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Certificates of Insurance ACORDTM CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DDIYYYYI 11/12/2004 PRODUCER ;jlS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ALAN R. MOTT AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO BOX 1925 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 184 EAST MAIN STREET HUNTINGTON, NY 11743 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: --cr:r D/B/A SEA TOW FLORIDA KEYS INSURER B: P.O.BOX 244 INSURER C: BIG PINE KEY, FL 33043 INSURER D: SEAT01 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY EFFECTIVE POLICY EXPIRATION TR N RD POLICY NUMBER DATE MM D Y DAT M D Y LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR EACH OCCURRENCE DAMAGE TO RENTED PREMISES lEa occurence MED EXP (Anyone person' i---~---I I PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) GARAGE LIABILITY ANY AUTO BODILY INJURY IPer person) BODILY INJURY IPer accident! PROPERTY DAMAGE {Per accident} EXCESS/UMBRELLA LIABILITY i OCCUR CI CLAIMS MADE UV6 '- C AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EA ACC $ AGG $ EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' C(9~ OTH- ER E.L. EACH ACCIDENT I if y'e:50, de~~fil>e u: uJt:lt SPECIAL PROVISIONS below OTHER PROTECTION & INDEMNIT E.L. DISEASE - EA EMPl.OYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LDCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 2 PAID CREW COVERED BY JONES ACT CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY ADDITIONAL INSURED COMMISSIONERS ATT: KIM MCGEE 5100 COLLEGE ROAD KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Bf'lfRE 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 ACORD 25 ~20~,/08) Gc...~ VA @ACORDCORPORATION 1988 ACORDTM CERTIFICA TE OF LIABILITY INSURANCE I DATE IMM/DDIYYYY) 11/12/2004 PRODUCER ~lS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ALAN R. MOTT AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO BOX 1925 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 184 EAST MAIN STREET HUNTINGTON, NY 11743 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: CO D/B/A SEA TOW FLORIDA KEYS INSURER B: P.O.BOX 244 INSURER C: BIG PINE KEY, FL 33043 INSURER D: SEATOl INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY EFFECTIVE LTR RD POLICY NUMBER DAT DD LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurencel MED EXP (Anyone person, PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS. COMP/OP AGG LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) :J \\I'~P BODILY INJURY (Per person' f,::l V"'V\ ; JlI-.. D/'-_;-~~:. BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY. EA ACCIDENT OTHER THAN AUTO ONLY: EA ACC $ AGG $ EXCESS/UMBRELLA LIABILITY OCCUR D CLAIMS MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION OTH. R WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER PROTECTION & INDEMNIT E.L. EACH ACCIDENT E.L. DISEASE. EA EMPLOYEE $ E.L. DISEASE. POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 2 PAID CREW COVERED BY JONES ACT CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Bf'WRE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL - DAYS WRITTEN ADDITIONAL INSURED NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL COMMISSIONERS ATT: KIM MCGEE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR 5100 COLLEGE ROAD REPRESENTATIVES. KEY WEST, FL 33040 AUZbj :EP~~E:T~TIVE 01, O~L'U VA ACORD 25 (200Y08). "'L C eo ~ ~ -*' .....~ f..L @ACORD CORPORATION 1988 1 FLC 3961183 12 ADDL INSUREDS COpy gBG 00 P GMAC Insurance -- BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 02/04/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:ADD DRIVER(S) ...BPtlpY..i\U.)M$t;8...... FLC 3961183 02/04/2005 08/04/2005 INTEGON ............"'...................---.------.----.-.-.------.................._-.---.--.......---............,."......--..-.........................,.. tl"ftlSRcmICY INSQR$SYOD ASNAMEEQINsQRePc 0025571 DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 THE INSURANCE AFFORDED IS ONLY WITH RESPECT TO THE FOLLOWING INDICATED COVERAGES WITH RESPECT TO EACH DECLARED VEHICLE. THE LIMIT OF THE COMPANY'S LIABILITY AGAINST SUCH COVERAGE SHALL BE STATED HEREIN, SUBJECT TO ALL THE TERMS OF THIS POLICY HAVING REFERENCE THERETO. SCHEDULE OF COVERAGES AND LIMITS OF LIABILITY COVERAGES BI/PD LIABILITY BASIC PIP WITHOUT WC $500,000 COMBINED SINGLE LIMITS $10,000 LIMIT EACH PERSON FULL-TERM PREMIUM $1,090.00 $34.00 FEES $25.00 COMBINED UNIT PREMIUM $1,149.00 ATTACHMENT IDENTIFIED BY FORM NUMBER CV21-4 0598, CV23 0403, IL0021 0197, 6568 CV24-1 0598. 0103 , CV265 0598 , ISSUE DATE 02/14/2005 APP\'W\::~n r\iS~,."(J:\iJ\Gt\fv1~/J , IL BY_--1..LJ-~l~ DiP "q..- _J;.~6-Q5_______ 00. ~ if.!jJl '., :LVES___ C(,~ )A~m m(~.Q } c'G~.~ CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3486 - For Policy Information. Call: 1-877-468-3466 - Internet www.GMACpolicy.com 1 FLC 3961183 12 ADDL INSUREDS COpy gBG 00 P ~ Insurance BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 02/04/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:ADD DRIVER(S) 0025571 .....-. ---................"..................... ....-- .------_.......... ,. ... ...., ............... .....eOtlCYNUlVlSERi... ....-...-.--.--.-.....,...._.,..................... ... .-. ----..---.........."".................... FLC 3961183 02/04/2005 08/04/2005 INTEGON .,...,.,...............-..-.-........----..--.........,-..-.--...-_.........-.......---_......,.........-,...--....................--...--......".".... <....:-:'..,.:'............................-.-.-,.....-',',.,..,.,-.._.....,',-....,.,..._.,-.'......,'....,......-.-,',.,',...,',.,._............-,..'..,-.'.......'..,.,-.-,.,",.....'..,.,'.......'.'.....'.._.,..-.-_.-.,..'....,.,..-..,.......,.,'...........-.-_....-_._.-._-,-....,..'..,..'..,.,'.',..'