Certificates of Insurance
ACORDN CERTIFICATE OF LIABILITY INSURANCE OP 10 T~ DATE (MM/DDIYYYY)
ORION-2 04/16/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lutgert Smith Lesher Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1395 Panther Lane HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 112500 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Naples FL 34108
Phone: 239-262-7171 Fax:239-262-5360 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Zurich US
Orion Bancorp, Inc
First Banco~ Inc INSURER B:
Gulf Coast ational Bank INSURER C:
1st Nat'l Bank of FL Keys
3838 Tamiami Trail N. INSURER D:
Naples FL 34103 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 I PD~1f~lMM/DDlYYi DATE IMM/DDNYIN LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 500,000
f---
A X X COMMERCIAL GENERAL LIABILITY FIAOOOl724 09/18/03 09/18/04 . ~::~~~s (Es occurence) $ 100,000
I-- ~' CLAIMS MADE ~ OCCUR
I-- MED EXP (Anyone person) $10,000
PERSONAL & ADV INJURY $ 500,000
f---
GENERAL AGGREGATE $ 1,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000
I .nPRO- n Emp Ben. 1,000,000
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $1,000,000
A ~ ANY AUTO CAPOO1632700 01/20/04 09/18/04 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS ~EW.c~ 1\ (Per person)
f-- ~'~i'; \'1\ 1
HIRED AUTOS
- ~: - '..~... ~ ------ -- ,~ BODILY INJURY $
f--- NON-OWNED AUTOS --",-1- ..(per accident)
~ ()~- ~{)" ~OPERTY DAMAGE
$
""' ".,.-\=. __._--.",..A' (Per accident)
GARAGE LIABILITY ~ I>'..'{t:. --'" I ,,-.(/ I .... AUTO ONLY - EA ACCIDENT $
R ANY AUTO Wf>..\\!F.J-\ i\ ~ ,;-It, O~lJ
\.& OTHER THAN EA ACC $
,= AUTO ONLY: AGG $
EXCESs/UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000
A ~ OCCUR o CLAIMS MADE CCLOOO160810 09/18/03 09/18/04 AGGREGATE $5,000,000
$
~ DEDUCTIBLE $
X RETENTION $10,000 $
WORKERS COMPENSATION AND X I TORY L1Mm; I IUER'-
A EMPLOYERS' LIABILITY FIAOOOl724 09/18/03 09/18/04 $ 500000
ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT
OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500000
~~EMtS~~'(M~1~~S below EL DISEASE - POLICY LIMIT $ 500000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Ref: Bank ATM Machine, The Key West International Airport, S Roosevelt Blvd,
Key West, FL
Monroe County Board of County Commissioners is additional insured as
respects general liability/auto liab Fax# 305-295-4342 Attn:Bevette Moore;
410-261-7837 attn: Joyce Farrell/Zurich; 262-5390 Attn: Lori Arnold
CERTIFICATE HOLDER
CANCELLATION
MONRO-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
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.
AUTHO REP ESENTATWE
@ ACORD CORPORATION 1988
Monroe County Board of
County Commissioners
1100 Simonton Street
Key West FL 33040
ACORD 25 (2001/08) ,-c.: