMPANY Kay Largo FL 33070 D ...... > '...'..'.. ..'....,. ..... .."." .., '" ... ...".". 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, CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE IMM/DDIYY) DATE IMM/DDIYYI GENERAL LIABILITY GENERAL AGGREGATE $ 500000 f---- 11/04/97 11/04/98 A X COMMERCIAL GENERAL LIABILITY BINDER 9717972 PRDDUCTS - COM PlOP AGG $ 500000 I CLAIMS MADE ~ DCCUR PERSONAL & ADV INJURY $ 500000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 500000 - FIRE DAMAGE (Anyone fire) $ 50000 - MED EXP (Anyone person) $ 5000 AUTOMOBilE LIABILITY - COMBINED SINGLE LIMIT $ ANY AUTO - ALL OWNED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY - (Per accident) $ NON-OWNED AUTOS - - PROPERTY DAMAGE $ GARAGE liABILITY Ltl~T AUTO ONLY - EA ACCIDENT $ - A~~Y/1 ANY AUTO OTHER THAN AUTO ONLY: ...... - EACH ACCIDENT $ - BV v I r/ AGGREGATE $ EXCESS LIABILITY DATE Un !IY~ EACH OCCURRENCE $ =1 UMBRELLA FORM / AGGREGATE $ OTHER THAN UMBREllA FORM W^ 1\1t:~. N/~ VfS.,._ $ WORKERS COMPENSATION AND ~OCR~Tl~~WS I IOTH- ER ,.'.' EMPLOYERS' LIABILITY El EACH ACCIDENT $ THE PROPRIETORI RINCL El DISEASE - POLICY LIMIT $ PARTNERS/~XECUTIVE ------- ----- OFFICERS ARE: EXCl El DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAllTEMS Restaurant / *10 daas notice of cancellation for non-~ayment of premium \ Holder is shown as A ditional Insured for the captione policy. Ci:RTlFICATi:..ftOLOER '.'.....'..,... ..','. MONRC08 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT. Monroe County BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBlIGA1'ION OR LIABILITY 2798 Overseas Highway Ste.300 ~." "" u~. '" roM'~~"~ .. .~.~.:^'w.~. Marathon FL 33050-2227 \ \/ HORIZED REPRESENTATI;off~ \ , I-tV' iM' .....\lJz.-- ACORD 25.S(1/951 i, > >...'.',) \iY€ ."....'.. .....'.. ....... ',..'...'..... >'ACORDCORPOMTI0l\l198$ ...... ~ L T 7G-" PRODUCER InSource, Inc. 9500 South Dadeland P.O. Box 561567 Miami FL 33256-1567 ........"..........---...."".'.,........,',',',",',','."',,',...,..,',.,.,',"""','."",",...,"",',',',','"',',,",',',',',',,'.',',,'..,",,...,..,,'.',...".,.,.,'..',,",",.,..,", ',',',',,',',,',,',' ,'",'""',,',,',, ',..--,'.'.,',',",',.......-.",". ','.,'"'..','.',",',','.,'"'.,'.,,',,',,,,..,"",'',',',",.,',',',.'...','".,',','.',',',',',,'.',-.-.,',"',..:.:,.,.,',::,.......'.',,',',"'.,',,""",'",,'.',',','.,.,<-:--"'.",","'...'.,',"".'.,.:.:-,.,"".'...".,'.""""',..,".,",""""',.,'..."',.,',..'" A CORD .....~.ER.....IFI~A7FE......O.f'......l..IABII..II~....IRSl..lR~N~.E.......CSFl...KO.... ,TM ..,...'..... ..,.. .........'....,'. .."'...,.'..','...'."""'. '........<....'.<..,.....,...<...~(ll 02/05/98 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 POLICIES BELOW. COMPANIES AFFORDING COVERAGE DATE (MM/DDIYY) Blvd., #200 David R. Love Phone No, 305 -67 0 -6111 Fax No.3 05 - 670 - 9699 INSURED COMPANY A Aries Insurance Company COMPANY B Mandalay Restaurant & Marina Corp; Canalis Holding Corp.DBA Attn: Mr. John Singleton 80 East 2nd Street Key Largo FL 33070 COMPANY C COMPANY D 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. CO lTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DDIYYj DATE (MM/DDIYYI lIM ITS GENERAL lIABILITY A X COMMERCIAL GENERAL LIABILITY GL05045471 CLAIMS MADE ~ OCCUR OWNER'S & CONTRACTOR'S PROT 02/05/98 GENERAL AGGREGATE $ 1000000 11/04/98 PRODUCTS - COMP/OP AGG $ 1000000 PERSONAL & ADV INJURY $ 1000000 EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Anyone firel $ 50000 M ED EXP (Anyone person) $ 5000 AUTOMOBILE LIABilITY ANY AUTO All OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT GARAGE LIABILITY ANY AUTO BODilY INJURY IPer person) BY BODilY INJURY (Per accident) PROPERTY DAMAGE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE EACH DCCURRENCE AGGREGATE -",-, THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCl EXCL El DISEASE - POLICY LIMIT EL DISEASE - EA EM PlOYEE DESCRIPTION