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Certificates of InsuranceacORo. CERTIFICATE OF LIABILITY INSURANCE, OPID C TIO-1 DATE(MM/DD/YY) 06/28/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Royal Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 510 S . Andrews Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Lauderdale FL 33301-2832 Phone:954-764-1414 Fax:954-522-3882 INSURERS AFFORDING COVERAGE INSURED INSURER A: Florida Retail Federation INSURER B: National Opinion Research Svcs Attn: Daniel Clapp 790 NW 107 Ave S#100 Miami FL 33172 INSURE4: R INSURER0: INSURER E: -- '.,J614 COVERAGES JUL U; THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INQ1GATED.-N� TAN ING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 6 dµT+ttS-CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE JERMS, EXCLUSIONs�Na69N8FfitON� SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLI Y EFFEC IVE DATE MM/DDlYY POLICY N DATEE (MM/DD/YY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE r7 OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: 71 POLICY F7 PRO- JECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS(Per AFC ""--- - - -��MJAGEMENT .E; �'t WAIVER NIN ^-----� V17c, COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR � CLAIMS MADE DEDUCTIBLE RETENTION $ C / / 1 )C,� EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 0520 24055 0000 12/31/03 12/31/04 TF TORY LIMITS X ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L.DISEASE-POLICY LIMIT 1 $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1_ DAYS WRITTEN Co?^SAis s ioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Maxine Pacini IMPOSE NO OBLIGATiON OR L;Ai ILITY OF ANY KIND ON THE INSURER, ITS AGENTS OR 3406 N Roosevelt Blvd. Ste 201 Key West FL 33040-4266 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE William W. McIver"" 25-S (7/97) ©ACORD CORPORATION 1988 C G �t-�,c�t.• ACORD CERTIFICATE OF LIABILITY INSURANCE, OP ID E DATE(MM/DD/YY) TIO-1 01/21/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Royal Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 510 S . Andrews Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Lauderdale FL 33301-2832 Phone:954-764-1414 Fax:954-522-3882 INSURERS AFFORDING COVERAGE INSURED INSURERA: Florida Retail Federation INSURER B: National Opinion Research Svcs INsuRERc: Attn: Daniel Clapppp 790 NW 107 Ave SR00 INSURERD: Miami FL 33172 INSURER E: GVVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER i_ — _ POLICY EFFECTIVE DATE (MM/DD/YY) P LI Y EXPIRATI N DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAR01S .MADE u OCCUR FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS A V iSK �4J BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ BY _. TE �_ _ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ire' �',l I, ,� -- AUTO ONLY- EA ACCIDENT $ THAN � ACC AUTO ONLY: AGG $ ANY AUTO HOTHER 4 p EXCESS LIABILITY OCCUR El CLAIMS MADE TV EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ TOC $ $ A iE/rirLDVERSLiaBILITY WORKERS COMPENSATION AND 0520 24055 0000 12/31/04 12/31/05 TORY LHATS I x ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500, 000 EL. DISEASE -POI I $j00r000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: MAxine 3406 N Ros evel t Blvd S#2 01 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040-4266 REPRESENTATIVES. r' AUTHORIZED REPRESENTATIVE William W. McIver ^...,m. `;J-QAV :► ©ACORD CORPORATION 1988 G'G ,. ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID E DATE (MM DD YYYY) NATIO-1 03 OS 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Royal Insurance Agency, Inc. _......._HOLDER '[H CERTIFICATE DOES NOT AMEND, EXTEND OR 510 S . Andrews Avenue j - ( - ; "4TER THE OVERAGE AFFORDED BY THE POLICIES BELOW. IPhone:954-764-1414 INSURERS AFRORDING COVERAGE NAIC# Fort Lauderdale FL 33301-2832 F380- Fax:954-522 INSURED National Opinion Research{ Services Inc 790 NW 107th Ave S110 Miami FL 33172 ! d(_ �._ .9NSURER INSURER A: F orlda Retail Federation INSURER B: INSURERG 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. LTii NSR TYPE OF irv5uR rick POLICYHC �I::E.^. P_3-1CY EFFECTIV Aic'iA V0DrYY- POLICY_- OATe MNuuDIY'i' LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR - EACH OCCURRENCE $ PREMISES (Ea occurenoe) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS -COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS +v` AIJ 111SL IT' _ -� COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peraccitlenl) $ GARAGE LIABILITY ANVAUTO - r AUTO ONLY - EA ACCIDENT $ EAACC OTHER THAN AUTO ONLY: AGG S $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ .( /l i r1 .. - j� ( 4 EACH OCCURRENCE $ AGGREGATE $ $ $ A WOMI-Erw COr.:.