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Certificates of Insurance... .. :. ::':;..';•::::..;::•r}:.}:,:.:;:#'+F`:x.;:6::3:;:::;::::.5.::::::' •{.:`.`;{'::i::} R::; �:::;:::::5;'ti:::3i:::t::::•.'•ii::i:?'t:rt:::::::r:::':;:';:;:$.'•�::::E:::::::#:iti':;;:::::::%:`•`:#::: ii............... ISSUE DATE DA M M/DD :;,; �:� ::.;;: :; ':Si'$•.; ''::> �: •.. �'::::;, �::';::: '.;i :; ::.:'•..:.:::�: E�',. '� ::.: ��iV�.7�.i{�..its `r'r' ?::i::::::`::::�: ii::ii��l��: •. •.<�iii:isi::�::#:iss'?Si'#:#r:�i:::i::i:::t:::}::::::�:::::::::;:;ii;:#:5::::::3:::::•'::::::::?:::: i:::i :......................::::. �:. �:: .......:. r..........................,•.,•::::: F..{....... 99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO VFIS of Florida RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORD BY THE POLICIES BELOW. One S. Ocean Blvd., #310 COMPANIES AFFORDING COVERAGE Boca Raton, FL 33432 COMPANY LETTER A American Alternative Insurance Corp. 800-995-8554 COMPANY LETTER B INSURED COMPANY r , Key Largo Volunteer Fire Department, Inc. LETTER C COMPANY P. O. BOX 782 LETTER Key Largo, FL 33037 COMPANY 212-233- i 769. LETTER E •.•.•;.,vt Fr .. 1 ....:\ '}..'44 4....:. }• .. •.v:...:r.....•. •.....:.. rF.6 ♦ : • :w:v ...:: •....v:.,•:.}'•}:•}}:•:{• F .•.............................................::.... v:::;...•w: w::::::::::::::::::: .....: .: ..:: �.r...n......... ...............\........•.\.}}:n•:;{:;p•.:.v.•.v:}p;.',.:;n:;nvn :;: n: n{.}.:n:::.........r .... :................. ]. ..r....•..•.........n•.....................�..{. ..... . . . .....n .......... ;:, ........•...•...... r..n.r..:.v::::.....::.::.v:.::.:...:.v:::: •::: rkii •::::::::::: •.••w::.v:::.v:.v:nvnv,iF.:C••}:{iv:•}isi�;:::;.';:+.•]:•]:•}}:i•}:•}}:?{.}:•}:{.}:i•}�:•}:{{•:{•;}}}]]:•: .............:.......................... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD POLICY 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 EFF. POLICY EXP. LIMITS LTR DATE (MMND/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ ❑ COMM. GENERAL LIABILITY PROD -COMP/OP AGG. $ ❑ CLAIMS MADE ❑ OCCUR PERS. & ADV. INJURY $ ❑ OWNER'S & CONTRACT'S PROT. EACH OCCURRENCE $ FIRE DAMAGE (One Fire) $ MED. EXPENSE (One Per) $ AUTOMOBILE LIABILITY CM-1003213-3 10/21/99 10/21/00 LINED SINGLE $ 300,000 MANY AUTO ❑ ALL OWNED AUTOS BODILY INJURY $ ® SCHEDULED AUTOS 1 (Per Person) ® HIRED AUTOS ® NON -OWNED AUTOS _ -- --' BODILY INJURY $ (Per Accident) ❑ GARAGE LIABILITY_ - _ — PROPERTY DAMAGE ---- EXCESS LIABILITY -- ---- ---- ` ❑ EACH OCCURRENCE $ ❑ UMBRELLA FORM ❑ AGGREGATE $ ❑ OTHER THAN UMBRELLA FORM r `'`{•,:i:: ;?:`;:;'i#:'}'.:::''n::;};:.;{;<vn r 2; y:;;.., ?:;<•::::: i•}:STATUTORY •LIMITS •.. WOri�EiL4` COMPENSATION •-.�.j1r , Iy/f1/yn ''x%:':: EACH ACCIDENT $ AND �•1 ' I C DISEASE POLICY LIMIT $ EMPLOYER'S LIABILITY DISEASE -EACH EMP. $ OTHER Automobile Physical CM-1003213-3 $100 Ded. Comprehensive Damage $250 Ded. Collision DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Certificate Holder is additional insured. i ...�v+n4+..}i.}nv:•:v�: i:•}:i;•::?.+i:+{4nw ...'•'•.. .......... ..................................................•... .. n..........�..n......:.v Y........ v,...%{.;{ } . . v::: •;}:::::.i•. + j...�. ... r ...........:� ..i•......n..x:::::x.....:x:::::::....................:.......... i::+}:�::.v: w: n•... .. .}::•::v}; ?}:•::.}:{•}:•}}}:•:{•}:tii•]]:{{;L:$:�:•i:�i:Ci:;:$iii�:�:4f�:•i}:• Monroe County BOCC 'i{ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION �\ • • }t DATE THEREOF, THE ISSUING COMPANY WILL ENDEA VOR TO MAIL 10 DAYS W RITTEN c/o Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH I1 ' r' NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS. 5100 College Road DATE NTS OR REPRESENTATIVES AUTHORIZED SENTATIVE Key West, FL 33040 INITIAL {: . ..v..:.Y.:............... ...............................................................:.:::::.v:.v:::::.v:.v:::.::::::::::::::::: r......:........ :::::::nw; ::..:::::::::::::.: n:::.v.: ::.}}}:•}:{:{:r:::::::: n'+{4::^:•:•}:•}:45 �::::.....::n}•::::::::::::::::::: r,::::::::::::: nv::::: nw:.v:.:v:.:............................................::::.v:.v:.v:: n•:: x::::::; n:w:::.v.v: n;w:.:v:::i•}:•:•:•}:•}:{{.:}p:•:•}:{•: i:i.,+.}:{•:{4:i{.: ACORD CERTIFICATE OF LIABILITY INSURANCI�,sR $C DATE(MM/DWYY) YLA-3 04/20/99 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 89015 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tavernier FL 33070 COMPANIES AFFORDING COVERAGE The Johnsons Insurance Agency COMPANY Phone No. 305-852-9247 Fax No. A The Travelers INSURED COMPANY It ` B Key Largo Volunt Fire Rescue4 COMPANY Sharon v C P . O . BOX 782 COMPANY D Key Largo FL 33037 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. LCO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S 6 CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ C r"M MED EXP (Any one person) S AUTOMOBILE LIABILITY vY ANY AUTO G COMBINED SINGLE LIMIT $ ALL OWNED AUTOS t) A i E SCHEDULED AUTOS -- BODILY INJURY (Per person) $ HIRED AUTOS ,'ER; , BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WORY EMPLOYERS' LIABILITY LIMITS ER EL EACH ACCIDENT —DISEASE $ 100 r 000 A THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE 6FR13UB773K730A99 04/28/99 04/28/00 E -POLICY LIMIT $500r000 OFFICERS ARE: EXCL EL DISEASE -EA EMPLOYEE $ 100000 OTHER A Commercial Applica 6FR13UB773K730A99 04/28/99 04/28/00 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION MONRO-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIFTHEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Risk Management 1 O D4ITENNOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Maria De1Rio5100 College Road BUT FAILAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY LATE�INITIAhe Key West FL 33040A4-C OF ANY KN THE COMPANY, ITS AGENTS OR PRESENTATIVES. hnsons Insurance Agency ACORD 2" (1196) '- ACORD CORPORATION'1988 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 I POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) (POLICY EXPIRATION DATE (MMMDIYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR OWNER'S & CONTRACTOR'S PROT 99105 0 3/ 10 / 9 9 0 3/ 10 / 0 0 GENERAL AGGREGATE $ 300,000 X PRODUCTS - COMP/OP AGG $EXCLUDED PERSONAL & ADV INJURY $ 300,000 EACH OCCURRENCE $ 300,000 FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 1,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS _. __._.._.___ ___.____ _- �� I� / PI' T BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO /1/' Cato v AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM 4 J EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL TORY L UTS ER —MI— EL EACH ACCIDENT -- $ EL DISEASE -POLICY LIMIT $ EL DISEASE -EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONSA.00ATIONSIVEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS NAMED ADDITIONAL INSD AS THEIR INTEREST MAY APPEAR. MONROE COUNTY BOARD OF COMMISSIONERS 5100 COLLEGE RD. KEY WEST, FL 330QA6l-- [NITIAL SHOULD ANY OF THE ABOVE 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, 1 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY { ANY KIND UPON THE COMPANY, AGENTS OR REPRESENTATIVES. 7AUTHORIZED REPRESENTATIVE ' AU IM HAMPSON KR 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, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM\DD\YY) DATE (MM\DDWY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 71 CLAIMS MADE OCCUR. PERSONAL & ADV. INJURY $ OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS ti; r (Per Person) $ HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS _ — (Per Accident) PROPERTY DAMAGE $ GARAGE LIABILITY - AUTO ONLY - EA ACCIDENT $ t C ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY . C� f Ju EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM Raxi-a A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY WR13-UB-773K730-A-00) 04-28-00 04-28-01 STATUTORY LIMITS THE PROPRIETUR/ EACH ACCIDENT $ 100,000 PARTNERS/EXECUTIVERX INCL DISEASE -POLICY LIMIT $ 500,000 OFFICERS ARE: EXCL DISEASE -EACH EMPLOYEE $ 100.000 THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. 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 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ATT N : MA R I A D E L R I 0 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 5100 COLLEGE ROAD KEY WEST FL 33040 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 00 AUTHORIZED REPRESENTATIVE ACORD� CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YY) 08/02/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Swett & Crawford Insurance Grp ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 16167 U. S. Hwy 19, Ste. 330 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater, FL 33764 727-536-1006 INSURERS AFFORDING COVERAGE INSURED KEY LARGO VOLUNTEER FIRE RESCUE DEPARTMENT, INC �n P.O.BOX 782 Key Largo, Florida 33037 INSURER A: American Equity Ina Co. INSURER B: INSURER C: 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 TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE M D POLICY EXPIRATION DATE IMMIDDIM LIMITS a GENERAL LIABILITY ACCO91770 06/06/00 06/06/01 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [A] OCCUR FIRE DAMAGE (Any one fire) $ EXCLUDED MED EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $ 500,000 GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ EXCLUDED POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO tj SINGLE LIMIT (a MBINEDaccident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ,,ntrh, _ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO _ _.__ uGS OTHER THAN EA ACC $ - $ AUTO ONLY: AGG EXCESS LIABILITY OCCUR CLAIMS MADE - EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE1 $ E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHK:LES/EXCLUSK)NS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder shown as additional Insured. 1---- I A I A-11WMAL INDUneu; rnsuneH LL[ILK: A GAriGGLLA IIUIV Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 5100 College Road DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Key West, FL 33040 DO SO TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DSO SHALL Attn: Risk Management IMPOSE NO OBLIGATION OR BILnY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. r!r EPRESENTATIVE ACORD 25-S (7/97) ORD CORPORATION 19M AC it PRODUCER (INSURED RAY HAMPSON & ASSOCIATES INSURANCE AGENCY 102481 OVERSEAS HWY KEY LARGO FL 33037 KEY LARGO VOLUNTEER FIRE RESCUE DEPARTMENT INC P O BOX 782 KEY LARGO, FL 33037 DATE MM/DD Y) n ( 05/01 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A NATIONAL FIRE & MARINE INS CO COMPANY B COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY BINDER # 0114 6 0 3 / 10 / 01 0 3 / 10 / 0 2 GENERAL AGGREGATE $ 300,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $EXCLUDED CLAIMS MADE X OCCUR PERSONAL & ADV INJURY $ 300,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 300,000 FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) 1 S 5.000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY IANY AUTO n COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE I $ + OTHER THAN AUTO ONLY: EACH ACCIDEN' EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS I I ER EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE -POLICY LIMIT $ EL DISEASE -EA EMPLOYEE 1 $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONSA.00ATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER AS ADDITIONAL INSURED AS RESPECTS TO THE COMMERCIAL GENERAL LIABILITY MONROE COUNTY BOCC C/O MONROE CTY RISK MGMT 5100 COLLEGE ROAD KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE 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 C PANY, AG OR.REMESENTATIVES. AUTNORDMD REPRESENTATIVE --- TIM HAMPSON, EXT �. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM\DD\YY) I DATE (MM\DD\YY) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE F1 OCCUR. OWNER'S & CONTRACTOR'S PROT. GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOSI NON -OWNED AUTOS CA " 4 i; COMBINED SINGLE LIMIT $ BODILY INJURY (Per Person) $ BODILY INJURY (Per Accident)J�I $ OPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: .................................................................... EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ A WORKER'S COMPENSATION AND EMPLOYER'S LABILITY THE PROPRIETOR/ PARTNERS/EXEINCLCUTIVE OFFICERS ARE: X EXCL (6FR13—UB-773K730—A-01) 04-28-01 04-28-02 STATUTORY LIMITS EACH ACCIDENT $ 100,000 DISEASE —POLICY LIMIT $ 500,000 DISEASE —EACH EMPLOYEE $ 100,000 THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. MONROE COUNTY RISK MANAGEMENT ATTN: MARIA DELRIO 5100 COLLEGE ROAD KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. TATIVE AUTHORIZED REPRESEN ACORD. CERTIFICATc OF LIABILITY INSURAivCE °"'06108t O6/OB/0l PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Swett & Crawford ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 18167 US HWY 19 N HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 330 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater, FL 33764 INSURERS AFFORDING COVERAGE 727-536-1006 INSURED INSURER A: American Empire Surplus Lines Insurance Company Key Largo Volunteer Ambulance Corp. INSURER B: 98M Overseas Highway 1a Key Largo, FL kqL INSURER C: INSURER D: INSURER E: COVERAGIES 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. NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDIDIM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FxI OCCUR 1GL36911 06/06/01 06/06/02 EACH OCCURRENCE $ 500,000 FIRE DAMAGE (Any one fire) $ EXCLUDED MED EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $ EXCLUDED _ GENERAL AGGREGATE $ SW,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRa LOC E T PRODUCTS - COMP/OP AGO $ EXCLUDED AUTOMOBILE LIABR.RY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APP By __ p MENT _ S COMBINED SINGLE LIMIT (Es accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO ,r VVV AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGO $ $ EXCESS LIABRITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS LILI ABTY WC SOTH- LIMIT TRY LIMA ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATKNISAOCATIONS/MICLESMXCLUSKINS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER X I ADDmONAL NSURED; NSURER LETTER: A CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County Commissioners : Risk Management DATE THEREOF, THE ISSUING NSURER WILL ENDEAVOR TO MAIL 1O DAYS WRITTENAttn Attn College Road NOTICE TO THE CERTMATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL SE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE NSURER, ITS AGENTS OR Key West, aFl. 33040 -- — --- REPRESENTATIVE ACORD 25-S (7/97) C-� ®ACOMWCORPORATION 1988 ................................ ................................ PRODUCER THE JOHNSONS INS AGENCY 30975 AVE A BIG PINE KEY FL 33043 2GFSW INSURED KEY LARGO VOLUNTEER FIRE RESCUE DEPARTMENT, INC PO BOX 782 KEY LARGO FL 33037 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A FLORIDA W.C. JUA COMPANY B COMPANY C COMPANY D ................................ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM\DD\YV) DATE (MM\DD\YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 71 CLAIMS MADE [:::] OCCUR. NA ENT PERSONAL & ADV. INJURY $ V B OWNER'S & CONTRACTOR'S PROT. AP EACH OCCURRENCE $ BY FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY uAl / t� Y�v ��^ SINGLE ANY AUTO WAIVER NIA LCOMIMIT LIM $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS \ BODILY INJURY $ NON -OWNED AUTOS Per Accident cc_ � 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 WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (GFR13—UB-773K730—A-02) 04-28-02 04-28-03 STATUTORY LIMITS THE PROPRIETOR/ EACH ACCIDENT $ 100,000 PARTNERS/EXECUTIVE RX INCL DISEASE —POLICY LIMIT $ 500,000 OFFICERS ARE: EXCL DISEASE —EACH EMPLOYEE $ 100,000 THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. MONROE COUNTY RISK MANAGEMENT ATTN: MARIA DELRIO 5100 COLLEGE ROAD KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE PRODUCER VFIS of Florida One S. Ocean Blvd., #310 Boca Raton, FL 33432 I Agent: Regan Insurance Agency, Inc. I Key Largo Volunteer Ambulance Corps, Inc. 198600 Overseas Highway Key Largo, FL 33037 E 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 I TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. LI LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY VFIS-CL-0021026-0 1 6/6/02 6/6/03 1 GENERAL AGGREGATE ® COMM. GENERAL LIABILITY ❑ CLAIMS MADE ® OCCUR ❑ OWNER'S & CONTRACT'S PROT. AP ® Malpractice BY ❑ANY AUTO WAIVE ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS e v ❑ NON -OWNED AUTOS C T ❑ GARAGE LIABILITY 0 / J /^"` n EXCESS LIABILITY ❑ UMBRELLA FORM ❑ OTHER THAN UMBRELLA FORM WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY OTHER Management Liability VFIS-CL-0021026-0 SK N/A DIES RECEIVED 2002 MNRQE COUNTY DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Certificate Holder is included as an additional insured per form GL1012 &/or form ML1004. Monroe County Board of County Commissioners c/o Risk Management 1100 Simonton St. Key West, FL 33040 PROD -COMP/OP AGG. PERS. & ADV. INJURY FIRE DAMAGE (One Fire) MED. EXPENSE (One Per) COMBINED SINGLE LIMIT BODILY INJURY (Per Person) OILY INJURY Accident) EACH OCCURRENCE AGGREGATE STATUTORY LIMITS EACH ACCIDENT DISEASE POLICY LIMIT $ 3,000,000 $ 3,000,000 $ 1,000,000 $ 1,000,000 $ 19000,000 $ 5,000 $ 500,000 ea. wrongful act $1,000,000 aggregate $ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED 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 AUTHORIZED REPRESWATIVE ................................................... .............................. PRODUCER THE JOHNSONS INS AGENCY 30975 AVE A BIG PINE KEY FL 33043 2GFSW INSURED KEY LARGO VOLUNTEER FIRE RESCUE DEPARTMENT, INC PO BOX 782 KEY LARGO FL 33037 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A FLORIDA W.C. JUA COMPANY B COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM\DD\YY) DATE (MM\DD\YY) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE E:I OCCUR. OWNER'S & CONTRACTOR'S PROT. GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APMP'" �' BY DATE WAIVER N!1-.N, K d GE IEIYT � COMBINED SINGLE LIMIT BODILY INJURY (Per Person) $ —YES w 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 A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (6FR13—UB-773K730—A-03) 04-28-03 04-28-04 STATUTORY LIMITS EACH ACCIDENT $ 100,000 THE PROPRIETOR/ DISEASE —POLICY LIMIT $ 500,000 INCL PARTNERS/EXECUTIVERX OFFICERS ARE: EXCL DISEASE —EACH EMPLOYEE Is 100,000 OF THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. MONROE COUNTY RISK MANAGEMENT ATTN: MARIA DELRIO 5100 COLLEGE ROAD KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. C G " AUTHORIZED REPRESENTATIVE . Y,e K DATE (MM\DD\Y1) .RTI . E O URA 10-24-03.. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE JOHNSONS INS AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30975 AVE A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BIG PINE KEY FL 33043 COMPANIES AFFORDING COVERAGE COMPANY 26FSW A FLORIDA W.C. JUA INSURED COMPANY KEY LARGO VOLUNTEER FIRE B RESCUE DEPARTMENT, INC COMPANY PO BOX 782 C KEY LARGO FL 33037 COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM\DD\YY1 DATE (MM\DD\n GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE = OCCUR. OWNER'S & CONTRACTOR'S PROT. AP P�� T �T M EN O GENERAL AGGREGATE S PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY S EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Y.__._ . _..., -. W..._. D ;:- _.............___. ..._ -, . _. WAIVER NSA YE (71 ' COMBINED SINGLE LIMIT $ BODILY INJURY (Per Person) $ BODILY INJURY (Per Accident) S PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO 1 g (� C AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE S EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA - -r EACH OCCURRENCE $ AGGREGATE $ A WORKER S COMPENSATION AND-� EMPLOYER'S LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: X EXCL A --� (GFR 13-UB-773K730-A-03) 04-28-03 04-28-04 STATUTORY LIMITS EACH ACCIDENT $ 100,000 DISEASE -POLICY UMIT $ 500,000 DISEASE -EACH EMPLOYEE $ 100,000 CC-) /J� . l -' L VL C 0- THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. MONROE COUNTY RISK MANAGEMENT C/O MARIA SLAVICK 1100 SIMONTON STREET KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORDM CERTIFICATE OF LIABILITY INSURANCE 1 05/z8/2003) 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 Key Largo Volunteer Ambulance Corp INSURERA: American Alternative Ins Corp 98600 Overseas Hwy INSURER B: Key Largo, FL 33037 INSURERC: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINi 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 LIMITS EACH OCCURRENCE $ 100000 GENERAL LIABILITY CL002102601 06/06/2003 06/06/2004 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100000 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5000 A PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3000000 POLICY PROECT El LOC J 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 A D - _ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO Y _ B $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DATE ,-,r.�=•�—•^•- ./� WAIVER /_�� Y S EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATULIM - OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below A OTHER Management Liability CL002102601 06/06/2003 06/06/2004 Aggregate limit $1000000 Coverage A $500,000 Coverage B $5000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS Certificate holder is shown as an additional insured Monroe County Board Of Comm Att:risk Management 1100 Simonton Street 3052924542, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL LPIV 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, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESEWrATIVE s" ACORD 25 (2001/p8) FAX: (305)292-4564 ,/ l "' (c)ArnQn rnRPn0ATInIJ 40RR _ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) PRODUCER 06/01/2004 (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 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 90144 Overseas Hwy. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tavernier, FL 33070 INSURERS AFFORDING COVERAGE NAIC # INSURED Key Largo Volunteer Ambulance Corps INSURERA: American Alternative Ins Corp 98600 Overseas Hwy INSURER B: Key Largo, FL 33037 INSURERC: INSURER D: INSURER E: NV V CI[iNVCJ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN 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 NUMBERPOLICY DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY TR0021026-2 06/06/2004 06/06/2005 EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY 71000000 CLAIMS MADE LJ I 7� t OCCUR DAMAGE TO RENTEIT— PREMISES Ea occurence $ MED EXP (Any une person) $ 5000 A X PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 3000000 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) $ P� �� ' MAN G M NT GARAGE LIABILITY ANY AUTO H,.� "`�`" - DATE AUTO ONLY - EA ACCIDENT $ OTHER THAN � ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR ElCLAIMS MADE e/S-�i? I.AYEJ $ ,�-,_—__- EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE 1% j�\J\ $ RETENTION $ $ WORKERS COMPENSATION AND - EMPLOYERS' LIABILITY TORY LIMITS I I ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT` $ OTHER TR0021026-2 06/06/2004 06/06/2005 500000 Coera eA A anagement Liability 9 laims Made 5000 CoverageB 1000000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS certificate holder is shown as an additional insured f�C�TI CIf�ATC IJA� �� Monroe County Board Of Comm Att:risk Management 1100 Simonton Street 3052924542, FL 33040 ACORD 25 (2001f08) FAX: (305)292-4564 GG: t,AnI,CLLA I IUN 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 NSURER, ITS AGENT R REPRESENTATIVES. AUTHORIZED REPREONTSnVE producing ©ACORD CORPORATION 1988 AL111:1/.ERTIFIT[::RAlE DATE(MM\DD\Y1r) _...:.............:.. 07 19 04 -- IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PRODUCER FALTER BURKE BOGART & BROWNELL LDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 181 CRAWFORD BLVD THE COVERAGE AFFORDED BY THE POLICIESI BELOW. BOCA RATON FL 33432 COMPANIES AFFORDING COVERAGE COMPANY 233YH A FLORIDA W.C. JUA INSURED COMPANY KEY LARGO VOLUNTEER AMBULANCE B CORPS INC COMPANY 98600 OVERSEAS HIGHWAY KEY LARGO FL 33037 C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 7LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMMDD\YY) POLICY EXPIRATION DATE (MM\DD\Y11) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE F-1 OCCUR. PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT. FIRE DAMAGE (Any one fire) $ APP MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS T ___ COMBINED SINGLE LIMIT $ DATE —_—. AID/F,.., N/A. - YES BODILY INJURY (Per Person) $ HIRED AUTOS NON -OWNED AUTOS (7 (� BODILY INJURY (Per Accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ Y AUTO OTHER THAN AUTO ONLY: ..................................:.: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S ' KERS COMPENSATION AND EMPLOYER'S LIABILITY (UB-9388A55—A—03) 09-29-03 09-29-04 STATUTORY LIMITS EACH ACCIDENT $ 100,O00 THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL OFFICERS ARE: X EXCL OTHER DISEASE—FOUCY LIMIT $ 500,000 DISEASE —EACH EMPLOYEE $ 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. GE"MCATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 11000E COUNTY RISK MANAGEMENT 1100 SIMONTON ST 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR KEY WEST FL 33040 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. � AUTHORIZED REPRESENTATIVE i � ��i // AL�GD awCSi9,j pCo1,'#hlii�tti�►N��95 ACemp® CERT'I PRODUCER BURKE BOGART & BROWNELL 181 CRAWFORD BLVD BOCA RATON FL 33432 233YH INSURED KEY LARGO VOLUNTEER AMBULANCE CORPS INC 98600 OVERSEAS HIGHWAY KEY LARGO FL 33037 j 1'r DATE (MM\DD\YY) N( l!"� V 07-19-04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A FLORIDA W.C. JUA COMPANY B COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMI-i S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I POLICY EXPIRATION LIMITS LTR DATE (MM\DD\YY) DATE (MM\DD\YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE E:l OCCUR. PERSONAL & ADV. INJURY S OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS1l BODILY INJURY SCHEDULED AUTOS A (Per Person) $ HIRED AUTOSQiNON-OWNED AUTOS hNAULMLi BODILY INJURY $--^^' DATE ._._._,..:. (Per Accident) wAIVER PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: r EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (UB-9388A55—A-03) 09-29-03 09-29-04 STATUTORY LIMITS THE PROPRIETOR/ EACH ACCIDENT $ 100,000 PARTNERS/EXECUTIVE INCL DISEASE —POLICY LIMIT $ 500,000 OFFICERS ARE: X EXCL DISEASE —EACH EMPLOYEE $ 100.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS cC'Vy - �\* O�. n C THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. MONROE COUNTY RISK MANAGEMENT 1100 SIMONTON ST KEY WEST FL 33040 SHOULD ANY OF THE ABOVE 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. AUTHORIZED REPRESENTATIVE �I�III�II®I 4� � ;FI � AT ... I R�►t��E DATE (MM\D 02-11-05 R05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BURKE BOGART & BROWNELL HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 181 CRAWFORD BLVD COMPANIES AFFORDING COVERAGE BOCA RATON FL 33432 COMPANY 233YH A FLORIDA W.C. JUA COMPANY INSURED KEY LARGO VOLUNTEER AMBULANCE B CORPS INC COMPANY 98600 OVERSEAS HIGHWAY C KEY LARGO FL 33037 COMPANY D OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED, NOTWITHSTANDING ANY REQUIREMENT, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION LIMITS. LTR TYPE OF INSURANCE POLICY NUMBER pA� (MM\DD\1M DATE (MM\DD\YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE F OCCUR. PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT. FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ LIMIT ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per Person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ APP9 B i MAN EME .' (Per Accident) NON -OWNED AUTOS BY PROPERTY DAMAGE $ GARAGE LIABILITY — - ----- _ AUTO ONLY - EA ACCIDENT $ ANY AUTO WAIvI=P NiA ---- P. OTHER THAN AUTO ONLY: - EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM j �„/ � AGGREGATE $ OTHER THAN UMBRELLA FORM l A WORKER'S COMPENSATION AND (UB-418GB61 -9-04) 09-29-04 09-29-05 STATUTORY LIMITS EMPLOYER'S LIABILITY EACH ACCIDENT $ i00,000 THE PROPRIETOR/ INCL DISEASE -POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE OFFICERS ARE: X EXCL ��JJ r DISEASE -EACH EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. C£RTI> 1CATEtI##LDEtiAN+C��U1iWl1E SHOULD ANY OF THE ABOVE 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 MONROE COUNTY RISK MANAGEMENT LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 1 100 S I MONTON STREET LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. KEY WEST FL 33040 / AUTHORIZED REPRESENTATIVE �9', iit3 CI'�FiC+OfiA`flON'I Sg3 AC1CiRR �6 S'(3193� aGWORDe yI 1 ■ ■ �/f� DATE (MM\DD\YY) ERTIFIC PRODUCER 02-11-05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BURKE BOGART & BROWNELL ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND 181 CRAWFORD BLVD EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BOCA RATON FL 33432 COMPANIES AFFORDING COVERAGE COMPANY 233YH A FLORIDA W.C. JUA INSURED COMPANY KEY LARGO VOLUNTEER AMBULANCE B CORPS INC COMPANY 98600 OVERSEAS HIGHWAY KEY LARGO FL 33037 C COMPANY D COY�RAt#IrS THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW INDICATED, HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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. JLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM\DD\YV) DATE (MM\DD\YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE FI PRODUCTS-COMP/OP AGG. $ OCCUR. PERSONAL & ADV. INJURY $ OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE $ LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS 9 V9 c* P (Per Person) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS... _,..,.`......... $ (Per Accident) PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ lck f OTHER THAN AUTO ONLY: ; 1 (P I lv { EACH ACCIDENT $ '1 C AGGREGATE $ EXCESS LIABILITY •` EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND EMPLOYER'S LIABIUTY ( UB-4186B61 —9-04) 09-29-04 09-29-05 STATUTORY LIMITS THE PROPRIETOR/ INCL EACH ACCIDENT $ 100 000 PARTNERS/EXECUTIVERX OFFICERS ARE: EXCL DISEASE —POLICY LIMIT $ 500,000 OTHER DISEASE —EACH EMPLOYEE $ 100, OOO DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICI ES/RESTRICTIONS/SPECULL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE iiT1hCATE H#7LDER CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. .. ......tfi+C>»E»I,A1 Gl+t 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 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 1100 SIMONTON STREET LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR KEY WEST FL 33040 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. / AUTHORIZED REPRESENTATIVE AGtiRQ ; ws {3/93j +rA 1`#ti CORPORA. ON, PRODUCER BURKE BOG & BROWNELL 181 CRAWFORD BLVD BOCA RATON FL 33432 2 DATE (MMU)D\YY) 02-11-05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A FLORIDA W.C. JUA INSURREDED COMPANY KEY LARGO VOLUNTEER AMBULANCE B CORPS INC 98600 OVERSEAS HIGHWAY COMPANY KEY LARGO FL 33037 C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 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 TR TYPE OF INSURANCE LTR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM\DD\Y1) DATE (MM\DD\yY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ CLAIMS MADE OCCUR. PRODUCTS-COMP/OP AGG. $ OWNER'S &CONTRACTOR'S PROT. PERSONAL & ADV. INJURY EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ AUTOMOBILE LIABILITY MED. EXPENSE (Any one person) $ ANY AUTO COMBINED SINGLE $ ALL OWNED AUTOS LIMIT SCHEDULED AUTOS BODILY INJURY(Per Person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY APP I M AGEME y � (Per Accident) $ ,`t! PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO DAi r - �s AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: WA1.lr.:°' EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ UMBRELLA FORM EACH OCCURRENCE $ ' OTHER THAN UMBRELLA FORM F AGGREGATE $ ^ A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (UB-4186661 —9-04) 09-29-04 09-29-05 STATUTORY LIMITS THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL Fx] EACH ACCIDENT $ 1 OO 000 OFFICERS ARE: EXCL DISEASE —POLICY LIMIT $ 500,000 OTHER DISEASE —EACH EMPLOYEE $ 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFIC11 ATE ISSUED C11iT1I~I#IFTE H#EDE[i TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. 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 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 1100 SIMONTON STREET LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR KEY WEST F L 33040 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. / ��zrvwc.c; AUTHORIZED REPRESENTATIVE G G • �_ a 00 i�o ► skasp ;i A1:111:11e S E T F LATE + N U R E DATE ,MM\DD m PRODUCER 02-22—OS ISSUED AS A MATTER OF INFORMATION T=ANDNFER BURKE BOGART & BROWNELL OS NO RIGHTS UPON THE CERTIFICATE HIFICATE DOES NOT AMEND, 181 CRAWFORD BLVD EXTEND OR AE AFFORDED BY THE POLICIES BELOW. BOCA RATON FL 33432 COMPANIES AFFORDING COVERAGE 2 COMPANY A FLORIDA W.C. JUA INSURREDED COMPANY KEY LARGO VOLUNTEER AMBULANCE B CORPS INC 98600 OVERSEAS HIGHWAY COMPANY KEY LARGO FL 33037 C COMPANY D C�1tLidtIB 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 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 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 LTR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM\DD\YV) DATE (MM\DD\YY) LIMITS GENERAL UA131UTY COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ CLAIMS MADE � PRODUCTS-COMP/OP AGG. $ OCCUR. PERSONAL & ADV. INJURY $ OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ AUTOM OBAILE LIABILITY MED. EXPENSE (Any one person) $ ANY UTO COMBINED SINGLE $ LIMIT ALL OWNED AUTOS SCHEDULED AUTOS AP7-- BODILY INJURY I8K MA a MENT (Per Person) $ HIRED AUTOS B_ y AUTOS BODILY INJURY$NON-OWNED (Per Accident)DAT. __. _ J PROPERTY DAMAGE $ GARAGE LIABILITY NLY - EA ACCIDENT $ ANY AUTO HAN AUTO ONLY: :1!"'RRENCE EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (UB-4 186B6 1 —9-04) 09-29-04 09-29-05 STATUTORY LIMITS THE PROPRIETOR/ EACH ACCIDENT $ t OO OOO PARTNERS/EXECUTIVE IINCL FX OFFICERS ARE: EXCL DISEASE —POLICY LIMIT $ 500,000 OTHER DISEASE —EACH EMPLOYEE $ 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED CRTIIFIATE HLDEF1'ItfiCIE,El1iEQI+f TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE, 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 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 1100 SIMONTON STREET LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR KEY WEST FL 33040 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. % AUTHORIZED REPRESENTATIVE 4R S (5931itiC+ilrb!#,1'1�N 19sa A/I4/1t1/® CE RTI FI ATE OF 1 N SU R�#�1�E DATE;MM\DD\YY) 02-22-05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BURKE BOGART & BROWNELL HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 181 CRAWFORD BLVD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BOCA RATON FL 33432 COMPANIES AFFORDING COVERAGE COMPANY 233YH A FLORIDA W.C. JUA INSURED COMPANY KEY LARGO VOLUNTEER AMBULANCE B CORPS INC COMPANY 98600 OVERSEAS HIGHWAY O KEY LARGO FL 33037 COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM\DD\YY) POLICY EXPIRATION DATE (MM\DD\YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE = OCCUR. OWNER'S & CONTRACTOR'S PROT. GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) MED. EXPENSE (Any one person) $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS A P VIE D �W`, I COMBINED SINGLE LIMIT $ BODILY INJURY (Per Person) $ BODILY INJURY (Per Accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO DATE•--" WAIVER ti v AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM � CGr � EACH OCCURRENCE $ AGGREGATE $ A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY THE PROPRIETOR/ I PARTNERINCL S/EXECUTIVE OFFICERS ARE! I X I 2XCL (LIB-4186B61-9-04) 09-29-04 09-29-05 STATUTORY LIMITS EACH ACCIDENT $ 100,000 DISEASE —POLICY LIMIT $ 500,000 DISEASE —EACH EMPLOYEE I $ 100,0001 THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. MONROE COUNTY RISK MANAGEMENT 1100 SIMONTON STREET KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1 O 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. AUTHORIZED REPRESENTATIVE . ACORDM CERTIFICATE OF LIABILITY INSURAN"E 05/28/21003) PRODUCER (305)852-32134 FAX (30ij852-3703 THIS CERTIFICATE IS IaSUED AS A MATTER OF INFORMATION Regan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 90144 Overseas Hwy. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tavernier, FL 33070 INSURERS AFFORDING COVERAGE NAIC # INSURED Key Largo Volunteer Ambulance Corp INSURERA: American Alternative Ins Corp 98600 Overseas Hwy INSURER B: Key Largo, FL 33037 INSURERC: INSURER D: INSURER E: v THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDINi 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 NAU TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY CL002102601 06/06/2003 06/06/2004 EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED (Ea arr, 'r $PREMISES 1000000 CLAIMS MADE rj] OCCUR MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 A GENERAL AGGREGATE $ 3000000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 300000 POLICY PROJECT LOC AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY (Per acciden)RY $ HIRED AUTOS NON -OWNED AUTOS SK APk AGEMENT PROPERTY DAMAGE (Per accident) $ BY— y �O GARAGE LIABILITY ANY AUTO `+N'AIVEF WA ES AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE - C EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ y WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIEtUR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT -----— $ $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ A OTHER �Ianagement Liability CL002102601 06/06/2003 06/06/2004 Aggregate limit $1000000 Coverage A $500,000 Coverage B $5000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ertificate holder is shown as an additional insured P C�TI GIP ATG Uf%l r%Mn PALIPCI 1 ATle%Kl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Monroe County Board Of Comm 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Att •risk Management BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 Simonton Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 3052924542, FL 33040 ACORD 25 (2001/08) FAX: (305)292-4564 ' ©ACORD CORPORATION 1988 ACORQ! CERTIFICATE OF LIABILITY INSURANCE 12/ziz o PRODUCER (561) 392-8888 FAX (561) 750-9134 Burke, Bogart & Brownell, Inc. 181 Crawford Blvd. Boca Raton, FL 33432 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Key Largo Volunteer Ambulance Corps, Inc. 98600 Overseas Highway Key Largo, FL 33037 INSURERA: FWCJUA INSURER INSURER C. INSURER D_ INSURER E: — ----- COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIC PERIC D INDID.NOTWITTI$TANDI G ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT'l'V WHICH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IS CER IFICATE MAY BL'iSSUED-OR XCLUS ONS AND CONDITIONS OF SUC INSR D' N TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE T POLICY EXPIRATION r. r Ar 61t(kt hi7Y GENERAL LIABILITY EACH OCCURRE, COMMERCIAL GENERAL LIABILITY piele $ �— CLAIMS MADE ❑ OCCUR VIED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO a + �} COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 1 i1/ " : _.r 3 _ --� (`�j - _� BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY i AUTO ONLY- EA ACCIDENT $ ANY AUTO l- C n OTHER THAN EA ACC AUTO ONLY. ASS $ $ EXCESSIUMBRELLA LIABILITY OCCUR u CLAIMS MADE 1 !! J / EACH OCCURRENCE $ AGGREGATEy $ � - " 1 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 6FR13U64186B61905 09/29/2005 09/29/2006 1 ORYLIMITS ER E.L. EACH ACCIDENT $ 100,000 A ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe Under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ lOO, OO E.L. DISEASE -POLICY LIMIT $ 500,00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS Monroe County BOCC PO Box 1026 Key West, FL 33041 su.Ul 1O (ZUU11 J 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, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Edward Burke OACORD CORPORATION 1988 Gc� ACORQH CERTIFICATE OF LIABILITY INSURANCE DATE MMIDDYYYY I OB/23/2 0 ) PRODUCER (305)852-3234 FAX (305)852-3703 Regan Insurance Agency, Inc. 90144 Overseas Hwy. Y' Tavernier, FL 33070 RECEIVEDaURERSA 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 ALT T COVERAGE AFFORDED BY THE POLICIES BELOW. ORDING COVERAGE NAIC# INSURED Key Largo Volunteer Ambu I an 98600 Overseas Hwy Key Largo, FL 33037 a Co ps AUG 2 5 INSURER Am i can Alternative Ins Corp INSURER ER INSURER 1VIV COVERAGES IYI u VVVIY- mev nnrnn[n.rCUT THE POLICIES OF INSURANCE LISTED BELOW HA M N7VAtU Ab VE 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. INSRADD` TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY TR0021026-4 06/06/2006 06/06/2007 EACH OCCURRENCE $ 100000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100000 CLAIMS MADE a OCCUR MED EXP (Any one parson) $ 500 PERSONAL& ADV INJURY $ 100000 A X GENERAL AGGREGATE $ 300000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 300000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE OMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULEDAUTOS % BODILY INJURY (Per parson) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) E PROPERTY DAMAGE (Per accident) $ - GARAGE LIABILITY —_., AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC S ANY AUTO E .. .-_....__ — ---.__. - AUTO ONLY: AGO EXCESSIUMBRELLA LIABILITY "' ,. EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ 1 S DEDUCTIBLE .21 $ RETENTION $ WORKERS COMPENSATION AND VCSTATU- I OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E L. EACH ACCIDENT E E.L. DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? It yes, tlescribe untler SPECIAL PROVISIONS Wim ,I E.L. DISEASE -POLICY LIMIT $ A THER anagement Liability )aims Made Aggregate limit $1,000,000 e A$500,000 Coverage 9 TR0021026-4 06/06/2006 06/06/2007 Coverage B $5,000 DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS ertificate holder is shown as an additional insured GG: ?4-nance- Monroe County BOCC PO Box 1026 Key West, FL 33041-1026 ACORD25(2001I08) FAX: (305) SHOULD ANY OF THE ABOVE 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 AUTHORQED REPRESENTVI/� produC i nq aqe y`l +0 -3179 c CORD CORPORATION 1988 A DRIP. CERTIFICATE OF LIABILITY INSURANCE 06/08/z 0 ' PRODUCER (305) 852-3234 FAX (305) 852-3703 Regan Insurance Agency, Inc. 90144 Overseas Hwy. 