OF OPERATIONS/lOCATIONSNEHIClES/SPECIAlITEMS Restaurant: is listed as additional insured with respects to general liab- MONRC06 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY Will ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, AUTHORIZED REPRESENTATIVE Monroe County Risk Mgmt 5100 College Road Key West FL 33040-4399 ORPORA TION 1988 The Burlington Insurance Company C E R T I F I CAT E 0 FIN SUR A N C E THIS CERTIFICATE OF INSURANCE IS ISSUED ONLY FOR INFORMATIONAL PURPOSES. IT DOES NOT CONFER ON THE CERTIFICATE HOLDER ANY RIGHTS OR COVERAGES OR REQUIRE OF THE CERTIFICATE HOLDER ANY DUTIES OUTSIDE OF THE POLICY. THE ENTIRE POLICY MUST BE READ CAREFULLY TO DETERMINE RIGHTS, DUTIES, AND WHAT IS AND WHAT IS NOT COVERED. INSURED: MANDALAY MARINA CORP/CANALIS HOLDING CORP DBA MANDALAY MARINA AUTHORIZED REPRESENTATIVE: BASS UNDERWRITERS, INC. 1067 SHOTGUN ROAD SUNRISE, FL 33326 POLICY NLtlBER: B 0535Q510175 POLICY EFFECTIVE DATE: 11/02/01 POLICY EXPIRATION DATE: 11/02/02 COVERAGES: THIS IS TO CERTIFY THAT THE POLICY OF INSURANCE LISTED BELOW HAS BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCLtlENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICY DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICY. X COMMERCIAL GENERAL LIABILITY LIMITS OF INSURANCE GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS-COMP/OPS AGGREGATE $ 1,000,000.00 PERSONAL & ADVERTISING INJURY $ 1,000,000.00 EACH OCCURRENCE $ 1,000,000.00 FIRE DAMAGE (Anyone fire) $ 100,000.00 MEDICAL EXPENSE (Anyone person) $ 5,000.00 TYPE OF INSURANCE (INDICATED BY X) GENERAL LIABILITY OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS: CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED l4~j 4K S-8/ ~ z;,~h~ CERTIFICATE HOLDER: MONROE CIUNTY- ATTN SUZANNE HUTTEN 310 FLEMING 2ND FLOOR KEY WEST FLORIDA,33040 CANCELLATION: SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. ' DATE CERTIFICATE ISSUED: 04/10/02 AUTH?:;;:n~ ~ ~ SI NED BG-C-09 993 ~ ~cg~TIW~ln\ \ . MAY 0 2 2002 ' Client#: 726366 FLORIKEY ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE 07/07/201 Y) 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 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: USI Insurance Services, LLC /CL (A / C N Ext): 305 669 -6000 FAX No): P.O. Box 141916 E -MAIL Coral Gables, FL 33114 -1916 PRODUCER 305 669 -6000 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Underwriters at Lloyd's London 15792 Florida Keys Quality Foods Inc dba INSURER B : Mandalay Oceanfront Grill & Tiki INSURER C : PO Box 372974 Key Largo, FL 33037 INSURERD: 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. 1NSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSR NWD POLICY NUMBER IMM!DD/YYYY) (MM /DD/YYYY) LIMITS A GENERAL LIABILITY ARPI6857720 02/18/2011 02/18/2012 EACH OCCURRENCE $1,000,000 DAMAGE X COMMERCIAL GENERAL LIABILITY PREMISES O (Ea E occurrence) $100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ X BI /PD Ded:250 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1,000,000 — 7 POLICY PRO- A AUTOMOBILE LIABILITY ARPI6857720 02/18/2011 02/18/2012 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON -OWNED AUTOS $ X NO DELIVERY UMBRELLA LIAB OCCUR 1. EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE � 1,, � / AGGREGATE $ DEDUCTIBLE - . - $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y 1 N TORY LIMITS _FR ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? n NIA 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 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Certificate Holder is Additional Insured as respects General Liability, as required per written contract. Loc# 1 - 80 E. 2 St; Key Largo, FL CERTIFICATE HOLDER CANCELLATION 10 Days for Non - Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton St AUTHORIZED REPRESENTATIVE Key West, FL 33040 ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S6210650/M6184136 DXGEV