... . " ... .. ... . .. - .. .... .. . ..... . ,..-.. .,...... -. ...... ." .,..".".. '.",' ...... .. ... ... ..... ...... --.. .,.... ,.. .. ..,........,... THI$POlICYINSURESYOUASNAMEDINSURED............./... .. .... ............-.- .-.-......-.......'............-....'..............--...-.......,.....,..-...-...,.....,...,.....-....-............". .... - - -- -..-- - ....-.....".....,.......-.........,.......-..-.........,..".,.......-.--_.........,........---.-...,..,..,.."... DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 THE INSURANCE AFFORDED IS ONLY WITH RESPECT TO THE FOLLOWING INDICATED COVERAGES WITH RESPECT TO EACH DECLARED VEHICLE. THE LIMIT OF THE COMPANY'S LIABILITY AGAINST SUCH COVERAGE SHALL BE STATED HEREIN, SUBJECT TO ALL THE TERMS OF THIS POLICY HAVING REFERENCE THERETO. SCHEDULE OF COVERED VEHICLES VEH STATED AMOUNT NO ST TER YR DESCRIPTION SERIAL NUMBER SYM RAD INC CUSTOM PARTS USE 001 FL 050 92 FORD DUMP T 1FDXK74P2NBA18675 92 100 2000 HVY LIABILITY PREMIUM BY VEHICLE VEH MED PIP NO BI/PD PAY UM/UIM DEDUCT PREM MED EXP/INC LOSS 001 $1090 $34 PHYSICAL DAMAGE PREMIUM BY VEHICLE VEH COMP OR SPEC PERILS COLLISION ON-HOOK VEH NO TYPE DED PREM DED PREM LIMIT DED PREM TOTAL 001 $1124.00 - - = - - ----- ~ ===== - ~ ----- ~ ----- - - - - ----- - ~ m " CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3486 - For Policy Information, Call: 1-877-468-3466 - Internet __GMACpolicy_com 1 FLC 3961183 12 ADDL INSUREDS COPY gBG 00 P GMAC Insurance -- BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 02/04/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:ADD DRIVER(S) .............................. . POl..ICY..NOMaER........ .. ........,.. ,........ 0025571 FLC 3961183 02/04/2005 08/04/2005 INTEGON .................................S...........oo.............................................$.............0........................................................>............. ..".. .. ... .... ,.... -. . ..... ....., ," --,".. . ...... -_..-......... mHIFlpYIN~Pffi8?tiWf\.~Nf\.rYJj;;PJl\l~t.JREP< DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHN SONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 SCHEDULE OF DRIVERS DVR SR22 NO DRIVER NAME LICENSE # DOB REg 02 DALE HANCOCK PONTIN P535168532870 08/07/1953 N 03 JOHN G COFFIN C150467533380 09/18/1953 N 04 JOHN GROWE ROO0467584610 12/21/1958 N ~ I ~ LL'~ CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information, Call: '-877-468-3466 - Imernet _.GMACpolicy.com 1 FLC 3961183 12 ADDL INSUREDS COPY QBG 00 P GMAC Insurance -- BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 02/04/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:ADD DRIVER(S) 0025571 FLC 3961183 02/04/2005 08/04/2005 INTEGON .....-...-...,.,........',.,....-."..-....------.---....,.....-...-..,...-.......................-..-...-................----------..............-..-..,',....,',. m14t$~IQl'IN$JRJ;$YQ\JA$NAM~QIN$QI3I$r?<> DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL ....-.-..-.-...........,.....--_................. ...-.--. -...".......,.-----.--................. ...POL..I.C....y.u.N.U.M8...E8............. ...-. .. ....... .... ...... _, '" .. d' ....... .... ::;:::;::.:::::.-:'..:::.:, <..:::.:;:::::..:...-:-..:...., .....'..>.::::::: ...........---_.........."...-..----.--_.__.... ......... -., ..........."....---.............. THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 AUTO GARAGING LOCATION ALL VEHICLES 911 WEST INDIES DR RAMROD KEY FL AUTO GARAGING LOCATION 33042 ~ ~ - - ~ ~ - = ~ - ~ - - ~ '" .... CONTINUED ON NEXT PAGE 24 Hour Claims Reporti~ 1-800-468-3486 - For Policy 'Information. Call: 1-877-468-3466 - Int....net _.GMACpolicy.com FLC 3961183 12 ADDL INSUREDS COPY QBG 00 P GMAC Insurance -- BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 02/04/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:ADD DRIVER(S) ...gQtI(p'(l'Jl.lNiiEB....... FLC 3961183 02/04/2005 08/04/2005 INTEGON .."'-.......---.--..---.,.".......---.-.--..........,."...........-..--....--..........-----...-.....................-..----.--.......... lWI$pQtH:CYINStJR$SXOWASNAMt;:QIl\tSUa6P< 0025571 DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 AUTO ADDITIONAL INSURED 000 MONROE COUNTY BOCC 1100 SIMONTON ST KEY WEST FL AUTO ADDITIONAL INSURED 33040 ~ en " ~ ' Cc.. -~ y~H_~ ---------------~-------- 02/14/2005 AUTHORIZED SIGNATURE DATE 24 How Claims Reporting: 1-800-468-3466 - For Policy.lnformation. Call: 1-877-468-3466 - Internet _.GMACpolicy_com ACORDN CERTIFICA TE OF LIABILITY INSURANCE OP ID P~ DATE (MMIDDIYYYY) SPIRI-l 04/12/05 PRODUCEIl 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 30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 Phone: 305-872-2888 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A GMAC 09273 INSURER B: Spirit Marine INSURER C: Duke Pontin, dba PO Box 244 INSURER D: Big Pine Key FL 33043 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. L TR NSRC TYPE OF INSURANCE GENERAL LIABILITY - POLICY NUMBER ~'i"E~MM/DDiWt DATEIMM/DDIYYi' $ $ $ $ $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY .1 CLAIMS MADE 0 OCCUR EACH OCCURRENCE !:l~!~.':..IU ""... , "u PREMISES (Ea occurence) MED EXP (Anyone person) PERSONAL & ADV INJURY - GENERAL AGGREGATE - GEN'l AGGREGATE LIMIT APnPLlES PER: n POLICY n ~r8;: LOC AUTOMOBILE LIABILITY - A ANY AUTO FLC3961183 02/04/05 08/04/05 COMBINED SINGLE LIMIT (Ea accident) - BODILY INJURY (Per person) ALL OWNED AUTOS - X SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY (Per accident) - NON-OWNED AUTOS - ,n, p'.) f'i" \1 ;', I.: i\ C; ',: ~,ft. ~ I' APPI"',(r';~ r\.. I ~ _.- tJ ,,'.\\\.7 ~,/ l.. ~/ b_::) OAlt. '" ,', WA\\!I:R \\J I~ ___,'t" - (\l.{\j. ((11 - V . -u t..