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Certificates of Insurance ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 11/04/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WAUSAU INSURANCE COMPANIES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3430 OAKWOOD MALL DR . STE 300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. EAU CLAIRE, WI 54701 715835-6174 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: WAUSAU BUSINESS INSURANCE COMP NY OWEN AYRES AND ASSOCIATES INC INSURER B: EMPLOYERS INSURANCE OF WAUSAU ATTN TOM STUMM INSURER C: WAUSAU UNDERWRITERS INSURANCE O. PO BOX 1590 INSURER D: EAU CLAIRE, WI 54702-1590 INSURER E: Client#. 14106 OWENA YRES COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER P.?L~!1Y EFFECTIVE PQ~IEY EXPIRATION LIMITS A GENERAL LIABILITY YYKY91503188064 01/01/04 01/01/05 EACH OCCURRENCE $1 000 000 - DAMAGE TO RENTED X- COMMERCIAL GENERAL LIABILITY $300 000 - ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $5 000 PERSONAL & ADV INJURY $1 000 000 - GENERAL AGGREGATE $1 000.000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1 000.000 n POLICY n P,~R,: n LOC A AUTOMOBILE LIABILITY ASKY91503188024 01/01/04 01/01/05 COMBINED SINGLE LIMIT t-- $1,000,000 r!- ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY t-- $ SCHEDULED AUTOS (Per person) I-- X HIRED AUTOS APln~~ .; ~ 1 11_~ BODILY INJURY - $ K.. NON-DWNED AUTOS (Per accident) - BY --"1=11 -(Jf PROPERTY DAMAGE nAn \ - 0 (Per accident) $ ~RAGE LIABILITY ~, h. ..... t AUTO ONLY - EA ACCIDENT $ ANY AUTO WAIVER , .- . L,<j OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESSIUMBRELLA LIABILITY THCY91503188034 01/01/04 01/01/05 EACH OCCURRENCE $5 000 000 ~ OCCUR D CLAIMS MADE AGGREGATE $5 000 000 $ ~ DEDUCTIBLE $ X RETENTION $ 10000 $ C WORKERS COMPENSATION AND WCJY91503188044 01/01/04 01101/05 X I T"/,~VS[~~s I 10;)"1;1- EMPLOYERS' LIABILITY $100000 ANY PROPRIETOR/PARTNERlEXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE $100,000 If yes, describe under $500 000 SPECIAL PROVISIONS below E.l. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS PROJECT: CONTRACT FOR BATHYMETRIC SURVEYS AND MAPPING MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS INCLUDED AS AN ADDITIONAL INSURED UNDER THE GENERAL LIABILITY AND AUTO POLICIES. CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COMMISSIONERS ATTN: COLLEEN GARDNER 2798 OVERSEAS HIGHWAY, SUITE 400 MARATHON, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ACORD 25 (2001/08) 1 of 2 #S342356/M342354 VLS @ ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-5 (2001/08) 2 of 2 #S342356/M342354 ACORDN CERTIFICATE OF LIABILITY INSURANCE OP ID C9 DATE (MM/DDIYVYY) OWENA-1 06/22/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Johnson Insurance - Madison HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 525 Junction Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Madison WI 53717 Phone: 608-245-6580 Fax:262-619-2805 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: CNA Insurance 20427C INSURER B: Owen Ayres & Associates, Inc INSURER C: DBA Ayres Associates 3433 Oakwood Hills Pkwy INSURER D: Eau Claire WI 54702 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRC TYPE OF INSURANCE POLICY NUMBER PD~,;!~~rf~rJ.r~~E P8k~CEY(~~b~~~N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ - PREMISES (Ea occurence) COMMERCIAL GENERAL LIABILITY $ I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ - GENERAL AGGREGATE $ -- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ I n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (Per accident) - - .l. ...... PROPERTY DAMAGE $ A P r1\Vcl' Ii'; Ii .,\/",0,.. (Per accident) "" . , - GARAGE LIABILITY BY _. -0 /1 ' \( I /-Itl~' AUTO ONLY - EA ACCIDENT $ ==l ANY AUTO dg,. b/J..,,' IV tqr ()Lp OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY .~.J y":s EACH OCCURRENCE $ :=J OCCUR D CLAIMS MADE .._, .... AGGREGATE $ $ ==l DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I TORY LIMITS I IUE~- I EMPLOYERS' LIABILITY -~~---- ANY PROPRIETORlPARTNER/EXECUTIVE EL. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ ~~~MtS~~V:sfo~s below E.L. DISEASE - POLICY LIMIT $ OTHER A Prof Liability AEA2540255050 06/30/04 06/30/05 Ea Claim $5,000,000 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Claims Made - Environmental Coverage Included. CERTIFICATE HOLDER Monroe County Board of County Commissioners Colleen Gardner 2798 Overseas Hwy, Ste 400 Marathon FL 33050 CANCELLATION MONROE 4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ 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. AUTHOR ~ E~~E @ACORD CORPORATION 1988 ACORD ~5 (2001/08)