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Certificates of InsuranceA61,401 P. CERTIFIiCA 'E OF INSURANCE Si DAM M(MM97� DIVER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER • ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency' HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Marathon FL 33050 COMPANY A Progressive PAM CURRY 305-289-0213 INSURED COMPANY B COMPANY «�J Diversified Services Company C COMPANY D-50 11th Ave Stock Island Key West FL 33040 D COVERAGES 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 DATE (MM/DD/YY) POLICY EXPIRATIO DATE ENM/DD/YY) LNHTS GENERAL LIABILITY GENERAL AGGREGATE E PRODUCTS - COMP/OP AGO $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE E OWNER'S& CONTRACTOR'S PROT FIRE DAMAGE (Any ore fire) $ MED EXP (Any one Person) $ A AUTOMOBILE LIABILITY ANY AUTO CA048574571 01/01/97 01/01/98 COMBINED SINGLE LIMIT f $OOe DDD BODILY INJURY (Per person) E ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per Weidner) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE E GARAGE LIABILITY pvPROVED R ANA ,EMFNT AUTO ONLY - EA ACCIDENT E OTHER THAN AUTO ONLY ANY AUTO EACH ACCIDENT E BY AGGREGATE $ EXCESS LIABILITY DATE EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM OTHER THAN UMBRELLA FORM MOI MIA R: S $ WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS'LIABILITY EACH ACCIDENT $ DISEASE - POLICY LIMIT E THE PROPRIETOR/ INCL PARTNERS/GXECUTIVE - - _ DISEASE - EACH EMPLOYEE E OPFICERSARE: EXCL CC OTHER i �� DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 1991 Ford E150 1FTDE14Y7MHB21205 1984 Chevy Cargo IGCEG25D3E7167993 CERTIFICATE HOLDER IS ALSO ADDITIONAL NAMED INSURED CERTIFICATE HOLDER. CANCELLATION MONRO-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COUNTY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COMMISSIONERS Risk Management 5100 Cottage Road DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT AIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 ANY KIND THEc S AGENTS ORREPRfANTATVvER. A HORIZE P M CURRY TIVEq I �('IA L� 1993 ` ACORA 25-5 (3793J 111 ACHHU)s CERTIFICA E OF INSURANCE CSR gc DATE (MM/DD/YY) _ DIVER-1 03/06/97 PRODUCER . THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 COMPANIES AFFORDING COVERAGE PAM CURRY COMPANY 305-289-0213 A United Businessowners Self Ins INSURED COMPANY B .I Diversified Services Company D-50 11th Ave Stock Island '% COMPANY C Old Republic Surety Co. COMPANY Key West FL 33040 D COVERAGE$ 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 DATE (MM/DD/YY) POLICY EXPIRATIONLIMITS DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGO $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S& CONTRACTOR'S PROT FIRE DAMAGE (Any.. fve) $ MEDEXP(Anyaepe..) $ AUTOMOBILE LIABILITY ANY AUTO APPROVED BY A GEI'AENT COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BY BODILY INJURY (Per pe..) $ BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS DATE WDIVCBf MIA fFl PROPERTY DAMAGE $ GARAGE LIABILITY p�y AUTO ONLY -EA ACCIDENT $ OTHER THAN AUTO ONLY. ANY AUTO V" /1 ,, EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM �1 I / , �-C AGGREGATE $ $ OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION AND X I STATUTORY LIMITS EMPLOYERS'LIABILITY EACH ACCIDENT $ 100,000 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE 495173320696 03/01/97 03/01/98 DISEASE - POLICY LIMIT $ 500,000 DISEASE -EACH EMPLOYEE $ 100,000 OFFICERS ARE: X EXCL OTHER C Fidelity Bond OBS458361 10/02/96 10/02/97 Bond 10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESNPECIAL ITEMS Janitorial Services -no windows -commercial accounts only CERTIFICATE HOLDER CANCELLATION MONRC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE Monroe County Board of County EXPIRATION DATE THEREOF, THE ISSUDIG COMPANY WILL ENDEAVOR TO MAIL Commissioners 10 DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMEDTOTHE LEFT, Donna Perez - 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE IPU LIG NOR LIABILITY Key West FL 33040 O ANY RIND HE COMP AGENTSOR REPRE ATIyES. A HORIZED RE ATIVE yA r ly IY. AM CURRY ACORD 2S-S (3193) _��Ion COM' R.AM 993 2 -17-98 JOHNSONS INSURANCE AGENCY INC P.O. BOX 2346 13361 OVERSEAS HIGHWAY MARATHON SHORES, FL 33052 305-289-0213 INSURED DIVERSIFIED SERVICES COMPANY INC D50 11TH AVE STOCK ISLAND KEY WEST, FL 33040 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. COMPANY A COMPANY B COMPANY C COMPANY D COMPANY E COMPANIES AFFORDING COVERAGE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH 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 DATE (MMIDD/YY) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR OWNER'S& CONTRACTOR'SPROT. CLS0512025 01/05/1998 01/05/1999 GENERAL AGGREGATE $ 500,000 PRODUCTS - COMP/OPAGG. $ 500,000 i PERSONAL & ADV. INJURY $ 500,000 EACH OCCURRENCE $ 500,000 FIRE DAMAGE (Anyone fire) $ 100,000 MED EXPENSE (Any one person 0 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AR(iVEI! R IS �Y / DATE 'v\ rF""If COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO �r AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY:F, H� EACH ACCIDENT $ AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: REXCL STATUTORY LIMITS ,,:, /......:.:�,:.... :3 EACH ACCIDENT $ DISEASE -POLICY LIMIT $ DISEASE -EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS SHOWN AS ADDITIONAL INSURED MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE RD SHOULD ANY OF THE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 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, ITS AGENTS OR REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIz EPRESENTATrvE BUR ILCOX, L ACHDRID. CERRTIFICA E OF INS C GSR L1C - DATE (MM/DD/YY) V .#.� 0IVER-1 05/22/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 COMPANIES AFFORDING COVERAGE PAM CURRY COMPANY 305-289-0213 A Interstate Insurance Services INSURED / COMPANY J/ B * ✓` Diversified Services Company 1 �M COMPANY C D-50 11th Ave Stock Island Key West FL 33040 COMPANY D C(IIVERAGRS 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 DATE (MM/DD/YY) POLICY EXPIRATIOISLIMITS DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE F OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ .�%R!..."�A(;GB��.1. AUTOMOBILE LIABILITY ANY AUTO ,V COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS LATE HIRED AUTOS NON -OWNED AUTOS r''��?FR'+,;• YCS„ _ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO �.✓ OTHER THAN AUTO ONLY: EACH ACCIDENT $ �. AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY LIMITS EACH ACCIDENT $ 100,000 THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL FIEXCL PROD I VERS1-119 05/07/98 05/07/99 DISEASE - POLICY LIMIT $ 500, 000 OFFICERS ARE: DISEASE - EACH EMPLOYEE $ 100, 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTMACATE 101,DER CANGELLATIDN MONRO- 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Risk Management MARIA DEL RIO 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 OF ANY N THE COMP S AGENTS OR REPRESENTATIVES. AUTHO ED SENTATIVE PAM CU Y AGORD 255 (3i93) �- AdCO CORPORA7I 1993 > INMAL U �COR� VERTIFICA 1 OF LIABILIW INSUW J ECSR LK< DATE(MM1DD/Y1� ,-.,, PRODUCER .- DIVER-1 05/17/99 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Johnsons Insurance Agency 13361 Overseas Highway ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 COMPANIES AFFORDING COVERAGE Jonathan H . Diamond COMPANY Phone No. 305-289-0213 Fax No. A Scottsdale Insurance Co. INSURED COMPANY B Harbor Specialty Insurance COMPANY Diversified Services Company D-50 llth Ave Stock Island Key West FL 33040 C COMPANY D COVERAGES 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 OTi*R DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIED 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 FIBER �N LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE [ X] OCCUR 036/05/tO 0%/W99 GENERAL AGGREGATE $ 500 , 000 X PRODUCTS-coMP/OPAGG $_500,000 PERSONAL & ADV INJURY $ 500 , 000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 500 , 000 FIRE DAMAGE (Any one fire) $ 100 000 MED EXP (Any one person) , $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS uck,..: / k4 COMBINED SINGLE LIMIT $ BODILY (Per Person) INJURY $ HIRED AUTOS NON -OWNED AUTOS T " ► ((Per accILY� oRY $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO w AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ �, AGGREGATE $ 11 EXCESS LIABILITY TOEACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ / EMPLOYEERS•LIABILITYRS T ANDy�Y X TION IM S TI EL EACH ACCIDENT $ 100000 ,YI THE PROPRIETOR! X INCL PARTNERSJF�CECUTNE FHFLWC980065 05 07 99 / / 05 07 00 / / EL DISEASE - POLICY LIMIT $ 500000 OFFICERS ARE: EXCL OTHER EL DISEASE - EA EMPLOYEE I $ 100000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPEGAL ITEMS janitorial services - no windows - commercial accounts only (ie, City Electric System CERTIFICATE HOLDER CANCELLATION MONCO-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Risk Management Maria DelRio EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road Key West FL 33040 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, IT ENTS OR REPRESENTATIVES. ®ATE_dA AUTHORIZED REPRESENTATIVE l AGCiRD 25-S';0185) INITIAL Jonathan H. Diamon ' ACORD CORPORATION 1988 u ACDATE(MM,DD,YY, -080 CERTIFICAT _ _ OF LIABILIT`� INSUi JCE CSR SG PRODUCER - DIVER-1 05 / 19/ 9 9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Johnsons Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13361 Overseas Highway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 COMPANIES AFFORDING COVERAGE Jonathan H . Diamond COMPANY Phone No. 305-289-0213 Fax No. A Scottsdale Insurance Co. INSURED i COMPANY B Harbor Specialty Insurance Diversified Services Company PANY Old Republic Surety Co. rD D-50 llth Ave Stock Island PANY Key West FL 33040 �.�� j3 COVERAGES 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 L R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MMOD/Yy) LIMITS GENERAL LIABILITY X $ 5j Q Q, Q Q Q A COMMERCIAL GENERAL LIABILITY CLS0512025 01/05/98 01/05/99 GENERAL AGGREGATE PRODUCTS-COMP/OPAGG j SQQ�OQQ CLAIMS MADE `� OCCUR PERSONAL & ADV INJURY E 5O0 , OOO OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 500, OOO FIRE DAMAGE (Any one fire) $ 100 , 000 MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO w,� n 4 �.; �� . n COMBINED SINGLE LIMIT j ALL OWNED AUTOS SCHEDULED AUTOS v_ ' BODILY INJURY (Per $ HIRED AUTOS r a E O ' Person) NON -OWNED AUTOS --- =�- -- __ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ EACH OCCURRENCE $ To(— UMBRELLA FORM OTHER THAN UMBRELLA FORM AGGREGATE $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC S ATU- OTH- X TORY LIMITS ER THEPROPRIETORI PARTNERS/EXECUTNE X INCL FHFLWC980065 EL EACH ACCIDENT $ 100000 05/07/99 05/07/00 EL DISEASE -POLICY LIMIT $jQQQQQ OFFICERS ARE: EXCL OTHER EL DISEASE - EA EMPLOYEE $ 10 Q Q Q Q X Fidelity Bond OBS456361 10/02/98 10/02/99 10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS janitorial services - no windows - commercial accounts only (IQ, City Electric System CERTIFICATE HOLDER CANCELLATION MONCO-3 SHOULD ANY OF THE ABOVE DESCRIBED POUC4ES BE CANCELLED BEFORE THE Monroe County Risk Management EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Maria De1Rio 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 ` OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHOR RE ATNE ACORD 25-S (1/95) DATE J0 ACORN CORPORATION i988 AcoRo Q. RTIFIGAT - OF LIABILITY 1.ISLlR�` CE s DATE(MM/pD/yY) UIYER 1.; 07/15/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 COMPANIES AFFORDING COVERAGE Jonathan H. Diamond COMPANY Phone No. 305-289-0213 Fax No. A Interstate Insurance Services INSURED COMPANY B COMPANY Diversified Services Company D-50 llth Ave Stock Island Key West FL 33040 C COMPANY D COVERAGES 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. ISOCO TYPE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MWDD/YY) LIMBS GENERAL LiABILT! GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS V ` - ( 1'F ^ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ __.---- PROPERTY DAMAGE I $ GARAGE LIABILITY DI AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: cc I EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY LIMITS ER EL EACH ACCIDENT $ 10_0 O O 0 A THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL FHFLWC9800650 I 05/ 07/ 99 I 05 07 0O 1 / / EL DISEASE -POLICY LIMIT $ 500000 OFFICERS ARE: EXCL OTHER EL DISEASE - EA EMPLOYEE $ 100000 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS janitorial services - no windows - commercial accounts only (ie, City Electric System CERTIFICATE HOLDER:::>CANCELLATION: MONOJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Risk Manag Maria De1Rio TION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 7710- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College RoagjA'TB...�" BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 INITIAL^ OF ANY KIND UPON THE CO ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTA E Jonathan H. D' `_� t: n ,;�� ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1D 7E(9M9DD/YY) PRODUCER THE PORTER ALLEN COMPANY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 513 SOUTHARD STREET ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR KEY WEST, FLORIDA 33040 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED _- INSURER A: DIVERSIFIED SERVICES CO., INC. INSURERB: PROGRESSIVE INSURANCE COMPANY D-50 11TH AVE. STOCK ISLAND INSURERC: KEY WEST, FLORIDA 33040 INSURERD: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE AT D V POLICY EXPIRATION Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR CLS0582915 1-5-99 1-5-2000 FIRE DAMAGE (Any one fire) $ 100,000 MED EXP (Any one person) $ 59000 PERSONAL & ADV INJURY $ 1 GENERAL AGGREGATE ,0001000 $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 11000,000 AUTOMOBILE LIABILITY B ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 500,000 ALL OWNED AUTOS SCHEDULED AUTOS 1-5-99 i-5-2000 BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR 17:1 CLAIMS MADE "Y EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE pnTE / $ RETENTION $ __-_-_--• $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY S -OLIMIT DE$ ODISEASE tt A $ O$ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 1991 FORD E -150 1FTDE14Y7!vIHB21205 1984 CHEVY CARGO CERTIFICATE HOLDER IS AN ADDITIONAL INSURED rceTrcrrATC Unr nos A I________ _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MOiNROE COUNTY BOARD OF COUNTY OMMISSIONF,RS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 5100 COLLEGE ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL KEY WEST, FL. 33040 r IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 11( REPRESENTATIVES. DATE AU RIZED REPPESEN ATIV INITIAL i ELIZABETH M. FREEMAN RD 25-S (7/97) r > © ACORD CORPORATION 19s8 DATE(MM/DDNY) ACORD CERTIFICAI, OF LIABILITY INSURi JCE CSR JD _ _. DIVER-1 05/02/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 COMPANIES AFFORDING COVERAGE Jonathan H. Diamond COMPANY Phone No. 305-289-0213 Fax No. A The St. Paul Companies INSURED,- n� COMPANY 6 B Interstate Insurance Services COMPANY Diversified Services Co. Inc. C D-50 11th Ave Stock Island Key West FL 33040 COMPANY D COVERAGES 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 LIMITS DATE (MM/DD /YY) DATE (MM/DD1YY) GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 X PRODUCTS - COMP/OPAGG $ 1,000,000 A COMMERCIAL GENERAL LIABILITY BFL00000548433 01/01/00 01/01/01 CLAIMS MADE ❑ OCCUR PERSONAL & ADV INJURY $ 500000 EACH OCCURRENCE $ 500000 OWNER'S& CONTRACTOR'SPROT FIRE DAMAGE (Any one fire) $ 300000 MED EXP (Any one person) $ 10000 AUTOMOBILE LIABILITY �BFA00000518913 A ANY AUTO `~I 01/01/00 1 01/01/01 COMBINED SINGLE LIMIT $ 500,000 ALL OWNED AUTOS X I SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS BODILY INJURY ' NON -OWNED AUTOS (Per accident) $ Y A'G a .— — � ze, Q� PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ - UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WC STATU- JOTH-1 EMPLOYERS' LIABILITY TORY LIMITS ER I EL EACH ACCIDENT ! $ 100000 S/EXE U INCL B THE PARTNERS/EXECUTIVE PARTNERSfEXECUTIVE FHFLWC9800650 05/07/99 05/07/00 EL DISEASE - POLICY LIMIT $ 500000 OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE S 100000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Janitorial Services- no windows-comercial only **CERTIFICATE HOLDER IS ALSO THE ADDITIONAL INSURED WITH RESPECT TO LIABILITY POLICY** CERTIFICATE HOLDER CANCELLATION MONRO15 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Board of 10 County Commissioners DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 5100 College Rd BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 / OF ANY KIND UPON THE CO NY, ITS AGENTS OR REPRE TATIVES. 13ATE ._.._ .__ L .i— AUTH PRESENTATI �Jonath n H. Diamond ACORD 25=S (1/95) r INITIAL _ _ — .. ACORD CORPORATION 1988 ACORD CERTIFICA' ---OF LIABILITY INSUf *NC�ISRVER -1 09/05/00 DATE(MM/DDJYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone: 305-289-0213 INSURERS AFFORDING COVERAGE P:� Diversified Services Co. Inc. D-50 11th Ave Stock Island Key West FL 33040 rnvre w..rn INSURER A: Interstate Insurance Services INSURERS: Old Republic Surety Co. INSURER C: INSURER D: INSURER E: 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. AGGRE=G/'ATEIMTS SHDWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY DATE MM/DDIYY DATE IWDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE _. $ , COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-- JECTLOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO t,� h ►�r, r COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS i_ __..__ -- SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS 1 „� p. / _._ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY FHFLWC0000650 05/07/00 05/07/01 I TORY LIMITS ER E.L.EACHACCIDENT $ 100000 E.L. DISEASE - EA EMPLOYE $ 10 0 0 0 0 E.L. DISEASE - POLICYLIMR $ ,�j000QQ OTHER B Bond OBS458361 10/2/99 10/2/00 $10,000 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Janitorial Service - no windows - commercial only DATE 0 CFRTIFICATF41n111FR wT..,.,.r.........._....—..-..._..---•-----.•_—.. _----- MONRO15 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN County Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Maria Del Rio, Room 203 5100 College Rd IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. Jonathan H. Diamond ACORD 25-5 (7/97) ©ACORD CORPORATION 19AR ACORD CERTIFICA'. _= OF LIABILITY INSUfti .NCgSR JD DATE(MM/DD/YY) IVER-1 06/08/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone • 305-289-0213 INSURERS AFFORDING COVERAGE u�aa"ncu INSURER A: The St. Paul Companies INSURER B: Interstate Insurance Services Diversified Services Co. Inc. INSURERC: Old Republic Surety Co. D-50 llth Ave Stock Island INSURER D: Stock Island FL 33040 INSURER E: GUVttLAGtS 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INIR LTR TYPE OF INSURANCE POLICY NUMBER POLIO EFFECTIVE DATE MM/DD/YY POLICY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 500 000 . 00 A X COMMERCIAL GENERALLIABILITY CLAIMS MADE . OCCUR BL00780086 01/01/01 01/01/02 FIRE DAMAGE (Any one fire) $ 300000 MED EXP (Any one person) $ 10 y.000 PERSONAL & ADV INJURY $ 500 r 000 . 00 ' GENERAL AGGREGATE $ 1 r 000 r OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY PRO- LOC JECT A AUTOMOBILE LIABILITY ANY AUTO BA00780084 01/01/01 01/01/02 COMBINED SINGLE LIMIT (Ea accident) $ 5OO OOO i BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY — — — AUTO ONLY - EA ACCIDENT $ ANY AUTO I OTHER THAN EA ACC AUTO ONLY: AGG $ , $ _ EXCESS LIABILITY OCCUR ❑ CLAIMS MADE O: _ •. EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE r $ RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY FHFLWC0100650 05/07/01 05/07/02 TORY LIMITS ER E.L. EACH ACCIDENT $ 100000 E.L. DISEASE - EA EMPLOYE $ 10 0 0 0 0 E.L.DISEASE-POLICY LIMIT 1 $ 500000 OTHER ORS BBS458361 10/02/00 10/02/01 Fidelty $10,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Janitorial Services- no windows-comercial only 1991 Ford E150 VAN 1FTDE14Y7MHB21205 1998 Ford VAN 1FTPE2427WHA50296 **CERTIFICATE HOLDER IS ALSO ADDITIONAL INSURED** MONRO-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED zz\C THE LEFT, BUT FAILURE TO DO SO SHALL Kay Miller IMP NO OBLIGATION OR LIABILITY , ANY IyNO UPON THE INSURER, ITS AGENTS OR 5100 College Road / Key West FL 33040 PR SENTATIVES. A o n ACORD ©ACORD CORPORATION acoRo CERTIFICA' : OF LIABILITY INSUR- .NC R DATE(MM/DD/YY) VER-1 05/23/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone : 305-289-0213 INSURERS AFFORDING COVERAGE Diversified Services Of Key West Inc. D-50 filth Ave Stock Island Stock Island FL 33040 INSURER A: The St. Paul Companies INSURER B: INSURER C: INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLI Y EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 500 r 000 , 00 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR BL00780086 01/01/02 01/01/03 FIRE DAMAGE (Any one fiire) $ 300000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 500 000 , 00 GENERAL AGGREGATE r $ l 000 000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG r r $ 1,000,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS A Y I K MA MET BODILY INJURY (Per person) $ HIRED AUTOS BY NON -OWNED AUTOS DATE BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ WAIVER N/A YES GARAGE LIABILITY ANY AUTO � AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY OCCUR El CLAIMS MADE n7/1 / C— EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ IAIIJ - TORY LIMITS ER $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Janitorial Services- no windows -commercial only. the limits of coverage on this certificate apply for all jobs & locations. Certificate Holder is also Additional Insured. n�er�r�n Ar .. 1 ...-.-. I __ MONRO-6 Monroe County BOCC 1100 Simonton Street -/ Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPO O BLIGATION OR LIABILITY OF ANY KIND UPON THE JSURER, ITS AGENTS OR P7 qOfi , 25-S (7/97) Diamond CORPORA ACORD CERTIFICA _ OF LIABILITY INSUR NCB DATE OMM" ) �1 08/07/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Johnson Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 13361 Overseas highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. >lltarathon FL 33050 Phone:305-289-0213 INSURERS AFFORDING COVERAGE INSURED 114OURERA The St. Paul (,.' aulwai INSURER B: Diversified Services Of Key D 50 Inc. Ave Stock Island Stock Island FL 33040R�D INSURER agURER E. GIL7VICKAUE5 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 ISSUE OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE 1-BATS SWIVWN MAY HAVE RFFN RFOLICED BY PAID CLAWS. L TYPE OF W48URANM POLICY NUMBER DA WEAMM LIARS A GENERAL LIABILm X COMMERCIAL GENERAL LIABILITY CLAIMS MAOG ❑ OCCUR BL00780086 01/01/02 01/01/03 EACH OCCURRENCE $ 500 , 000 . 00 FIRE DAMAGE (A" am fim) $ 300000 MED EXI' (A.ry wm pmuno 310,000 PERSONAL aADV INJURY $ 500 , 000 .00 GENERAL AGGREGATE $1, 000 , 000 GENM AGGREGATE LIMIT APPLIES PER PM" JPREMO LOC PRODUCTS - COMPIOP AGG $1, 00 0 , 000 AUTOMOBILE LUUSLTTY ANY AUTO ALL OWNED AUTOS %C$46DUL60 AUTOS HIRED AUTOS NON -OWNED AUTOS BA010�753 01 /01 /02 01 /01 /03 COMBINED SINGLE LIMIT IE' s 500,000 BODILY INJURY (Per Derwo $ )X BODLYINJURY (Pa amMenq $ PROPERTY DAMAGE (Peracckko!) $ -�tALTTOONLY: GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AGG S S FX@FRS 1 IARII ITY OCCUR CLAIMS MADE DEDUCTIBLE RFTFMTNW : SYL1,A,61 DATE WAIVE CACI I oCCURRCNOC — G AGGREGATE S §� N/A YES.__ C. WORKERS COMPENSATION AND EMPLOYERS LIANLTTY j y TORY UMRS ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE $ 6.L ONWABE - POLICY UM1T D OTHER CC 4 DESCRIPTION OF OPERATIOf &OCA USKXYS ADDED BY ENDORSEMENTWW Janitorial Services- no windows-eoommrcial only. the limits of coverage on this certificate apply for all jobs & locations. Certificate Holder is also Additional Insured. VlY7VV.&An I rkm Il O-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES; GA CANCELLED BEFORE THE EXPIRATM CATG TM MKOF. TMa MIBL4No IIr4URCR WILLG*MWAWM TO MArL 10 DAYS WRITT01 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL 1100Monroe Contortunty StreOCC IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR 1100 Simonton Street Key Went FL 33040 REPREVK1VkTIVIW 1996 Edition MONROE COUNTY, FLORIDA Request For Waiver Of Insurance Requirements It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following contract: Contractor: 01 Y2 rS ►fed Sf ry'k(QS ©'TL I,\feS J-- In G Contract for: Mranr-6/e, C�;��.-��. Li kv-n r-,, - K-ju,-) Address of Contractor: - 5 C: 11 f, A U Phone: 3DS - a q4 - q -) 6 Scope of Work: j(xn, hGr► cue r��CQS Reason for Waiver: (� J(C Y� ,p }- _ —' CV\1 M*— Policies Waiver will apply to: Signature of Contractor: Risk Management: Date: County Administrator appeal: Approved Not Approved Date: Board of County Commissioners appeal: Approved Not Approved Meeting Date: Administrative Insb i chm #4709.3 WAIV REQ.DOC From v0�1102 WED XJ:34 F:1Y 3057�y,l88'�94 5J46 r'I'''SOv? 1' SI.'ltlt•Aj 7/31/2002 2: 06 FM r ' 1'' 00 NOTICE OF CU,F..0 ON. TO PT Please refer to the written instruedolns prepared by the Ef%etiv&Iettuc Data Division of Workers' Corrlpansatiou before complains thm is for. Expvstion Dow 137 filingthis Application ,you elect #o Ixt exempt Irani the prasisinns of C:ttapter 440, Clarids Statutes Ckd Waive any rlaht you may have to 'workars' compensation 5enetirs im Control Ntuaber; the State of Florida should yox become 1XJtsred on the jab. Aar nrr_xon who mowinsiv and with Intert to jWgrre, delkAyd. or deceive the Dlv3alan ar env CtesnitlTer, eututgas, or t stint a cam h e ,'s Program, trile;Nipfi2g ULEl%.tJ'oHto 1 e F, rte 4 , _ postrmrkDate, ant false ar rdol"di s Wnrmntigg is rooft of a feltr, of thr, third 4CiMC• C9Xtala Received Dutc: docititinehtatioa Is required by law to be attached to this application -cater to the instruction sheet for more drtails. I tan applying for exrniption as a (cheek only az box it, this section): — CONSTRUCTIO.N INDUSTRY r S 50'W F'F.i+ REQUIRED) l I Solc Proprietor 0 Partner t Corporate Officer (your Corp_ tili4; ) -OR- �'ON-C4NSgRUCTION LNDUS'1'RV (NO FEE REQUll ED) r 'C os tc 01'CCcr vour c . tit1C: _ ) CORPORATE OFFICERS AN-0rA RTNERSi t,ist'.tla r ation number o;f your busincas oa file withtho Division of Corporac ono, Depaztmard of 5toto's Oflion NIOTE. your pmegersbiv rrray not bati•c out, boa ail corporations must have one. Irynur partnership doesn' THIS MMPTION APP1,ICATION APPLIES OYI.Y TO THE it ON S1GN,ING THE APPLICATION ik" ONLY.irOR Tli' BusM-52 FNNTITv J TvD II'r THE SECTION $usincsaNam—r ^ {{ ` /' 1�i V�S.it t4?c�• k'f'ft 1C 1'S f k`:� ��f J� Iif' ,Trade Name; d)'bfA; or Wa: _Jy: zip, Bwmcss :Sailing AcdioUs: County: Phana No.: 'Natur. of Buaineas: FELLA: Ut1om. ploymcnt Courpemsation I Date Buskmis Fstubli No. of EmpLsyees: Tax f Iva L Ate you required to be Me- .:;red or eettifisd pursuant to Chaptcr 489, F. S.? UNo es; list all cefiified or registorcd bCOMCS iBSusri to youputsuarAto Cliaptw489, Florida S+�aeB tr'� '< � : c L t � :.,x � �'- t'l a 12Fr1 � S J(Lg11J,. --b Are you or n -- alifier for your bt:six , roqukod by the county or the municipality ai which your bL,,il, °iSS IliillllIld I1d:kCgy t5 located to b , z.n occupatYamal iic' 'or the business t�91icb is the: subject of this application;' ❑ No Pot& '%r MUS -, .kCH A COPY QFA CLI, =N r OOrXPATIONAL LICENSE .Are you eat uyed by any sole propriCt�tir a_p, pttxtacsship. cm?orction ar bwmcss entity other then the business to which title spplicaticn appiioe? NO YES list :O tho came of al: othxxb usirossw in wbki , you arc cuiployed: Hu the; nl+ovo-tesfercticcd business en <<; {r on in olx-,no , ,;ug enough lie bavc bird-w7th or be refit«iced to file by the IRS, an anmv31 Fed*1 income Tare Mum? lto [ ± r n made attacaLtzc,r ' ,x records. See insmuction sheet ferelot tom. - • �-� =j va -La r : a nercoy certniy ttc.y A the', iniornratson vvi tallied herein is tray and correct to the bout of my loaowirdge and beller, that this election does roc omeoud evmptios llm% for carp Ovate- officers or partners as pr•ovi4d Lt 4440.02 . Florida 5Csetutes; and that 1 will aecuee the p *zvLt ofwotken' eompenaatlnrt lieneflta, pursuant to ChApter 440, Florida Statutes, for any employes 1 hary have or may heretnai'rar acquire, for -%vl t)% .Uiy lra iaees b required by Mort& law to seeure such benchtsx. T]'PPt 'I'P(A31E OFPF. r11 A1YLS'LvG ]OR S.l'ithePTlCj]y SOCIAL SECURITY NO. RX). clay yr. -- c DATboFBIRTH P4[C 1"SsaCNlA.TURE —� � DATL SIGNED TAR ' STATE OF 'FLC�RIDA. COLNTY OF .,,.,-,.`.� Swom to AAd subarnbed beftue mc aczg- day .1, Personally K.n�raorl j, 0$ Pmdvccd Id: utifi, atiwr_ v. a of ' xatli'iastf till floducod__.e_. NU1ARY SLGNA 1 L_14�d.'�;7 is5i ru E�pirc; LEA FOR14I BCJvi•2+i1 v d Febmmry 2004 (SEE REVERSE FOR ADDITIONAL 1NIrpC2nla cIONj' fin" rr�y- JENNINE L KNGWI.ES =.: ►�°gg MY COMIdISSIGN # CC 984575 ��1Tf h��3 PThRES; Msrch 29^2IX}re� ACORD VDATEDD/"F CDIR-1 11/21/0 2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone: 305-289-0213 INSURERS AFFORDING COVERAGE INSURED INSURER A: Old Republic Surety Co. INSURER B: Diversified Services Of Key West Inc. INSURER C: D-50 llth Ave Stock Island Stock Island FL 33040 INSURERD: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR ILTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE DATE MM/DD/YY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) S PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APPR_4ByS,.ANA BY DATE , WAIVER �!�-• EN COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE PROPERTY accident) $ GARAGE LIABILITY ANY AUTO / U AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S /// w ^ EACH OCCURRENCE S AGGREGATE $ S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATULIMITS ER TORY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE1 $ E.L. DISEASE - POLICY LIMIT $ A OTHER Fidelity Bond OBS458361 10/02/02 10/02/03 Bond $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Janitorial Services - no windows - commerical only - certificate holder is additional insured. -•-••• -•• ••�-��•� CR: VI1I�VLLLM I IVI\ MONRO— 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 Simonton Street Monroe County IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 1 R RESENTA tr74- CE�%' L Qx«— than H. Diamond ACORD 25S (7/97)/ , CC ' d�LwR•ws..c. TION 1988 ACORD CERTIFICA' = QF LIABILITY INSUF -n DATE(MWDD/YY) ,NCgsR IVER-1 05/06/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone : 305-289-0213 INSURERS AFFORDING COVERAGE INSURED INSURER A: Nova Casualty Company INSURER B: Diversified Services Of Key West Inc. INSURERC: D-50 llth Avenue Stock Island Stock Island FL 33040 INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE MM/DD1YY DALICY CY EXPIRATION TE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 500 r 000 . 00 A X COMMERCIAL GENERAL LIABILITY 09AL052613 01/01/03 01/01/04 FIRE DAMAGE (Any one fire) $ 10000 CLAIMS MADE 0 OCCUR MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 500 r 000 . 00 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY PRO• LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE App r K NIA At A ENT AGGREGATE $ $ DEDUCTIBLE BY $ RETENTION $ DATE $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WAIVERh rA YE TORY LIMITS ER E.L. EACH ACCIDENT $ . _.. E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ OTHER Cc �r DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL P VISIONS Janitorial Services'- no windows-comercial only CERTIFICATE HOLDER y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONRO-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County Risk Management 1100 Simonton Street =REPRES OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 TATIV . ACORD 2" (7/97) ©ACORD CORPORATION 1988 ACORv CERTIFICA" = OF LIABILITY INSUF NC Jn DATE(MM/DD/YY) IVER-1 05/06/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone : 305-289-0213 INSURERS AFFORDING COVERAGE INSURED INSURER A: The S t . Paul Companies INSURER B: Diversified Services Of Key West Inc. INSURERC: D-50 llth Avenue Stock Island INSURERD: Stock Island FL 33040 INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYYE POLICY EXPIRATION DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT A AUTOMOBILE LIABILITY ANY AUTO 13AO1283508 01/01/03 01/01/04 COMBINED SINGLE LIMIT (Ea accident) $ 500 i000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ $ AUTO ONLY: AGG EXCESS LIABILITY OCCUR CLAIMS MADE 1 ( AP M M N EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ BY O $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY O 19 i/, �— WAIVERE.L. YES' TORLIMITS I ER EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ ( - uj�, E.L. DISEASE - POLICY LIMIT $ OTHER 1 CG DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 1991 Ford E150 VAN 1FTDE14Y7MHB21205 1998 Ford VAN 1FTPE2427WHA50296 VMIYIiGLLN r IWIM MONRO-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County BOCC OSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street Key West FL 33040 REP SENTATIVES ACORD 25-S (7/97) ©ACORD CDRPORATION 1988 ACORD D CERTIFICATE OF LIABILITY INSURANCE CSR JD DATE(MM/DD/YYYY) DIVER- 02 06 04 ARODUC1111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 13361 Overseas Highway Marathon FL 33050 Phone:305-289-0213 INSURED Diversified Services Of Key West Inc. D-50 llth Avenue Stock Island Stock Island FL 33040 INSURERS AFFORDING COVERAGE INSURER A: Old Republic Sure INSURER B: INSURER C: INSURER D: INSURER E: Co. NAIC # GOVEKAUE5 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MWDD/YY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE� LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AP OM N G EN1 AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ ?DAF-..-•---• __�ES -�~ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below o TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ A OTHER Fidelity Bond OBS458361 10/02/03 10/02/04 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS janitorial services. CERTIFICATE HOLDER MONRO-6 Monroe County BOCC 1100 Simonton Street Key West FL 33040 ACORD 25 (2001108) VMI\V GLL/'1 I 1 V 1� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE REOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN N CE O THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL POS NO OBLIGATION O I BILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPR SENTATIVES. <-/ 6 /a 41 © ACORD CORPORATION 1 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID P S1 DATE(MM/DD/YYYY) DIVER-1 02 24 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone : 305-289-0213 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Granada Insurance Company 09730 INSURER B: Diversified Services Of Key West Inc. INSURER C: D-50 llth Avenue Stock Island INSURERD: Stock Island FL 33040 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DOLICY ATE MM DD/YY E PDATE MM/DD/rr N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ED PREMISES (Ea occurence) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE F7 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT A AUTOMOBILE LIABILITY ANY AUTO AC002000059400 01/01/04 01/01/05 COMBINED SINGLE LIMIT (Ea accident) $ 500 OOO r BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AP PY P , R I S A E T AUTO ONLY - EA ACCIDENT $ THAN EA ACC ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE PATE E EACH OCCURRENCE $ � �sy AGGREGATE $ WAIVER NIA__'_YE - $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ///``` �� TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes, describe underG�vn E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER L DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 2003 CHEVY 15001GCFG15X931156571 1998 Ford VAN 1FTPE2427WHA50296*The amount of coverage on this certificate applies for the total amt of coverage available for all jobs and coverage* L:CK I IFIGA I L MULUtK CANCELLATION MONRO— 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County BOCC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL County Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street Key West FL 33040 REPRESENTATIVES. ACORD 25 (2001/0�) e C_ 2-lzLlloL4 © ACORD CORPORATION 1988 COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OF INSURANCEPOLICY BILITY CIAL GENERAL LIABILITY MS MADE OCCURMED NUMBER 09AL052613 DATEYMM/DDM! 01/01/04 ICY PDATE MMlDD/YY NLIMITS 01/01/05 EACH OCCURRENCE $500,000.00 7FGENAMGMGREGATE PREMISES(Eaoccurence)DAMAUL TO -RENTED'- $10000 EXP (Any one person) $5000 PERSONAL&ADV INJURY $500,000.00 GENERAL AGGREGATE $1,000,000 PRODUCTS -COMP/OP AGG $ 1 OOO OOO LIMIT APPLIES PER: POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO 6 Pn�j .�T AUTO ONLY - EA ACCIDENT $ OTHER THAN ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ BY a DATE --""`. ' _ w l r NA,P, � a ..'DES _"'"`_- EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/E , OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below _ _ TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Janitorial Services- no windows-comercial only*The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and locations.*ADDITIONAL INSURED MONROE COUNTY BOCC* MONRO-6 Monroe County BOCC 1100 Simonton Street Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. I �} At,Vrcv cv 11.vv 11vy7 Cn� CERTIFIC.A 'E .0F INSURA,.NCE CSR SG DATE (MMiunm) DIVER 02/09/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The. Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 COMPANIES AFFORDING COVERAGE PAM CURRY COMPANY 305-289-0213 A Progressive INSURED COMPANY B COMPANY J Diversified Services Company C D-50 11th Ave Stock Island Key West FL 33040 COMPANY D COVERAGES 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. C R INSURANCE TYPE OF INSU POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY _ GENERAL AGGREGATE E PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE F—IOCCUR PERSONAL & AD V INJURY S EACH OCCURRENCE S OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) S MED EXP (Any one person) E AUTOMOBILE LIABILITY A ANY Auro CA048574572 01 /01 /98 01 /01 /99 COMBINED SINGLE LIMIT $ 500,000 ALL OWNED AUTOS BODILY INJURY E X SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE E AD"F?PVFD RY RISK hl �AGFMFNT GARAGE LIABILITY RY —�T'-T.ITI�' AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ (1•'TE AGGREGATE $ EXCESS LIABILITY fit; a "./FR: N/A yri EACH OCCURRENCE $ UMBRELLA FORM o AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY LIMITS EACH ACCIDENT s THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL �. DISEASE - POLICY LIMIT $ DISEASE - EACH EMPLOYEE $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 1991 Ford E150 1FTDE14Y7MHB21205 1984 Chevy Cargo IGCEG25D3E7167993 Certificate holder is an additional insured. CERTIFICATE HOLDER CANCELLATION MONRC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Commissioners 10 - DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Donna Perez 5100 College Road B TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 ANY KIND N THE COMPANY, ITS AGE OR REPRESENTATIVES. AUT ZE'R SENTATIVE AMC ACOttIi x5-S (3193)`'� - `- LION 3 M-0 Apr 20 04 11:56a Johnsons Insurance ftenoS 305-743-1810 p.1 TSM5OVUL%ASHGHWAY 30975AVB�RIEA VAR R 33070 BIG PM KEY, R 33043 Fax Transmittal TO: M(,1f,0C Cav ATTN: > RE: Ij Sj2k tW_0_z 13361 OVERSEAS FIfahf WAY MARATHON SHORM fl 33050 DATE: _l 1--Z01W FROM: " Lat MESSAGE: c cam- & nvl& iNUMBER OF PAGES_ INCLUDING THIS BEEN SENT. IF YOU DO NOT RECEIVE COVLR S/!$ET HAVE IVE ALL PAGF,S INDICATEDr PLEASE ADVISE ny FAX (305)793-1810 OR CALL (305)289-0213. "rtauR F1C7RlDA KEYS 1/VStg241Vt(F CI-MBP' TAVERNER MARATHON Noptr- ARP AWS4 KVY _ $52 924a 7 -0217 a g MM a 29[•�7+g enterva next to b {;tJVt wje urr urC L x drdtfurrb u, ignote the only "autos' that are covered 'autos'. A. DESCRIPTION OF COVERED AUTO DES- IGNATION SYMBOLS SYMBOL DESCRIPTION 1 - ANY "AUTO'. 2 - OWNED "AUTOS' ONLY. Only those 'autos" you own (and for Liability Cover- age any "trailers" you don't own while at- tachcd to power units You own). This includes those 'autos' you acquire own- ership of after the policy begins. 3 - OWNED PRIVATE PASSENGER'AUTOS- ONLY. Only the private passenger 'autos' you own. This includes those private pas- senger 'autos' you acquire ownership of after the polity begins. 4 - OWNED "AUTOS" OTHER THAN PRI- VATE PASSENGER 'AUTOS' ONLY. Only those 'autos' you own that are not of the private passenger type (and for Liability Coverago any 'trailers' You don't own while attached to ni,..........:..- ,.._._. quired to have and cannot ►eject Uninsured Motorists Coverage. This Includes those `autos" you acquire ownership of after the policy begins provided they are subject to the same state uninsured motorists rg- quirement. 7. SPECIFICALLY DESCRIBED 'AUTOS". Only those 'auum' described in ITEM THREE of the OecWauons for which a Premium charge is shown (and for Liability Coverage any 'trailers' you don't own while attached to any power unit described in ITEM THREE). 8 _ HIRED 'AUTOS" ONLY. Only those 'auttm' you lease, hire, rent or borrow. This does not include any 'auto' you lease, hire, rent, or borrow from any of your employees or partners or members of their households. 9 NONOWNEO 'AUTOS" ONLY. Only those, "autos" You do not own, lease, hire, rent or borrow that are used in connection with Apr 20 04 11:56a Johnsons Insurance RCenes 305-743-1810 p.3 with a load capacity of 'L,000 "Trailers" designed primarily for travel pounds or 11. desig 2, But, if symbol 's entered next to a coverage on Public roads. of the Declarations, an "auto" being carried a "auto" tog that merit" while in ITEM TWO covered Z, -Mobile equip •• you acquire IN be a towed by a covered "auto � while used with coverage only " that you own " you do not own temporary Cover all "autos Any "auto Y its owner as a a. We already a or it replaces an "auto,, 'J• ermission of " you own that the P for that coverafl owned that had that cov- substitute for a covered "auto you Previous °w ;s out of service to'3because of its: era9e% and f you acquire Breakdown: b. You tell us within 30 days after y a.Repair; it that You want us to cover .t for that b b. Repo coverage. c, Servicing; TRAILERS, MOBILE E4UIPMEN7 C. CERTAIN d, "Loss": or AND TEMPORARY SUSSTITUT hiS AUTOS rage e. iJestruction. It Liability Coverage is Provided by the following types o1 vehicles are also Form, " Coverage' covered autos" for Liability �. --- SECTION II -LIABILITY GOVERAOE WHO IS AN INSURED The following are "insureds": A. COVERAGE must "auto "insured" legally " or a. You for any covered our per - We will pay all sums an "bodily iniurY with your or pay as damages because of b. Anyone else while using you own. "property " to which this insurance from mission a covered auto" dan►a9an "accident" and resulting vered borrow except. whom plies. caused by anyone else from the ownership, maintenance or use (1i The owner Or a covered "auto". ou hire or borrow not apply if the "auto". "insured" legally y exception does " all sums an " ~trailer connected We will also PAY IlutiOn cost or expense This ou own. must pay as a covered pollution caused by an covered "auto" is a the ownershiP. to a Covered "auto Y to which this insurance applies. "However. (2) Your employee it the covered "member "accident" and resulting from by that employee or a Of Covered "autos f`ution cost owned maintenance or use fr the "covered P° we will only Pay ,1 in 'Jury or of his or her household. "while or expense if there is either 'bed Y f (3i Someone using a covered "auto or ex e n damage" to which this insurance aP- in a business of same "accident". he or she is Workmgairing, Parking or plies that is caused by the to defend any "in' selling, servIcing, repairing. We have the right and duty for such damages storing "autos" unless that business is against a "suit' asking How- yours. sured Pollution cost Or expense". our employees, or a .coveredP° to defend any "insured" a Anyone other than YOf we have lessee or borrower Or any rt ever. ., no duty suit" seeking damages for bodily in- � artners, a agaMst a damage to which thiate and heir employees• whi. moving Property fury" or..Property 1, Wo may invesff to or from a covered "auto". once doeselaim or "suit" as we consider aPPfO' settle any to defend or settle ends when the priate.our od Limit of insurance has been Liability merit of judgments or settle - exhausted by Pay menu. Copyright. insurance Services �OtGe' Inc-, 1993 CA00011393 ❑ Page Z of 11 Apr 20 04 11:57a Johnsons Insurance ACency 305-743-1010 p•4 (6) A partner of yours for a covered "auto" owned by him or her or a member of his or her household. c. Anyone liable for the conduct of an "in- sured" described above but only to the extent of that liability. 2, COVERAGE EXTENSIONS a. Supplementary Payments. In addition to the Limit of Insurance, we will pay for the. "insured": (1) All expenses we incur. (2) Up to $250 for cost of bail bonds (in- cluding bonds for related traffic low vi- olations) required because of on "accident" we cover. We do not have to furnish these bonds. (3) The coat of bonds to release attach- ments in any "suit" we defend, but only for bond amounts within our Limit of Insurance. (4) All reasonable expenses incurred by the "insured" at our request, including ac- tual loss of earning up to $100 a day because of time off from work. (5) All costs taxed against the "insured" in any 'suit" we defend. (6) All interest on the full amount of any judgment that accrues after entry of the judgment in any "suit" we defend. but our duty to pay interest ends when we have paid, offered to pay or deposited in court the part of the judgment that is within our Limit of Insurance. b. Out -of -State Coverage Extensions. While a covered "auto" is away from the state where it is licensed we will: (1) Increase the Limit of Insurance for Li- ability Coverage to meet the limits specified by a compulsory or financial responsibility law of the jurisdiction where the covered "auto" is being used. This extension does not apply to the limit or limits specified by any law governing motor carriers of passengers or property. I(2) Provide the minimum amounts and types of other coverages, such as no- fault, required of out-Of-st&te vehicles by the jurisdiction where the covered "auto" is being used. We will not pay anyone more than once for the some elements of loss because of these extensions. B. EXCLUSIONS This insurance does not apply to any of the fol- lowing: 1. EXPECTED OR INTENDED INJURY "Bodily iniury" or "property damage" expected or intended from the standpoint of the "in- sured". 2. CONTRACTUAL Liability assumed under any contract or agreement. But this exclusion does not apply to liability for damages: a. Assumed in a contract or agreement that is an 'insured contract" provided the "bodily injury' or "property damage" oc- curs subsequent to the execution of the contract or agreement; or b. That the "insured" would have in the ab- sence of the contract or agreement. 3. WORKERS' COMPENSATION Any obligation for which the "insured" or the "insured's" insurer may be held liat)le under any workers' compensation, disability benefits or unemployment compensation law or any similar law. 4. EMPLOYEE INDEMNIFICATION AND EMPLOYER'S LIABILITY "Bodily injury" to: a. An employee of the "insured" arising out of and in the course Of employment by the "insured"; or b. The spouse, child, parent, brother or sister of that employee as a consequence of paragraph a. above. CA 00 01 12 93 Copyright, Insurance Services Office, Inc., 1993 Page 3 of 11 0 ACORD CERTIFICATE OF LIABILITY INSURANCE DIOP ID P DATE(MM/DD/05 DIVER-1 O1 12 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone : 305-289-0213 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Nova Casualty Company INSURER B: Diversified Services Of Key INSURERC: West Inc. D-50 llth Avenue Stock Island INSURERD: Stock Island FL 33040 INSURER E: lIvV CRfkurza 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER worytTfECTW DATE MMIDD/YY DATE MM/DD/YY N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 500 , 000 (Ea occurence) $ 100,000 A X COMMERCIAL GENERAL LIABILITY 09AL052613 01/01/05 01/01/06 -PREMISES MED EXP (Any one person) s5,000 CLAIMS MADE OCCUR PERSONAL &ADV INJURY $ 500 , 000 GENERAL AGGREGATE $ 1 , 000 , 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY AFC oi_ '!PI':I;r.q �3i�+�G 1A Nf EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE By DEDUCTIBLE DATE .-----f..../..-'.. _.,__....,_._ $ RETENTION $ W.A.W E R$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Qo�E.L. TORY LIMITS ER EACH ACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below " Cc _k_3Z E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Janitorial Services- no windows-comercial only *The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and locations.*Certificate holder is additional insured* f`GIRTIFIrATF 14AI n;=R UAN(:tLL.A l 1UN MONRO- 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County BOCC IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street Key West FL 33040 R R ENTATIVES. A TH E9 _, (TI/ VF ACORD 25 (2001/08) v A%IUKU %Iumrumm I iUry I V00 OP ID P DATE (MMIDD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE DIVER-1 01 12 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone : 305-289-0213 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Granada Insurance Company 09730 INSURER B: Diversified Services Of Key INSURERC: West Inc. D-50 llth Avenue Stock Island INSURER D: Stock Island FL 33040 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/CY D/EFFECTIVE DATE MM/DD/ICY EXPIRATION LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ O RE PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO - JECT PRODUCTS - COMP/OP AGG $ A AUTOMOBILE AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AC00220002008 01/01/05 01/01/06 COMBINED SINGLE LIMIT (Ea accident) $ 500 r 000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ 1 I " " �— WAIVER EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below TORY LIMITS ER E.L. EACH ACCIDENT _ $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER � l DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and locations.*Certificate holder is additional insured.* CERTIFICATE HOLDER CANCELLATION MONRO— 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County BOCC 1100 Simonton Street IMP NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 RE RE ENTATIVES. 42) AU O IZED REPRESgMWVE AV Jo than . Diamond ACORD 25 (2001108) U AGORD CORPORATION 1988 (( A ACORD CERTIFICATE OF LIABILITY INSURANCE CSR ,JD DATE(MM/DD/YYYY) DIVER-1 01 25 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johhsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone: 305-289-0213 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Old Republic Surety Co. Diversified Services Of Key INSURER B: West Inc. INSURER C: D-50 llth Avenue Stock Island INSURERD: Stock Island FL 33040 INSURER E: �.vvcrcrwvw 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Mb LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEOL'C MM/DD/"ECYY DATEPOLICY MM/IRATIN DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR = I ; PREMISES (Ea N I tuurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOG PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS -�rry,r— aT BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ lJ GARAGE LIABILITY ANY AUTO , """'— 'Al� t Y�� ,. �: 51JA -^ �� ( ��'-"'" AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE C$ EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If es, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ OTHER X Fidelity Bond OBS458361 10/02/04 10/02/05 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS janitorial services. CERTIFICATE HOLDER CANCFI I ATInN MONRO-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County StreBOCCet rJ^� IMPOSE BLIGATION OR LIABILI F ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street / C/// TIVES. Key West FL 33040 RE ESE ATIVES. ACORD 25 (2001/08) r pt-at" �t © ACORD CORPORATION ACORD CERTIFICATE OF LIABILITI( INSURANCE OP IDjp DATE(MM/DD/YYYY) DIVER-01 13 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone: 305-289-0213 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Old Republic Surety Co. INSURER B: Diversified Services Of Key INSURERC: West Inc. D-50 llth Avenue Stock Island NSURERD: Stock Island FL 33040 ENS INSURER E: .iV V GF%^VGJ 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSR TYPE OF INSURANCE POLICY NUMBER P LI Y E E TIVE DATE MM/DD/YY LI Y XPIRATI N DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR .... -: .. _. PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ - - - GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO - COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS Ap�;'i:", - h1� - 1 J• j` a BODILY INJURY (Per accident) $ ---------- M - .. < N/A - + _. -. - - <' ': PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT $ $ GARAGE LIABILITY ANY AUTO �l�hi *" .`•J OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE JJ A $ RETENTION $ $ WORKERS COMPENSATION AND - EMPLOYERS* LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ Des describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER 1 Old Republic FIDELITY BOND Bond Amt $10,000 Surety Company ORS1006 01/13/06 01/13/07 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *JANITORIAL SERVICES* CERTIFICAT E HOLDER r-ANIrGI I ATInW MONRO2 0 SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Maria Slavik 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 R R SENTATIVES. A TH ED REP ATIVE Jo at an H . J_am d ACORD 25 (2001P8) © ACORD CORPORATION 1988 DATE(MMlDDmw) ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID P PRODUCER DIVER-1 O1 24 06 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Johnsons Insurance A enc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone: 305-289-0213 INSURERS AFFORDING COVERAGE INSURED NAIC # INSURER A: Progressive Express Ins. Co. Diversified Services Of Key INSURER B: West Inc. INSURER C: D-50 filth Avenue Stock Island Stock Island FL 33040 INSURERD: INSURER E: COVERAGES 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 POLICIES. AND CONDITIONS OF SUCH AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER P LI Y EF E IVE P LI Y I N DATE MMIDDIYY DATE MM/DD/YY GENERAL LIABILITY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ PREMISES (Ea occurence) $ CLAIMS MADE OCCUR } MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY A $ ANY AUTO 03357398-0 COMBINED SINGLE LIMIT 01/i /06 01/11/07 (Ea accident) $ 500 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ .. GARAGE LIABILITY � ,.�.., � � .�. , (Per accident) AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN ACC $ EXCESS/UMBRELLA LIABILITY AUTO ONLY: AGG $ OCCUR CLAIMS MADE _ EACH OCCURRENCE $ _ AGGREGATE DAYE__ ___Y .,3 $ DEDUCTIBLE RETENTION $�J�l��/4 ; ! ^ �/ $ _.1L E S WORKERS COMPENSATION AND `L-'� — ' $ EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE I OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ OTHER E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS *The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and locations.* CERTIFICATE HOLDER CANCELLATION MONRO20 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O DAYS WRITTEN Monroe County Board Of County Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5100 College Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR R �sENranves. Key West FL 3304014 A TI RIZED REPS I RTATIVE J at an H. DiamondC ACORD 25 (2001/08) CG; �`'�'L' ©ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID P DATE(MM/DD/YYYY) DIVER-1 02 09 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone : 3 05 - 2 89 - 0213 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Nova Casualty/PUA INSURER B: Diversified Services Of Key I West Inc. NSURERC: D-50 llth Avenue Stock Island INSURERD: Stock Island FL 33040 INSURER E: L:UV1=KACat5 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER P LI Y E TIVE DATE MM/DD/YY Y EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 500 , 000 A X COMMERCIALGENERALLIABILITY CLAIMS MADE OCCUR 09AL05261&_.__. }P w01/O1/.06 ' � "4. A a 01/01/07 PREMISES (Eaoccurence) $ 100,000 MED EXP (Any one person) s5,000 PERSONAL & ADV INJURY $ 500 , 000 ....-_ .... .........._ ...,..;...._ _...... GENERAL AGGREGATE $ 1 , 000 , 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1 , 000 , 000 POLICY PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS - - BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ �- i - ' GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE h\P __^'' 1(r M.iJ EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ - - - --1 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Oyes, describe and EXCLUDED? S yes, describe under SPECIAL PROVISIONS below 11VA I V I -111 ) 171 - C —TA TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER ( r DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Janitorial Services- no windows-comercial only*The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and locations.*Monroe County BOCC is also additional insured.* yMl`I V GL4f1 1 1 V I\ MONRO2 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners 5100 College Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 ..R ESENTATIVES. ACORD 25 (2001/08) © ACORD CORPORATION 1988 AC01M CERTIFICATE OF LIABILITY INSURANCE _�P �D DE DATE (MMIDDM YY) The Johnsons Insurance Agency i I IJI'^t 13361 Overseas Highway HOLDER. HOLDER. ALTER T Marathon FL 33050 (" - I INSU ERS, Phone:305-289-0213 + INSURED _. __ _— _.._ — - I _._ L SURE A Diversified Services 0' Ke I West Inc. I y' r.� �I,�,I D-50 llth Avenue Stock. Island ,�,,, ,�, Stock Island FL 33040 II INSURE e. c:_ NSURER C: C(1VFCAGCC INSURER E. ATE IS ISSUED AS A MATTER OF INFORMATION WEIRS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AMEND, EXTEND OR VERAGE AFFORDED BY THE POLICIES BELOW. NG COVERAGE NAIC # Casualty/PUA 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS, LTR NSR TYPE OF INSURANCE POLICY NUMBER POLI Y E PECTIVE P LICY XPIRATION DATE MM/DDIYY DATE MM/DD/YY LIMITS GENERAL LIABILITY A $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR - 09AL052613 01/01/07 01/01/08 EACH OCCURRENCE $500,000 — PREMISES (Ea occurence) $100,000 MED EXP (Any one person) $ 5 r 000 PERSONAL 8 ADV INJURY $ ,5Q01000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG $ 1 / 000 r 000 PRO POLICY JECT JECTLOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) -- $ ALL OWNED AUTOS BODILY INJURY (Per person) -. $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per acedent) --. $ NON -OWNED AUTOS PROPERTY DAMAGE (Per apodent) $ GARAGE LIABILITY ANY AUTO - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY - $ OCCUR ❑ CLAIMS MADE ` EACH OCCURRENCE AGGREGATE $ DEDUCTIBLE RETENTION $ ' —� WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICE SPECIAL PROVIER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below / I! 111 ,, '" _ TORY LIMITS ER EL EACH ACCIDENT § EA EMPLOYEE E.L. DISEASE - IMIT ICY — — $ OTHER �II f�1s" DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Janitorial Services- no windows -commercial only *The amount Of coverage on this certificate applies for the total amount Of coverage available for all jobs and locations* HOLDER IS ALSO ADDITIONAL INSURED CC ; 1' ( ri Q- n G CERTIFICATE HOLDER MONRO-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $O SHALL 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY ANY D UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES, AUT IZED REPR S NT I5 (2001/08) J o © ACORD CORPORATION 1988 -0Ct�n C CT)4 JOHNSONS INS AGCY 13361 OVERSEAS HWY MARATHON, FL 33050 305-289-0213 Certificate of Insurance .W...n,.o.nnunmrr Policy number: 03357398-1 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY March 16, 2007 Page 1 of 2 Certificate bolder Insured Aged Additional Insured DIVERSIFIED SERCVICES OF JOHNSONs IN AGCY MONROE COUNN/ROCC KEY WEST 13361 OVERSEAS HWY 1201 SIMONTON D-50 11 TH AVE MARATHON, FL 33050 KEY WEST, FL 33040 KEY WEST, FL 33040 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. Policy Effective Date: Jan 11, 2007 Policy Expiration Date: Jan 11, 2008 Insurance menage(s) Limits ............................................................................................................................................................................. BODILY INJURY/PROPERTY DAMAGE $500,000 COMBINED SINGLE LIMIT ............................................................................................................................................................................. UNINSURED MOTORIST $10,000/$20,000 NON-STACKED ............................................................................................................................................................................. PERSONAL INJURY PROTECTION $10,000 W/$0 DED - NAMED INSURED ONLY Description of LocationNehicles/Special Items Scheduled autos only ............................................................................................................................................................................. 