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Certificates of InsuranceACORD CERTIFICA F OF LIABILITY INSURAP �` = VIOPID DATE 10 M07 5' JO PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Riemer Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 250 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hallandale FL 33008-0250 Phone:800-742-1691 Fax:954-454-9552 Vincent Rocroussey P.O. Box 897 Islamorada FL 33036 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURERA: Old Dominion Insurance 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 CLAIMS. LTR NSR - "" TYPE OF INSURANCE " —' '— POLICY NUMBER - POLICY EFFECTIVE_ -DATE MM/Ol5 POLICY EXPIRATION DATE MM/DD/YY - __ - LIMITS ` ' - GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY BINDER 09/19/05 09/19/06 PREM'NE S(Eaoccur a n cece) $ 500000 CLAIMS MADE X� OCCUR MED EXP (Any one person) $ 10000 PERSONAL &ADVINJURY $1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG s2000000 POLICY 7 PROJECT 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 PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY APP B AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO BY ^ (\� $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DATE EACH OCCURRENCE $ AGGREGATE $ WAIVER N/A ES $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE TORY LIMITS I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Exibit Fabricator - Monroe County Board of Commissioners is included as an additional insured Cc . �i V\,ane-�, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO_THE _LEFT, BUT FAILURE TO DO SO SHALL Monroe County Board of IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Commissioners 1100 Simonton Street REPRESENTATIVES. Key West FL 33040 AUTHORIZED ES Nf� VET ACORD 25 (2001108) ACORD CORPORATION 1988 14%VMFP ,MG"WZCotWW,O)WIDA Reaugg wpor waiver Of jjism dwstits W4mw— - md",M bo WMA Of MOMW 0& elm forms C, '3 303 (c) C4-9737 Flow scope of WOW. . ......................... fm (4j C'V wal apply W. $*am= orcmilaw; RN MP.""; om -- Cm9y Adminild WW' AWOVO. . DAM P,Wd*fCwWCMMMWVSM'M,' modifts Daft. A4wfth*Nd"la"oa" 4*Mi I-- mulAppmod Not A wvvcd: AfW" —, — NO.AWand'• , tat jw — — W.AW#dv Gp"fij"v , -93"WY on -- pm2av MSG -wmjw-p'u!'vpvAww3 oomew T" !Awuaoopmuwss mo 906 Irt XWDA% fp:ar4 -mmyth A-0 ON030 r lv�zl sulsom alp 90 pit so aq -MW*l qgmmfobm an"utis is Aajmum JOA vm*vm VajVWU'AMaW2OWWW DATE (MM/DDIYYYIO A i0xv CERTIFICA L4 OF LIABILITY INSURAh,___ OP ID S FLORK-1 02 08 05 PRODUCER . THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Riemer Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 250 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hallandale FL 33008-0250 Phone: 800-742-1691 Fax: 954-454-9552 _ INSURERS AFFORDING COVERAGE _ NAIC.#. . INSURED The Florida Keys History of Diving Museum, Inc 829901°Overseas Higghway Islamorada FL 33036 GOVERAGES INSURER A. Markel American Insurance 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 CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X GENERAL LIABILITY TNF02789 01/21/05 01/21/06 PREMISES Eaoccurence $ 50000 kCOMMERCIAL CLAIMS MADE FX] OCCUR MED EXP (Any one person) $ 1000 BADVINJURY $ 1000000 -PERSONAL GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included POLICY PROJECT- 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 A B BY_ 11SK MA GE ENT DATE PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO WAIVER N/A YES AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY T TORY LIMITS I I ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Monroe County Board of Commissioners is included as additional insured CERTIFICATE HOLDER CANCELLATION MONRCO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County Board of IMPOSE NO BLIGATION O LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Commissioners 1100 Simonton St. REPRESE ES. Key West FL 33040 AUTH I E A ACORD 25 (2001/08) �A�/� © ACORD CORPORATION 1988 C�. :_�1",� i/ti1 . TE ACORD-, CERTIFII- TE OF LIABILITY INSUR"74CE DA04/04/05 PRODUCER Luis Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 6020 Bird Road Suite 1 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Miami, FL 33155 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (305)667-7700 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Scottsdale Insurance Company 41297 David Lee Roofing & Sheet Metal, Inc. INSURER B: 107 Garden Street, Unit 1 INSURER C: Tavernier, FL 33070 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED 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 LT ADD'L INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS A 0 GENERAL LIABILITY ❑ COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS MADE ❑d OCCUR ❑ CLS1092014 11/12/04 11/12/05 EACH OCCURRENCE $500,000 DAMAGE TO RENTED PREMISES Ea occurence $50,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $500,000 ❑ GENERAL AGGREGATE $500,000 GEN'L AGGREGATE LIMIT APPLIES PER: ❑d POLICY ❑ PROJECT ❑ LOC PRODUCTS - COMP/OP AGG $500,000 Fire Damage/Any one ❑ AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS El NON OWNED AUTOS ❑ COMBINED SINGLE LIMIT (Ea accident) (O DIp rson)URY BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) ❑ ❑ GARAGE LIABILITY ❑ ANY AUTO AVP,190FC' RISK',NAG P1flENI AUTO ONLY -EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG ElWAiVER EXCESS LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION DATE NIA YES EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below ❑ WC SLT ❑ OTH- T Y LIMIT ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Roofing contractor. certificate holder is also shown as an ADDITIONAL INSURED — CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe Co. Board of County Commissioners EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 1100 Simonton St. THE LEF-L BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West, FL 33040 OF ANY KI P THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZE R ESENTATIVE ACORD 25 (2001108) 1 © ACORD CORPORATION 1988 MOMS WI& CoiUNw, OARIDA For waiver Of j."MUC4Rc4ai1•imenu 11 is opo"that the IMm9*fWk"WA #550144'" 'a b. VWWO Of muffifcd OD the r"Uvgftg M'ML jw zs L claum for. VIM= KCWAM for W&M Micift wswcr wal SPJAY to: DOW • Approved NotApPmed Appmwd: Not AWOW' App*" —, — NN.AVFQVcd' , IOWPAd" IL -- ACORD TM CERTIFICATE OF LIABILITY INSURANCE Date 3/24/2005 Producer: Lion Insurance Company This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend, extend Holiday, FL 34691 or alter the coverage afforded by the policies below. Phone:727-938-5562 Fax:727-937-2138 Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing, Inc. Insurer A: Lion Insurance Company 11075 Insurer B: 2739 U.S. Highway 19 N. Insurer C: Holiday, FL 34691 Insurer D: - Phone': (727)938-5562 Insurer E: Coverages r •The policies of,insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement, -term orcondition of 'any orother document's:•=' 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 ADDL INSRD Type of Insurance Policy Number Policy Effective Date Policy Expiration Date Limits (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence $ Commercial General Liability Claims Made11 Occur Damage to rented premises (EA occurrence) $ Med Exp $ Personal Adv Injury $ General aggregate limit applies per: Policy ❑ Project ❑ LOC General Aggregate $ Products -Comp/Op Agg $ AUTOMOBILE LIABILITY Combined Single Limit W. Any Auto (EA Accident) $ Bodily Injury (Per Person) $ All Owned Autos Scheduled Autos A O BY RISK NAC "- MENT Bodily Injury (Per Accident) $ Hired Autos Non -Owned Autos DATE s Property Damage -- WAIVER NI/A�( YES (Per Accident) $ GARAGE LIABILITY Auto Only - Ea Accident $ Any Auto Other Than EAAcc. $ Autos Only. AGG. $ EXCESS/UMBRELLA LIABILITY Each Occurrence Occur ❑ Claims Made Aggregate Deductible Retention - A Workers Compensation and Employers' Liability WC 71949 01/01/2005 01/01/2006 X WC Statu- tory Limits OTH- ER E.L. Each Accident $1000000 Any proprietor/partner/executive officer/member E.L. Disease - Ea Employee $1000000 excluded? If Yes, describe under special provisions below. E.L. Disease - Policy Limits $1000000 Othe 3019332 David'Lee Roofing & Sheet Metal, Inc. COVERAGE APPLIES ONLY TO THOSE EMPLOYEES LEASED, NOT TO SUBCONTRACTORS. Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: ADD ON DATE: 8/2s/2003 COVERAGE APPLIES ONLY IN THE STATE OF FLORIDA TO THOSE EMPLOYEES LEASED TO BUT NOT SUBCONTRACTORS OF David Lee Roofing & Sheet Metal, Inc. ' MAIL • 3-24-05 (JOM) CERTIFICATE HOLDER CANCELLATION BOCC MONROE COUNTY BOARD OF COUNTY COMMISSIONE Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 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. 1100 SIMONTON ST KEY WEST FL 33040 R ' f ACORD 25 (1001/08) ACORD CORPORATION 1988 ACOR, DATE (MMIDDNYYY) . CERTIFICATE OF LIABILITY INSURANCE 1 03/25/2005 PRODUCER (305) 852-3234 FAX (305) 852-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Regan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 90144 Overseas Hwy. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Y • ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tavernier, FL 33070 INSURERS AFFORDING COVERAGE NAIC # INSURED Dav i d Lee Roof i ng & Sheetmeta I I nc INSURERA: Carolina Casualty Ins Company 10510 P 0 Box 9494 INSURERS: Tavernier, FL 33070 INSURERC: INSURER D: INSURER E: r%nv=o n n_=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 ADD'L RE TYPE OF INSURANCE POLICY NUMBER " POLICY EFFECTIVE POLICY EXPIRATION - LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea amumn—) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PROECT LOC J -AUTOMOBILE LIABILITY ANY AUTO CTP340722 11 /14/2004 11 /14/2005 COMBINED SINGLE LIMIT (Ea accident) $ 300,000 BODILY INJURY (Per person) $ A X X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident)PROPERTY $ HIRED AUTOS NON -OWNED AUTOS (P ra cidentjAMAGE $ 0 D Y RiSKA+ NAGEMEP T GARAGE LIABILITY BY v -� AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO DATE �� __ _ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE WAIVER N/A N YES EACH OCCURRENCE $ AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATUS OTH- IQRY EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS ert i f i cate holder is shown as an additional insured for specific job at 2990 Oversesa Highway, Islamroada, FI 33036 lorida Keys History Dive Museum Monroe County BOCC 1100 Simonton Street Key West, FL 33040 ACORD 25 (2001/08) 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 MAIL SUCH NOTICE SHALL IMPOSE NO_OBLIGATION OR LIABILITY OF ANY KIND UPON THE 16 RER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENT IV Producinq Aaen, " �/f jACORD CORPORATION 1988 OP ID DATE (MMIDDNYYY) acow CERTIFICA OF LIABILITY INSURA - _ ,E FLORKE3 01 21 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Regency Ins. Brokerage - FL HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 190 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hallandale FL 33008-0190 Phone:800-982-1895 Fax:954-454-5862 INSURED .The Florida Keys History of Diving 82990 Overseas Highway Islamorada FL 33036 COVERAGES INSURERS AFFORDING COVERAGE INSURER A: Markel International Ins.Co. INSURER B: INSURER C: INSURER D: INSURER E: NAIC # 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 POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X� OCCUR TNF02789 01/21/05 01/21/06 EACH OCCURRENCE $ 10 0 0 0 0 0 PREMISES (Ea occurence) $ 50000 MED EXP (Any one person) $ 1000 PERSONAL BADVINJURY $ 1000000 GENERAL AGGREGATE s 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JLOC ECT PRODUCTS - COMP/OP AGG $ Included AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS JSKtNAGEMENi AP ED , COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY (Pea c dent) DAMAGE $ GARAGE LIABILITY ANY AUTO R gY r _ DIVE�. O AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR 71 CLAIMS MADE DEDUCTIBLE RETENTION $ �AIVI=R 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 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Monroe County Board of Commissioners is included as an additional insured CERTIFICATE HOLDER CANCELLATION MONRCO2 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 Board of IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Commissioners 1100 Simonton Street REPRESENTATIVES. Key West FL 33040 AUTHORIZED ESEN ATIVE ACORD 25 (2001/08rd. ACORD CORPORATION 1988 ee ACORDTM CERTIFICATE OF Date (MWDO/YY) LINSURANCE €m 01/05/2005 PRODUCER Work Comp Associates, Inc. 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. P.O. Box 33297 Palm Beach Gardens, FL 33420-3297 USA COMPANIES AFFORDING COVERAGE COMPANY A Bridgefield Employers Insurance Co. INSURED COMPANY Brian Veale Painting, Inc. B COMPANY P.O. Box 1355 Islamdrada, FL 33036-1355 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. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS GENERAL LIABILITY GENERAL. AGGREGATE COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AG $ CLAIMS MADE ❑ OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS A P P f t , SK GEM NT BODILY INJURY $ SCHEDULED AUTOS HIRED AUTOS BY-^ _ (Per Person) _ BODILY INJURY $ NON -OWNED AUTOS DATE s __. - -V->± (Per Accident) WAIVER N/A YEaS — 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 $ WORKERS COMPENSATION AND XX I WC S.RyTA- 01H- A EMPLOYERS' LIABILITY 0830267080000 3/1/2004 3/1/2005 EL EACH ACCIDENT $ 100000 EL DISEASE - POLICY LIMIT$ 500 000 INCL THE PROPRIETOR/ rXX] PARTNERS/ EXECUTIVEOFFICERS EL DISEASE -EA EMPLOYEq $ 100,000 ARE: EXCL OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS 30 day cancellation to any reason other than non payment of premium. 