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 Key Largo volunteer Ambulance Corps 98600 Overseas Hwy t I,-. Key Largo, FL 33037 INsuRERA 'rican Alternative Ins Corp 19720 IId�URERE - 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 DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 06/06/2008 LIMITS GENERAL LIABILITY TR2054345-00 06/06/2007 EACHOCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1000000 CLAIMS MADE OCCUR MED EXP (Any one person) $ 5000 A X PERSONAL B ADV INJURY $ 1000000 GENERAL AGGREGATE $ 3000000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 3000000 POLICY PRO- ECT LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS , I BODILY INJURY $ SCHEDULED AUTOS (Per parson) HIRED AUTOSBODILY INJURY NON -OWNED AUTOS � - (Par accidenp PROPERTY DAMAGE $ ---- (Per accident) GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO P �j OTHER THAN EA ACC $ L. AUTO ONLY. qGG $ EXCESS/UMBRELLA LIABILITY CU5011833-00 06/06/2007 06/06/2008 EACHOCCURRENCE $ 1,000,000 OCCUR CLAIMS MADE AGGREGATE g V_j�_ 2,000,000 $ 2,000,000 DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WC STATU- EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? --------- --. If yes, describe under E.L. DISEASE - EA EMPLOYE $ SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ onIER TR2054345-00 06/06/2007 O6/06/2008 agement Liability Coverage A $1, 000, 000 A Coverage B $5,000 Aggregate Limit $3,000,0000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Emergency Organization Service GAl'G: aQnrAE� reo rlern A re- LJ^1 ^ Monroe County BOCC PO Box 1026 Key West, FL 33041-1026 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 (producing agent ACORD 25 (2001/08) FAX: (305)295 3179 CORPORATION 1988 a AAIC American Alternative Insurance Corporation STATUTORY HOME OFFICE ADMINISTRATIVE OFFICE ia- 1013'Centre Road 555 College Road East �RECENL �40V 04OfaROE CPU\T1 Princeton, New Jersey, 08543-5241 (800) 305-4954 Automobile Policy 1ANGE ENDORSEMENT 11 POLICY NO. VFIS—CN-1016567-0/001 NAMED AND MAILING ADDRESS AGENCY AND NAILING ADDRESS KEY LARGO 'VOLUNTEER VFIS AMBULANCE CORPS, INC 183 LEADER HEIGHTS ROAD 98600 OVERSEAS HIGHWAY PO BOX 2726 KEY LARGO FL 33037 YORK, PA 17405 POLICY PERIOD: From 10/01/2006 to 06/06/2007 AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE. EFFECTIVE 10-01-06 THIS POLICY ISAMENDEDAS SHOWN C0MMRCIAL AUTO For an additional/return premiem, the items below are changed as indicated: ADDING THE FOLLOWING AS ADDITIONAL INSURED LESSOR ON ALL VEHICLES: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST, FL 33040 FORMS AND EKD0RSE1MS APPLYING TO THIS COVERAGE PART AND RUE PART OF THIS POLICY AT THIS TIME: - CA2001 (10-01) TOTAL ADDITIONAL PREKIUX DUE FOR THIS ENDORSEMENT $ 80 THESE DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY :CONDITIONS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. COUNTERSIGNED AT: DATE- BY: _ Copyright, American ALternative Insurance Corporation, Includes copyrighted material of Insurance Services Office, Inc., PRODUCER COPY CL1201 (06-96) 10-17-06 Page 1 of 1 1996 with its permission American Alternative Insurance Corporation COVERAGE CHANGE ENDORSEMENT POLICY NO. VFIS-CM-1016567-0/001 EFFECTIVE DATE: 10/01/06 INSURED: :KEY LARGO VOLUNTEER AGENT: VFIS ITEK THREE - SCHEDULE OF COVERED AUTOS YOU OWN —ZONE— NO KEY YR TYPE MAKE DESCRIPTION VIN/SERIAL ST TERR ORG DEST CLASS 001 M 00 SPT FORD AMB ALS 1FDXE45F7YHB34422 FL 132 000 00 7919 002 M 99 SPT FORD AMB ALS 1FDXE4DF2XHA0412O FL 132 000 00 7919 003 M 03 SPT FORD AMB ALS 1FDXE45F43HB28764 FL 132 000 00 7919 004 M 02 SPT FORD AMB ALS 1FDXE45F22HB11881 FL 132 000 00 7919 LIAB Um Ulm PIP ADD NED NO KEY RADIUS USE SIZE/SEATS INDUSTRY PRIM PREM PREli PREeN PIP PREN 001 M COMM MEDIUM TRUCK S20 $O $O SO SO SO 002 M COMM MEDIUM TRUCK $20 SO $O SO SO SO 003 M COMM MEDIUM TRUCK $20 SO SO $O SO SO 004 M Comm MEDIUM TRUCK $20 SO So $O SO $O —OTHER THAN COLLISION COLLISION TOWING SOUND TAPE UNIT NO KEY COVERAGE DED AG-VAL PREK DED PREK PREK PREEi PREK PRElN 001 M COMPREHENSIVE $500 $100,000 SO $500 SO SO SO SO S20 002 M COMPREHENSIVE S500 $100,000 SO $500 $O SO $O SO S20 003 N COMPREHENSIVE $500 $100,000 SO $500 SO SO SO SO $20 004 M COMPREHENSIVE $500 S100,000 E0 S500 SO SO $O $O $20 NO KEY LIABILITY UK UMPD UIX NED PAY 001 M S1,000,000 $30,000 SO SD SO 002 M $1,000,000 $30,000 E0 SO SO 003 N $1,000,000 S30,000 SO SO SO 004 M $1,000,000 $30,000 SO SO SO NO KEY PIP ADDED PIP TOWING SOUND COST PE CLASS 001 M SEE ENDORSEMENT SCHEDULE N/A SO $O SO ALS 002 M SEE ENDORSEMENT SCHEDULE N/A SO SO $O ALS 003 M SEE ENDORSEMENT SCHEDULE N/A $O SO SO ALS 004 M SEE ENDORSEMENT SCHEDULE N/A SO SO SO ALS LEGEND *'•* KEY: "A" = Add, 'V" = De Lete or "M" = Modify. MED PAY = EMB in Pennsylvania. 10-17-06 Page 01 of 01 PRODUCER COPY American Alternative Insurance Corporation STATUTORY HOME OFFICE ADMINISTRATIVE OFFICE 1013Centre Road 555 College Road East Wilmington, DE 19805 Princeton, New Jersey, 08543-5241 (800) 305-4954 Commercial Automobile Policy ENDORSEMENT SCHEDULE POLICY NO. VFIS-CM-1016567-0/001 NAMED INSURED AND MAILING ADDRESS AGENCY AND MAILING ADDRESS KEY LARGO 'VOLUNTEER VFIS AMBULANCE CORPS, INC 183 LEADER HEIGHTS ROAD 98600 OVERSEAS HIGHWAY PO BOX 2726 KEY LARGO :FL 33037 YORK, PA 17405 POLICY PERIOD: From 10/01/2006 to 06/06/2007 AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE. ENDORSEMENT DATE: 10/01/2006 THESE ENDORSEMENTS MAY MODIFY THE INSURANCE PROVIDED UNDER THIS POLICY. PLEASE REFER TO COVERAGE PART FOR FULL EXPLANATION. * * * ADDITIONAL FORMS AND ENDORSEMENTS APPLICABLE TO UNIT 1 * * CA2001 - ADDITIONAL INSURED -LESSOR MONROE COUNTY BOARD OF 1100.. SIMONTON ST KEY: WEST FL 33040 0000 COUNTY COMMISSIONERS * * * ADDITIONAL FORMS AND ENDORSEMENTS APPLICABLE TO UNIT 2 * * CA2001 - ADDITIONAL INSURED -LESSOR MONROE COUNTY BOARD OF 1100 SIMONTON ST KEY WEST FL 33040 0000 COUNTY COMMISSIONERS * * * ADDITIONAL FORMS AND ENDORSEMENTS APPLICABLE TO UNIT 3 * * CA2001 - ADDITIONAL INSURED -LESSOR MONROE COUNTY BOARD OF 1100 SIMONTON ST KEY WEST COUNTY COMMISSIONERS PRODUCER COPY 10-17-06 Page 1 of 2 FL 33040 0000 American Alternative Insurance Corporation j* STATUTORY HOME OFFICE ADMINISTRATIVE OFFICE 1013 Centre Road 555 College Road East AMC WiLmington, DE 19805 Princeton, New Jersey, 08543-5241 (800) 305-4954 Commercial Automobile Policy ENDORSEMENT SCHEDULE POLICY NO. VFIS-CM-1016567-0/001 NAMED INSURED AND MAILING ADDRESS AGENCY AND NAILING ADDRESS KEY LARGO VOLUNTEER VFIS AMBULANCE CORPS, INC 183 LEADER HEIGHTS ROAD 98600 OVERSEAS HIGHWAY PO BOX 2726 KEY LARGO FL 33037 YORK, PA 17405 POLICY PERIOD: From 10/01/2006 to 06/06/2007 AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE. ENDORSEMENT DATE: 10/01/2006 * * * ADDITIONAL FORMS AND ENDORSEMENTS APPLICABLE TO UNIT 4 CA2001 - ADDITIONAL INSURED -LESSOR 10-17-06 MONROE COUNTY BOARD OF 1100 SIMONTON STKEY WEST FL 33040 0000 COUNTY COMMISSIONERS PRODUCER COPY Page 2 of 2 SIGNATURE OF AUTHORIZED REPRESENTATIVE POLICY NUMBER: COMMERCIAL AUTO CA20011001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indi- cated below. Endorsement Effective: Countersigned By: Named Insured: Authorized Representative) SCHEDULE Insurance Company Policy Number Effective Date Expiration Date Named Insured Address Additional Insured (Lessor) Address Desi nation or Description of "Leased Autos" Coverages Limit Of Insurance Liability $ Each "Accident" Personal Injury Protection (or equivalent no-fault Covera e) $ Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ For Each Covered "Leased Auto" Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ For Each Covered "Leased Auto" Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ For Each Covered "Leased Auto" (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) CA 2001 1001 0 ISO Properties, Inc., 2000 Page 1 of 2 0 A. Coverage 1. Any "leased auto" designated or described in the Schedule will be considered a covered "auto" you own and not a covered "auto" you hire or borrow. For a covered "auto" that is a "leased auto" Who Is An Insured is changed to include as an "insured" the lessor named in the Schedule. 