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Certificates of Insurance
PRODUCER 800-824-9245 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. Acordia 7 Giralda Farms 2nd Floor Madison, NJ 07940 COMPANIES AFFORDING COVERAGE COMPANY A FEDERAL INSURANCE CO. INSURED COMPANY HABITAT FOR HUMANITY OF KEY WEST & FL LOWER KEYS 30320 OVERSEAS HIGHWAY BIG PINE KEY, FL 33043 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 INDICA TED, 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 EFF. DATE (MMIDDIYY) POLICY EXP. DATE (MMIDDIYY) LIMITS A GENERAL LIABILITY COMM. GENERAL LIABILITY CLAIMS MADE []] OCCUR OWNER'S & CONTRACT'S PROT 35781707 4/01/06 4/01/07 GENERAL AGGREGATE PRO~OMP/OP AGG. PERS. & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE(One FU'e) MED EXP(Any one person) 1000000 X Hired & Non- Owned Liab. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-DWNED AUTOS o COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) RECEIVED PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO APR AUTO ONLY-EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY EACH OCCURRENCE AGGREGATE STATl'TORY LL'I1!TS THE PROPRIETOR/ PARTNERSIEXECUTIVE OFFICERS ARE: INCL EXCL EACH ACCIDENT DISEASE-POLICY LIMIT DISEASE-EACH EMPL. OTHER ~.' ' ,~ DESCRIPTION OF OPERA TIONSILOCA TIONSIVEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR. MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET, ROOM 268 KEY WEST, FL 33070 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 800-824-9245 Wells Fargo Insurance Services Northeast, Inc. 7 Giralda Farms, 2nd Floor Madison, NJ 07940 DATE (l\I:"dillDiYY) 1/29/08 A FEDERA INSU ANCE co. PANI S AFFORDING COVERAGE COMPAI\Y INSURED PANY KEY WEST LOWER KEYS HABITAT FOR HUMANITY 303020 OVERSEAS HIGHWAY BIG PINE KEY, FL 33043 B ~ COUNTY RlSK~NAGEME~r COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEE;'.' ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSfANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WIDen TIllS CERTIFlCATE MAY BE ISSUED OR .MAY PERTAIN, THE INSURANCE AFFORDED BY TIlE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCU POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR POLICY EFF. POLICY EXP. LL'\UTS DATE [.\-IMIDDIYY) DATE (MMIDDIYY) GENERAL AGGREGATE PROD-COMP/OP AGG. PERS. & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE(One fue) MED Exp(Any one penon) COMBINED SINGLE LIMU BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE AUTO ONLY -EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE -.,.-.....--..- STA11JTORY LIMITS 4/01/07 4/01/08 EACH ACCIDENT DISEASE-POLICY LIMIT DISEASE.EACH EMPL, TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY COMM. GENERAL LIABILITY CLAIMS MADE [~OCCUR OWNER'S & CONTRACT'S PROT AUTOMOBILE LIABILITY A!'I.'Y AUTO ALL OWNED AurOS SCHEDULED AUTOS fiRED AurOS NON-QWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FOAAI A WOKKfo..K& COM.l'.ENSA'I10N AND EMPLOYERS' LIABILITY 71706956 THE PROPRIETOR! PARTNERSIEXECUTIVE O:F:FICERS ARE: X INCL EXCL OTHER DESCRIPTION OF OPERATIONSILOCATIONSlVEffiCLES/SPECIAL ITEMS EVIOENCE OF COVERAGE AFFORDED TO KEY WEST LOWER KEYS HABIT A T FOR HUMANITY. 1000000 1000000 1000000 MONROE COUNTY BOARO OF COUNTY COMMISSIONERS P.O. BOX 1026 KEY WEST, FL 33041 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENnEA VOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TIlE 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 ~C--:~:-t- PRODUCER ACORDTII CERTIFICATE OF LIABILITY INSURANCE Lockton Risk Services P.o. Box 410679 Kansas City, NO 64141-0679 THIS CBUIRCA TE IS ISSUBl AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CBUIRCA TE HOLDat THIS CBUIRCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDBl BY THE POLICIES BB.OW. INSURED HFH of Key West & Lower Florida Keys INSURERS AFFORDING COVERAGE NAIC# 20281 INSURER A: Federal Insurance CO INSURER B: INSURER C: INSURER D: Bi Pine Ke , 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. INSR DO'L POLICY NUM~ POLl a:FB::TIVE POLl EXPIRATION UMITS L1064565-09 04/01/2009 04/01/2010 30320 Overseas Hwy COMMERCIAL GENERAL LIABILITY ClAIMSMADE D OCCUR x GEN'l AGGREGATE LIMIT APPLIES PER: PRO- lOC AUTOMOBILE LIABILITY ANY AUTO All OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS "1)1\ · GARAGE LIABILITY ANY AUTO EXCESSIUMBR8..LA LIABlUTY OCCUR D CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND eAPLOYB8 LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ~~:ci~~S~~i8~rs~g~s below OTHER GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT $ (Ea accident) BODll Y INJURY $ (Per person) BODll Y INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ $ $ E.l. DISEASE - POLICY LIMIT $ DEBCRIPrlON OF ~TlONS I LOCATIONS I VBiICLES I EXCLUSIONS ADDED BY ENDORSBt1ENT I SPECIAL PRlVISlONS Certificate Holder is listed as Additional Insured with respect to General Liability Coverage for liability arising out of ongoing operations performed by or on behalf of named insured. SHOULD ANY OF THE ABOVE DESCRIBED POUQES BE CANcauD aa:oRE THE EXPIRATION Monroe County Florida DATE THEH:DF. THE ISSUING INSURER WILL ENDfA VOR TO MAIL J..O-- DAYS WFtTTEN NOTICE TO THE CERTIRCATE HOLDER HAMS) TO THE L.B=T, BUT FAILURE TO DO SO SHALL 2798 Overseas Hwy IMPOSE NO OBUGATION OR LlABlUTY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. Marathon, FL 33050 AUTHORlZB> REPREBENTA TlVE I i(~ Z~'___ ____ - -'. .._..7, '1 cc: ~ h n~ ~~ CERTIRCA TE HOLDER CANCBJ.A TION ACORD 25 (2001/08) D8#7557667 1064565 OACORD CORPORATION 1988 CERTIFICATE OF LIABILITY I RANCE ~~i~;'i~~~~ 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. TM PRODUCER Lockton Risk Services P.O. Box 410679 Kansas City, MO 64012 INSUReo HFH of Key West a Lower Florida Keys 30320 Over.as Hwy, BigPineKey,FL 33043 INSURERS AFFORDING COVERAGE INSURER A: Federal Insurance CO INSURER B: INSURER C: INSURER 0: 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 F'ERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I I I COVERAGES INSR LTR A POLICY NUMBER GLl064565-10 GEN'l AGGREGATE LIMIT APPLIES PER: LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS [L,., $ WOR C AND EMPLOYERS liABILITY ANY PROPRIETORJPARTNER/EXEcunVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS belOW OTHER OESCRtPTION OF OPERATK)NS f LOCATIONS I VEHICLES f EXCLUSIONS AOOEDBYENDORSENlENT I SpeCIAL PROVISIONS Certificate Holder is named Additional Insured as their interests may appear per contract or written agreement. CERTIFICATE HOLDER X ADDITIONAL INSURED; INSURER LETTER _ NAIC # 20281 LIMITS EACH OCCURRENCE j 1,000,000 1,000,000 o 1,000,000 4,000,000 2,000,000 PERSONAL & ADV INJURY GENERAL A PRODUCTS - OMP/OP AGG $ $ $ $ EA ACC AUTO ONLY AGG EACH OCCURRENCE AGGREGATE we STATLJ.. TORY LIMITS E.!.... EACH ACCIOENT E.L. EACH ACCIDENT E.L. EACH ACCIDENT $ $ $ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATK)N DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 16 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT TK)N OR LIABILITY OF ANY KIND UPON ATIVES. Monroe Ct. Growth Management 20798 Overseas Hwy #400, Marathon, FL 33050 ';~:~~7~?~:S-~---~-- - -.-- /. . c...c..:~ CORD 25 (2001/08) 1064565 lIVE @ACORD CORPORATION 1988 3 ACORD ■ CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) f 02,27/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C RTFICATE 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 EN THE ISSUING INSURERS(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTI 'ICATE HC RECEI7 ED IMPORTANT: If the certificate holder is an ADDITIONAL .,pl*I''l'ED, the policr(ies) must be endorsed. If SUBR ATION IS WAIVED, subject to the terms and conditions of the policy, les may require in endorsement. A statement on thh certificate does not confer rights to the certificate holder in lieu of su�ment(s). MAR 1 • PRODUCER n CCNrALr n Lockton Risk Services R �,Z rra tiJttl\% , �+ PHONE AX P.O. Box 410679 '' ' (A/C 888 -55, No): Kansas City, MO 64141 -0679 , ; Pi1L RISIKMANAGEMENT 1 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL INSURER -A: Federal Insurance Co. 20281 INSURED INSURER -B: Habitat for Humanity of Key West and Lower Florida Keys, Inc. INSURER -C: 30320 Overseas Hwy, INSURER -D: Big Pine Key, FL 33043 INSURER -E: INSURER -F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. IN ADDL SUB P 0LICY EFF POLICY EXP SR INSR R (MMIDDIYYYY) (MM /DD/YYYY) LT AND R TYPE OF INSURANCE POLICY NUMBER LIMITS • GL1064565-12 04/01/2012 04/01/2013 A GENERAL LIABILITY X EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED .© OMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ 1,000,000 in LAIMS MADE X OCCUR MED EXP (Any one person) $ 0 . PERSONAL & ADV INJURY $ 1,000,000 . GENERAL AGGREGATE $ 2,000,000 . EN'L AGGREGATE LIMIT APPLIES PER: • PRODUCTS – COMP /OP AGG $ 2,000,000 X 'OLICYr.f 4• ■ $ BY � _ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY DA �nV (Ea accident) $ Mil • NY AUTO WA - -, • BODILY INJURY (Per Person) $ •. .■ LL OWNED ASUCTHOESDULED ��r , GA • UTOS • NON OWNED + � $ ' e BODILY INJURY (Per accident) $ ■. IRED AUTOS . AUTOS • w PROPERTY DAMAGE (Per accident) $ -. MBRELLA LIAB OCCUR EACH OCCURRENCE $ .. XCESS LIAB . CLAIMS MADE AGGREGATE $ ..E - RETENTION $ I ORKERS COMPENSATION WC STATU- OTH- • ND EMPLOYERS' LIABILITY X TORY LIMITS ER • NY PROPRIETOR/PARTNER/EXECUTIVE YIN .•FFICER/MEMBER EXCLUDED? IIIII E.L. EACH ACCIDENT $ ■ MANDATORY IN NH) f es, describe under E.L. DISEASE – EA EMPLOYEE $ IESCRIPTION OF OPERATIONS below E.L. DISEASE – POLICY LIMIT $ Certificate Holder is named Additional Insured as respects to Landlord. CERTIFICATE HOLDER CANCELLATION County Administrator Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE / CY4 ACORD 25 (2010/05) The ACORD name and Pogo are registered marks of ACORD 1064565 1 DATE (MM /DD/YYYY) Ac oR CERTIFICATE OF LIABILITY INSURANCE kV"- 12/28/2016 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 CONTACT NAME: Lockton Affinity, LLC Lockton Affinity, LLC (AICNNo, Ext):888- 553 -9002 FAX No): 913- 652 -3967 E -MAIL P. O. Box 873401 ADDRESS: Kansas City, MO 64187 -3401 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURER A : Ace American Insurance Co. 22667 INSURED INSURER B: Habitat for Humanity of Key West and Lower Florida Keys, Inc. INSURER c PO Box 5873 INSURERD: Key West, FL 33045 INSURERE: INSURER F : • COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR TYPE OF INSURANCE AINSD S POLICY EFF POLICY EXP WVD POLICY NUMBER LIMITS (MM/DD/YYYY) (MMIDDIYYYY) A x COMMERCIAL GENERAL LIABILITY y GL1064565 - 04/01/2016 04/01/2017 EACH OCCURRENCE $ 1 , 000, 000 DAMAGE TO RENE . CLAIMS -MADE X OCCUR PREMISES (Ea occur ante) $1,000,000 MED EXP (Any one person) $ 0 PERSONAL & ADV INJURY $ 1, 000, 000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , 000 , 000 X POLICY JEa LOC PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) • A r � +�! AB PP i�� ' ��Z7L�' WAIV R N/A ' S.-,._ CERTIFICATE HOLDER CANCELLATION 1064565 • Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE • THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN • ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHO REP ENTATIVE Key West, FL 33040 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 21605791 1064565 i 1 ACORE '� CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDIVYVY) `■ 03/08/2016 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 INSU NAIL C I�C}T CONSTITUT Z')NTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CER MOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(es) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsenent. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorserient(s). A PRODUCE r, NAME: Lockton Lockton Affinity, LLC PHONE 888 -553 -9002 FAX 913- 652 -3967 Lockton Affinity, LLC (A(C Ext1: ( )� P.O. Box 873901 MONROF. C`._1!-•.TL� ADORES: RISK? ,f,Av " ^: T Kansas City, MO 64187 -3401 �.. ....�� INSURER(S)AFFORDINGCOVERAGE NAIC/0 INSURER A: Ace American Insurance Co. 22667 INSURED INSURER B: ACE Property 6 Casualty Insurance Co. 20699 Habitat for Humanity of Key West and Lower Florida Keys, Inc INSURER C: PO Box 5873 INSURER D Key West. FL 33045 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 POLICES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR � INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A x COMMERCIAL GENERAL LIABILITY y GL1064565 -16 04/01/2016 04/01/2017 EACH OCCURRENCE $ 1,000,000 -_1 DAMAGE TO RENTED CLAIMS-MADE ix I OCCUR PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 0 _ PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE UMIT APPUES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY J LOC PRODUCTS • COMP/OP AGO $ 2,000,000 OTHER: $ COMBINED SINGLE LIMIT H 08783342 - 03 04/01/2016 0 4/01/2017 A AUTOMOBILE LUIBIUTY (Ea accident) $ 1,000,000 ANY AUTO ' BODILY INJURY (Per person) $ ALL OWNED X SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS - MADE AGGREGATE $ I DED j RETENTION $ 1 1 $ B WORKERS COMPENSATION C47347038 04/01/2016 04/01/2017 X H STATUTE 0T AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y / N i EL EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N / A (Mandatory in Nt41 - �. EL. DISEASE - EA EMPLOYEE $ 1, 000 , 000 If yes, describe urQAp DESCRIPTION OUPERATIONS betbw EL DISEASE - POLICY LIMIT $ 1 , 000 , 000 C. C\) _.. o- DESCRIPTION QE OPEIIATIONS 1 LOV / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificat a Ho18Ei is nam Additional Insured as respects to Landlord Location AdOres.0201 Off'�e /ReStore, 30320 Overseas Highway Big Pine Key. FL 33043 • PPR• ED AGE ENT ! -t - BY A •i�A LIB r1 r . • ' 7PaiN% 'Cif WAI RNA ES_ ( ; � Li . ....: •-;-- f ' CERTIFICATE HOLDER CANCELLATION Monroe County Board of Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St ACCORDANCE WITH THE POLICY PROVISIONS, Key West, FL 33040 AUTHO: = REP ENTATIVE AL cZ -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD , afla -), ae ,,,,,i; DATE (MM /DD/YYYY) ACOR CERTIFICATE OF LIABILITY INSURANCE 03/02/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CB7IHCATE 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 INSURERS(S), AUTHORIZED _ _..-___.-... . . -_ _R PRODUCER;"1{IQM THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder i A ll(C1NAE INSURE(, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conetions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate I older in lieu of such endorsement(s). PRODUCER MAR 1 2616 CCNIACT WIVE Lockton Affinity, LLC PHONE =AX P.O. Box 873401 (ac No.Ext): 888 -553 -9002 ac, No): Kansas City, MO 64187 -3401 MONROE COUNTY E -MAIL RISK MANA(FM ""dT ADDRESS: ` " " " '"°� INSURER(S) AFFORDING COVERAGE NAIC INSURER -A: ACE American Insurance Co. 22667 INSURED INSURER -B: Habitat for Humanity of Key West and Lower Florida Keys, Inc. INSURER -C: PO Box 5873, Key West, FL 33045 INSURER -D: INSURER -E: INSURER -F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. IN ADDL SUB POLICY EFF POLICY EXP SR INSR x (MM /DD/YYYY) (MM /DD/YYYY) LT AND R TYPE OF INSURANCE POLICY NUMBER LIMITS GL1064565 - 16 04/01/2016 04/01 /2017 A GENERAL LIABILITY X EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X pOMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ 1,000,000 CLAIMS MADE OCCUR MED EXP (Any one person) $ 0 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 X DOLICY I $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ai 4' - ' j.ti /• • f ENT (Ea accident) ANY AUTO BY � L a. BODILY INJURY (Per Person) $ _ ALL OWNED SCHEDULED • 711 AUTOS AUTOS WAIVER N, . ... YES BODILY INJURY (Per accident) $ ' NON -OWNED j / PROPERTY DAMAGE AIRED AUTOS AUTOS C( ` (Per accident) �MBRELLA LIAR l OCCUR EACH OCCURRENCE $ =XCESS LIAB CLAIMS MADE AGGREGATE WORKERS PENSATION $ , ANC STATU- OTH- AND EMPLdYERS' LJA$ILITY IJ_ TORY LIMITS ER ANY PROPR /IE-TOR/Pb•R'FNER/EXEC1LTIVE Y/N OFFICER/M 1CIBER 'x LUDED? J F _ 1 E.L. EACH ACCIDENT $ 'MANDATORY'IN NH-- • - If yes, descripyvnder ! — E.L. DISEASE - EA EMPLOYEE $ _ DESCRIPTISCAF OI5RATIONS 6 -' E.L. DISEASE - POLICY LIMIT $ . (...• Y LL.! Q ittra: —lc:, w 2c -' c■ ,47 a� Certificate Fi Tder inamed Adtbnal Insured as respects to Landlord. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE Monroe County Board of Commissioners 1100 Simonton St., —,,QQ .: - �1— -- Key West, FL 33040 ;'9 - / - ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1064565 AC E T ? ? CERTIFICATE OF LIABILITY INSURANCE 03/08/2016 03 /08/2016 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 CONTACT NAME: Lockton Affinity, LLC PHONE Lockton Affinity, LLC (NC.No. Ext): 888- 553 -9002 (A 652 - 3967 E -MAIL P.O. Box 873401 ADDRESS: Kansas City, MO 64187 -3401 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A : Ace American Insurance Co. 22667 INSURED INSURER B: ACE Property & Casualty Insurance Co. 20699 Habitat for Humanity of Key West INSURERC: and Lower Florida Keys, Inc. PO Box 5873 INSURER D: Key West, FL 33045 INSURERE: _ INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY y GL1064565 -16 04/01/2016 04/01/2017 EACH OCCURRENCE $ 1 , 000, 000 OCCUR DAMAGE SO RENTED o CLAIMS -MADE {}-E1 occurrence) 1 PREMISES (Ea oczurrence) $ 000 , 000 MED EXP (Any one person) $ 0 PERSONAL R ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , 000 , 000 X POLICY PELT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY H08783342 -03 04/01/2016 04/01/2017 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED x SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION C47347038 04/01/2016 04/01/2017 g STATUTE OTH- ER AND EMPLOYERS LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N I A -- (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1, 000 , 000 DESCRIPTION OF OPERATIONS/LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is fired) Certificate Holder is named Additional Insured as respects to Landlord. Location Address 201: Office /ReStore, 30320 Overseas Highway Big Pine Key, FL 33043 CERTIFICATE HOLDER CANCELLATION Monroe County Board of Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTOO REP TATIVE -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 18882195 1064565