10 day cancellation applies to non payment of premium only applies G CERTIFICATE HOLDER„ ° °'CANCELLATION- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE BOCC Monroe County Board of County Comissioners 1100 Simonton Street 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 Key West, FL 33040 KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE / I (TDM) ACORD 2'5—S 1 /95 © ACORY CORPORATION 1988 ACORDTM CERTIFICATE OF LIABILITY INSURANCE UOBB 01-05A-2005 TE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION REGAN INSURANCE AGENCY INC / PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 224589 P: (866) 467-8730 F : (877) 538-8526 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. BOX 29611 CHARLOTTE NC 28229 INSURED BRIAN VEALE PAINTING, INC. P.O. BOX 1355 ISLAMORADA, FL 33036 r L1v FRA(:GC INSURERS AFFORDING COVERAGE INSURER A: Hartford Casualty Ins Co INSURER B: Hartford Underwriters Ins Co 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. INSR LTR TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_1 OCCUR X Business Liab 21 SBA KU13 2 6 11 / 0 5 / 0 4 11 / 0 5 / 0 5 EACH OCCURRENCE $1 , 000, 000 FIRE DAMAGE (Any one fire) s3 0 0 , O O O MED EXP (Any one person) $1 0 , 0 0 0 PERSONAL & ADV INJURY $1, 000, 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC JECT PRODUCTS - COMP/OP AGG s2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 21 UEC L I 6 6 8 3 APPrjOV� By •- - - - DA I E '-" _-�-_ 11 / 0 5/ 0 4 M/ RI`'�'tflAitl!J'EMENT "' - 1•"'� �- �"'(- `a -_a YES 11 / 0 5/ 0 5 —� COMBINED SINGLE LIMIT (Ea accident) $1, 000, 000 X BODILY INJURY (Per person) S X X BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) S GARAGELIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $1 0, 000 21 SBA KU13 2 6 11 / 0 5/ 0 4 11 / 0 5/ 0 5 EACH OCCURRENCE $1 , 000, 000 AGGREGATE $1, 000, 000 s $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OR STATUS OTH- Y LIMITS E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS/COCA TIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. BOCC Monroe County Board of County Commissioners is named as Additional Insured per the Business Liability Coverage Form SS0008. C Opy.. /—iVi"F_fl - CFRTIFICATF Hni np:p I X I d00/TmArzi mvii?FO•/N"C//RFR/FTTFR• A rAKI FI I ATInM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE BOCC Monroe County Board of EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE County Commissioners 1100 Simonton St. 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. Key West, FL 33040 AUTHORIZED REPRESENTA ACORD 25-S (7/97) 0 ACORD CORPORATION 1988 A RD� CERTIFICATE OF LIABILITY INSURANCE U DATE 12/01/2 0 ' PRODUCER (305) 852-3234 FAX (305) 852-3703 Regan Insurance Agency, Inc. 90144 Overseas Hwy.HOLDER. Tavernier, FL 33070 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED C & E Construction DBA ; BOC Builders Inc PO Box 6 Tavernier, FL 33070 INSURERA: Essex Insurance Company 39020 INSURER B: INSURER C: 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 DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 3CN6227 05/11 /2004 05/11 /2005 EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50000 CLAIMS MADE a OCCUR MED EXP (Any one person) $ Excluded A X PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000 POLICY PROJECT 7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) . PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY APP ��U Y I ,1� i �A;"'-a aENi 'NT AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ BY AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY DATE 44AGGREGATE EACH OCCURRENCE $ OCCUR CLAIMS MADE $ WAIVER N/A__ YES $ $ DEDUCTIBLE $ RETENTION $ WC STATU- OTH- COMPENSATION AND LIMWORKERS ITS ER E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE S OFFICERIMEMBER EXCLUDED? If yes, describe under ' SPECIAL PROVISIONS below I E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS usual to insured's operation ***certificate holder is also shown as an ADDITIONAL INSURED*** I C_ERTIF!C-ATE HOLDER CANCELLATION 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. Monroe CO Board of County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 Simonton St OF ANY KIND UPON THE INSURER, I AGIANTS OR REPRESENTA 4 ES. AUTHORIZED REPRESENTATIVE Key West, FL 33040 1producing a ent e1. ACORD 25 (2001/08) ° ©ACORD ORPORATION 1988 A RDn, CERTIFICATE OF LIABILITY INSURANCE ATE 12/01/2 04) PRODUCER (305) 852-3234 FAX (305) 852-3703 Regan Insurance Agency, Inc. 90144 Overseas Hwy. y • Tavernier, FL 33070 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. INSURERS AFFORDING COVERAGE NAIC # INSURED C & E Construction Inc DBA : BOC Builders Inc PO Box 6 Tavernier, FL 33070 INSURERA: Hartford Insurance Company INSURER B: INSURER C: 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. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDD[YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 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 - JECT AUTOMOBILE AUTOMOBILE LIABILITY ANY AUTO 21 UECLE41 B3 05/11 /2004 05/11 /2005 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ A X X X X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AP P 6 f I K ti9AP 1� 1 T l i� i E M E N 1 AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO BY � � � � % $ EXCESS/UMBRELLA LIABILITY DATE EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ WAIVER N/A )Lyn $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND TOR,WO LIMIT OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS usual to insured's operation ***certificate holder is also shown as an ADDITIONAL INSURED*** Monroe County Board of County Commissioners 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE DJO R , ITS AGENTS OR REPFqSENTATIVES. AUTHORIZED REPRESENTF,�V6 ACORD 25 (2001/08) _ ©ACORD CORPORATION 1988 ACOH CERTIFICA'r OF LIABILITY ° 09/ 7/2004 INSURA�__:CE PRODUCER Serial # 121647 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INSURANCE COMPANY OF THE AMERICAS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1310 UTICA STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. BOX 855 ORISKANY, NEW YORK 13424 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: INSURANCE COMPANY OF THE AMERICAS 33030 FIRST FINANCIAL EMPLOYEE LEASING, INC. UC/F BOC BUILDERS, INC DBA C&E CONSTRUCTION INSURER B: INSURER C: 3745 TAMIAMI TRL INSURER D: PORT CHARLOTTE, FL 33952 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES 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 AWL NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DDNY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurence $ MED EXP (Anyone person) $ HCLAIMS MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY JJERCT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) APPrY / S RI K-MWN� ENT PROPERTY DAMAGE $ \ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ DATE NL $ ANY AUTO -- OTHER THAN EA ACC $ 1 I r� rr'n AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY = EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKER'S COMPENSATION AND WC73202123101 1/1/04 1/1/05 X I TORY CSTA ITS OER A EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE EL DISEASE -EA EMPLOYEE $ 1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under NO SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS COVERAGE APPLIES ONLY TO THOSE EMPLOYEES LEASED TO BUT NOT SUBCONTRACTORS OF BOC BUILDERS, INC. D/B/A C&E CONSTRUCTION CO. ADD ON DATE 2/7/02 CLIENT #1739. FOR AN EMPLOYEE LIST PLEASE CALL 1-800-624-1805. DAN KUNZ - DIVING MUSEUM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN BOCC MONROE COUNTY BOARD OF COUNTY COMMISSIONERS - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 SIMONTON STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR KEY WEST, FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) © ACORD CORPORATION 1988 June 16, 2004 RE( )VED JUN 2 2 2004 The Florida Keys History of Diving Museum, Inc. The story of man's quest to explore under the sea. 82990 Overseas Highway, MM83 PO Box 897 Islamorada, FL 33036-0897 Phone: 305-664-9737 Phone/Fax: 305-664-2784 Email: divingmuseum@aol.com 4 Bill Grumhouse 9�� Risk Management l?I+v Monroe County Offices ) a, 1100 Simonton Street Key West, FL 33o,40 SENT BY CERTIFIED MAIL, RETURN RECEIPT REQUESTED Dear,Bill: I've enclosed two new original signature, notarized certificates of liability insurance for James Rhodus. The County and the TDC are named on them respectively. These are identical to the ones I faxed to you for review and tentative approval on April 20ttt. After you called me back to say they were fine I then sent them to your office but, as we discussed, they are not in anyone's files. Hence I'm sending them again. Once stamped by your office, I'd appreciate it if you would forward these to Maxine at the TDC office so that the approved forms will be in her file when we submit for reimbursement of Rhodus' bills. Dan kunz Executive Director Cc: Maxine, TDC G6 - The Florida Keys History of Diving Museum, Inc. is an independent, not -for -profit 501(c)(3) organization. The Museum is dedicated to the preservation, education and eWbition of the History of Diving, with emphasis on the contributions of South Florida and The Florida Keys. INSURED James Rhodus 08A Lon Rhodus Consulting & Design P O Box 16OB i. Tavernier FL 3$070 FICATE OF LIABILITY INSURANCE ionaauceR 446 THIE JOHNSONS INSURANCE AGENCY 13361 OVERSEAS HIGHWAY MARATHON FL33050 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE QERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTgR THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANYAFFORDING COVERAGE: CANAL INDEMNITY COMPANY COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTIMTHSTANDING ANY REQUIREMENT, 'PERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY HE ISSUED OR MAY PEVAIN, THE INSURANCE AFFORDSC) BY THE POLICIES DESCRIBED HEREIN IS SUBJEOT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN RPOUCEd RV PAIn ri AIRAR TYPE OF INSURANCE POLICY NUMSER POLIX;Y EFFECTIVE POLICY EXPIRATION DATE (MM/oD/YY} DATE (MM/IaLIMITS, GENERAL LIABILITY CO - MMERCIAL GENEMAL LIABILITY ISLS0023 C�.AIM$ MADE X] OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIA911-MY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTO$ HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY DEALER NON -DEALER EXCESS LIABILITY I L1MSRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' UASILITY THE PROPNETOR/ M INCL PARTNERS/EXECUTIVE OFFICERSARE EXCL 9/21/2003 9/21/2004 -0 _,` YES COMBINED SINGLE LIMIT BODILY INJURY IParperacn) BODILY INJURY (Po�nccldent) ENT PROPW:(TY DAMAGE wwa.r+lr1'w" yr VrCrwiIUNtILUUATIUNS/VEMIGLES/SPEOAL1'i'�MS --- Carpentry Commercial - EXCL. Roofing Draftsman General Contracting In Construction of Residential Homes Oniys AUiH A. LONG **This] is a true & certified copy** ( / notary Public,'Staie of Plc COMM. exp. Aug. 1, 2 _ U -0alr My -No. 00 236319 CERTIFICATE HOLIER CANCELI.ATFON Additional Named Insured On The Policy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 1100 Simonton St; TO MAIL WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Key West FL 33040 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALT, IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON COMPANY, ITS AMeNTS OR AUTHORIZED REPRESENTATIVE 1 /04 U1 a STA21 Dee 18 03 02:06p 305-664-0847 p.2 19%. tAition MONROI: COUNTY, FLORIDA Request For Waiver of InvurAnce Requirements It iS requested that the insurance requirements, as specilictl in the County's Schedule ol' Insurance Rcquirementi, he waived or modified on the following Con(ract. Contractor: i2c< a A -e s l o C o `, v .w M,, g -0,�,,,, I Iv C Contract for. t- -1-6 f; ak g t, fir . G--f'A Address ot'Coatractor: '1 O v X $17 r,=o- r #pr d a RL 3ra o Phone: O S .- 6 4 o ss- 6 e N- o g v f'•e.r.e . N Scope of Work: t.��•re �uaa! �wJe ecaL •/ 1 r•' art...S. by a .�.. •',.�.1 ca...At oT'� ol,:aMi�i 05 de a cr. � -O r.: C e4b i b: r Reason for Waiver: 4 .,.-) r✓-a A O Policies Waiver will apply to: VQ.L�1c�eS��si�S�f�nrtt lIr 6 f � � n i vl b i6e qwPa:3 yr-, j Tw►t C&O w tvw?Y�+af'w`f PHV i errt%w*. ONI}•�[ C! fb,TW_21 tI_ rU.h 't-t''R.rt rbrS ��"!'^C.tbVX4 .( vT ♦ �,�, cw.. ti► er. Signature of Contractor. Risk Manrgement: Iz Date: - a ll yL County Administrator Appeal: Approved _ Date: Board orcounty CommiSSioncrs Appeal: Approved Meeting irate: AdtninMration 1pstruction 04709.2 Approved Not Approved Not Approved :elW. K.wx 93. Dec 18 03 02:06p 305-664-0047 p.1 1"fi F.ditim MONROE COUNTY, FLORIDA Request For Waiver of InsurAnce Requirements It is requested that the insurance requirements, as specilled in the County's Schedule of insurancc Requirement", be waived or modified on the following contract. Contractor:F-(ct►�i K t 67.0fto o< .V.n��)'Y�� .am. TNC Contract for. T r' C�..s 4- Y)c> rMt:c G rg,T- _ Address of Contractor: Zu ZSkA rnor" L 3303 b Rhone: 3y s•- 6 Y- 8-�! l 3 0 5- 614 - 019 O T e ...,ra Scope e(Work: 4�'Z.Ci .e -e *r uts-4 T " r.v s+.•.... eel eor. fe ��.Q�'Prwt�N'e-?`� wAt 1 •..rc�,�r .w..r A� 11 linfl.rd� s � Ott,.-g�Ko�.l � L .wb •wZMrl) .�...w�,., .syc, %•.11: fio a.c � sG�� +�l^f�s 'r.�- Reavon for Waiver: /)D e w— j] j 0 ,- e _ . Policies Waiver will )� apply to: Oc%ce.ry Cv.v� We r�r w.• TJ1! NA! a.Qor �ws-rANa�ANd'ra{�a rssperKtirl 1'.'� ',� EN=.K•�a 'r all 6✓1� Cw+li'raeT+�S pr'.bs: y11y war�a•� ON�� ro•�t?`w.11 �tl��! _. e� w.r-ti^A�t rrt�:rel.rot��,n,! Signature of Contractor: gyp,; e1 Q. Kw 7 6J-1b Risk Managemet Date: /.2 /a,110 3 County Administrator Appeal; Approved _ Date: Board of County Commixsioners Appeal: Approved Meeting Date; Administration Instruction #4709.2 Not Approved Not Approved .•fir-e ,b.ry oh-y- CSR SG DATE(MM/DDlYYYY) ACUi��D.. CERTIFICATE OF LIABILITY INSURANCE THEFL-1 01 27/04 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 89015 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tavernier FL 33070 Phone : 305-852-9247 INSURERS AFFORDING COVERAGE NAIC # INSURED IINSURERA. Scottsdale Insurance Co. INSURER B. The Florida Keys History of INSURERC: Diving Museum Inc 82990 Overseas H Islamorada FL 330N6 INSURERD: INSURER E. CnVFRAGFS 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 POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATI N DATE MM/DD/YY) LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X I OCCUR CLS0983445 01/21/04 01/21/05 II '�, EACH OCCURRENCE $ 500 , OOO PREMISES (Eaoccurence) $ 50 000 r MED EXP (Any one person) $ 5 , 000 PERSONAL &ADV INJURY $ 500 r OOO GENERAL AGGREGATE s500,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY jE O LOC PRODUCTS -COMP/OP AGG $ SOO OOO ' � AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ViAN EMENT COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ _ GARAGE LIABILITY I�$ ANY AUTO B DATE1. AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY 77 J OCCUR � CLAIMS MADE DEDUCTIBLE ~�I RETENTION $ %,NAIVEP �, NIA EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY j ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? I If yes, describe under SPECIAL PROVISIONS below VVUbIAIU- I— TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ ! E.L DISEASE -POLICY LIMIT $ OTHER Iill DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS Not for Profit Museum ****** THIS IS A TRUE AND CERTIFIED COPY OF THE ORIGINAL CERTIFICATE OF INSURANCE***** CERTIFICATE HOLDER IS ADDITIONALLY INSURED CERTIFICATE HOLDER CANCELLATION MONRO2 3 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 Commission IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street Key West FL 33040 REPRESENTATI ES. AUTHORIZED TI The )hifs6ns Insurance ACORD 25 (2001/08) 'EEN11fJIIS8I6R1EIW1l11 19 EMP July 27, 2007 EONDED THRU TROY FAIN INSURANCE, INC RECEIVED JUN 2 2 2004 The Florida Keys History of Diving Museum, Inc. The story of mans quest to explore under the seal. 82990 Overseas Highway, MM83 PO Box 897 j Islamorada, FL 33036-0897 Phone: 305-664-9737 Phone/Fax: 305-664-2784 Email: divingmuseum@aol.com June 16, 2004 Bill Grumhouse Risk Management Monroe County Offices 1100 Simonton Street Key West, FL 33o,40 s F-) IS Cii� OP SENT BY CERTIFIED MAIL, RETURN RECEIPT REQUESTED Dear Bill: I've enclosed two new original signature, notarized certificates of liability insurance for James Rhodus. The County and the TDC are named on them respectively. These are identical to the ones I faxed to you for review and tentative approval on April 20th. After you called me back to say they were fine I then sent them to your office but, as we discussed, they are not in anyone's files. Hence I'm sending them again. Once stamped by your office, I'd appreciate it if you would forward these to Maxine at the TDC office so that the approved forms will be in her file when we submit for reimbursement of Rhodus' bills. Dan Kunz Executive Director Cc: Maxine, TDC The Florida Keys History of Diving Museum, Inc. is an independent, not -for -profit 501(c)(3) organization. The Museum is dedicated to the preservation, education and exhibition of the History of Diving, with emphasis on the contributions of South Florida and The Florida Keys. CERTIFICATE OF LIABILITY INSURANCE INSURED James Rhodus IDSA Len Rhodus Consulting & Design POBox 1606 PRODUCER 445 THE JOHNSONS INSURANCE AGENCY 13351 OVERSEAS HIGHWAY Tavernier FL 33070 MARATHON FL 33050 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 AFFORDING COVERAGE: CANAL INDEMNITY COMPANY COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 PAIL] CLAIMS. TYPE OF INSURANCE POLICY NUMaE:R DATE �D DA EC(ME EXPIRATION. LIMITS GENERAL LIABILITY COMMERCIALQENERALLIABILITY mws MADE Z] OCCUR GL90023 9/21/2003 9/21/2004 PRODUCTS�COMP OPAL Included PffiMt&&ADVIhIJURY 300 000.00 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE 3001000.00 E3E DAMAME ftLans 50 000.00 COMBINED SINGLE LIMIT AUTOM0131LE LIABILITY ANY AUTO BODILY "RY (Tsarpermn) ALL OWNED AUTOS SCHEOULEDAUTOS HIRED AUTOS NON4:rNNED AUTOS I,y G!<MENT SODILY INJURY (Pertucldent) PROPEFTIYDAMAGE GARAGE LIABILITY DEALER NON -DEALER P1�.,...._.L---- 0� �� 1, (( V S B001LY INJURY (PerT�erson) BODILY INJURY Par 0= erri PROPERTY DAMAGE EXCESS LIABILITY FENCE UMBRELLA FORM OTHER THAN UMBRELLA FORM AGWEGATE WORICERS COMPENSATION AND EMPLOYERS' LMILTTY INCL THE PROPRIETOR/ BEXC PARTNERS/EXECUTIVE L OFFICERS EL EACH ACCIDENT EL OL4PASE.POLICY LIMIT OESC;RMION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Carpentry Commercial - MCCL. Roofing Draftsman General Contracting In Construction of Residential Homes Onlys RUTH A.1.ONO **This is a true & certified copy** �Notary Public, State of Florida comm. exp. Aug. 1, 2007 r3omm, No. OI) 236319 CERTIFICATE HOLDER Additional Named Insured On The Policy Morava County SOCC 1100 Simonton St. Key West FL 33040 CANCEt.1.ATIO14 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILT. ENDEAVOR TO MAIL WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHA" IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON COMPANY, Tr$ AGENTS OR RElileSt=N'I'ATNES AUTHORIZED REPRESENTATIVE -- % "','w' \ - 06/11 /oa A21 ACORID CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) PRODUCER (305) 852-3234 FAX (305) 852-3703 Regan Insurance Agency, Inc. 90144 Overseas Hwy. Tavernier, FL 33070 12/01/2004 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. INSURERS AFFORDING COVERAGE NAIC # INSURED C & E Construction DBA : BOC Builders IncINSURER PO Box 6 Tavernier, FL 33070 INSURERA: Essex Insurance Company 39020 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. ILIELNSR DO' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I "- ] OCCUR 3CN6227 05/11 /2004 05/11 /2005 EACH OCCURRENCE $ 1000000 DAMAGE TO RENTEDPREMISES IF, occumn-) $ 50000 MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: JECT POLICY PRO- LOC PRODUCTS -COMP/OP AGG $ 1000000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AP i�,l yf _ r 'J--- - ,- LirJ°�I'I AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG EACH OCCURRENCE $ $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS usual to insured's operation ***certificate holder is also shown as an ADDITIONAL INSURED*** i•�nTIG1/^ATc u�� e� Monroe Co Board of County Commissioners 1100 Simonton St Key West, FL 33040 ACORD 25 (2001/08) 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, 1 A NTS OR REPRESENTA ES. AUTHORIZED REPRESENTATIVE /+ produc i na aaent t/ �.._ l .� A_ - TION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE PRODUCER (305) 852-3234 FAX (305) 852-3703 Regan Insurance Agency, Inc. 12/01/DD/20042/O104 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 90144 Overseas Hwy. Tavernier, FL 33070 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED C & E Construction Inc DBA : BOC Builders Inc PO Box 6 Tavernier, FL 33070 INSURERA: Hartford Insurance Company INSURER B: INSURER C: INSURER D: rnvoowrc� INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.qSSUEDR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CO POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DSRE D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM1nnfYY) LIMITGENERAL LIABILITYEACH COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR OCCURRENCE DAMAGE TO RENTED MED EXP (Any one person) PERSONAL & 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 21 UECLE4183 05/11 /2004 05/11 /2005 COMBINED SINGLE LIMIT (Ea accident) $ 1 000000 BODILY INJURY (Per person) $ A X X SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per (Per accident) X NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AP APP i °s') ' = AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC $ "_ ''�" - ��"-.�'�� AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE N/A EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS usual to insured's operation ***certificate holder is also shown as an ADDITIONAL INSURED*** 9'MM rI An 1 1 - Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 ACORD 25 (2001/08) 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE I R , ITS AGENTS OR RE ENTATIVE AUTHORIZED REPRESENT(V CORPORATION 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE D ATE (MM1DDNY) 09/172004 PRODUCER Serial # 121647 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INSURANCE COMPANY OF THE AMERICAS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1310 UTICA STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. BOX 855 ORISKANY, NEW YORK 13424 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: INSURANCE COMPANY OF THE AMERICAS 33030 FIRST FINANCIAL EMPLOYEE LEASING, INC. UC/F BOC BUILDERS, INC DBA C&E CONSTRUCTION INSURER B: INSURER C: 3745 TAMIAMI TRL INSURER D: PORT CHARLOTTE, FL 33952 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 POLICES 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 NSR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurence $ MED EXP (Anyone person) $ CLAIMS MADE 0OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- JE T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS accident) AP P �n1(Per fV1 N �--MEN C PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO - DATE -.....-. .- OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKER'S COMPENSATION AND WC73202123101 1/1/04 1/1/05 X TORYLIMITS OER A EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under NO EL DISEASE - EA EMPLOYEE $ 1,000,000 EL DISEASE - POLICY LIMIT $ 1,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS COVERAGE APPLIES ONLY TO THOSE EMPLOYEES LEASED TO BUT NOT SUBCONTRACTORS OF BOC BUILDERS, INC. D/B/A C&E CONSTRUCTION CO. ADD ON DATE 2/7/02 CLIENT #1739. FOR AN EMPLOYEE LIST PLEASE CALL 1-800-624-1805. DAN KUNZ - DIVING MUSEUM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BOCC MONROE COUNTY BOARD OF COUNTY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN COMMISSIONERS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 SIMONTON STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR KEY WEST, FL 33040 REPRESENTATIVES, AUTHORIZED REPRESENTATIVE At,URD 26 (2001108) © ACORD CORPORATION 1988 y t twx1 } {. �o¢:� i 3 Id.� k ., $ #"161M1 j -.i,.. M'l 1 ` e i i{�� 3 i sF ,g isai alt ." i,' A9�;7500. -4N PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND Work Comp Associates, Inc. OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 33297 Palm Beach Gardens, FL 33420-3297 USA COMPANIES AFFORDING COVERAGE COMPANY A Bridgefield Employers Insurance Co. COMPANY INSURED Brian Veale Painting, Inc. B COMPANY P.O. Box 1355 Islamorada, FL 33036-1355 C COMPANY D .. C y.. C qg y j @ [ MUNT 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/DDIYY) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS GENERAL LIABILITY GENERAL. AGGREGATE PRODUCTS - COMP/OP AG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR OWNER'S & CONTRACTOR'S PROT PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS ,ai .s " +) f G EM NT BODILY INJURY (Per Person) $ SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS r, .... !„i j � ; - ----- BODILY INJURY (Per Accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND XX I WC STATU-n— I ER A EMPLOYERS' LIABILITY 0830267080000 3/1/2004 3/1/2005 EL EACH ACCIDENT $ 100,000 EL DISEASE - POLICY LIMIT $ 500,000 THE PROPRIETOR/ XX INCL PARTNERS/ EXECUTIVE OFFICERS ARE: mix EXCL EL DISEASE -EA EMPLOYE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESISPECIAL ITEMS 30 day cancellation applies to any reason other than non payment of premium. 10 day cancellation applies to non payment of premium only Cn�� JORMCA1 .. t.',,�, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE BOCC Monroe County Board of County Comissioners EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 ry DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 1100 Simonton Street FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY Key West, FL 33040 KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ! 1 (TDM) z �°` a • "� '( Y ACORD,. CERTIFICATE OF LIABILITY INSURANCE UOBB 01-05-2005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION REGAN INSURANCE AGENCY INC / PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 224589 P : (866) 467-8730 F : (877) 538-8526 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. BOX 29611 CHARLOTTE NC 28229 INSURERS AFFORDING COVERAGE INSURED INSURERA:Hartford Casualty Ins Co INSURERB: Hartford Underwriters Ins Co BRIAN VEALE PAINTING, INC. INSURER C: P.O. BOX 1355 INSURER D: ISLAMORADA, FL 3303.E 1 INSURERE: rn%/EMnr_r=c 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 TYPE OF INSURANCE PoUCY NUMBER POLICY EFFECTIVE DATE MM/DOWY/ POUCY EXPIRATION DATE MM/DD/YYl LIMITSLTR A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR X Business Liab 21 SBA KU13 2 6 11 / 0 5 / 0 4 11 / 0 5 / 0 5 EACH OCCURRENCE $1 , 000, 000 FIRE DAMAGE (Any one fire) $3 0 0 , 0 0 0 MED EXP (Any one person) $1 0 , 000 PERSONAL & ADV INJURY $1, 000, 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X jEC0 LOC PRODUCTS - COMP/OP AGG s2 , 000, 000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 21 UEC L I 6 6 8 3 APP �rt., �' DA I` 11 / 0 5/ 0 4 �/ ♦ - � (f it I Lk 11 / 0 5/ 0 5 �';: liq " µ E� COMBINED SINGLE LIMIT (Ea accident) $1, 000, 000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10 , 000 21 SBA KU13 2 6 11 / 0 5/ 0 4 11 / 0 5/ 0 5 EACH OCCURRENCE $1, 000, 000 AGGREGATE $1 , 000, 000 s I $' $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY - WC DRYSTATU- I OTHER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERA T/ONS/LOCAT/ONS/VEHlCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPEC/AL PROVISIONS Those usual to the Insured's Operations. BOCC Monroe County Board of County Commissioners is named as Additional Insured per the Business Liability Coverage Form SS0008. 14 i / zF_ G l.th 111 I11L A I t NULUtH L Zi j ADDITIONAL INSURED, INSURER LETTER. GANGtLLA I ION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL BOCC Monroe County Board of 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE County Commissioners 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 1100 Simonton St. REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTA TIME ACORD 25-S (7/97) o ACORD CORPORATION 1988 ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM/DD/YYYY) FLORKE3 01 21 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Regency Ins. Brokerage - FL PO Box 190 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hallandale FL 33008-0190 Phone: 800-982-1895 Fax: 954-454-5862 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Markel International Ins.Co. INSURER B: The Florida Keys History of Diving 82990 Overseas Higghway Islamorada FL 33036 INSURERC: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM/DDIYY E POLICY(EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X X COMMERCIAL GENERAL LIABILITY TNF02789 01/21/05 01/21/06 PREMISES occurence $ 50000 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 1000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included POLICY PRO- RO 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 9,h APP VNAG F M E N PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY( _ D AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO {�A'�'E. _.__....�.,.e�.--.-•---"".