Loading...
HomeMy WebLinkAboutCertificates of Insurance S D RAN D R-01 HAD DAWAYS ACORO"° CERTIFICATE OF LIABILITY INSURANCE FDATE E(MM/DD/YYYY) `..•- 1/6/2026 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: Insurance Office of America PHONE FAX 13361 Overseas Highway (A/C,No,Ext): (305)289-0213 (A/C,No):(305) 743-1810 Marathon,FL 33050 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA:FHM Insurance Company 10699 INSURED INSURER B: S.D.R.and R.Corporation dba Ricky's Blue Heaven INSURER 7 729 Thomas Street INSURER D: Key West,FL 33040 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 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICYEl JJECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ 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 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N WC30600058172026A 1/1/2026 1/1/2027 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 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) Policy covers Ricky's Blue Heaven:729 Thomas Street,305 Petronia Street,309 Petronia Street,Key West FL and; Andy's Cabana: 308 Petronia Street,Key West and; 1000 Atlantic Boulevard LLC dba Salute!On the Beach: 1000 Atlantic Blvd,Key West AareowEo BY RISK MANAGEMENT BY � z Tea DATE 1.6.2 WAIVER N/AX YES CERTIFICATE HOLDER 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. AUTHORIZED REPRESENTATIVE Monroe County BOCC 1100 Simonton Street ~e'r?r Key West FL 33040 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ��•�� HADDAWAYS ,d►Co/?0" CERTIFICATE OF PROPERTY INSURANCE DAT1/0 /2026Y) 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. PRODUCER CONTACT NAME: Insurance Office of America A/Co,"r o,Ext: (305)289-0213 A//C,No):(305) 743-1810 13361 Overseas Highway E-MAIL Marathon,FL 33050 ADDRESS: PRODUCER 1000ATL-01 CUSTOMER ID: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA:Frontline Insurance Unlimited Company 10074 INSURERB:Philadelphia Indemnity Insurance Company 18058 1000 Atlantic Boulevard,LLC dba Salute!On The Beach 729 Thomas Street msuRERc: Key West,FL 33040 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: LOCATION OF PREMISES/DESCRIPTION OF PROPERTY (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 1 1 1000 Atlantic Blvd,Key West,FL,33040 1 2 1000 Atlantic Blvd,Key West,FL,33040 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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS LTR DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) A -XI PROPERTY X BUILDING $ 590,237 CAUSES OF LOSS DEDUCTIBLES 8291608270 01/13/2026 01/13/2027 PERSONAL PROPERTY $ BASIC BUILDING 5,000 BUSINESS INCOME $ BROAD CONTENTS EXTRA EXPENSE $ X SPECIAL 5,000 RENTAL VALUE $ EARTHQUAKE BLANKET BUILDING $ X WIND 5.0000% BLANKET PERS PROP $ FLOOD BLANKET BLDG&PP $ X Contents $ 150,000 X Restroonn Building $ 10,000 INLAND MARINE TYPE OF POLICY $ CAUSES OF LOSS $ NAMED PERILS POLICY NUMBER $ CRIME $ TYPE OF POLICY $ BOILER&MACHINERY/ $ EQUIPMENT BREAKDOWN B CL NFIP Flood 87043272272021 10/16/2025 10/16/2026 X See Attached Dec $ SPECIAL CONDITIONS/OTHER COVERAGES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder IS LOSS Payee as respects to lease agreement. APPROVED BY RISK MANAGEMENT BY't Ga'vL?---- DATE 1.6.25 WAIVER NIA X-YES CERTIFICATE HOLDER 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. AUTHORIZED REPRESENTATIVE Monroe County BOCC 1100 Simonton Streetsra, twJ a ^ s°�.