2. The coverages provided under this endorse- ment apply to any "leased auto" described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the "leased auto", whichever occurs first. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto". 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your premi- ums. E. Additional Definition As used in this endorsement: "Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. Page 2 of 2 0 ISO Properties, Inc., 2000 CA 20 01 10 01 0 b^�QBDN CERTIFICATE OF LIABILITY INSURANCE 05/21/2 s) PRODUCER (30S)852-3234 FAX (305)8S2-3703 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 CERTJFICATE DOES NOT AMEND, EXTEND OR . 1T 1;HE COVERAGE AFFORDED BY THE POLICIES BELOW. Tavernier, FL 33070 .I t t - I INSURERS AFFORDING COVERAGE NAIC # INSURED Key Largo Volunteer Ambulance Corps I INSURERA: American Alternative Ins Corp 19720 98600 Overseas Hwy INSUR Key Largo, FL 33037 INSURER L_---.I 4NSURfi D cnvooer_cc 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 kDD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE DATE WMIDOMI POLICY EXPIRATION DATE fMMIODNYI LIMITS A X GENERAL LIABILITY XI -COMMERCIAL GENERAL LIABILITY CLAIMS MADE [X-1 OCCUR X Management Liab TR205434S-01 06/06/2008 06/06/2009 EACH OCCURRENCE $ 100000 DAMAGE TO RPREMISES (ReENTEDnrsl $ 100000 $ 500 MED EXP (Any one person) PERSONAL S ADV INJURY $ 100000 GENERAL AGGREGATE $ 300000 GEN'L AGGREGATE LIMITAPPLIES PER: X POLICY PRO LOC ECT PRODUCTS - COMP/OP AGO $ 300000 A X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CM1052671-01 06/06/2008 06/06/2009 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILI ANV AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY'. AGG $ $ A X EXCESSIUMBRELLA UABILITY X OCCUR El CLAIMS MADE DEDUCTIBLE RETENTION $ CU5052172-01 06/06/2008 06/06/2009 - EACH OCCURRENCE $ 1,000,00 AGGREGATE $ Z,000,000 $ 2,000,00 $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? U yea, describe under SPECIAL PROVISIONS below 5 4 1-0� WC STATU- OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ L DISEASE -POLICY LIMIT $ OTHER rI�/� IUUUd ryyv'_1 i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIALPROVISIONS Emergency Service Organization Monroe County BOCC PO Box 1026 Key West, FL 33041-1026 ACORD 25 (2001198) FAX: (30S)295-3179 c C ' +lc I�XPlI�CLLA t IUPI 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 INSWIft IT$'.AOsENTS OR R SENTA nVES. AUTHORIZED REPRESENTATIVE �I ' Droducino anent �/}�ORD COLORATION 1988 ::,��' , i/f/ 1 ACORDTm CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) PRODUCER 305.852.3234 FAX 305.852.3703 09/15/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF MATION Regan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ATE 90144 Overseas Hwy. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tavernier, FL 33070 INSURERS AFFORDING COVERAGE NAIC # INSURED Key Largo Volunteer Ambulance Corps INSURER A: American Alternative Ins Corp97 p 20 98600 Overseas Hwy Key Largo, FL 33037 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. NVSR LTR rDD SR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MM/DDIYYYY DATE MM/DD/YYYY LIMITS GENERAL LIABILITY TR2054345-02 06/06/2009 06/06/2010 EACH OCCURRENCE $ 100000 0 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X� OCCUR PREMISES Ea occurrence $ 1000000 A X (Any MED EXP An one person) $ 500 PERSONAL & ADV INJURY $ 10000001 GENERAL AGGREGATE $ 300000 0 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- [71 JECT LOC F-] PRODUCTS -COMP/OP AGG $ 3000000 AUTOMOBILE LIABILITY CM 10 5 2 6 71- 02 06/06/2009 06/06/2 010 X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 ALL OWNED AUTOS SCHEDULED AUTOS A X BODILY INJURY $ (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per accident) r- C PROPERTY DAMAGE $ (Per accident) C GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY CU5052172 —02 06/06/2009 06/06/2010 EACH OCCURRENCE $ 1900000 A X OCCUR CLAIMS MADE r [A AGGREGATE $ ,000,000 $ 29000900 DEDUCTIBLE RETENTION $ WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? a WC STATU- - TORY LIMITS ER �'" E.L. EACH ACCIDENT $ (Mandatory in NH) 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 mergency Service Organization CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF TH E 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 PO BOX 1026 Key West, FL 33041-1026 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ljoseph Roth BMONRO ` Ar \CORD 25 (2009101 ) FAX: 305.29 5.3179 ACORD CORPORATION. All rights g is reserved. The ACORD name and logo are registered marks of ACORD "4CCM0 CERTIFICATE OF LIABILITY INSURANCE DATE 011 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 NAME�V Brenda Monroe 90144 Overseas Hwy. PHONE A/c No Ext_(305_ )852-3234 - FAX ---- E-MAIL (A/C Nol- (305) 8 5 2 - 3 7 0 3 _ ADDRESS: bmonroe@ reganinsur'anceinc com Tavernier FL 33070 - PRODUCER -------------------- 00004906 cu ronnERID#:-- --- - --- NSURED - ------ - ----- 1 1- -. INSURERS AFFORDING COVERAGE - _- -- NAIC # INSURERA:Amerlcan Alternative Ins CO -- - -- 19720 ey Largo Volunteer Ambulance Corps INSURER B : --rp - - -- - 8600 Overseas Hwy - -------- INSURER C : - t-- - --- -- -- - INSURER D ey Largo FL 33037 ---------- - INSURERE:------- --------------- COVERAGES CERTIFICATE NUMBER:2011-2012 IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW ICATED. - INSURER F :----�--- - --- . HAVE BEEN ISSUED TO THE INSURED NAIMED ABOVSION EBFOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT RTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE CLUSIONS FFNS-R TO WHICH THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ A TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY F POLICY EXP MM/DDNYYY MM/DD/YYYY X LIMITS COMMERCIAL GENERAL LIABILITY I � A L CLAIMS -MADE X OCCUR J X EA�OCCURRENCE DA PR I6/6/2012MEXP(Any 1, 000,000 j1 054345-04 6/6/2011 1,000,000 one person) __'Is 5 000 - --_— PERSONAL & ADV INJURY i $ 1,000,000 GENT AGGREGATE LIMIT APPLIES _ S PER: X PRO- ENERA GL AGGREGATE $ -- - 3, 000 , 9O0 - LOC PRODUCTS-COMP/OPAGG $ -- - 3,000,000 AUTOMOBILE LIABILITY I I - - Is -- ---- -- - -- - l X ANY AUTO COMBINED SINGLE LIMIT $ j 1,000,000 A ALL OWNED AUTOS X CM1052671-04 SCHEDULED (Ea accident) 6/6/2011 rBODILY INJURY (Per person)$ - AUTOS HIRED I6/6/2012 —_— --BODILY INJURY (Per accident) $ AUTOS J NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ Fees/surcharges g X UMBRELLA LIAR _ OCCUR F----- ---- - --- 1 PIP -Basic $ - _ 10,000 EXCESS LIAB ------___--_ CLAIMS -MADE EACH OCCURRENCE LDEDUCTIBLE I AGGREGATE $ -- - -- -- 2 000,000 RETENTION $ X U5052172-04 WORKERS COMPENSATION r-- - - --- 6 O11 6/6/2012 - -- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC STATU- OFFICER/MEMBER EXCLUDED?� --TQRY LIMITS, �R (MandatoryN / A I }� r OTH in NH) If yes, describe under DESCRIPTION OF OPERATIONS I j E.L. EACH ACCIDENT_ $ ----- _ fi E.L. below DISEASE EA EMPLOYE $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Emergency Service Organization t.1 � ' / (L 1(305)295-3179 THESHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EXPI Monroe County BOCC ACCORDANCE W THDATE THE POLICY PROVISIONS.E WILL BE DELIVERED IN PO Box 1026 Key West, FL 33041-1026 AUTHORIZED REPRESENTATIVE Joseph Roth/BMONRO INS025 (200909) The ACORD name and logo are registered marks o ACORD ACORD CORPORATION. All rights reserved.