`. -� $ EXCESS/UMBRELLA LIABILITY WA1,417- " " EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY —TO$ TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Monroe County Board of Commissioners is included as an additional insured CERTIFICATE HOLDER CANCELLATION MONRCO2 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 Board of Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street REPRESENTATIVES. AUTHORIZED ESEVE C Key West FL 33040 ACURo 25 (2001/08jrit ACORD CORPORATION 1988 0c : �-- ACORD CERTIFICATE OF LIABILITY INSURANCE oPID�1S DATE(MM/DD/YYYY) PRODUCER FLORK02 08 05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Riemer Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 250 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hallandale FL 33008-0250 Phone: 800-742-1691 Fax: 954-454-9552 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Markel American Insurance Co The Florida Keys History of INSURER B: Diving Museum, Inc INSURERC: 82990 Overseas Higghway Islamorada FL 33036 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE E PDATEY EXPIRATION LIMITS A X GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR TNF02789 01/21/05 01/21/06 EACH OCCURRENCE $ 1000000 X PREMISES'(Eaoccurence) $ 50000 MED EXP (Any one person) $ 1000 PERSONAL BADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT JECT LOC PRODUCTS - COMP/OP AGG $ Included AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per (Per person) BODILY INJURY (Per (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO`/� � �'-' yES AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSNMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER I _ TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Monroe County Board of Commissioners is included as additional insured CERTIFICATE HOLDER CANCELLATION MONRCO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Monroe County Board of NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners IMPOSE NO B IGATION OW (ABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton S t . REPRESE Key West FL 33040 AUTHQ8I RE A ACORD 25 (2001108) aflClLLCf. • © ACORD CORPORATION 1988 ACORDTM CERTIFICATE_O_ F LIA_BI_LITY INSURANCE °AT4/04/0 D/YY) - - 04/04/05 THIS CERTIFICATE IS ISSUED AS A MATTER 1 PRODUCER Luis Insurance OF INFORMATION 6020 Bird Road Suite 1 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Miami, FL 33155 -_ALTER THE COVERAGE AFFORDED_BY THE POLICIES BELOW. _ (305)667-7700 INSURERS AFFORDING COVERAGE NAIC # -- - INSURERA Scottsdale Insurance Company 41297 INSURED -- - - David -- Lee Roofing & Sheet Metal, Inc. - INSURER B: 107 Garden Street, Unit 1 INSURER C: Tavernier, FL 33070 INSURERD: INSURER E: - - COVERAGES — THE POLICIES OF INSURANCE LISTED 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 N REDUCED BY PAID CLAIMS. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION =._R I DD*L - - L TYPE OF INSURANCE DATE MM/DD Y DATE M( MIDDmr LIMITS GENERAL LIABILITY Li COMMERCIAL GENERAL LIABILITY CLS1092014 11/12/04 11/12/05 EACH OCCURRENCE $500,000 DAMAGE TO RENTED PREMISES (Ea occurence) I $50,000 _ CLAIMS MADE J OCCUR �/J A ❑ MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $500,000 GENERAL AGGREGATE $500,000 GEN'L AGGREGATE LIMIT APPLIES PER: - ice/ POLICY El PROJECT '._] LOC + LE - AUT ANY AUTO - ALL OWNED AUTOS - - PRODUCTS - COMP/OP AGG $500,000 Fire Damage/Any one COMBINED SINGLE LIMIT (Ea (Ea accident)-- - SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) J -- -- - _ GARAGE LIABILITY, L _j ANY AUTO -J -- - EXCESS LIA—BILITY { . _I I]] OCCUR ❑ CLAIMS MADE _ a_ _ AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC! _ AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE _ DEDUCTIBLE WORKLJ RETENTION ERS COMPENSATION AND - - - -- - EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? If yes, describe under f _SPECIAL PROVISIONS below OTHER — — �- ❑ WC STATU_ E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Roofing contractor. ""certificate holder is also shown as an ADDITIONAL INSURED"' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE _, Monroe Co. Board of County Commissioners EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 1100 Simonton St. THE LE F BUT F ILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West, FL 33040 I OF ANY KI P THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZE R ESENTATIVE ACORD 25 (2001/08) © ACORD CORPORATION 1988 MONK CotMw, FIAIUDA see at R*rW*kw of tMWSDW K9441WWANU u ismonocidwaft WWWWM Mic t;Oww�+: BeMe�I�As attars Aap�ir +d b. WAIVW w. vWW ow die aGIAIM ca•aadar }�� ids Ld0- ,,SrrL.,e„� "r`Sec�rT� c'AMAW for � v Nam, M L4 I noo rw Wes: „_ No �►^^C� Pr1Ciet Wk*er will apply W. SipAaneatCostr ��-•-----� ��...� ..-�.�. U Appr*Ved N01 Apptovod, j Not DOW .5.1.=.�....r .. DoW AaOi *(Come* Cawmion sma*.pped, mosissow. gip°" W2 4401 ACORD TM CERTIFICATE OF LIABILITY INSURANCE Date 3/24/2005 Producer: Lion Insurance Company This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend, extend Holiday, FL 34691 or alter the coverage afforded by the policies below. Phone:727-938-5562 Fax:727-937-2138 Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing, Inc. Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurer B: Holiday, FL 34691 Insurer C: Phone: (727)938-5562 Insurer D: Insurer E: Coverages -- _-- ------ - •-- ---•- •� •^� r-,-,r r=�� niuioerao. rvorwansu3ncmg any requirement, term or condition of any contractor other document IV 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. NSRJ ADDL LTR I INSRD I Type of Insurance IERAL LIABILITY Commercial General Liability ] Claims Made Occur eral aggregate limit applies per: Policy ❑ Project ❑ LOC OBILE LIABILITY Any Auto All Owned Autos Scheduled Autos Hired Autos Non -Owned Autos GARAGE LIABILITY Any Auto EXCESS/UMBRELLA LIABILITY Occur ❑ Claims Made Deductible Retention A Workers Compensation and Employers' Liability Any proprietor/partner/executive officer/member excluded? I/ Yes, describe under special provisions below. Policy Effective Policy Expiration Policy Number Date I Date DATE _. ^ .., I S Limits Each Occurrence Damage to rented premises (EA occurrence) Med Exp Personal Adv Injury General Aggregate Products - Comp/Op Agg Combined Single Limit (EA Accident) Bodily Injury (Per Person) Bodily Injury (Per Accident) Property Damage (Per Accident) Auto Only - Ea Accident Other Than EAAcc. Autos Only: AGG. Each Occurrence I I ' Aggregate WC 71949 01 /01 /2005 01 /01 /2006 X vvL �tatu- ER H- tory Limits ER E.L. Each Accident $1000000 E.L. Disease - Ea Employee $1000000 E.L. Disease - Policy Limits $1000000 Othe 3019332 David Lee Roofing & Sheet Metal, Inc. COVERAGE APPLIES ONLY TO THOSE EMPLOYEES LEASED, NOT TO SUBCONTRACTORS. Descriptions of Operations/Locations/Vehicles/Exclusions added by EndorsementfSpecial Provisions: ADD ON DATE: 8/25/2003 COVERAGE APPLIES ONLY IN THE STATE OF FLORIDA TO THOSE EMPLOYEES LEASED TO BUT NOT SUBCONTRACTORS OF David Lee Roofing & Sheet Metal, Inc. "MAIL `3-24-05 (JOM) BOCC MONROE COUNTY BOARD OF COUNTY COMMISSIONE Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to 1100 SIMONTON ST do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. KEY WEST FL 33040 i ACORD 25 (1001/08) _. nrnan rnoono ATE— ,.,ea ACORA CERTIFICATE OF LIABILITY INSURANCE PRODUCER (305)852-3234 FAX (305) 852-3703 Regan Insurance Agency, Inc. 03/25/2005 03/25/2005 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 90144 Overseas Hwy. Tavernier, FL 33070 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED David Lee Roofing & Sheetmeta I Inc P 0 Box 9494 Tavernier, FL 33070 INSURERA: Carolina Casualty Ins Company 10510 NSURER B: INSURERC: 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 D'1 DSRF TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR DAMAGE TO RENTED $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER:PRO POLICY ECT LOC JEC PRODUCTS -COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS CTP340722 11 /14/2004 11 /14/2005 COMBINED SINGLE LIMIT (Ea accident) $ 300' 000 BODILY INJURY (Per person) $ A X SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ ki E _ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO .- OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE / . - "' V "' . S --"—"" EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I WC STATU- OTH- E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ert i f i cate holder is shown as an additional insured for specific job at 2990 Oversesa Highway, Islamroada, FI 33036 lorida Keys History Dive Museum r^c0TIU1t'A'r0 un1 - Monroe County BOCC 1100 Simonton Street Key West, FL 33040 ACORD 25 (2001108) 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 MAIL SUCH NOTICE SHALL IMPOSE NO,OBLIGATION OR LIABILITY OF ANY KIND UPON THE IVDRPR, ITS AGENTS OR REPRESENTATIVI AUTHORIZED REPRESENT V Producinq Aaen 040ACORD CORPORATION 1988 %4. ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID J DATE(MM/DD/YYYY) VINCRO2 1 10 07 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Riemer Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 250 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hallandale FL 33008-0250 Phone:800-742-1691 Fax:954-454-9552 INSURED Vincent Rocroussey P.O. Box 897 Islamorada FL 33036 [@(DIVA =1:7_Tei::w INSURERS AFFORDING COVERAGE I NAIC # INSURER A: Old Dominion Insurance 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 CLAIMS. LTR INSQ TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX ] OCCUR BINDER 09/19/05 09/19/06 PREMISES(Ea�occuErence) $ 500000 MED EXP (Any one person) $ 10000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG s2000000 POLICY PRO- JECT 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 PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO APPAUTO BY_ B LGEMENT ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY DATE —3:07 EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ WA i V E R Iu j A __,..____. ES Is DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Exibit Fabricator - Monroe County Board of Commissioners is included as an additional insured CrC 1n, Q rl C. �e_ VGR I IrIVM 1 G nvLVGR GANGCLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County Board Of Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street REPRESENTATIVES. Key West FL 33040 1 AUTHORIZED ESEjATIVE�a� ACORD 25 (2001/08) ACORD CORPORATION 1988 IvA nod- MtfpW% C*qAM, V(ARlBA of Immnum m"Givemm" bWOWS yr ogtgvo as dw trMrwa6 ONWXL CcAma for #s 1 r 3 303 CO. WNW YV Kamm rww pdVie i dfw" wm a ffty W. Sis a m sr ' _._..� . A" Ro Conq Adw*WMK" PAW"Cewq►Ca�aiAa*' NO A - MN AWON . .___._...,.— m A*WWAldmMM WPM ia� 4*Mj Oft s m N o"Ws cots o O.AIOA �ogelea� For W:;irer of Ie isoopp"W elan ere a M Nw�rttoara�a+Aap�rw��a. 6o w&IW4 yr madW a# era MW arNINK� C Cuotee�t for: w Saps orM/prlc: !leers IN w i4 le" WSW win W* W. snstaos: Riokmmmwmgm ow corvA*Nwddm mod: s.W.rcoo* Ca . +* IPPC*. iW P SS _.� — Notes. __._.__ maginoDw. A*PWdwWmbWMPM wz 44Mj ACG7Rt?� CERTIFICATE OF LIABILITY INSURANCE �-� DATE"'ODNYYY) 01 /29/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY 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. Ifthe 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 NAME; Gregg Steffen Bass Underwriters n/CONNo Ext : (954) 473-3706 AIXC No): (954) 316-3127 ADDRESS: gsteffen@bassuw.com 6951 W. Sunrise Blvd. INSURERS AFFORDING COVERAGE NAIC # INSURERA : Burlington Insurance Co 23620 Plantation FL 33313 INSURED INSURERS; The Florida Keys History of Diving Museum INSURER C : 82990 Overseas Hwy., INSURER D : INSURER E : isiamorada FL 33036 1 INSURERF: COVERAGES CERTIFICATE NUMBER: RFVISInM MlIMFu=a• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCEIm POLICY NUMBER MM/DD/YYYY MMIDDNYYY LIMITS A GENERAL LIABILITY ii COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Q OCCUR Y 535BO21264 02/18/2013 02/18/2014 EACH OCCURRENCE $ 1,000,000 PREMISE s occurren $ 100,000 MF.-DEXP one person 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERALAGGREGATE 2,000,000 GENLAGGREGATE LIMITAPPLIESPER POLICY PRO LOC PRODUCTS - COMP/OPAGG S Included $ AUTOMOBLE LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS N HIRED AUTOS AUTOS TOS IF.D COMBINED 8INGLE LIMT Ea acad $ BODILY INJJRY (Per person) $ BODtl.YINJJRY(Peracc,danl) $ PROPERTY DAMAGE PeraccrdF $ $ UMBRELLA LIAS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ REXCESS AGGREGATE IDED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUI'IVE ❑ OFFICER/MEM3EREXCLUDED7 (Mandatory In NH) II yS IPTI N OFuncO DESCRIPTION OF OPERATIONS below N/A V ry j yi,` I.VJCSTATU- OTH- E.l EACHACCIDEN7 F.I. DISEASE - EA EMPLOYE " E.I. DISEASE - P01. ICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) THE CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED 'We will endeavor to provide no less than 30 days notice of cancellation to the certificate holder" Monroe County Board of County Commissioners & C/O Risk Management P.O. Box 1026 Key West FL 33041 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 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD (Tame and logo are registered marks of ACORD '4C7CPR E' CERTIFICATE OF LIABILITY INSURANCE DATE(MMlOD/YYYY) 8/1/2013 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 endorsement(s). PRODUCER Regan Insurance Agency Overseas Hwy. NAME C Lilliam Reyes PHONE , (305) 852-3234 FAx A/C (3051852-3703 1A/C. No90144 EMAIL �.lreyes@reganinsuranceinc.com .ADDRESrNSURER S AFFORDING COVERAGE NAIC # Tavernier FL 33070 INSURER A:BusinessFirst 11697 INSURED The Florida Keys History of Diving Museum 82990 Overseas Highway INSURER B : INSURERC: INSURERD: INSURER E : Islamorada FL 33036 INSURERF: w�nuu�, 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 im L R POLICY NUMBER MMIDDNYF Y MMILDDIYYYP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMA D PREMISESoccurrence)$ MED EXP Any one erson $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER- PRODUCTS - COMPIOP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMi a accident) BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS AUTOS PROPERTY DAMAGE $ (,� r M $ I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE OEO I I RETENTION $ $ A WORKERS COMPENSATION WC STATU- O7H- AND EMPLOYERS' LIABILITY Y I N E.L. EACH ACCIDENT $ j00 000 ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N / A E L DISEASE - EA EMPLOYE $ 100 000 (Mandatory In NH) 52104715 11/17/2012 11/17/2013 Ifdescribe under E.L. DISEASE - POLICY LIMIT $ 500,000 ins D S. RIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Florida RE: TDC Capital Project: Dive Museum Exhibits FY 13-14 Contract ID# 1206 Monroe County Board of Count y Commission Monroe County TDC c/o Risk Management PO Box 1026 Key West, FL 33041 VH 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 Joseph Roth/SPARKEC -- 1--..1 (V IUtIU-zu1U AGORD CORPORATION. All rights reserved. INS026 polom).o1 The ACORD name and logo are registered marks of ACORD 11 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: The Florida Keys History of Diving Museum, Inc. Contract for: Dive Museum Exhibit Enhancement Project Address of Contractor: 82990 Overseas Hwy, Islamorada, FL 33036 Phone: (305) 664-9737 Scope of Work: Dive Museum Exhibit Enhancement Project Reason for Waiver: Waiver of Auto Insurance requirement: The Dive Museum does not have any automobiles Policies Waiver will apply to: Signature of Contractor: Risk Management: Date: County Administrator Appeal Approved _ Date: Auto Not Approved Not Approved Board of County Commissioners Appeal: Approved Not Approved Meeting Date: Administration Instruction #4709.2