-/ -/1 r / \ ~ (/() \llMA m (tgee PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ~ ANY AUTO EXCESS/UMBRELLA LIABILITY :=J OCCUR 0 CLAIMS MADE I DEDUCTIBLE I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERlEXECUTIVE OFFICERlMEMBER EXCLUDED? g~~h~'r~~Jl~~s beklw OTHER --- AUTO ONLY - EA ACCIDENT $ $ $ $ $ $ $ $ OTHER THAN AUTO ONLY: EACH OCCURRENCE AGGREGATE I TORY LIMmil I U d~- El. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *The amount of coverage on this certificate applies for the total amount of coverage available for all jobs and 10cations.*Holder is additional insured* r;::: I"\, C4 1'1 C. ~ Cop '1: CERTlFI~A 1'e'HOLDER LIMITS $ 500,000 $ $ $ EA ACC AGG CANCELLATION MONRO- 6 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. AUTHORIZED REPRESENTATIVE The Johnsons Insurance Aaencv @ACORD CORPORATION 1988 Monroe County BOCC 1100 Simonton Street Key West FL 33040 ACORD 25 (2001108) AC............O...........R......;n:a;.:aYi.Hlii.iF.........:iiii(I:((li1fS...........)..t.iiiiii. ..S:.::.....,,&( ...... ~ u.,. ...sr'*:~!.:...!i....!lM~:..."it:.....~..........:....~....i~....::,)..:..:....,"~.S!:fi!M~"st~)i>.:.:.:............. STAHL & ASSOCIATES INSURANCE INC. 8200 SEMINOLE BLVD SEMINOLE DATE (MMIDDIYY) 04/20/05 THIS CERTIFICATE IS ISSUED AS A MAlTER 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 PRODUCER FL 33772 COMPANY A SCOTTSDALE INSURANCE COMPANY INSURED SPIRIT MARINE DBA DUKE PONTIN COMPANY B POBOX 244 BIG PINE KEY COMPANY C FL 33043 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 Lm TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRAnON DATE (MMIDDIYY) DATE (MMIDDIYY) UMITS GENERAl LIABILITY CL S 1 0 0 8 54 1 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [K] OCCUR OWNER'S & CONTRACTOR'S PROT 04/21/05 04/21/06 GENERAL AGGREGATE $1,000,000 PRODUCTS - COMP/OP AGG $1,000, 000 PERSONAL & ADV INJURY $1, 000, 000 EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE (Anyone fire) $ 1 0 0 , 0 0 0 MED EXP (Anyone person) $ 5 , 0 0 0 AUTOMOBILE UABILITY ANY AUTO All OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS AP COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ $ $ $ EL DISEASE-POLICY LIMIT $ EL DISEASE-EA EMPLOYEE $ GARAGE UABILITY ANY AUTO DATE -~ WAIVER N/A EXCESS UABILITY UMBRELlA FORM OTHER THAN UMBRELlA FORM WORKERS COMPENSAnON AND EMPLOYERS' UABILITY THE PROPRIETOR! PARTNERs/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL DESCRIPnON OF OPERAnONSILOCAnONSNEHlCLESISPECIAL ITEMS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS INCLUDED AS AN ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR WITH RESPECT TO GENERAL LIABILITY. MONROE COUNTY COMMISSIONERS 1100 SIMONTON KEY;VEST ................C,..t~H.H. ~c.~"8$nler>.......................... BOARD OF COUNTY - MARIA SLOVAK STREET FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRAnON DATE TltEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOnCE TO THE CERT1FICATE HOLDER NAMED TO TltE LEFT, BUT FAILURE TO MAIL SUCH NonCE SHALL IMPOSE NO OBUGAnON OR LlABIUTJ OF ANY KIND UPON THE COMPANY, AGENTS R REPRESENTATIVES. AUTltORIZED REPRESENTATIVE . .............:I<.e.:qy..L.... ACORD~:!IIII:IIIIIIII!III'IIIII,IIIIII!IIIIII<> STAHL & ASSOCIATES INSURANCE INC. 8200 SEMINOLE BLVD SEMINOLE DATE (MMIDD/YY) 04/20/05 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 PRODUCER FL 33772 COMPANY A SCOTTSDALE INSURANCE CO. INSURED SPIRIT MARINE DBA DUKE PONTIN COMPANY B POBOX 244 BIG PINE KEY COMPANY C FL 33043 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 EFFECTlVE POLICY EXPIRAnON DATE (MMIDDIYY) DATE (MMIDDIYY) LIMITS GENERAL UABILITY CLS 1 0 0 8 541 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [][] OCCUR OWNER'S & CONTRACTOR'S PROT 04/21/05 04/21/06 GENERAL AGGREGATE $1,000,000 PRODUCTS. COMP/OP AGG $1, 0 0 0 , 0 0 0 PERSONAL & ADV INJURY $1, 000, 000 EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE (Anyone fire) $ 1 0 0 , 0 0 0 MED EXP (Anyone person) $ 5 , 000 AUTOMOBILE UABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO DATE ' - WAIVER COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ AUTO ONLY. EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ $ EL EACH ACCIDENT $ EL DISEASE.POLICY LIMIT $ EL DISEASE-EA EMPLOYEE $ EXCESS lIABIUTY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSAnON AND EMPLOYERS' LIABILITY THE PROPRIETORl PARTNERs/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL DESCRlPnON OF OPERAnONSILOCAnONSNEHICLESISPECIAL ITEMS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE INCLUDED AS AN ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR WITH RESPECT TO GENERAL LIABILITY. ......................... I.................... :"~~::Q~$rt1l.[ MONROE COUNTY COMMISSIONERS 1100 SIMONTON KEY WEST <~ l\ ')-- BOARD OF COUNTY - MARIA SLOVAK STREET FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAnON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERnFlCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOnCE SHALL IMPOSE NO OBlIGAnON ~R l!AB~~_ OF ANY KIND UPON THE AUTHORIZED REPRESENTAnvE ~~.:L.~YPP~p.~~ :::::::::ii~:AMRQ~"~$\.llQHHj'$' .. .................. . ............................ ................. ...................................................................................... ..................................................................................... ........................................................,.....,.. ........ .......... ............................................................................. .............................................................................. ..............................................,..,..,....................,... .......... ................................................................... ,..................... FLC 3961183 13 ADDL INSUREDS COPY VLC 00 F GMAC Insurance -- THIS IS A RENEWAL TERMINATE IF FULL RECEIVED BY 12:01 BUSINESS AUTO OFFER ONLY. COVERAGE WILL RENEWAL PREMIUM IS NOT A M 08/04/2005. POLICY 0025571 ........POt!by....NOl\lft3e;a....... DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 THE INSURANCE AFFORDED IS ONLY WITH RESPECT TO THE FOLLOWING INDICATED COVERAGES WITH RESPECT TO EACH DECLARED VEHICLE. THE LIMIT OF THE COMPANY'S LIABILITY AGAINST SUCH COVERAGE SHALL BE STATED HEREIN, SUBJECT TO ALL THE TERMS OF THIS POLICY HAVING REFERENCE THERETO. SCHEDULE OF COVERAGES AND LIMITS OF LIABILITY COVERAGES BI/PD LIABILITY BASIC PIP WITHOUT WC UNINSURED MOTORIST BI $500,000 COMBINED SINGLE LIMITS $10,000 LIMIT EACH PERSON $500,000 COMB SINGLE LIMITS/STACKED FULL-TERM PREMIUM $1,432.00 $40.00 $120.00 FEES $25.00 COMBINED UNIT PREMIUM $1,617.00 ATTACHMENT IDENTIFIED BY FORM NUMBER CV21-4 0598, CV23 0403, IL0021 0197, 6568 CV76 0598*, CV24-1 0598. 0103*, CV265 0598 , ISSUE DATE 06/08/2005 :~!y\.....".~~J- DA.i.~ ~Q_ WAIVER N/A..l Y~ScQ;Jl: ~-,V LG~ C~ ~{i\ .' ~ ' t.:c, ~ ~ '" r-. CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information. Call: 1-877-468-3466 - Internet _.GMACpolicy.com 1 FLC 3961183 13 ADDL INSUREDS COPY VLC 00 F ~ Insurance THIS IS A RENEWAL TERMINATE IF FULL RECEIVED BY 12:01 BUSINESS AUTO OFFER ONLY. COVERAGE WILL RENEWAL PREMIUM IS NOT A M 08/04/2005. POLICY 0025571 ....."."......... .....p..Qt.'J.C'Y"NU. MS. EA..... .... ... ... . . . ..,. " ,. .. ... .. . . -., ..-.. >::>:: .:::::. ';'., :::,'" .>} <<-.,:,:. .,.:',...:...:.,...:.....:.. ..::. :>> THE JOHN SONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL FLC 3961183 08/04/2005 ..................<mHI$....eQt..lyX...lf\JS\.JRE$.XOW...AS...NAM~q....II\l$l.JB~q.............'........"... DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL 33043 33050 THE INSURANCE AFFORDED IS ONLY WITH RESPECT TO THE FOLLOWING INDICATED COVERAGES WITH RESPECT TO EACH DECLARED VEHICLE. THE LIMIT OF THE COMPANY'S LIABILITY AGAINST SUCH COVERAGE SHALL BE STATED HEREIN, SUBJECT TO ALL THE TERMS OF THIS POLICY HAVING REFERENCE THERETO. SCHEDULE OF COVERED VEHICLES VEH STATED AMOUNT NO ST TER YR DESCRIPTION SERIAL NUMBER SYM RAD INC CUSTOM PARTS USE 001 FL 050 92 FORD DUMP T IFDXK74P2NBA18675 92 100 2000 HVY LIABILITY PREMIUM BY VEHICLE VEH MED PIP NO BI/PD PAY UM/UIM DEDUCT PREM MED EXP/INC LOSS 001 $1432 $120.00 $40 PHYSICAL DAMAGE PREMIUM BY VEHICLE VEH COMP OR SPEC PERILS COLLISION ON-HOOK VEH NO TYPE DED PREM DED PREM LIMIT DED PREM TOTAL 001 $1592.00 ----- ----- - ----- ~ ----- - ======= - - ----- ~ - ----- - ~ - - CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-488-3466 - For Policy Information, Call: 1-877-468-3466 - Internet __GMACpolicy.com FLC 3961183 13 ADDL INSUREDS COPY VLC 00 F GMAC Insurance -- THIS IS A RENEWAL TERMINATE IF FULL RECEIVED BY 12:01 BUSINESS AUTO OFFER ONLY. COVERAGE WILL RENEWAL PREMIUM IS NOT A M 08/04/2005. POLICY 0025571 FLC 3961183 08/04/2005 02/04/2006 mHI$p9t+lP'(INSQReS'(QPA.$l\J.A.MgpII\tSlJlIg DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL . -........."."....--.-.--. ._ d."....._._... .POl.......IC....y. .....N.U....M8..ER..... .... .. . ... . . - " . '. ,. ... ... -- ". ..... ::::.:::<..::-..",:::..:..::.::::./<:..:.:.....:-",.:-:':..-.-:..-.-:.:...:::-.::::<: 33043 33050 SCHEDULE OF DRIVERS DVR SR22 NO DRIVER NAME LICENSE #: DOB REQ 02 DALE HANCOCK PONTIN P535168532870 08/07/1953 N 03 JOHN G COFFIN C150467533380 09/18/1953 N 04 JOHN GROWE ROO0467584610 12/21/1958 N - '" CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information, Call: 1-B77-468-3466 - Internet _.GMACpolicy.com 1 FLC 3961183 13 ADDL INSUREDS COPY VLC 00 F ~.s Insurance THIS IS A RENEWAL TERMINATE IF FULL RECEIVED BY 12:01 BUSINESS AUTO OFFER ONLY. COVERAGE WILL RENEWAL PREMIUM IS NOT A M 08/04/2005. POLICY 0025571 .-..."'-"."".......----......."..--.......................................-.._'.'_._'.-.._.,'_._....._'_._'.'-'-'.'_._._._'.._'_..'_._'_._'...'.-.....'_._..'-',' 'TttI$.pQt..IQYll\fsPRe$XOVA$NAMISRIN$QRRQ DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL ...pQ4IQX..Nl.Jf\II3J;8i. FLC 3961183 THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 AUTO GARAGING LOCATION 911 WEST INDIES DR RAMROD KEY FL AUTO GARAGING LOCATION 33042 iiiiiiiiiiii; - iiiiiiiiiiii; ~ iiiiiiiiiiii; - ======= - = iiiiiiiiiiii; - ~ iiiiiiiiiiii; - = ~ '" " CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information, Call: 1-877-468-3466 - Internet _.GMACpolicy.com FLC 3961183 13 ADDL INSUREDS COPY VLC 00 F ~ Insurance THIS IS A RENEWAL TERMINATE IF FULL RECEIVED BY 12:01 BUSINESS AUTO POLICY OFFER ONLY. COVERAGE WILL RENEWAL PREMIUM IS NOT A M 08/04/2005. 0025571 ........POtlq)'Nl.Jl\IIE3iEf3....... FLC 3961183 08/04/2005 02/04/2006 l"l-iI~f'Ql.lP'(Il'JSt.JR~~YQt)A~l\J~rvll;;[)Il\t~LJRJFl?< DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 AUTO ADDITIONAL INSURED 000 MONROE COUNTY BOCC 1100 SIMONTON ST KEY WEST FL AUTO ADDITIONAL INSURED 33040 ----~~~;;----- CONTINUED ON NEXT PAGE 06/08/2005 DATE 24 Hour Claims Reporting: '-800-468-3466 - For Policy Information. Call: '-877-468-3466 - Internet _.GMACpolicy.com ~c Insurance BUSINESS AUTO POLICY THIS IS A RENEWAL OFFER ONLY. COVERAGE WILL TERMINATE IF FULL RENEWAL PREMIUM IS NOT RECEIVED BY 12:01 A M 08/04/2005. 0025571 .....--.--.....-.-"."'.................... .....P'OI..ICY..NUMSea.... . .................'....--.................----...--....--.-..............................,',......._-.-_._---......._-'. ... . ..... ...qpveaAg~I$P9QVfpr;J:)INTHI$..... FLC 3961183 08/04/2005 02/04/2006 INTEGON NATIONAL INS. CO. .._...,'-'_..'.'.......'.',.,'..,...,'.......',',.......,.,'..,.........,.,-.-.-.-.._'-'-'-'-'_._'.'_....'.'..,'......-.,..'.',','.',..-,.,',.-...,'....,',...,.,...,-...-.-..,'-'.'.._'-'.--'_._'.'...'................,............,',',.,..'.........'.'... ... .."..---,..."...."......".......----.--.......-.-,.".....-,-....,..........._-_.............".......".".......,.,.. .....",.,.,...."