2005 CHEVROLET EXPRESS G2500 1 GCGG25V3511 25764 Stated Amount $18,000 COMPREHENSIVE $500 DED COLLISION $500 DED ............................................................................................................................................................................. 2006 GMC SAVANA G1500 1GTFG15XX61202316 Stated Amount $22,000 COMPREHENSIVE $500 DED COLLISION $500 DED N Continued C C C=� Policy number: 03357398-1 Page 2 of 2 Certificate number 07507NET398 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241 (10102) AC01M. CERTIFICATE OF LIABILITY INSURANCE . _OnD DE DATE (MM/DD WVY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION " -'- ---- --0NI Y- CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency ' (4 HOLDER. I HIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Hiq_ hway _ "...: > _ ALTER TH COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone: 305-289-021:3 INSU ERSA=FORDING COVERAGE NAIC# FEB L INSURED ( I suRE A ova Casualty/PUA INSURE B Diversified Services Of Key-_____ - '- — - West Inc. D-50 llth Avenue Stocks Island Stock Island FL 33040 __._.._ a iA" r 'E: INSURER D 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS. LTR SRI TYPE OF INSURANCE POLICY NUMBER POLICY E FIE THE DATE M DvVY1 PULICY EXPI TION DATE MM/DDIW - '- LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 500,000 A X. COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR 09AL052613 01/01/07 01/01/08 PREMISES (E.occurence) $100,000 MED EXP (Any one person) $ 5,000 PERSONAL $ADV INJURY $ 500,000 GENERAL AGGREGATE $ 1 000 000 GEN'L AGGREGATE LIMFr APPLIES PER: POLICY JECT LOC PRODUCTS-COMP/OP AGO r r $11000,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS - SCHEDULED AUTOS BODILY INJURY (Per person) $ - HIRED AUTOS -- NON -OWNED AUTOS BODILY INJURY (Per acodenl) $ PROPERTY DAMAGE (Per a oodenf) $ - -' -- GARAGE LIABILITY 1 ANY AUTO - ' - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ _ $ AUTO ONLY: AGO EXCESS/UMBRELLA LIABILITY ^ OCCUR El CLAIMS MADE - -. EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION E WORKERS COMPENSATION ANDWC EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/E}IECUTIVE OFFICER/MEMBER EXCLUDED? Ifyes,scribePROVISIONS (/ a `-" Il l y f f.(;O• TORY LIMITS ER E.L. EACH ACCIDENT $ E.I DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Janitorial Services- no windows -commercial only *The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and llo-cations'+ HOLDER IS ALSO ADDITIONAL INSURED GC " >-� n a. n e e, CcoTICIr.TC unr nce _-..... ._...-..----•• IAINU=LL IIUN MONRO-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County BOCC 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY ANY D UPON THE INSURER, ITS AGENTS OR Key West FL 33060 REPRESENTATIVES. © ACORD CORPORATION 1988 RF,CEIVED JUN 2 1 2007 zooseaieoa JUN 1 4 M7 I MONROE COUN L — i - -_� Request For Waiver of Insurance Requirements It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following contract. Contractor: Diversified Services of Key West Inc Contract for: Monroe County - Key West Library and DJJ-2°d Floor Address of Contractor: D_50 11 " Avenue. Kev West Florida 33040 Phone: (305) 2944783 Scope of Work.: Janitorial Services Reason for Waiver: Exempt — Corporate Officer (less than four emplovees) Policies Waiver Gudelio Cabrera President will apply to: Signature of Contractor: Approved Not Approved Risk Management _�= n 4 Date ltJ i_Y 0 County Administrator appeal: Approved: Not Approved: Date: Board of Comity Commissioners appeal: Approved: Meeting Date: Administration Instruction #7500 Not Approved: 104 ACORD DIVER - CERTIFICATE OF LIABILITY INSURANCE OF ID D 1 06 07 07 DarE6/07//07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agen #2ECEIVED HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 JUN 0 8 2007 ]— I phone:305-289-0213 INSURERS AFFORDING COVERAGE NAIC# WsuRED - f INSURER A. Old Republic Surety Co._ INSURER B _ _ Diversified Services Of Key INSURER C. West Inc. - — - D-50 llth Avenue Stock Island D. _( _2007 . Stock Island FL 33040 ,.,S RER - - V V V CR/1V CJ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHS 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . LTR HER TYPE OFINSURANCE POLICY NUMBER DATEYMM/DD/YY PDATE MMIDDA N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ - PREMISES (Ea omorence) _- $ COMMERCIAL GENEFIAL LIABILITY MED EXP (Any one person) $ CLAIMS MADE I� OCCUR PERSONAL 8 ADV INJURY - X Old Republic Sure OBS0561241 01/13/07 01/13/08- GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $ Bus Servi _ 10,000 POLICY PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) HIRED AUTOS NON -OWNED AUTOS $ PROPERTYDAMAGE (Per acc dent) $ GARAGE LIABILITY �_� ANY AUTO - 1� 'a Q AUTO ONLY-EAACCIDENT E $ _ $ _- OTHER THAN EA ACC AUTO ONLY. ASS EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S AGGREGATE_ OCCUR CLAIMS MADE _ $ DEDUCTIBLE _ $ RETENTION $ WORKERS COMPENSATION AND I TORY LIMITS ER E. L. EACH ACCIDENT E_ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE EL DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER X Old Republic Suret - OBS0561241 01/13/07 01/13/06 Bus. Services Bond DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION MONRO14 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County, Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Co=i ssi Oners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Kathy Mravic IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 3583 South Roosevelt Blvd. Key West EI. 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE /I 'gyp, Jonathan H. Diamond (6mR/1 ACORD 25(2001108) VAUVKU L:VKYVK 1IVNI lVOO 2pcilLGCeAp C IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROISATION 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. I OP ACORD CERTIFICATE OF LIABILITY INSURANCE DIVER-1 06D DATE/ OS07 DD/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone:305-289-0213 INSURERS AFFORDING COVERAGE NAIC# INUUKED INSURER A. Nova UasuaLLLy/YUH _ INSURERS Diversified Services Of Key West Inc. -- INSURERS: - - D-50 llth Avenue Stock Island INSURER D. StockIsland FL 33040 -- -- - - INSURER E COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR NSR TYPE OF INSURANCE POLICY NUMBER EFFECCY DATEYMM/DD/W E PDATE D/V1' PIRKTION' MMA) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 Ea occurence)_ $lOO, OOO A X COMMERCIALGENERALLIAOCCUR CLAIMS[ 09AL052613 01 01 07 Ol O1 08 _PREMISES MED EXP (Any one person) _ $ 5,000 - - PERSONAL & ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/Op AGG s2,000,000 POLICY PRO LOC LIJECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per acpdent) III .1 1 41RED AUTOS NON -OWNED AUTOS $ -� PROPERTY DAMAGE (Per awident) $ GARAGE LIABILITY AUTOONLV-F.AACCIDENT E ANY AUTO , OTHER THAN --EA ACC 8 AUTO ONLY'. AGO E UMBRELLA LIABILITYCAIM EXC OCCUR OCCUR CLAIMS MADE 1 jl - `-7(1y^- - %> lam, EACH OCCURRENCE $ AGGREGATE E $ DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION AND TORV LIMITS ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXIECUTIVE E.L. EACH ACCIDENT $ _ E.L. DISEASE -EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED' It yes, desmbe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Janitorial Services- no windows -commercial only *The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and locations..** **HOLDER IS ALSO ADDITIONAL INSURED** M014ROI4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO Monroe County, Board of County DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 DAYS WRITTEN Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 30 SHALL Kathy Mravic IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 3583 South Roosevelt Blvd. Key West FL 33040 REPRE§AVTATIVES. Jo ari H:-Li nd ACORD 25 (2001/08) ©,AqO IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGGRD 25 (200110B) JOHNSONS INS AGCY 13361 OVERSEAS HWY MARATHON, FL 33050 305-i 89-0213 Certificate of Insurance Policy number: 03357398.1 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY June 5, 2007 Page 1 of 2 Certificate Holder Insured Aaent ........... ................. ... ............... Additional Insured ......... _....... .. ......... ...,.. DIVERSIFIED SERCVICES OF ........__ ..,... ...... ............ ...... _........ JOHNSONS INS AGCY MONROE COUNTY/BOCC KEY WEST 13361 OVERSEAS HWY 3583 S ROOSEVELT BLVD D-50 11 TH AVE MARATHON, FL 33050 KEY WEST, FL 33040 KEY WEST, FL 33040 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. Policy Effective Date: Jan I1, 2007 Policy Expiration Date: Jan 11, 2008 Insurance coverage(s) Limits BODILY INJURY/PROPERTY DAMAGE $500,000 COMBINED SINGLE LIMIT ............................................................................................................................................................................ UNINSURED MOTORIST $10,000/$20,000 NON -STACKED PERSONAL INJURY PROTECTION $10,000 W/$0 DED - NAMED INSURED ONLY Description of LocationNehicles/Special Items Scheduled autos only 2005 CHEVROLET EXPRESS G2500 1GCGG25V351125764 Stated Amount $18,000 COMPREHENSIVE $500 DED COLLISION $500 DED ............................................................................................................................................................................. 2006 GMC SAVANA G1500 1 GTFG15XX61202316 Stated Amount $22,000 COMPREHENSIVE $500 DED COLLISION $500 DED R"tv6 X Continued Policy number: 03357398-1 Page 2 of 2 Certificate number 15607NET398 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. C Form°241 (10/02) Y110diL,t Q/ fi 9/, ACORG' CERTIFICATE OF LIABILITY INSURANCE OP ID DE DATE(MMDDMYY) DIVER-1 05 29 08 PRooucea THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone:305289-0213 INSURERS AFFORDING COVERAGE NAIC# NSURED Diversified Services Of Key West Inc. D-50 llth Avenue Stock Island Stock Island FL 33040 rnueenr_vc INSURER A: Old Re Old surety CO INSURER B: INSURER C. INSURER D: INSURER E'. 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMSHIS. LTR NSR TYPE OF INSURANCE POLICY NUMBER P L EFFE VE DATE MM/DD/YY P I Y TIO DATE MMIDD LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR $10,000 Bond OBS-0561241 01/13/08 01/13/09 EACH OCCURRENCE $ PREMISES (Ea occurence) $ MED FXP (Any one person) -PERSONAL $ R &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOB COMBINED SINGLE LIMIT (Ea eecitlent) $ BODILY INJURY (Per person) BODILY INJURY (Per acdtlenp PROPERTY DAMAGE (Per eccitlenp $ $ $ - — GARAGE LIABILITY ANY AUTO i _ J) � � l-J �Y AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY'. qGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ 1 EACH OCCURRENCE _ $ _ AGGREGATE $ $ - " R WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ifyes,tlesctlbeuntler SPECIAL'PROVIS)ONS below OTHER Old Republic Sure OBS-0561241 FT �-•� U O1/13/08 101/13/09 TORV LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE -— $ E. L. DISEASE -POLICY LIMIT $ Bond 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Special Services Bond RE(''�TZrFDI JUN 0 2 2008 CFRTIFICATF Mill nco _--.___ _ _— BY_ : MONRO14 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI Monroe County, Board Of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN KathyCommiravic8 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Kathy Mravic 3583 South Roosevelt Blvd. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. I ACORD 2E C6 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DE DATE(MWDD/YYYY) PRODUCER The Johnsons Insurance Agency 13361 Overseas Highway Marathon FL 33050 DIVER-1 O5 29 08 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. Phone: 305-289-0213 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Nova Casualt �PUA Diversified Services Of Key West Inc. D-50 llth Avenue Stock Island Stock Island FL 33040 INSURER S. INSURER C. INSURERD' INSURER E'. COVFRArIsA 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR P.M. TYPE OF INSURANCE POLICY NUMBER P I V E E TV DATE MM/DD/YY Is LI XPI N DATE MM/DD - LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE EOCCUR 09AL052613 Ol/Ol/08 Ol/Ol/09 EACH OCCURRENCE $ l r OOQ rOOO PREMISES (Eao=.noe) $1001000 MED E%P (Any one person) $ 5 000 r PERSONAL $ ADV INJURY $ 1,000,000 -- -- GENERAL AGGREGATE $ 2 r 000 r 000 — GEN'L AGGREGATE PLI MIT APPLIES PER POLICY JECT LOG PRODUCTS - COMP/OP AGG $ 2 r 000 r 000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON-OWNEDAUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accudenl) $ GARAGE LIABILITY ANVAUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE Y I EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ — -— E WORKERS COMPENSATION AND _ EMPLOYERS'LIABILITY TORY LIMITS ER E. L. EACH ACCIDENT $ — ANY PROPRIETORIEXCLUDED' Oyes,de/MEMBER CLUDED? eunder E.L. DISEASE -EA EMPLOYEE $ S yes, describe PRO ISIO SPECIAL PROVISIONS below OTHER E.L. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROV1810NS Janitorial Services- no windows-comercial only *The amount of coverage on this certificate applies for the total amount of coverage available for all RECEIVE jobs and locations** ***HOLDER IS ALSO ADDITIONAL INSURED*** JUN 0 2 2008 CERTIFICATE HOLDER CANCELLATION--_- MONROl4 Monroe County, Board of County KathyCommissioners KathMravic SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 3583 South Roosevelt Blvd. Key West FL 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AU TOO D ASPIRE TATIV ACORD 25 (2001/0111 Jo i nd ACORD CORPORATION 1988 �c'J IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 25 JOHNSONS INS AGCY 13361 OVERSEAS HWY MARATHON, FL 33050 305-289-0213 FRFC FTVFD JUN 0 2 2008 i BY:___ Certificate of Insurance PROGREforly ' Policy number: 03357398.2 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY May 29, 2008 Page 1 of 2 Certificate Holder ........................................................................................... Insured Agent Additional Insured . � � � ��'��....'.JOHNSONS DIVERSIFIED SERCVICES OF MONROE COUNTY BOCC KEY WEST 13361 OVERSEAS HWY 3583 S ROOSEVEL D-50 11 TH AVE MARATHON, FL 33050 KEY WEST, FL 33040 KEY WEST, FL 33040 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. ........................................................................... Po icy Effective Date: Jan 11, 2008 PolicyDateExpiration Date: Jan 11, 2009 Insurance coverage(s) Limits .................................................................................... . BODILY INJURY/PROPERTY DAMAGE.................................................................................. ..........................................................$SOO,00000MBINED SINGLE LIMIT........................................................ . .. ......... UNINSURED MOTORIST $10,000/$20,000 NON-STACKED ....................................................................................... . PERSONAL INJURYPROTECTION $10,000 W/$0 DED -NAMED INSURED ONLY Description of Location/Vehicles/Special Items Scheduled autos only ................................. Stated 5 CHEVROLEi EXPRESS G2500 1GCGG25V351125764 . .... .".""....'"....."......"....."'. Stated Amount $18,000 COMPREHENSIVE $500 DED COLLISION $500 DED ................................................................. ................................................. 2006 GMC SAVANAG7500 1GTFG15XX61202316 Stated Amount $22,000 COMPREHENSIVE $500 DED COLLISION $500 DED j rR M Cominued Policy number: 03357398.2 Page 2 of 2 Certificate number 15008NET398 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Porn 5241 (10102) MAY 01,2007 13:26 000-000-00000 Page 1 OB-2S-2006 TOM GALLAGHER STATE OF FLORIDA CHIEF FINANCIAL OFMIRI DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION • • CERTIFICATE OF EXEMPTION FROM FLORIDA WORKERS' COMPENSATION LAW . . NON -CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below her elected to be exempt from Florida Workers' Compensation Law. EFFECTIVE DATE: 05/2412008 0 0 EXPIRATION DATE: N/A PERSON: CABRERA GUDELIO FEIN: 661030844 BUSINESS NAME DIVERSIFIED SERVICES OF KEY WEST INC AND ADDRESS: 50-D TTTH AVE KEY WEST FL 33040 SCOPES OF BUSINESS 1- JANITORIAL OR TRADE: IMPORTANT: Pursuant to Chatter 440 . 06041. F.S., an officer of a corporation wle *login examption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. UVII CERTIFICATE OF ELECTION TO BE EXEMPI REVISED 01-04 OUESr10NS1 (11% 413-1809 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPIIITeteNT of PRyNCR1L RERVICEn dyIRIDN OF WORKeW COWENSATION F NON-rF IiTRUCTION IMMOTRY 0 CRRTMICATE OF EXEMPTION FROM FLORIDA WOIINCRRCOMPENUITKON LAW L EFFECTIVE: 05/34/200e D P • EXPIRATION DATE: N/A H PERSON OUDELIO CARRIMA E FEIN: 65103ea44 R E BUSHWLSS NAME DIYpRE'TMEDVSERVICES Of KEY IE AND ADDRESS: KKEY NEST. PL 33040 SCOPE OF BUSIAESS OR TRADE: t-AANrtMR CUT HERE IMPORTANT PWWMt U Ch*w 440.051R1, F.S., a office of a ewWmiee WIN ONCIs Welrignion train this trillion by filing certiflcala at election under this section may not recaor beneON or CarnFeltlOmt Wear this chopler. QUESTIONS? 1150 413-1609 o Carry bottom portion on the Job, keep upper portion for your records. OWC 252 CERTIFICATE OF ELECTION TO BE FXFMPT REVISED 01-04 ACOR._D. CERTIFICATE OF LIABILITY INSURANCE a ID AE( DATE ( 1 1509 PRoouc� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Johnsons, insurance ]lacy ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon !L 33050 phane s 305-ZS9-OZ 13 INSURERS AFFORDING COVERAGE NAIC III INSURED INSURER A: Nova CaH=ualty/pua INSURER W.Diversified Services Of Key Pest Inc . gg -30 11 1s andA >f'L 338SOk Island INSURER C. INSURERD. INSURER E: cwepiwEs 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMAS. LTR NBC TYPE OF INSURANCE POLICY NLMIBlR DA DATE LEIRS GENERAL LIABILITY EACH OCCURRENCE s 1, 000, 000 A x com ERcIALGENERALLIABILITY CLAIMS MADE OCCUR 09AL052613 01/01/09 01/01/10 PREMISES Eaooauenoe $ 1000000 MED EV (Any one person) $ 5, 000 PERSONAL A ADV INJURY $ 1, 000, 000 GENERAL AGGREGATE $ Z, 000, 000 GENLAGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $ Z, 000, 000 POLICY JECT LOC AUTOMOBILE LIASHM ANY AUTO COMBINED SINGLE LIMIT (Em weldant) i ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Pe perm) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per eoddent) : PROPERTY DAMAGE (Per amment) $ GARAGE LIABLITY p �/ AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG S ANY AUTO 1�{(/9 b $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE 1 EACH OCCURRENCE $ AGGREGATE $ S $ DEDUCTIBLE S RETENTION $ " WORKERS COMPENSATION AND CSPLOYERS' LIABILITY � l.� STATU TWC u - ER E.L. EACH ACCIDENT i ANY PROPMETORIPARTTEWEXECUTNE OFFICERILE ISER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below ri v Off4 E.L. DISEASE - EA EMPLOYEE $ — E.L. DISEASE - POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Janitorial Services- no windows-cemercial only*The am =t of cveraQe on this certificate applies for the total amount of coverage available for all jobs and locations *FOLDER 18 ADDITSOETAL =NSUMM* CERTIFICATE HOLDER CANCELLATION INDAM-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED ■BFM THE EXPIRA DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAL 10 DAYS WRITTEN Monroe County Board of NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILMtE TO DO SO SHALL County ComEai s s ionimwo IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street Rey West AFL 33060 REPRESENTATIVES. ACORD 25 (za GG: E o m r MID 32 cc Ck. -� c� EIts 88 88 CD -000 C ea 88 €� _ � as w Q O �8 �� 8•�� m co L Z co 0 � �c H 0 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID PS DIVER-1 DATE(MM/DD/YYYY) 07 23 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone: 305-289-0213 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Nova Casualty/PUA ...Diversified Services Of Key West Inc. D-50 llth Avenue Stock Island Stock Island FL 33040 INSURER C: INSURER D: IURER E:' CnVFRAGFS I 'I - THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSU D NAM D ABOVE FOR THE.POL'tC -PERIOD INDICA D. NOTWITHSTANDING t ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCU ENT WI RE'3P�r� TSIF{l�fi'1H CERTIFICATE Y BE ISSUED OR MAY PE�tTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREI IS SUBJECT TO ALL'TNE� ERrIV15; C'CL�JSK 'A 1D CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAI IN3K LTR OWL NSR TYPE OF INSURANCE POLICY NUMBER "" DATE MM EFFECTIVE (EXPIRATION POLICY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 1 0 0 0, 0 0 0 A X COMMERCIAL GENERAL LIABILITY 0 9AL0 52 613 O 1 / O l / 0 9 O l / 01 / 10 PREMISES (Ea occurence) $ 10 0 'r 000 CLAIMS MADEF-1 OCCUR MED EXP (Any one person) $ 5 ,f0 0 0 PERSONAL & ADV INJURY $ l'fO O O'fO O O GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 � 0 0 0 � 0 0 0 POLICY[_-] PRO LOC JECT F AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO / � EA ACC OTHER THAN $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F1 CLAIMS MADE AGGREGATE $ $ ti $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS"LIAB&ITY° ANY PROPRIETOR/PARTNER/EXECUTIVE ' - - TWC STATU JOTH- ORY LIMITS ER E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $I ` If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Janitorial Services- no windows-comercial only*The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and locations*HOLDER IS ADDITIONAL INSURED* VtK I Wlt;A 1 t MULUtK CANCELLATION Monroe County Board of County Commissioners 1100 Simonton Street Key West FL 33040 MONRO— 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ZRLTKE- �� V U � 7D�7—"�S li[TI E ' / id A& _1/'V I GC . ACORD 25 (2001108) nathan H. Diamo © ACORD CORPORATION 1988 �+��® �. CERTIFICATE OF LIABILITY INSURANCE OP ID CB DIVER-1 DATE (MMIDDIYYYYj 02/02/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER.THE._COVERAPE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone : 305-289-0213, .:..�IV�URE ti .I 5 AFFORDING COVERAGE NAIC # INSURED INSURER A: Nova Casual ty/ PUA INSURER Win Diversified Services Of Key West Inc. FEFL_%J I W INSURER C: D-50 llth Avenue Stock Island Stock Island FL 33040 -- INSURER D: 'Sua: • ` COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSIRD TYPE OF INSURANCE POLICY NUMBER DATLECMMIDDCIYYYY ATE MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FIOCCUR 0 9AL0 52 613 01 / O l / 10 O 1 / O 1 / 11 PREMISES (Ea occurence) $ 10 0 " 0 0 0 MED EXP (Any one person) $ 5 0,000 PERSONAL & ADV INJURY $ 1, 0 0 0, 0 0 0 - GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER- PRODUCTS - COMP/OP AGG $ 2 f 0 0 0 1 0 0 0 POLICYF-] PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) $ - GARAGE LIABILITY TO ONFIDE T $ ANY AUTO 10 T AN AVC $ $ AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY l EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE 1 $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIV OFFICER/MEMBER EXCLUDED? - - TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER x Fidelity Bond OBS458361 Icontinuo irN-- af s u tel $10000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Janitorial Services- no windows -commercial only -The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and locations. a.r-r% I lrl%.*M I r_ nvLUr_M (:ANt;LLLATIUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO MONRO31 I DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County BOCC & Monroe IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR TDC & Risk Mangement REPRESENTATIVES. 1100 Simonton St Key West FL 33040 AUTHORIZED REPRESENTATIVE onatha,.....H . Diamond ACORD 25 (2009101)/ ©1988-2009 ACORD CORPORATION. All rights reserved. GG • The ACORD name and logo are registered marks of ACORD CERTIFICATE F L1AAWP1T-yE1VSUR(MWDDl,fYYY) NCE OP ID c8 PRODUCER DIVER-1 02 09 10 THIS ERMF ATE I ISSUED AS A MATTER OF INFORMATION The Johnsons Insurance Agency 13361. overseas Highway FEBF ONLY AND C T NFER NO RIGHTS UPON THE CERTIFICATE C R. TI`l! CER IFICATE DOES NOT AMEND. EXTEND END OR IFL 33050 HEV,� RF AIFO DED BY -THE 90U.C..lFc SEt!Marathon A _--- -- Phone: 305--289-0213 _ INSURED ---- __- ----- -_ --__ - _..__.._.___._-_.._INSUA►F� __��__ _ - AF�FQRDIN COVERAGE NAIC # ' `• -�- -- '`- Nova.. su2tl t -� ----- �- • r __ _/ PUA DiversifiedOf Key Services y West Inc. � - INSURER C - - D- 5 b 11 th Avenue Stock Island Stock Island FL 33040 r -- ___-_.__..____ INSURER 0: INSURER E. I COVERAGES THE POLICIES OF !NSURANCE: L STIED 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 TC WHICH THIS CERTIFICATE MAY BE ;SSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CCNDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Nam{ - LTR NSR TYPE OF INSURANCE POLICY NUMBER ICY DATE MMlDQ/YWY YYy LIMITS pgTIE M7,, GENERAL LIABILITY' A X COMMERCIAL GENERAL LIABILITY 0 9AL0 52 613 01 / 01 / 10 EACH OCCURRENCE $ 1 , O OO o ao 01 0/ l 1 CLAIMS MADE F-1 OCCUR PREMISES Ea occurence $10Q,000 — ---.---_. GEN'L AGGREGATE LIMIT APPLIES PER: � PRO - POLICY I ! JECT I LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED ALITOS GARAGE LIABILITY ANY AUTO "LESS I UMBRELLA LIABILITY OCCUR 1-1 CLAIMS MADE DEDUCTIBLE RETENTION $ IN'DRKERS COMPENSATION AND EMPLOYERS' LIABILrrY ANY PROPRIETOR/PARTNERlEXECUTIV YIN OFFICER/MEMBER EXCLUDED? (Mandstm In NH) If yes, describe under SPECIAL PROVISIONS below OTHER MED EXP (Any one person) $ 000 r_ PERSONAL & ADV INJURY $ 1 000 r O00 GENERAL AGGREGATE s 2 000 r 0oo PRODUCTS - CO P/OP AGG $ 2 r 000 , 000 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJ1,RY (Per Person) S BODILY INJURY (Per accident) PROPERTY DAMAGE $ (Per accident) r AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ a $ $ TORY LIMITS ER E.L. EACH ACCIDENT 3 E.L. CISEASE - EA EMPLOYEE 3 E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS ! LOCATIONS ! VEHICLES 1 EOXCLU810N8 ADDED BY ENDORSEMENT ! SPECIAL PROVISION$ Janitorial Services- no windows-comercial only -The amount of coverage on this certificate applies for the total amount of coverage availablefor jobs and locations. HOLDER IS ALSO ADDITIONAL INSURED all CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE IIXPIRATIO jONRO _ 6 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 90 SHALL Monroe County BOCC IMPOSE NO OBLIGATION OR LIAMLITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street REPRESENTATIVES, Key West FL 3304AUTHORIZED REPRESENTATIVE I Jonathan H. Diamond ACORD 25 (2009101) G31988-2009 ACORD CORPOR ATION. All rights reserved. The ACORD name and logo are registered marks of ACORD go CC JOHNS{JNS INS AGCY PR99RFIIIYF 13361 OVERSEAS HWY . MARATHON, FL 33050 305-289-0213 t Policy number: 03357398-4 20 F E P-�,�� Underwritten by: PROGRESSIVE EXPRESS INS COMPANY S February 2, 2010 Page 1 of 2 Certificate of Insurance Certificate Holder ..........................................DIVERSIFIED ' *nal Insured Agent Additio' Insured SERCV'' ICES* 'OF. . . . . . . . . . . . . . . . . . .JO** HNSO'' NS INS... AGCY..................................... . MONROE COUNTY BOCC KEY WEST 13361 OVERSEAS HWY 3583 S. ROOSEVEL D-50 11 TH AVE MARATHON, FL 33050 KEY WEST, FL 33040 KEY WEST, FL 33040 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. ............................................................................................................................................................................. Policy Effective Date: Jan 11, 2010 Policy Expiration Date: Jan 11, 2011 Insurance coverage(s) limits ............................................................................................................................................................................. BODILY INJURY/PROPERTY DAMAGE $500,000 COMBINED SINGLE LIMIT ............................................................................................................................................................................. UNINSURED MOTORIST $10,0001$20,000 NON-STACKED ............................................................................................................................................................................. PERSONAL INJURY PROTECTION $10,000 WI$0 DED - NAMED INSURED ONLY Description of locationNehicles/Special Items Scheduled autos only 2005 CHEVROLET EXPRESS G2500 1 GCGG25V351125764 Stated Amount $18,000 COMPREHENSIVE $500 DED COLLISION $500 DED ............................................................................................................................................................................. 2006 GMC SAVANA G 1500 1 GTFG15XX61202316 Stated Amount $22,000 COMPREHENSIVE $500 DED COLLISION $500 DED Continued Policy number: 03357398-4 Page 2 of 2 Certificate number 03310NET398 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 52,41 0 0102) A&W CERTIFICATE OF LIABILITY INSURANCE OP ID c� DATE (MNUQD/YYYY) DIVER-1 02409110 PRODUCER THIS CERTIFICATE IS ISSUED Xg A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1.3361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 33050 Phone : 3a5-289-Q213 INSURERS AFFORDING COVERAGE NAIL NSURI*p INSURER A: Nava Casualt /PUA INSU Diversified Services Of Key E ' „ W st Inc D-50 lath Avenue Stack Island INsuRER D' rt . Stock Island FL 33040 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTE 3 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. AGGREGATE LIMITS SHOWN MAY HAVE, BEEN REDUCED BY PAID CLAIMS. LTR NS TYPE OF INSURANCE POLICY" NUMBER DATE MlitliDD1Y W CIATE Mtlll/DDIYYPOLICY EYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 ©00 , QU'd A X COMMERCIAL GENERAL LIABILITY p 9AL 052 6 .3 d 1 / ©1 / l 0 01 / 01 / 11 PREMISES (Ea occurence) $ 100 , 004 CLAIMS MADE Q OCCUR MED EXP (Any one person) $ 5 , 000 PERSONAL & ADV INJURY $ 1 f ©0O r ©o o GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS ar person) (Per BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS y (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO __. $ AUTO ONLY, AGG EXCESS I UMBRELLA LIABILITY : EACH OCCURRENCE $ OCCUR F_I CLAIMS MADE ► AGGREGATE _ $ $ DEDUCTIBLE j RETENTION WORKERS COMPENSATION WC STATU- - AND 9010 ftRS' LIM1Lrry YIN TORY.LIMITS ER' E.L. EACH ACCIDENT $ ANY PRO PRIETORIPARTNERIEXECUTIV OFFICER/EMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ andL-_-_1 (Matory In NH} 1 If yes, describe under E.L. DISEASE - POLICY LIMIT S SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHtCLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Janitorial Services- no windows-comereial only -The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and locations. HOIMER IS ALSO ADDITIONAL INSURED �.cR rrr�vr� i r_ nV&.&J= c 4A1111t+CLLA I IVN' SHOULD ANY OF THE ABOVE DESCRIBED' POLKIES BE CANCELLED BEFORE THE EXPIRATION MONRO _ 6, DATE THEREOF, THE ISSUING INSURER VALL ENDEAVOR TO MAW 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED To THE LEFT, OUT FAILURE TO DO SO SHALL Monroe County BOCC IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS Oft REPRESENTATIVES. 11417 Simonton Street aUT�I©R�tED REPRESENTATIVE Key West FL 33040 a .Y L) nd - I 'af ACORD 25 (2009101) 0' 1988-2009 ACORD CORPORA nON. All rlghts reserved The ACORD name and logo are reg tered marks of ACORD OP ID: CB CERTIFICATE OF LIABILITY INSURANCE DATE 1 02/08D/YYYY) 2/os/11 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 on this certificate does not confer rights to the certificate holder in lieu of such endorsements . 7uire PRODUCER 305- 9-0213NAME; The Johnsons Insurance Agency 13361 Overseas Highway Marathon, FL 33050 CT PHONE FAX (A/C No Er(Arc No):_ Itatefrien' E-MAIL SS: cERER-1STOMERSURER S AFFORDING COVERAGE NAIC 0 INSURED Diversified Services Of Key MOINP West Inc. RISK MANA D-50 11th Avenue Stock Island A asual /PUA Stock Island, FL 33040 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER- prVlclnu w IaaMMID 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. ILTR TYPE OF INSURANCE ADD L SUB POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00( A X COMMERCIAL GENER L LIABILITY 09AL052613 01/01/11 01/01/12 DAMAGE TO RENTED 100,00 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,00 CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS �n (Per accident) $ NON -OWNED AUTOS sill, 9 $ UMBRELLA LIAB HCLAIMS-MADE OCCUR jj J� EACH OCCURRENCE $ AGGREGATE _ $ EXCESS LIAR ` \II/� DEDUCTIBLE RETENTION $ n$ WORKERS COMPENSATION STATU- OTH- i AND EMPLOYERS' LIABILITY V / N TWRY LIMIT ER E.L.EAChi ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? N / A - A (Mandatory In If yes, describe under nd ) C, E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT I $ DESCRIPTION OF OPERATIONS below � -space DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more` is required) Janitorial Services- no windows-comercial only. The amount of coverage on this certificate applies for the total amount of coverage available for all obs and locations. HOLDER IS ALSO ADDITIONAL INSURED MONRO29 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St Key West, FL 33040 AUTHORIZED REPRESENTATIVE CCzz= z" 6 ' © 1988-2009 ACOR C RPORATION. All4ghts reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks ofACORD? JOHNSONS INS AGCY 13361 OVERSEAS HWY MARATHON, FL33050 305-289-0213 RECEIVED FEB 10 2011 MONROE COUNTY Certificate of Insurance Certificate Holder ................................. Additional Insured MONROE COUNTY BOCC 3583 S ROOSEVEL KEY WEST, FL 33040 Insured .................................... DIVERSIFIED SERCVICES OF KEY WEST D-50 11 TH AVE KEY WEST, FL 33040 PR949REIR11 y Policy number: 03357398-5 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY February 8, 2011 Page 1 of 2 Agent ......................... . 10HNSONSINS AGCY 13361 OVERSEAS HWY MARATHON, FL 33050 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. .................................................................................................................................. Policy Effective Date: Jan 11, 2011 Policy Expiration Date: Jan 11, 2012 Insurance coverage(s) Limits BODILY INJURY/PROPERTY DAMAGE ........................................................................................................... $500,000 COMBINED SINGLE LIMIT UNINSURED MOTORIST . $10,000/$20,000 NON -STACKED PERSONAL INJURY PROTECTION $10,000 W/$0 DED NAMED INSURED ONLY Description of LocationNehicles/Special Items Scheduled autos only .................................................................................... 2005 CHEVROLET EXPRESS G25001GCGG25V351125764 COMPREHENSIVE $500 DED COLLISION $500 DED .................................................................................... 2006 GMC SAVANA G1500 1GTFG15XX61202316 COMPREHENSIVE $500 DED COLLISION $500 DED Stated Amount $18,000 ............ ............... I............... Stated Amount $22,000 In Continued Policy number: 03357398-5 Page 2 of 2 Certificate number 03911NET398 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241 (10102) ACORU., CERTIFICATE OF LI CE DATE (MM/DD/YY) o3�lsDDN PRODUCER ERTIFICATE IS IS LIED AS A MATTER OF INFORMATION ONLY THE JOHNSONS INS AGENCY ONFERS NO RIGH UPON THE CERTIFICATE HOLDER. THIS 13361 OVERSEAS HWY FIC�� DOES NO AMEND, EXTEND OR ALTER THE COVERAGE MARATHON, FL 33050 D Y THE POL IES BELOW. INSUR S AFFORDING COVERAGE Phone : (305) 289-0213 Fax : (305) 743-17:AND INSURED ERA: QBE Specia ty Insurance Company DIVERSIFIED SERVICES OF KEY WEST ID-50 llth Avenue Stock IslandENT KEY WEST, FL 33040 Phone: (305)747-1468 INSURERE: COVERAGE THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTHWITHSTANDING 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MWDD/YY) LIMITS GENERAL LIABILITY EACH OCCURANCE $ 1,000,000 LIMIT(Any One Occurrence) $ 100, 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR M ED EXP(Any one person) $ 5,000 A AU03172011D_108911 03/17/2011 03/17/2012 PERSONAL AND ADVINJURY 9 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES P R: PRODUCTS -COMP/OP AGG $ Included X I POLICY n PROJECT n LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) f PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURANCE $ OCCUR ❑ CLAIMS MADE 1 AGGREGATE $ DEDUCTIBLE RETENTION ORKERS COMPENSATION AND EMPLOYERS LIABILITY - _ ) WC STATUTORY LIMITS n OTHER a E.L. EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE- POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDROUSMENT/SPECIAL PROVISIONS COMMERCIAL JANITORIAL NO WINDOWS Certificate holder is Additional Insured. CERTIFICATE HOLDER I JADDITIONAL INSURED:INSURED LETTER: I ICANCELLA11ON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 00 DAYS KITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION ON LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. Monroe County Board of County Commissioners AUTHORIZEDREPRESENTATNE 1100 Simonton St Key West, FL 33040 Faxed to: 1 Gc. ACCORD 26-S (7/97) ACORD CORPORATION 1988 ACORD,, CERTIFICATE OF LIABILITY INSURANCE IMMDfY D03/13/12 ro3/1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY THE JOHNSONS INS AGENCY HT UPON THE CERTIFICATE HOLDER. THIS 13361 OVERSEAS HWY M T AMEND, EXTEND OR ALTER THE COVERAGE (jE DITHELICIES MARATHON, FL 33050 d BYBELOW. Phone:(305)289-0213 Fax:(305)743- 810 ERSAFFORDINGCOVERAGE INSURED DIVERSIFIED SERVICES OF KEY WEST D-50 llth Avenue l/ p NC ry(AIl INSu QBEalty Insurance Company INSUREREi' INSURERC: Stock Island Key West, FL 33040 MONK NAGEMF.NT Phone: (305)747-1468 RISKM_ COVERAGE THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTHWITHSTANDING 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURANCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO PRFMILT5 LIMIT(Any One Occurrence) $ 1001000 CLAIMS MADE ❑X OCCUR MED EXP(Any one person) $ 5,000 A SCL0001132 03/17/2012 03/17/2013 PERSONAL AND ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ Included X POL1cYnPROJECTn LOC AUTOMOBILE LIABILITY ANY AUTO AP �mM COMBINED SINGLE LIMIT (ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS B DA W ©r' I / _ BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) $ C, �� v PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY `! N/1 oO AUTO ONLY - EA ACCIDENT $ ANY AUTO V �� L OTHER THAN EA ACC $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURANCE $ OCCUR 0 CLAIMS MADE AGGREGATE S DEDUCTIBLE RETENTION WORKERS COMPENSATION AND WC STATUTORY EMPLOYERS LIABILITY LIMITS n OTHER E.L. EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDROUSMENT/SPECIAL PROVISIONS COMMERCIAL JANITORIAL NO WINDOWS THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED AS PER FORM CG 20 26 07 04 CERTIFICATE HOLDER I X JADDITIONAL INSURED:INSURED LETTER: I A ICANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL_2DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION ON LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AUTHORIZED REPRESENTATIVE 1100 SIMONTON ST. KEY WEST, FL 33040 Faxed to: (J (, G ACCORD 26-S (7/97) ACORD CORPORATION 1988 DIVER-1 OP ID: DE '`''C- "'`"' CERTIFICATE OF LIABILITY INSURANCE DATE1109/2013Y' 01/09/2013 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 BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE C RTIF12LTIRECEMD IMPORTANT: If the certificate holder Is an AD the terms and conditions of the policy, certain certificate holder in lieu of such endorsement s TIONAL INSURED, the ) must licies may require an ent A s endorsed. If SUBROGATION IS WAIVED, subject to tement on this certificate does not confer rights to the PRODUCER Marathon 13361 Overseas Highway Marathon, FL 33060 Phone:3 9-02 Fax:t. !w[ONROe CC 1t1SK MAMA i'Mio'ee FAX Arc No: Full a URE S AFFORDING COVERAGE kAIC it rs Insurance Company INSURED Diversified Services Of Key West Inc. D-5011th Avenue Stock Island Stock Island, FL 33040 INSURERS: INSURERC: INSURERD: INSURER E : INSURER F U"V nmm"CJ I _F" I IFII -a I F Mi IMli FI7• 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. ILTR TYPE OF INSURANCE WVD POLICY NUMBER MM/DDIYYYY1 (MM(D0IYYYYJ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR A D �GbM ` , _ - _ /VI"/�+/1�[' PREMISES Ea occurcence $ MED EXP (Any one person) $ PERSONAL& ADV INJURY S C L - Y K�' Pitt, / 1 J/J ✓ ps GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMrr Ea accidern 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO X BA1A78333312SEL 06/08/2012 06/08/2013 ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AUTOSNON-O BODILY INJURY (Per aoddent) S PROPERTY AMAGE Per accident $ $ UMBRELLA LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I k ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERAAEMBER EXCLUDED? N I A WC STATU- OTH- LIMIT E.LEACHACCIDENT $ E.L. DISEASE - EA EMPLOYEE S (Mandatory (n NH) If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) 2006 GMC SAVANA 1500 IGTFG15XX61202316 *Janitorial Services* HOLDER IS ALSO ADDITIONAL INSURED* MONRO-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FI, 33040 AUTHOM DREPRESENTATIVE L C-' CJ '-�� -(Wan'd ps"', Q 1988-�4WACORD CORP ON. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Received n OP ID: SC ACORO'' CERTIFICATE OF LIABILITY INSURANCErnwrrw —vY DATE(MANDD/YYYY)03N3/2013 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 endorsemen s). PRODUCER Phone:305-289-0213 Marathon 13361 Overseas Highway Fax: Marathon, FL 33050 cr NAME; PHONE N ac No : E-MAIL ADDRESS: INSURE 3 AFFORDING COVERAGE NAIC # INSURERA:The Hartford Insurance Group 11000 INSURED Diversified Services Of Key West Inc. INSURERS: D-50 11th Avenue Stock Island INSURER C INSURER 0: Stock Island, FL 33040 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER- REVICIAN MI IMRFR• 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. VTR TYPE OF INSURANCE D SUSS POLICY NUMBER MMIDO CY EFP POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X 21SBMBU7181 03/17/2013 03/17/2014 DAMAGE TO RENTM PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5100 CLAIMS -MADE I I OCCUR PERSONAL BAOVINJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,0 POLICY PRO LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS Y E� NAGEM D VV NT r L Ea BII aED SINGLE LIMIT $ BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION —TTWC STATU- F07H- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddiSonal Remarks Schedule, i1 more space Is mgalred) Janitorial Services- no windows -commercial only Certificate holder is also Additional Insured. CERTIFICATE HOLDER ceNCFI I ATInN MONRO-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC 1100 Simonton Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE 01988-2010 RD C RPORAT . All rights reserved. ACORD 25 01OL05) The ACORD name and logo are registered marks of A66RD cc DIVER-1 OP ID: SC � R"CERTIFICATE OF LIABILITY INSURANCE o�," 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 pollcy(les) 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 endorseme s . PIEODUCER Phone:305-289.0213 Johnson Insurance agency 13361 Overseas HighwAy Fax: 305-743-1810E Marathon, FL33OW CONTACT wwL. F'Uc Ne: EMAIL ADDRESS: INSURERS) AFFORDWO COVERAGE NAICi INS AMItA:The Hartford Insurance Group 11000 INSUReD Diversified Services Of Key West Inc, D-5011th Avenue Stock Island Stock Island, FL 33040 INSURER e : INSURER C: INSURERD: gaSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: RFVISION 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. NOR TYPE OF INSURANCE POLICY BER POLICY E EXP DINTS GINBRALLIAe1LITY EACH OCCURRENCE $ 1,000,000 -wQwwIA ,sE$ E„ S 100, X coMMERCIAL GENERAL LIABILITY CLAMAS MADE I OCCUR X 21SOMBU7181 03/11/20111 03117/2014 MEO EXP ono peman S 5 PERSONAL & ADV INJURY S 1,000,00( GENERAL AGGREGATE $ 2,000, GENT- AGGREGATE LMTAPPLES PER: PRODUCTS - COMPIOP AGO S 2,000,00 POLICY PRO- LOC $ AUTOMOBILE UASAM p K Ea a d_a_DM IWGIE BODILY IMAM (Per penan) S ANY AUTO ALLOWNED �OSULED AUTOS W i CL:.