� -•-F Key West,FL 33040 ACORD 24(2016/03) ©1995-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD H f LA D E L 1)1-1 LA NFIP Policy Number: 8704327227 I NSI"P1.ANCE ('t1:IIP"t.Nir,",/s Company Policy Number: 87043272272021 Agent: CINDY PERRY INSURANCE OFFICE OF AMERICA INC 1855 W STATE ROAD 434 Pay®r: INSURED LONGWOOD,FL 32.7505069 Policy Terry: 10l16/2025 12:01 AM-10/16/2026 12:01 AM Policy Form: GENERAL.PROPERTY Agency Phone: (305)289-0213 To report a claim hops:llphlyFl®od.rrra nape flood.00rn visit ar z altl us st: (888}200-56a3 RENEWAL FLOOD INSURANCE POLICY DECLARATIONS NATIONAL FLOOD INSURANCE PROGRAM DELIVERY ADDRESS INSURED NAME(S)AND MAILING ADDRESS 1000 ATLANTIC DLVD LLC 1000 ATLANTIC BLVD LLS 729 THOMAS ST 729 THOMAS ST KEY WEST, FL 330407334 KEY WEST, FL 330407334 COMPANY MAILING ADDRESS INSURED PROPERTY LOCATION PHILADEL_PHIA INDEMNITY INSURANCE COMPANY 1000 ATLANTIC BL_VD PC)BOX 200584 KEY WEST, FL 330404852 DALLAS,TX 75320-0584 BUILDING DESCRIPTION: OTHER NON-RESIDENTIAL TYPE BUILDING DESCRIPTION DETAIL: RESTAURANT RATING INFORMATION BUILDING OCCUPANCY: NON-RESIDENTIAL BUILDING REPLACEMENT COST VALUE: $596,250.00 NUMBER OF UNITS: N/A DATE OF CONSTRUCTION: 01/01/1949 PRIMARY RESILIENCE: NO PROPERTY DESCRIPTION: SLAP ON GRADE(NON-ELEVATED),1 FLOOR(S),MASONRY CURRENT FLOOD ZONE: VE CONSTRUCTION FIRST FLOOR HEIGHT(FFH): 3.1 FEET PRIOR NFIP CLAIMS: 0 CLAIM(S) MOST FAVORABLE FFH METHOD: FEMA DETERMINED MORTGAGEE/ADDITIONAL INTEREST INFORMATION FIRST MORTGAGEE: LOAN NO: N/A SECOND MORTGAGEE: LOAN NO: N/A ADDITIONAL INTEREST: MONROE COUNTY BOCC LOAN NO: N/A TOURIST DVLPMNT COUNCIL 1100 SIMONTON STREET KEY WEST,FL 330403110 DISASTERAGENCY: CASE NO: N/A DISASTER AGENCY: N/A RATE CATEGORY-® RATING ENGINE COVERAGE DEDUCTIBLE COMPONENTS OF TOTAL AMOUNT DUE BUILDING: $200,000 $5„000 BUILDING PREMIUM: $6,334.00 CONTENTS: $150,000 $5„000 CONTENTS PREMIUM: $3,350.00 COVERAGE LIMITATIONS MAY APPLY SEE YOUR POLICY FORM FOR DETAILS. INCREASER COST OF COMPLIANCE(ICC)PREMIUM: $75.00 FULL CPS DISCOUNT IS NOT APPLIED DUE TO THE MAXIMUM DISCOUNT YOUR PROPERTY'S NFIP FLOOD MITIGATION DISCOUNT: ($0.00) CLAIMS HISTORY CAN AFFECT OUR PREMIUM.TO PREVENT DELAYS IN CLAIM HANDLING,IT IS COMMUNITY RATING SYSTEM REDUCTION: ($19.00) IMPORTANT TO MAKE SURE THAT YOUR POLICY INFORMATION IS UP TO DATE AND ACCURATE.CONTACT YOUR INSURANCE AGENT OR COMPANY FOR QUESTIONS AND TO MAKE CHANGES TO YOUR POLICY OR FULL RISK PREMIUM: $9,740000 VISIT FLOODSMARTGOVIFLOOD TO LEARN MORE ABOUT FLOOD INSURANCE. ANNUAL INCREASE CAP[DISCOUNT: ($0.00) STATUTORY DISCOUNTS: ($0.00) DISCOUNTED PREMIUM: $9,740.00 RESERVE FUND ASSESSMENT: $1,753.00 HFIAA SURCHARGE: $2.50.00 FEDERAL POLICY FEE: $47.00 PRORATION SURCHARGE: $0.00 TOTAL ANNUAL PREMIUM: $11,790.00 IN WITNESS WHEREOF,we have signed this policy below and hereby enter into this insurance agreement. John Glomb/ resident and CEO Edward Sayago/VP&Deputy CLO This declarations page along with the Standard Flood Insurance Policy Form constitutes your flood insurance policy. Zero Balance Due-This Is Not A Bill Policy Issued by: PHILADELPHIA INDEMNITY INSURANCE COMPANY Insurer NAIL Number: 18058 il�o 32430373 F' g� 1 of 1 I I� I I C7c�cl : 25933561 2 Printed 09/05/2025 ��•�� DORSEYRI ,d►Co/?0" CERTIFICATE OF PROPERTY INSURANCE DA1TE 2/02/2025Y) 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. CONT PRODUCER NAMEACT Shannon Haddaway Insurance Office of America A/Co,"r o,Ext: (407)998-4272 A//C,No):(305)743-1810 13361 Overseas Hi g shannon.haddaway@ioausa.com hway E-MAIL ^ Marathon,FL 33050 ADDRESS: yG PRODUCER 1000ATL-01 CUSTOMER ID: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA:Frontline Insurance Unlimited Company 10074 INSURERB:Philadelphia Indemnity Insurance Company 18058 1000 Atlantic Boulevard,LLC dba Salute!On The Beach 729 Thomas Street msuRERc: Key West,FL 33040 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: LOCATION OF PREMISES/DESCRIPTION OF PROPERTY (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS LTR DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) A X PROPERTY X BUILDING $ 590,237 CAUSES OF LOSS DEDUCTIBLES 8291608270 01/13/2025 01/13/2026 PERSONAL PROPERTY $ BASIC BUILDING 5,000 BUSINESS INCOME $ BROAD CONTENTS EXTRA EXPENSE $ X SPECIAL RENTAL VALUE $ EARTHQUAKE A, I6 T BLANKET BUILDING $ X WND 5.0000% ov_..._�,- , BLANKET PERS PROP $ FLOOD WA Mllh._ �,. BLANKET