...,.."....",.,............,..,..,..".,.",.....""..,......,........,..,......,.. ...,."..,....""... ...........THHs...POl.,ICY.IN$URES.YOU.As...NAIIIlEOINSUaeb.......................... DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL 33043 THE JOHNSONS INSURANCE AGENCY 13361 OVERSEAS HWY MARATHON SHORES FL 33050-3550 305-289-0213 Due Date Amount Due Installment Charge Total Amount Due 08 04 2005 343.40 .00 343.40 09 04 2005 $ 318.40 19.10 $ 337.50 10 04 2005 318.40 14.32 $ 332.72 11 04 2005 318.40 9.55 327.95 12 04 2005 318.40 4.77 323.17 Note: The total amount due indicated above is the minimum payment required. You may pay a higher amount in order to reduce your monthly installments. GMAC Insurance offers the following payment options: . Pay Online at www.GMACoolicv.com . Check or Money Order by mailing your payment using the coupon and envelope enclosed with your monthly bill. Make sure you postmark your payment on or before 12:01 A.M. on the date indicated on your billing notice. If you have questions or need assistance with your policy, please call your agent at the phone number listed above or customer service at 1-877-468-3466. Thank you for choosing GMAC Insurance. We look forward to renewing your relationship with us. .................................,...................,......................,......,.'.....d...'............ ..,.."........-................,...................,.................,....,."..,....,..... QI~9hli...r~gfPq~it)l~ldttmPPQIQIi~:} SR2 2 F I L I NG $1 5 NON-S UFF I C I ENT FUNDS $2 0 FORM E F I L I NG $5 0 ADD I T I ONAL I NSURED OR I NTEREST $ 2 5 The above amounts are authorized for use in this state. However, they are only charged if they apply to your policy. LO e s ~ '" r-- ft.... .... _ .... ." .. ......... .._... .....__ po .... ." . ~ A" ....... ...__ ........ 4'-__ .... ___ _......,.. I"_a. ___ ..AGENCVO> ;;;;;;;;;;;;;;; ~ - ~ - ;;;;;;;;;;;;;;; - - ;;;;;;;;;;;;;;; - - ~ - - 1 FLC 3961183 12 ADDL INSUREDS COPY VLC 00 P GMAC Insurance -- BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 06/08/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:ADD COVERAGE 0025571 .--.-_.-...-........,',.,....--........ RQt..IPYNUME3IEff FLC 3961183 02/04/2005 08/04/2005 .......--.....----...--------..--.---...--.--------....__..._-..-----.-------------------------,-_.,.--.....'...--.-.--.---...-..."...".... mHlS1RQt.,ly)'IN$WRgSYQR,A.$NAMEQINStJREP DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 THE INSURANCE AFFORDED IS ONLY WITH RESPECT TO THE FOLLOWING INDICATED COVERAGES WITH RESPECT TO EACH DECLARED VEHICLE. THE LIMIT OF THE COMPANY'S LIABILITY AGAINST SUCH COVERAGE SHALL BE STATED HEREIN, SUBJECT TO ALL THE TERMS OF THIS POLICY HAVING REFERENCE THERETO. SCHEDULE OF COVERAGES AND LIMITS OF LIABILITY COVERAGES BI/PD LIABILITY BASIC PIP WITHOUT WC UNINSURED MOTORIST BI $500,000 COMBINED SINGLE LIMITS $10,000 LIMIT EACH PERSON $500,000 COMB SINGLE LIMITS/STACKED FULL-TERM PREMIUM $1,090.00 $34.00 $97.00 FEES $25.00 COMBINED UNIT PREMIUM $1,246.00 ATTACHMENT IDENTIFIED BY FORM NUMBER CV21-4 0598, CV23 0403, IL0021 0197, 6568 CV76 0598*, CV24-1 0598. 0103 , CV265 0598 , ISSUE DATE 07/06/2005 -'P~"'" ""'1 j /,\ - "ij t1'l.,._ .,_ Dt\TE..._._ ~ 'Nf\IVEH "\!I ... o <.:.} - en ,/ . ~C:~ CONTINUED ON NEXT PAGE 24 How Claims Reporting: 1-800-468-3466 - FOf Policy InfOfmation. Call: l-sn-468-3466 - Internet _.GMACpolicy.com 1 FLC 3961183 12 ADDL INSUREDS COPY VLC 00 P ~f Insurance BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 06/08/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:ADD COVERAGE .,-......"",......_----....-......"..... ....gOLtCY...Nl.lMBER........ " .-..............,.-., ........ .._-... FLC 3961183 02/04/2005 08/04/2005 .............'.....,....-------.'..-.--.--...."..',............-...-..-...-----.-..-.........................-_...---_._--......-............... T@I$PQJ..1GYINSQRJ;S'(OUASNAMJ;DINSUReP} DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 THE INSURANCE AFFORDED IS ONLY WITH RESPECT TO THE FOLLOWING INDICATED COVERAGES WITH RESPECT TO EACH DECLARED VEHICLE. THE LIMIT OF THE COMPANY'S LIABILITY AGAINST SUCH COVERAGE SHALL BE STATED HEREIN, SUBJECT TO ALL THE TERMS OF THIS POLICY HAVING REFERENCE THERETO. SCHEDULE OF COVERED VEHICLES VEH STATED AMOUNT NO ST TER YR DESCRIPTION SERIAL NUMBER SYM RAD INC CUSTOM PARTS USE 001 FL 050 92 FORD DUMP T IFDXK74P2NBA18675 92 100 2000 HVY LIABILITY PREMIUM BY VEHICLE VEH MED PIP NO BI/PD PAY UM/UIM DEDUCT PREM MED EXP/INC LOSS 001 $1090 $97.00 $34 PHYSICAL DAMAGE PREMIUM BY VEHICLE VEH COMP OR SPEC PERILS COLLISION ON-HOOK VEH NO TYPE DED PREM DED PREM LIMIT DED PREM TOTAL 001 $1221. 00 iiiiiiiiiiiii - ==== - iiiiiiiiiiiii - - - iiiiiiiiiiiii - iiiiiiiiiiiii - - - - - '" ~ CONTINUED ON NEXT PAGE 24 How Claims Reporting: 1-8OO-46S-3466 - For Policy Information. Call: l-sn-468-3466 - Internet: _.GMACpolicy.com 1 FLC 3961183 12 ADDL INSUREDS COPY VLC 00 P GMAC Insurance -- BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 06/08/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:ADD COVERAGE AOl.lPY....Nl.IMl3Ea........ FLC 3961183 02/04/2005 08/04/2005 ....-..--.......--...----.-------------.........---.----_..--.-.__._---.-.....-..-..--....-,...-.........................................-. J"P1IS...gQl.IPX..IN$PRf$$XQR@.S.<NAMeOlNSpReP....................... 0025571 DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHN SONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 SCHEDULE OF DRIVERS DVR SR22 NO DRIVER NAME LICENSE # DOB REQ 02 DALE HANCOCK PONTIN P535168532870 08/07/1953 N 03 JOHN G COFFIN C150467533380 09/18/1953 N 04 JOHN GROWE ROO0467584610 12/21/1958 N CONTINUED ON NEXT PAGE 24 Ho..- Claims Reporting: 1-8OO-46S-3466 - For Policy Information. Call: l-Sn-468-3466 - Internet _.GMACpolicy.com 1 FLC 3961183 12 ADDL INSUREDS COPY VLC 00 P ~ Insurance BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 06/08/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:ADD COVERAGE 0025571 ....RQt..IQYNlJl\IJf3eBT FLC 3961183 02/04/2005 08/04/2005 ........-----.---.-..."..."..............-----.--.---,-.----..-........",..............._.........._-----._-,----,........--.......-.................. ............................,.HI$BQtI9X...IN$Q~$...'(Ql.J.....A$....f\JAM~Q...IN$PReD.................. DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHN SONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 AUTO GARAGING LOCATION ALL VEHICLES 911 WEST INDIES DR RAMROD KEY FL AUTO GARAGING LOCATION 33042 ;;;;;;;;;;;;;;; - - - ;;;;;;;;;;;;;;; - - - ;;;;;;;;;;;;;;; - ;;;;;;;;;;;;;;; - - - - - m " CONTINUED ON NEXT PAGE 24 How Claims Reporting: 1-800-468-3466 - Few Policy In'ewmation. Call: 1-877-468-3466 - Internet _.GMACpolicy_com 1 FLC 3961183 12 ADDL INSUREDS COPY VLC 00 P GMAC Insurance -- BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 06/08/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:ADD COVERAGE ROl..ICYNUMBER. .. 0025571 DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 AUTO 000 ADDITIONAL MONROE COUNTY 1100 SIMONTON KEY WEST FL INSURED BOCC ST AUTO ADDITIONAL INSURED 33040 .> o Cl :V~H_~ ---------------~-------- 07/06/2005 - '" AUTHORIZED SIGNATURE DATE 24 How Claims Reporting: 1-800-468-3466 - For Policy Information. Call: 1-877-468-3466 - Intenlet: __GMACpolicy_com FLC 3961183 13 ADDL INSUREDS COPY QBG 00 P ~.s Insurance BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 08/04/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:CHANGE COVERAGE ....--...."...........,---....................... .....ecmIQ)i:Nl..l~l;t3........ FLC 3961183 08/04/2005 02/04/2006 INTEGON .....-...-.,......................__.........-......................................--_.............................--....................---............ <)\:H//:]]mHI~:]:::RQJ4JQY..:]N~$H~yQY/:~~.j~:]~~M~P?::.:::~N~gf:lpYCHH::nUr 0025571 DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 THE INSURANCE AFFORDED IS ONLY WITH RESPECT TO THE FOLLOWING INDICATED COVERAGES WITH RESPECT TO EACH DECLARED VEHICLE. THE LIMIT OF THE COMPANY'S LIABILITY AGAINST SUCH COVERAGE SHALL BE STATED HEREIN, SUBJECT TO ALL THE TERMS OF THIS POLICY HAVING REFERENCE THERETO. SCHEDULE OF COVERAGES AND LIMITS OF LIABILITY COVERAGES BI/PD LIABILITY BASIC PIP WITHOUT WC $500,000 COMBINED SINGLE LIMITS $10,000 LIMIT EACH PERSON FULL-TERM PREMIUM $1,432.00 $40.00 FEES $25.00 COMBINED UNIT PREMIUM $1,497.00 ATTACHMENT IDENTIFIED BY FORM NUMBER CV21-4 0598, CV23 0403, IL0021 0197, 6568 CV24-1 0598. 0103 , CV265 0598 , ISSUE DATE 08/15/2005 ;\~~'Em I ::df1lA!'JAG~ir;~ 11 .-L ..,J)JJ~~~ '/'^ I "-_r-~ ~IIA _____:1. YES .....r -0 , ~ Cl' . ~vWn (YJC~ CC'. {~v ~ '" .... CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information, Call: 1-877-468-3466 - Internet www_GMACpolicy.com 1 FLC 3961183 13 ADDL INSUREDS COPY gBG 00 P GMAC Insurance -- BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 08/04/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:CHANGE COVERAGE 0025571 .........-... ...-..-...--.................-....... ...........00........0......................................... .. ,.,. ..., _. _. .d' ip....1YNUMBER .. .......-,............-..-.......--............. .-. .........--............ d___'_'.,_,,______,_.. .....AGeNOY......i) FLC 3961183 08/04/2005 02/04/2006 INTEGON ...........-......'..........................................................................-...................".......................-................-..--........ .........................S............................................$URE.................S..........OU................. ...................... ................... .............. .. d. . .... ,...., " . n,' . ".... ... .. __" ,..,. "............ ............ .. ... ... ..... .....- .,.. ...... ... ." .............. THI..POt..ICYJN .. ... .............. ../y...........AS.....NAMEO...JNSURED......))............... .. .."........................................................................-.--.. ..-..................-.....-..........-----_... ..... - --. -- .............. DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 THE INSURANCE AFFORDED IS ONLY WITH RESPECT TO THE FOLLOWING INDICATED COVERAGES WITH RESPECT TO EACH DECLARED VEHICLE. THE LIMIT OF THE COMPANY'S LIABILITY AGAINST SUCH COVERAGE SHALL BE STATED HEREIN, SUBJECT TO ALL THE TERMS OF THIS POLICY HAVING REFERENCE THERETO. SCHEDULE OF COVERED VEHICLES VEH STATED AMOUNT NO ST TER YR DESCRIPTION SERIAL NUMBER SYM RAD INC CUSTOM PARTS USE 001 FL 050 92 FORD DUMP T IFDXK74P2NBA18675 92 100 2000 HVY LIABILITY PREMIUM BY VEHICLE VEH MED PIP NO BI/PD PAY UM/UIM DEDUCT PREM MED EXP/INC LOSS 001 $1432 $40 PHYSICAL DAMAGE PREMIUM BY VEHICLE VEH COMP OR SPEC PERILS COLLISION ON-HOOK VEH NO TYPE DED PREM DED PREM LIMIT DED PREM TOTAL 001 $1472.00 ~ - - - ~ - - - ~ ~ - - ~ ~ '" " CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information, Call: 1-877-468-3466 - Internet _.GMACpolicy.com FLC 3961183 13 ADDL INSUREDS COpy QBG 00 P ~c Insurance BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 08/04/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:CHANGE COVERAGE ................................---....---...,... ::;:ii!:;g~j9X;):f:Nq~~:j[[[[[ DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL 0025571 FLC 3961183 08/04/2005 02/04/2006 INTEGON .. ......................--.......--.,..................-.........--."..........----......--.....--....----...-.-..........'...............-.......--........ ........................S...................................00............................................................................................................. ......._-.." .. ... . . -... ." .., -. .. ,.... . ..... ,. -'-.'...". ..... .........-...... ..-- -.. -. ... . ".... --.. ,., '.. -".,. -... .. ,..-..... .... ..>....................mHI.......POLICy.....INStJRES....y..................AS.....NAMED.INSUREO...>>>........... ............--...........--....----...".......................'....--."..........--.......--....--....---."...-........"....-........"........ ... . ......"........---....-.--..............-.....--.-.........--......---....-.-.....---.....---..-.--.................--..............-.. . .........................-.....----.-....---...-........-.-.........-.-.......-......-............---.....-......-....... ......---...........--............... .....--....-.............--.... . --....".....-----..----....--.................... THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 SCHEDULE OF DRIVERS DVR SR22 NO DRIVER NAME LICENSE # DOB REQ 02 DALE HANCOCK PONTIN P535168532870 08/07/1953 N 03 JOHN G COFFIN C150467533380 09/18/1953 N 04 JOHN GROWE ROO0467584610 12/21/1958 N CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information. Call: 1-877-46B-3466 _ Internet www_GMACpolicy.com 1 FLC 3961183 13 ADDL INSUREDS COPY gBG 00 P ~~ lns1uance BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 08/04/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:CHANGE COVERAGE 0025571 .................. -.- ---.-.........."........ ...........-..... -............"..............-.. POLICY Ni..JlW3Eft) .-......--........--.....__................-. . --.- ..,......"........ FLC 3961183 08/04/2005 02/04/2006 INTEGON .................,,-....- .--.........".......................................,......,..........-..-..............................--...,-.-..--.-.......... ......S.........ot.......................................$0....................$........00. .......................................5............................. " ,. ... .... . -... .. . ... - ., .... ,. ... ...... ..... .......... .....____. .. d_ ... ..... ...... .... ...... .... .. ........."... .yHI..>P......JCYJN ........SE ..>y......ASNAMEOINURED> ....._._..,,_.....................--..-..----.---.--......-....-................................."...."....,.....--..-..-..................... ... ..... ................... - ...--- ---.....----..... - .....---................--------.................--------.....--................... DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHN SONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 AUTO GARAGING LOCATION 911 WEST INDIES DR RAMROD KEY FL AUTO GARAGING LOCATION 33042 ----- - ----- - ----- - - - ----- - - - - ----- CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information, Call: 1-877-468-3466 - Internet www.GMACpolicy.com FLC 3961183 13 ADDL INSUREDS COPY gBG 00 P GMAC Insurance -- BUSINESS AUTO POLICY AMENDED DECLARATION EFFECTIVE 08/04/2005 SUPERSEDES ANY PREVIOUS DECLARATION BEARING THE SAME NUMBER FOR THIS POLICY, IF ANY. REASON FOR AMENDMENT:CHANGE COVERAGE .---_..................-.......-_.__......... . . ROt;lPYl'4lJMI3t;R} FLC 3961183 08/04/2005 02/04/2006 .."...........,.."....-----.............,....--.--............--......................--.--.............-...-..............."'..---.-.........'...... mHI$I?Qt..lpyll\J$QFtIS~Y@(jA$NAM~QIN$q~R< 0025571 DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 AUTO 000 ADDITIONAL MONROE COUNTY 1100 SIMONTON KEY WEST FL INSURED BOCC ST AUTO ADDITIONAL INSURED 33040 ~ '" .... y~H_!7) ---------------~-------- 08/15/2005 AUTHORIZED SIGNATURE DATE 24 Hour Claims Reporting: 1-800-46B-3486 - For Policy Information, Call: 1-877-468-3486 - Internet www.GMACpolicy.com 1 r~C 39'61183 14 ADDL INSUREDS COPY ALB 00 F GMAC Insurance -- THIS IS A RENEWAL TERMINATE IF FULL RECEIVED BY 12:01 BUSINESS AUTO OFFER ONLY. COVERAGE WILL RENEWAL PREMIUM IS NOT A M 02/04/2006. POLICY 0025571 FLC 3961183 [81$RPt.IPY.IN$P~~XQt.JASNAM~pIN$QrlfJi DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHN SONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL ...-.--.."'..-..---..."'...---.......--.-...... .............ot........... ............................. < p.....ICY NUMaER... ...........< ..........-.-..........------_........... ","," 33043 33050 THE INSURANCE AFFORDED IS ONLY WITH RESPECT TO THE FOLLOWING INDICATED COVERAGES WITH RESPECT TO EACH DECLARED VEHICLE. THE LIMIT OF THE COMPANY'S LIABILITY AGAINST SUCH COVERAGE SHALL BE STATED HEREIN, SUBJECT TO ALL THE TERMS OF THIS POLICY HAVING REFERENCE THERETO. SCHEDULE OF COVERED VEHICLES VEH STATED AMOUNT NO ST TER YR DESCRIPTION SERIAL NUMBER SYM RAD INC CUSTOM PARTS USE 001 FL 050 92 FORD DUMP T lFDXK74P2NBA18675 92 100 2000 HVY LIABILITY PREMIUM BY VEHICLE VEH MED PIP NO BI/PD PAY UM/UIM DEDUCT PREM MED EXP/INC LOSS 001 $5887 $151 PHYSICAL DAMAGE PREMIUM BY VEHICLE VEH COMP OR SPEC PERILS COLLISION ON-HOOK VEH NO TYPE DED PREM DED PREM LIMIT DED PREM PREM 001 $6038.00 ~ - ~ ~ = - - ~ - - - ~ CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information, Call: 1-877-468-3466 - Internet: www.GMACpolicy.com ?LC 295__83 ~~ AD~~ _NS~RE~S CC?Y ----------...------ ALB 00 F ~f Insurance THIS IS A RENEWAL ~rEmnNA'IE IF FULL RECEIVED BY 12:01 BUSINESS AUTO OFFER ONLY. COVERAGE WILL RENEWAL PREMIUM IS NOT A Ii 02/04/2006. POLICY 0025571 .....,....--. -. .........". ._-----... -...._-.., ...........-.--...".-.- ".-"..,.,-----.-., .........-.. ........POLIOY....rsll.JMBERi. .. .--....... ..-......-.-.-.................... ... --........_--.........-,.-... ....-... ....-..-........-.... ............G..........O.................. ....','.....- '." .... -.-'," A ... ENVY ........