�f BODILYINJURY(Perexidem) S HIRED AUTOS AUTOS �D vak,'r —(Alp- (Per Oped S S UMBRELLA LIAR HCLAIMS-WDE OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIAB DED I I RETENT S WORKERS COMPENSATION VrC STA - OTH- AND PAPLOYERY LIABILITY Y I N ANY PROPR,ETORIPARTNEWEX aMW OFFlCERMEMBER EXCLUDED? NIA E.L. EACH ACCIDENT S E. L DISEASE - EA EMPLOYEE S (Mendwary in NH) N yes 4"Mbo unMr DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATION$ I VEHICLES (ANaeh ACORD "t Addidonal Remarla Schedule, N mate spw Is rwpimd) Janitorial Services- no windows-coamercial only Certificate holder is also Additional insured. MONRO-6 Monroe County SOCC 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2010/05) The ACORD name and logo are registered marks of DIVER-1 OP ID: DE ACORJt7' CERTIFICATE OF LIABILITY INSURANCE 1 ° 07109"' 07I09/2012013 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(les) 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 Ileu of such endomemen s . PRODUCER Phone:305-289-0213 Johnson Insurance Agency Fax: 305-743-1810 13361 Overseas Highway Marathon, FL 33050 CT NOM'Tr. (PAHro—NNao. FAX No A=LSS. INSU S AFFORDING COVERAGE MCI INSURER A: Travelers Insurance Company INSURED Diversified Services Of Key West Inc. D-5011th Avenue Stock Island Stock Island, FL 33040 INSURERS: INSURER C : INSURER D : INSURER E : INSURERP' [_nVFRAGFS CFRTIFICATF NUMBER! RFVISIGIN 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. OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I�TR TYPE OF INSURANCE POLICY NUMBER POLICY E%P LIMITS GENERAL LIABILITY EACH OCCURRENCE a GE TO RIENTIED az PREMISES Me oimence a COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP one arson a PERSONAL &ADV INJURY a GENERAL AGGREGATE a GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG a S POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED tSINGLE LIMIT 1,000,00 BODILY INJURY (Per person) a A X ANY AUTO X BAIA78333313SEL 06/08/2013 06/0812014 BODILY INJURY (Per accident) a ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Peraaadern S NON -OWNED HIRED AUTOS AUTOS a UMBRELLA U AB OCCUR EACH OCCURRENCE a _ AGGREGATE a EXCESS LIAR CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTTVE YIN (OlYlan ataq ER/MEM ER EXCLUDED?El NIA Y WAI �• t, WC STATU- OTH- E.L EACH ACCIDENT a E.L. DISEASE - EA EMPLOYEE a E.L. DISEASE - POLICY LIMB I s H ves describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aarwh ACORD 101. Additional RenwM Schedule, if more speoe in required) 2006 GM SAVANA 1500 1GTFG15XX61202316 **HOLDER IS ALSO DITIONAL INSURED** MONRO-6 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 C 198110 ACORD PORATION. All rights reserved. ACORD 28 (2010105) The ACORD name and logo are registered mark of ACORD ® DATE (MMIDDIYYYY) A� o CERTIFICATE OF LIABILITY INSURANCE 3/19/2014 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(les) 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 CO Susan Cherrybon The Johnsans Insurance Agency PHONE , (305) 872-2888 A!C FAX (305)B72-2324 o 30975 Ave A I E-MAIL :Scherry8johnsonsinsure.com Pine FL 33043 INSURED INSURERS: DIVERSIFIED SERVICES OF KEY WEST INC INSURERC: 50D 11TH AVE INSURER D : INSURER E : KEY WEST FL 33040 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1431906354 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABUVtc rUlt I t-it K)LiC rtntuu 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 LTR TYPE OF INSURANCE POLICY NUMBM POro Y EFF NYM POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 NC PREMISES Ea oocurrencel $ 100,00 X COMMERCIAL GENERAL LIABILITY MED EXP one $ 10,00 A CLAMS -MADE a OCCUR 21SBMBU7181 /17/2014 /17/2015 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPMP AGG S 2,000,00 COMBINED SINGLE LIMIT S ' LOC X POLICY JFCT AUTOMOBILE LIABILITY BODILY INJURY (Per person) S ANY AUTO AALL UTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BP R"N/�E SA WAIVER ENT � / l T BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per socident $ $ UMBRELLA LIAR OCCUR V (� EACH OCCURRENCE $ AGGREGATE $ EXCESS LUAB CLAIMS -MADE DIED I I RETENTIONS WORKERS COMPENSATION - WC STATUO R $ AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECU71VE Q E.L.EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA E.L.DISEASE -POLICY LIMIT S IF describe udder DESCRIPTION OF OPERATIONS below _tT1 I I I - I DESCRIPTION OF OPERATIONS I LOCATIONS I VtNK:Lta IAROC" AWrtV lul, AwwlRwnal •ce•• mw� w••ww �. •• •• •• -, - •- •-ti- •-��. Certificate Holder is also Additional Insured. The limits of coverage on this certificate apply for all jobs & locations. Janitorial Services CERTIFICATE HOLDER _ CANCELLATION (305)295-3179 Monroe County Board of County Commssioner 1100 Simonton Street Key West, FL 33040 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 ACORD 25 (2010105) 01988-2010 ACORD CORPORATION. All rights reserved ACC>RDV CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YVYY) 3/17/2015 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 endorsements). PRODUCER The Johnsons Insurance Agency 30975 Ave A N Susan Cherrybon PHONE (305) i372-2888 FAXNok (305) 872-2324 E-R Scherry@johnsonsinsure.com ADDREINSURERS AFFORDING COVERAGE NAIC Y Big Pine Key FL 33043 INSURER A,Sentinel Insurance Co. Ltd 11000 INSURED INSURER B DIVERSIFIED SERVICES OF KEY WEST INC 50D 11TH AVE INSURERC: INSURER0: INSURER E KEY WEST FL 33040 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1531709960 RFVISInN NIIMRFR• 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, ILTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF / Y) POLICY XP fM-wDONYYY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx-1 OCCUR X 21SBNBU7181 /17/2015 /17/2016 _ �� MgMISES$ �— 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY 0 PRO LOG PRODUCTS - COMPIOP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-OVVNEO AUTOS PROPERTY DAMAGE—$ P accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECLTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA WC STA U- OTH- E,L EACH ACCIDENT ,$ E.L DISEASE - EA EMPLOYEE __. S (Mandatory in NH) If yes, describe under E L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) The limits of coverage on this certificate applies to all jobs and all locations. Janitorial services Certificate Holder is also Additional Insured. PP GQMEM W N/ �(e tL CU--R1.C, (305)295-3179 Monroe County Board of County Commssioner 1100 Simonton Street Key West, FL 33040 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 n4-wrw &u JAV Iulual C1 IVOU--LVIU AGUKD CORPORATION. All rights reserved. INS025 (201005) 01 The ACORD name and Iona are registered marks of ACORD ACORa Ali CERTIFICATE OF LIABILITY INSURANCE DATE (MM/OD/YYYY) 3/17/2015 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 The Johnsons Insurance Agency 30975 Ave A Big Pine Key FL 33043 NAM i Susan Cherrybon PHONE (305)872-2888 FAX (305)872-2324 AQQBESSEMAIL :Scherry@johnsonsinsure.com INSURERS AFFORDING COVERAGE NAIC 0 INSURERA:Sentinel Insurance Co. Ltd 11000 INSURED DIVERSIFIED SERVICES OF KEY WEST INC 50D 11TH AVE KEY WEST FL 33040 INSURER 8: INSURERC: INSURER0: INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:CL1531708960 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, LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY POl'CnYYP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAWGE TO RENTED PREMI $ 1,000,000 X COMMERCIAL GENERAL LIABILITY A CLAIMS -MADE FXI OCCUR X 21SBMBU7181 /17/2015 /17/2016 MED FXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 $ X POLICY PECTRO LOG AUTOMOBILE LIABILITY _rOM0�1NIGLE LIMIT /anI BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DA GE P accident $ c UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- LAM AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOWPARTNER/EXECUTIVE [—] OFFICER/MEMBER EXCLUDED? NIA, E..L EACI,I ACCIDENT $ (Mandatory in NH) E.L DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The limits of coverage on this certificate applies to all jobs and all locations. Janitorial services Certificate Holder is also Additional Insured. WPPR Y R ENT WPM N/A Y S� Va.- 11FRTiFICATF 14OLnFR CANCELLATION t1 (305) 295-3179 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commssioner ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL Street AUTHORIZED PRESENTATIVE S Cherrybon/SUECHE ACORD 25 (2010/05) INS025 (201005) 01 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A� ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 6/26/2015 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 endomement(s). PRODUCER The Johnsons Insurance Agency 30975 Ave A CONTACT Susan Cherrybon NAME: PHONE (305) 872-2888 NC No: (305)872-2324 ADDRIESS:Scherry@johnsonsinsure.com INSURER S AFFORDING COVERAGE NAIC # INSURERA:Hartford Accident & Indemnit 22357 Big Pine Key FL 33043 INSURED INSURER B : INSURERC: DIVERSIFIED SERVICES OF KEY INSURER D : 50D 11TH AVE INSURER E : INSURERF: KEY WEST FL 33040 COVERAGES - 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 LTR TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS-MADE1:1 OCCUR ADDL INSO UBR WVD POLICY NUMBER POLICY EFF M /DDJYYYY1 POLICY EXP IMMIDDNYYY) LIMITS EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. POLICY ❑ PROJECT L] LOC PRODUCTS - COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS 21UECZP7136 6/8/2015 6/8/2016 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ PIP -Basic $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION $ WORkERS COMPENSATION PER OTH- STATUTE ER E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N I A If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The limits of coverage on this certificate applies to all jobs and all locations. Description of operations: Janitorial services. Certificate holder is also Addl Insd. t1PPRO AI EMENT DATME C, WAVER N/A e . J , GERTII-IGA I t HUL (305)295-3179 Monroe County Board of Count Cocmm 1100 Simonton Street �4 Ni �IUG Key West, FL 33040 0d0038 803 03113 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 Cherrybon/SUECHE r�nonnATlAki All rinhf. r00AMar'l ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 r9m4m � wo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYY) 4/7/2016 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 Susan Cherr bon NAME: y _ The Johnsons Insurance Agency PHONE (305) 872-2888 A No: (305)872-2324 30975 Ave A E-MAILq-q- Scherry@johnsonsinsure.com INSURE S AFFORDING COVERAGE NAIC # Big Pine Rey FL 33043 INSURERA:Sentinel Insurance Co. Ltd 11000 INSURED INSURER B : Diversified Services Of Key INSURERC: 50d llth Ave INSURERD: INSURER E : Key West FL 33040 INSURERF: 9•f%%1C0Af2cc r^CRTICIL•ATC NI IMRCR•CL164711306 RFVISIr)N NIIMRFR- 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 LTR OF INSURANCE ADDLISUBRTYPE INSO WVD POLICY NUMBER MMNDY EFF POLICY M/LDI DIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR AGE ToA DA PREM SES Ea occuE ence $ 1,000,000 MED EXP (Any one person) $ 10,000 21SBMBU7181 3/17/2016 3/17/2017 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 S POLICY 7 PRO LOC JECT FLFIG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS $ $ _ PROPERTY DAMAGE Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE .yF PL' - I N GEF � STA UTE ERH $ E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If es, describe under DESCRIPTION OF OPERATIONS below NIA DAT WAIVER /A YE f✓ E.L. DISEASE - EA EMPLOYE $ $ E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is require The limits of coverage on this certificate applies to all jobs and all locations. Janitorial services CERTIFICATE HOLDER IS ADDITIONAL INSURED WITH RESPECT TO WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT. PLEASE REFER TO THE ADDITIONAL INSURED ENDO14SEMENT.�_' T1 J C-. C1 m r_ ::;o -r) UtK I IFIUA I t NL)LUtK 1 HIVI.CLLH 11V1V (305)295-3179 ?' SHOULD ANY OF THE ABOVE DESCRIBED POLIC�BE CANIMLED�FORE Monroe County Board of County CommsSioner THE EXPIRATION DATE THEREOF, NOTICE � WILL BE :=LIVQRED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS.Ln Key West, FL 33040 AUTHORIZED REPRESENTATIVE S Cherrybon/SUECHE V 9988-ZU74A(,UKL) L,UKVUKHI IUIV. HU ngnts reserveu. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 r?niami Other Named Insureds West Inc Additional Named Insureds Additional Insured OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC DATE (MMlDDIYYYY) A� CERTIFICATE OF LIABILITY INSURANCE 6/3/2014 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(les) 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). ONTA T PRODUCER NAME: Susan Cherrybon PHONE (305)2B9-0213 FAX .(305)743-1810 The Johnsons Insurance Agency �13361 Overseas Highway MAIL .Scherry@johnsonsinsure.com Marathon FL 33050 INSURED Diversified Services Of Key D-50 lath Avenue Stock Island Stock Island FL 33040 INSURERF: COVERAGES CERTIFICATE NUMBER:CL146306977 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 cCLAIMS. INSR LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM D MM/DD EACH OCCURRENCE $ GENERAL LIABILITY I I I I I nAMAGFT0RENlt-U I _ COMMERCIAL GENERAL LIABILITY ICLAIMS -MADE OCCUR MED EXP (Any one person) 5 PERSONAL 8 ADV INJURY 1 $ _ PRODUCTS -COMP/OPAGG $ $ GEN'L AGGREGATE LIMIT APPLIES PER: PROLl - POLICY LOC COMBINED SINGLE LIMIT Ea AUTOMOBILE LIABILITY accident BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED A78333314SEL 6/8/2014 6/8/2015 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident) Uninsured motorist combined $ HIRED AUTOS AUTOS EACH OCCURRENCE $ UMBRELLA LIAR OCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION WC STATU- OTH- ER WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? N I A E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) The limits of coverage on this certificate applies to all jobs and all locations. Janitorial Services. ***Certificate Holder is also Additional Insured*** %. AP444191SK ENT WAI / • _ briggs-clark@monroecounty- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE L :� �yv p� V(�r �'O7G THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN V 7 IR 11 ACCORDANCE WITH THE POLICY PROVISIONS. Monroe Cty Brd of Cty Comm 1100 Simontono%? 8 80J 0311 .A' AUTHORIZED REPRESENTATIVE Key West, FL �J S Cherrybon/SUECHE ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 i2ntnnFl m Tho arnpil nnmo and Innn 2ro ronicfororl mnrlre of ar npn