BLDG&PP $ X Contents $ 150,000 X Restroonn Bldg $ 95,000 INLAND MARINE TYPE OF POLICY $ CAUSES OF LOSS $ NAMED PERILS POLICY NUMBER $ CRIME $ TYPE OF POLICY $ BOILER&MACHINERY/ $ EQUIPMENT BREAKDOWN B CL NFIP Flood 87043272272021 10/16/2025 10/16/2026 X Deductible$5,000 $ 200,000 SPECIAL CONDITIONS/OTHER COVERAGES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) This certificate regarding coverage for 1000 Atlantic Boulevard,LLC dba Salute!On The Beach is issued to certificate holder in regard to:Insurance Requirements. The certificate holder is named as Loss Payee as respects to lease agreement. Monroe County BOCC is an additional insured with respect to property when required by written contract. CERTIFICATE HOLDER 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. AUTHORIZED REPRESENTATIVE Monroe County BOCC 1100 Simonton Streetsra, r twJ a ^ s°�.� -•-F Key West,FL 33040 ACORD 24(2016/03) ©1995-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD HII ADELPHI o o C'L, 0)l PAN 11:S INSURANCE OFFICE OF AMERICA INC 1855 W STATE ROAD 434 LONGWOOD,FL 327505069 SEPTEMBER 05, 2025 1000 ATLANTIC BLVD LLC 729 THOMAS ST KEY WEST, FL 330407334 Policy Number: 87043272272021 Insured(s): 1000 ATLANTIC BLVD LLC Property Location: 1000 ATLANTIC BLVD KEY WEST, FL 330404852 Flood Insurance Policy Packet This packet includes: • Your Flood Insurance Declarations Page • A National Flood Insurance Program Summary of Coverage • Claims Guidelines in Case of a Flood If you would like to electronically view or print a copy of the Standard Flood Insurance Policy, please visit https://phlyflood.manageflood.com, click View Important Flood Documents link and select from the list of documents.Your consent to this policy delivery option is assumed, unless you contact us to request a mailed or e-mailed copy of the policy. If you would like a copy of the Standard Flood Insurance Policy e-mailed or mailed to you, please contact our customer service team at 877-721-9519 or phlyflood@torrentcorp.com. Important Information About The National Flood Insurance Program Federal law requires insurance companies that participate in the National Flood Insurance Program to provide you with the enclosed Summary of Coverage. It's important to understand that the Summary of Coverage provides only a general overview of the coverage afforded under your policy. You will need to review your flood insurance policy, Declarations Page, and any applicable endorsements for a complete description of your coverage. The enclosed Declarations Page indicates the coverage you purchased, your policy limits and the amount of your deductible. You will soon receive additional information about the National Flood Insurance Program. This information will include a Claims Handbook, a history of flood losses that have occurred on your property as contained in FEMA's data base, and an acknowledgement letter. If you have any questions about your flood insurance policy, please contact your agent or your insurance company. Page 1 of 2 CLAIM GUIDELINES IN CASE OF A FLOOD For the protection of you and your family, the following claim guidelines are provided by the National Flood Insurance Program (NFIP). If you are ever in doubt as to what action is needed, consult your insurance representative. Insurance Agent: CINDY PERRY Agent's Phone Number: (305)289-0213 • Notify us or your insurance agent, in writing, as soon as possible after the flood. •Your claim will be assigned to an NFIP certified adjuster. • Identify the claims adjuster assigned to your claim and contact him or her if you have not been contacted within 24 hours after you reported the claim to your insurance representative. •As soon as possible, separate damaged property from undamaged property so that damage can be inspected and evaluated. •To help the claims adjuster, take photographs of the outside of the premises showing the flooding and the damage and photographs of the inside of the premises showing the height of the water and the damaged property. • Place all account books, financial records, receipts, and other loss verification material in a safe place for examination and evaluation by the claims adjuster. •Work cooperatively with the claims adjuster to promptly determine and document all claim items. Be prepared to advise the claims adjuster of the cause and responsible party(ies) if the flooding resulted from other than natural cause. • Make sure that the claims adjuster fully explains, and that you fully understand, all allowances and procedures for processing claim payments. This policy requires you to send us a signed and sworn-to, detailed proof of loss within 60 days after the loss. •Any and all coverage problems and claim allowance restrictions must be communicated directly from the NFIP. Claims adjusters are not authorized to approve or deny claims; their job is to report to the NFIP on the elements of flood cause and damage. At our option, we may accept an adjuster's report of the loss instead of your proof of loss.The adjuster's report will include information about your loss and the damages to your insured property. Page 2 of 2 PHILADELPHIA NFIP Policy Number: 8704327227 I:,'SU ANC'L (,I _\1T'ANfLti Company Policy Number: 87043272272021 Agent: CINDY PERRY INSURANCE OFFICE OF AMERICA INC 1855 W STATE ROAD 434 Payor: INSURED LONGWOOD,FL 327505069 Policy Term: 10/16/2025 12:01 AM-10/16/2026 12:01 AM Policy Form: GENERAL PROPERTY Agency Phone: (305)289-0213 To report a claim https://phlyflood.manageflood.com visit or call us at: (888)200-5603 RENEWAL FLOOD INSURANCE POLICY DECLARATIONS NATIONAL FLOOD INSURANCE PROGRAM DELIVERY ADDRESS INSURED NAME(S)AND MAILING ADDRESS 1000 ATLANTIC BLVD LLC 1000 ATLANTIC BLVD LLC 729 THOMAS ST 729 THOMAS ST KEY WEST, FL 330407334 KEY WEST, FL 330407334 COMPANY MAILING ADDRESS INSURED PROPERTY LOCATION PHILADELPHIA INDEMNITY INSURANCE COMPANY 1000 ATLANTIC BLVD PO BOX 200584 KEY WEST, FL 330404852 DALLAS,TX 75320-0584 BUILDING DESCRIPTION: OTHER NON-RESIDENTIAL TYPE BUILDING DESCRIPTION DETAIL: RESTAURANT RATING INFORMATION BUILDING OCCUPANCY: NON-RESIDENTIAL BUILDING REPLACEMENT COST VALUE: $596,250.00 NUMBER OF UNITS: N/A DATE OF CONSTRUCTION: 01/01/1949 PRIMARY RESIDENCE: NO PROPERTY DESCRIPTION: SLAB ON GRADE(NON-ELEVATED),1 FLOOR(S),MASONRY CURRENT FLOOD ZONE: VE CONSTRUCTION FIRST FLOOR HEIGHT(FFH): 3.1 FEET PRIOR NFIP CLAIMS: 0 CLAIM(S) MOST FAVORABLE FFH METHOD: FEMA DETERMINED MORTGAGEE/ADDITIONAL INTEREST INFORMATION FIRST MORTGAGEE: LOAN NO: N/A SECOND MORTGAGEE: LOAN NO: N/A ADDITIONAL INTEREST: MONROE COUNTY BOCC LOAN NO: N/A TOURIST DVLPMNT COUNCIL 1100 SIMONTON STREET KEY WEST,FL 330403110 DISASTER AGENCY: CASE NO: N/A DISASTER AGENCY: N/A RATE CATEGORY— RATING ENGINE COVERAGE DEDUCTIBLE COMPONENTS OF TOTAL AMOUNT DUE BUILDING: $200,000 $5,000 BUILDING PREMIUM: $6,334.00 CONTENTS: $150,000 $5,000 CONTENTS PREMIUM: $3,350.00 COVERAGE LIMITATIONS MAY APPLY.SEE YOUR POLICY FORM FOR DETAILS. INCREASED COST OF COMPLIANCE(ICC)PREMIUM: $75.00 FULL CRS DISCOUNT IS NOT APPLIED DUE TO THE MAXIMUM DISCOUNT.YOUR PROPERTY'S NFIP FLOOD MITIGATION DISCOUNT: ($0.00) CLAIMS HISTORY CAN AFFECT OUR PREMIUM.TO PREVENT DELAYS IN CLAIM HANDLING,IT IS COMMUNITY RATING SYSTEM REDUCTION: ($19.00) IMPORTANT TO MAKE SURE THAT YOUR POLICY INFORMATION IS UP TO DATE AND ACCURATE.CONTACT .... .... .... .. YOUR INSURANCE AGENT OR COMPANY FOR QUESTIONS AND TO MAKE CHANGES TO YOUR POLICY OR FULL RISK PREMIUM: $9,740.00 VISIT FLOODSMART.GOV/FLOOD TO LEARN MORE ABOUT FLOOD INSURANCE. ANNUAL INCREASE CAP DISCOUNT: ($0.00) STATUTORY DISCOUNTS: ($0.00) DISCOUNTED PREMIUM: $9,740.00 RESERVE FUND ASSESSMENT: $1,753.00 HFIAA SURCHARGE: $250.00 FEDERAL POLICY FEE: $47.00 PROBATION SURCHARGE: $0.00 TOTAL ANNUAL PREMIUM: $11,790.00 IN WITNESS WHEREOF,we have signed this policy below and hereby enter into this insurance agreement. John Glomb/ resident and CEO Edward Savage/VP&Deputy CLO This declarations page along with the Standard Flood Insurance Policy Form constitutes your flood insurance policy. Zero Balance Due-This Is Not A Bill Policy issued by: PHILADELPHIA INDEMNITY INSURANCE COMPANY Insurer NAIC Number: 18058 IIIIIIIIIIIIII (IIII File: 32430378 Page 1 of 1 IIIIIII II IIII IIII DOCID: 259835612 Printed 09/05/2025 PHILADELPHIA INSURANCE COMPANIES PRIVACY POLICY NOTICE Philadelphia Indemnity Insurance Company The Philadelphia Insurance Companies value your privacy and we are committed to protecting personal information that we collect during the course of our business relationship with you. The collection use and disclosure of certain nonpublic personal information are regulated by law. This notice is for your infomation only and requires no action on your part. It will inform you about the types of information that we collect and how it may be disclosed.this does not reflect a change in the way we do business or handle your information. Information We Collect: We collect personal information about you from the following sources. Applications or other forms such as claims forms or underwriting questionairs completed by you; Information about your transactions with us,our affiliates or others;and Depending on the type of transaction you are conducting with us,information may be collected from consumer reporting agencies,health care providers,employers and other third parties. Information We Disclose: We will only disclose the information described above to our affiliates and non-affiliated thrid parties,as permitted by law, and when necessary to conduct our normal business activities. For Example we may make disclosures to the following types of third parties: Your agent or broker(producer) Parties who perform a business,professional or insurance functions for our company,including our reinsurance companies; Independent claims adjusters, investigators, attorneys, other insurers or medical care providers who need infomation to investigate, defend or settle a claim involving you; Regulatory agencies in connection with the regulation of our business;and Lienholders,mortgagees, lessors or other persons shown on our records as having a legal or beneficial interest in your policy. We do not sell your information to others for marketing purposes.We do not disclose the personal information of persons who have ceased to be our customers. Protection of Information: The Philadelphia Insurance Companies maintain physical, electronic and procedural safegaurds that comply with state andd federal regulations to protect the confidentiality of your personal information. We also limit employee access to personally identifiable information to those with a business reason for knowing such information. Use of Cookies: We may place electronic "cookies" in the browser files of your computer when you access this website. Cookies are text files placed on your computer to enable our systems to recognize your browser and to tailor the information on our website to your interests. We or our third-party service providers or business partners may place cookies on your computer's hard drive to enable us to match personal information that we maintain about you so that we are able to prepopulate on-line forms with your information. We also use cooker to help us analyze use of our website to understand which areas of our site are most useful to you.You may refuse the use of cookies by selecting the appropriate settings on your browser. Please note that if you do this,you may not be able to use the full functionality of the website. How to Contact Us: Philadelphia Insurance Companies, One Bala Plaza,Suite 100,Bala Cynwyd,PA 19004 Attention:Chief Privacy Officer Phone(877)438-7459 07122013 PHLLOG_INS_1R OXP_000020438116