-............... FLC 3961183 02/04/2006 08/04/2006 l"1-f1~R()t..I()y!I\,f$YBt=~yqgf\$f\lA.MF3PIN$Y~P< DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 THE INSURANCE AFFORDED IS ONLY WITH RESPECT TO THE FOLLOWING INDICATED COVERAGES WITH RESPECT TO EACH DECLARED VEHICLE. THE LIMIT OF THE COMPANY'S LIABILITY AGAINST SUCH COVERAGE SHALL BE STATED HEREIN, SUBJECT TO ALL THE TERMS OF THIS POLICY HAVING REFERENCE THERETO. SCHEDULE OF COVERAGES AND LIMITS OF LIABILITY COVERAGES BI/PD LIABILITY BASIC PIP WITHOUT WC $500,000 COMBINED SINGLE LIMITS $10,000 LIMIT EACH PERSON FULL-TERM PREMIUM $5,887.00 $151. 00 FEES $25.00 COMBINED UNIT PREMIUM $6,063.00 ATTACHMENT IDENTIFIED BY FORM NUMBER CV21-4 0598, CV23 0403, IL0021 0197, 6568 CV24-1 0598. 0103*, CV265 0598 , ISSUE DATE 12/16/2005 "t)r:~m)..~.~..~ 1~.~~7-Q5- . '1, '(. . I, ",_,.,._.'N . ,(JU)V ~ (A CIYl1 I' t- ~EQ CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information, Call: 1-877-468-3466 - Internet: www.GMACpolicy.com , -'- _~ ~_ ':<:>:)_:"23 ....4 ADDL ~j~_~~_~ COpy ALB 00 F GMAC Insurance -- THIS IS A RENEWAL TERMINATE IF FULL RECEIVED BY 12:01 BUSINESS AUTO OFFER ONLY. COVERAGE WILL RENEWAL PREMIUM IS NOT A M 02/04/2006. POLICY 0025571 FLC 3961183 THI~F'C>t.IPXIN$QRE~XQl.J.A.~N#.MgpIN$Q~PY DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL ....--..-_..........._-- --........... - ,......-. .......PQllCY...NI.JMSEl3....... . ...................-.. ..-,-...-..--_. ..... THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 SCHEDULE OF DRIVERS DVR SR22 NO DRIVER NAME LICENSE # DOB REQ 02 DALE HANCOCK PONTIN P535168532870 08/07/1953 N 03 JOHN G COFFIN C150467533380 09/18/1953 N 04 JOHN GROWE ROO0467584610 12/21/1958 N 05 DUKE PONTIN 999999999999999 01/01/1988 N CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information, Call: 1-877-468-3466 - Internet www.GMACpolicy.com FLC 396T183:.4 ADDL INSUREDS COPY ALE 00 F ~s Insurance THIS IS A RENEWAL TERMINATE IF FULL RECEIVED BY 12:01 BUSINESS AUTO OFFER ONLY. COVERAGE WILL RENEWAL PREMIUM IS NOT A M 02/04/2006. POLICY 0025571 FLC 3961183 "~J~F'()l..tC)'Il'J$YBtE$ygg.A,$t.JAM~pIN$ym;D< DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL ...............-,......._-_.._---....-"....... ........POtlCy...hll..JI\IlBER....... .. ........"...__......".. .d.....,__........ THE JOHNSONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 AUTO GARAGING LOCATION 911 WEST INDIES DR RAMROD KEY FL AUTO GARAGING LOCATION 33042 ~ ~ - ~ ~ = - - ~ - - - - ~ CONTINUED ON NEXT PAGE 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information, Call: 1-877-468-3466 - Internet: www.GMACpolicy.com 1 FLC 3961183 14 ADDL INSUREDS COpy ALB 'JO - GMAC Insurance -- THIS IS A RENEWAL TERMINATE IF FULL RECEIVED BY 12:01 BUSINESS AUTO OFFER ONLY. COVERAGE WILL RENEWAL PREMIUM IS NOT A M 02/04/2006. POLICY 0025571 ..----..................'....'....-.-.-.-.-.-..-...-...--.....-.-.-. ...........ot............................. ...... ...... ... . ,.. ... - .. __ d__' .... ...... - ,- .... iF ... ..JCYNUlVlBER> ........................,..--...----......"..... . FLC 3961183 02/04/2006 08/04/2006 mHI$AQ41Q'(II'J$URESX<i!A$I'J.4.M~PIN~URJ$wi DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL THE JOHN SONS INSURANCE AGENCY 305-289-0213 13361 OVERSEAS HWY MARATHON SHORES FL 33043 33050 AUTO ADDITIONAL INSURED 000 MONROE COUNTY BOCC 1100 SIMONTON ST KEY WEST FL AUTO ADDITIONAL INSURED 33040 ----~~~------- AUTHORIZED SIGNATURE CONTINUED ON NEXT PAGE 12/16/2005 DATE 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information, Call: 1-877-468-3466 - Internet: www.GMACpolicy.com ~.f Insuranc.! BUSINESS AUTO POLICY THIS IS A RENE1tlAL OFFER ONLY. COVERAGE WILL TERMINATE IF FJLL RENEWAL PREMIUM IS NOT RECEIVED BY 12:01 A M 02/04/2006. 0025571 .!i>>4IQVNOMSEA) .............._iAr.~R~~f8........?...i.. H ............U.<.)...........ppVjFiG~...$PRiVl[)~PIN,.HE{.. ..................U................ .Ai~NCY.......... FLC 3961183 02/04/2006 08/04/2006 INTEGON NATIONAL INS. CO. "," ",-.-.-_.-.'.--.---- .....-.., ,...........-....- - ......-- ..,............".........'....-.-. .' ...................... - ....."."....... l'HISPQI..ICYINSUaeSYQUASNDiQ.NSUAEP DUKE PONTIN SPIRIT MARINE PO BOX 244 BIG PINE KEY FL 33043 THE JOHN SONS INSURANCE AGENCY 13361 OVERSEAS HWY MARATHON SHORES FL 33050-3550 305-289-0213 Due Date Amount Due Installment Charge Total Amount Due 02 04 2006 1 232.60 .00 1 232.60 03 04 2006 1 207.60 30.00 1 237.60 04 04 2006 1 207.60 30.00 1 237.60 05 04 2006 1 207.60 30.00 1 237.60 06 04 2006 1 207.60 18.11 1 225.71 Note: The total amount due indicated above is the minimum payment required. You may pay a higher amount in order to reduce your monthly installments. GMAC Insurance offers the following payment options: . Pay Online at www.GMACoolicv.com . Check or Money Order by mailing your payment using the coupon and envelope enclosed with your monthly bill. Make sure you postmark your payment on or before 12:01 A.M. on the date indicated on your billing notice. If you have questions or need assistance with your policy, please call your agent at the phone number listed above or customer service at 1-877-468-3466. Thank you for choosing GMAC Insurance. We look forward to renewing your relationship with us. ,..................-...",-...........-.............--.-....-.-....--....,..__...-....."......-...----.._.-.-..-.-.-.-..-,.-....,...-.-.-.,.,.. ._......."'...--.-..--...---..-..-.-..-..-......-..--.._....--.-.....--,-...-.--...-.--,------.-.,-. -------..-,. pl~91<ittr~gfP'()i$Jijl~A(JaitiQ6~IQti~igf~:i SR2 2 F I L I NG $1 5 NON-SUFF I C I ENT FUNDS $2 0 FORM E F I L I NG $5 0 ADD I T I ONAL I NSURED OR I NTERES T $ 2 5 The above amounts are authorized for use in this state. However, they are only charged if they apply to your policy. ~ ~ ~ !!!!!!!!!!!!!!! - ~ ~ - - - ==== {! ~;' r::n ufJ{,-tL. LO o OJ s- o LL ~ a> r- 24 Hour Claims Reporting: 1-800-468-3466 - For Policy Information. Call: 1-877-468-3466 - Internet. www GMACnolicv com