^-HC TiON AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? tl Yes, tleseribe Jntler SPECIAL PROVISIONS below 520 24055 0000 12/31/06 12/31/07 TORV LIMIfS' �+ Ek E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE -POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Monroe County Board of County Commissioners Monroe County Risk Mgmt 1100 Simonton Street Key West FL 33040 MONROEC I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 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. K4-7F .{QISPo181 Cc Page 1 of 2 Pam Hancock From: "Slavik-Maria" <Slavik-Maria@Mon roeCounty-FL.Gov> To: 'Pam Hancock" <phancock@monroe-clerk.com> Sent: Monday, October 20, 2008 11:46 AM Subject: RE: TDC Smith Travel Research No it is not. Maria L. Slavik. CPM Risk Administrator The Historic Gato Cigar Factory 1100 Simonton Street, Suite 2-268 Key West, Florida 33040 Office 305-295-3178 Fax 305-295-3179 slavik-maria@mo,nroecounty-fl.gov Please take a moment to complete our Customer Satisfaction Survey: http //monroecofl virtualtownhall net/Pages/MonroeCoFL_WebDocs/css Your feedback is important to us! Please note: Florida has a very broad public records law. Most written communications to or from the County regarding County business are public record, available to the public and media upon request. Your e-mail communication may be subject to public disclosure. From: Pam Hancock [mailto:phancock@monroe-clerk.com] Sent: Monday, October 20, 2008 11:37 AM To: Slavik-Maria Subject: Fw: TDC Smith Travel Research Maria, For clarification is insurance required or not? ----- Original Message ----- From: Pacini-Maxine To: Pam Hancock Sent: Monday October 20, 2008 11:13 AM Subject: FW: TDC Smith Travel Research From: Slavik-Maria Sent: Monday, October 20, 2008 11:11 AM To: Pacini-Maxine Subject: RE: TDC Smith Travel Research Maxine, I do no see any problems with this Agreement. Maria L. Slavik. CPM 10/20/2008 Page 2 of 2 Risk Administratot The Historic Gato Cigar Factory 1100 Simonton Street, Suite 2-268 Key West, Florida 33040 Office 305-295-3178 Fax 305-295-3179 slavik-mans@monroecou nty_-fL gov Please take a moment to complete our Customer Satisfaction Survey: http //monroecofl.virtualtownhall.net/Pages/MonroeCoFL—vvebDocs/css Your feedback is important to us! Please note: Florida has a very broad public records law. Most written communications to or from the County regarding County business are public record, available to the public and media upon request. Your e-mail communication may be subject to public disclosure. From: Maxine Pac!ni [mailto:adminasst@fla-keys.com] Sent: Monday, October 20, 2008 10:54 AM To: Slavik-Maria Subject: TDC Smith Travel Research Look at paragraph 25. Maxine Pacini Administrative Assistant (305) 296-1552 10/20/2008 OP ID: TG �..+_ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 01129/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . :ODUCER I al Insurance Agency, Inc. 0 S. Andrews Avenue .rt Lauderdale, FL 33301-2832 bbie Cannon CONTACT NAME: PHONE No: Ex L E-MAIL ADDRESS: CUSDOME • NATIO-1 INSURERS AFFORDING COVERAGE NAiC 0 SURED NORS Surveys, Inc 3155 NW 82 Ave, Ste. 201 INSURER A: Travelers INSURER B : INSURER C Miami, FL 33122 INSURER D INSURER E : INSURER F REVISION NUMBER: )VERAGES �,f=rc t Irtvra c iwn.v�r.. LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD rHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS NDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ;ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS 5W POLICY F POUC EXP LIMITS RADDL i TYPE OF INSURANCE 1NM wyn POLICY NUMBER MMIDDIYYYY MMIDOIYYYY GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE PREMISES Ea ocoxrence S CLAIMS -MADE OCCUR MED EXP (Any one person) S PERSONAL & ADV INJURY S GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG S GEWL AGGREGATE LIMIT APPLIES PER: POLICY PROJE • LOC $ COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY A (Ea accident) BODILY INJURY (Per person) $ ANY AUTO AP /// $ ALL OWNED AUTOS D BODILY INJURY (Per accident) PROPERTY DAMAGE (PER ACCIDENT) S SCHEDULED AUTOS W� /� 1 "sue HIRED AUTOS ��.�'y $ NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ S DEDUCT18LE S RETENTION $ WC STATU- X OTH- WORKERS COMPENSATION E.L. EACH ACCIDENT S 50 AND EMPLOYERS' LIABILITY YIN 9D46427-2 1213112013 12/31I2014 ANY PROPRIETORIPARTNERIEXECUTNE NIA 500,00 OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) 500,00 If yyes describe under DrsGRd PTION OF OPERATIONS belay E.L. DISEASE -POLICY LIMIT S iCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space Is required) (� t Monroe County Board of County Commissioners Risk Dept. 1100 Simonton Street Key West, FL 33040 MONRO-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED p BEFORE THE EXPIRATION DATE THEREOF, NO ICI 'lN�+ IN ACCORDANCE WITH THE POLICY PROVI S: AUTHORIZED REPRESENTATIVE i:3 ` �( Ez U J 1 Debbie Cannon 1.4 ©1988-2009 ACORD CORPORATION. All rights reserved. :ORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD