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Certificates of Insurance
ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP 10 J~ DATE (MMIDDIYYYY) BCMDM-1 04/19/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brown & Brown, :Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 13769 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tallahassee FL 32317 Phone: 850-656-3747 Pax:850-656-4065 INSURERS AFFORDING COVERAGE NAlC # INSURED INSURER A: PBOA ,~.--, ,. ..._~, INSURER B: p., '-!\1 1-1 J Barreto, Cunningham, May, INSURER c: ---- 108 S Monroe Street Ste 200 INSURER 0: Tallahassee PL 3230i INSURER E: ADD ~. .h COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OIGAT ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERlt CATE MAY BE 'DiUNlY MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIO S AND CONDITt MENT POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER t'D~';!~1rfMkf~rW')C '~kfEY MMfDD LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ~~~:t.'E.s lEa occurence) $ I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ - PERSONAL & ADV INJURY $ - GENERAL AGGREGATE $ ~'L AGG~EnE LIMIT APPlS PER: PRODUCTS - COMP/OP AGG $ POLICY ~r8T LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Eaaccident) - - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - HIRED AUTOS _m~al ..,Q BODILY INJURY - ! $ NON-OWNED AUTOS (Peraccidenl) - - ., { O:15h' PROPERTY DAMAGE $ . "0- (Per accident) GARAGE LIABILITY -,-; .= AUTO ONLY - EA ACCIDENT $ ~ ANY AUTO \.. .''''.1 '1 EA ACC $ II OTHER THAN AUTO ONLY: AGG $ EXCESSJUMBRELLA LIABILITY EACH OCCURRENCE $ ~ OCCUR D CLAIMS MADE AGGREGATE $ $ ~ DEDUCT.BLE $ RETENTION $ $ WORKERS COMPENSATION AND IT~,\'/~':":~s I IVER- A EMPLOYERS' LIABILITY 2700012252061 01/25/06 01/25/07 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100000 ~~~EI~is~~~v~~1~NS below E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONSJ LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS Revised Certificate County of Monroe Florida Risk Management Section Attn: Ms. Maria Slavik POBOx 1026 Key West PL 33041 CANCELLATION COUNTMO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 CERTIFICATE HOLDER ACORD 2S (2001108) ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID.?~ DA IE (MM/DDIYYYY) BARRE-2 06/07/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2412 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Daytona Beach FL 32115-2412 ~---R' (;8 I NAIC# Phone: 386-252-9601 Fax: 386-239-5 ;29 \ Ev ,IIV~I3l:RSAFFOF ING COVERAGE INSURED I J ' INSURER A: Hou ton Casualty Co ' 42374 , i : INSURER B: BARRETO CUNNINGHAM MAY, llUDLi JUN :&sciiilitL ATTN RODNEY BARRETO' i 235 CATALONIA AVE i i INSURER D: i CORAL GALBLES FL 33134 I L.-... ... -. I . COVERAGES I Ri(:\; r,"~ ;:;,\ "rt.; ~ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE t"ULIL;Y!-'t RIOO 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 LT" NSRD TYPE OF INSURANCE , POLICY NUMBER I"D"A~ h.tM/DDNvt - P8k~1YI~>;:'bRDAJ!t,?N ! L.IMITS I GENERAL. L.IABIL.ITY ' EACH OCCURRENCE , ~MMERCIAL. GENERAL. LIABILITY : PREMISES (Ea occurence) , I :~ CLAIMS MADE D OCCUR MED EXP (Anyone person) , '~ PERSONAL & ADV INJURY , I GENERAL AGGREGATE , ~'L AGGREnE LIMIT APnS PER: PRODUCTS-COM~OPAGG , POLICY ~f8T LOC , ! AUTOMOBILE LIABILITY I I COMBINED SINGLE LIMIT - , : ANY AUTO I : (Eaaccidenl) ~ I ALL OWNED AUTOS , c- I BOOILY INJURY , :- SCHEDULED AUTOS I (Per person) ,- HIRED AUTOS I BODILY INJURY , NON-DWNED AUTOS (Per accident) - - vV\ C'" , n - . PROPERTY DAMAGE , ) (Per accident) GARAGE LIABILITY I I 1V4 ~cJ' AUTO ONLY - EA ACCIDENT , ~ ANY AUTO I OTHER THAN EA ACC , AUTO ONLY: AGG , ~ESSIUMBRELLA LIABILITY EACH OCCURRENCE , ; ! OCCUR 0 CLAIMS MADE AGGREGATE , ~ - , , DEDUCTIBLE , , i RETENTION , , I WORKERS COMPENSATION AND I T~~l ~ltWs I !UJ~-! EMPLOYERS' LIABILITY i _ ANY PROPRIETOR/PARTNER/EXECUTIVE E_L_ EACH ACCIDENT ,. i OFFICER/MEMBER EXCLUDED? I ~: DISEASE - EA EMPLOYEE! $ I ~~EC:llLS~~6J!~~o~s below El. DISEASE - POLICY LIMIT I $ OTHER I A I PROFESSIONAL LIABI H70517360 11/10/05 11/10/06 EACH 1,000,000 AGGREGATE 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS { VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS THIRTY DAYS NOTICE OF CANCELLATION, EXCEPT FOR TEN DAYS NOTICE DUE TO NON-PAYMENT FAX: 580-681-0354 CERTIFICATE HOLDER MONROE COUNTY MARIE SLAVIK 1100 SIMONTON ST.,RM268 KEY WEST FL 33040 CANCELLATION MONRCO 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TIO DATE THEREOF, THE ISSUING INSURER WilL ENDEAVOR TO MAIL. 30 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 REPRESENTATI House @ACORDCORPORATION1988 ACORD 25 (2001/08) ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 T~ DATE (MMlDDIYYYY) BCMDM-1 04/27/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brown &. Brown, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 13769 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tallahassee FL 32317 Phone: 850-656-3747 Fax:850-656-40 I~ .~ NG COVERAGE NAlC II INSURED rit"I.1 ~ PBOA INSURER B: Barreto, Cunningham, MaY,!O INSURER c: 108 S Monroe streett Ste 2 0 JUN lli!suialbi Tallahassee FL 3230 INSURER E: COVERAGES ~ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED T THE INSURED .~ HE POLICY PE 100 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRACT QR ,." _ __ _, RTIFICATE MAY BE ISSUEDQR 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 PQLJCY NUMBER ':,~~~~MIDD/yb" DATE MMlDDlYVln LIMITS ~NERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY PREMISES Ea occurencel $ I CLAIMS MADE D OCCUR MED EXP (Anyone person) S f-- PERSONAL & ADV INJURY S - GENERAL AGGREGATE $ ~'~ AGGREnE FLlMIT APnStPER: PRODUCTS - COMP/OP AGG $ POLICY ~~8T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ ANY AUTO (Eaaccidenl) - - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - - HIRED AUTOS BODILY INJURY m,~ (Peraccidenl) $ f-- NON-DWNED AUTOS '0 h llJJ__ PROPERTY DAMAGE S - ,~ .--', (Peraccidenl) GARAGE LIABILITY UT~ AUTO ONLY - EA ACCIDENT $ ~ ANY AUTO '{. OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSJUMBRELLA LIABILITY EACH OCCURRENCE $ :=J OCCUR D CLAIMS MADE AGGREGATE $ $ ~ ~EDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I TORY LIMITS I IU~~- A EMPLOYERS' LIABILITY 2700012252061 01/25/06 01/25/07 $ 100000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT OFFICERlMEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $ 100000 ~~~~I~LS~~~vj~~6~s below E.L DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTtoN OF OPERATIONS I LOCATIONS J VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS Revised Certificate CANCELLATION COUNTMO 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 T ~ @ CERTIFICATE HOLDER County of MOnroe Florida Risk Management Section Attn: Ms. Maria Slavik POBox 1026 Key West FL 33041 ACORD 25 (2001/08) t' ' C<.:~ ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID ~ DATE (MMlDDfYYYY) BCMDM-l 04/27/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brown & Brown, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 13769 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tallahassee PL 32317 Phone:B50-656-3747 Pax:B50-656-4065 INSURERS AFFORDING COVERAGE NAlC # INSURED INSURER A: PBOA INSURER B: Barreto, Cunningham, May. INSURER c: lOB S Monroe Street Ste 200 INSURER 0: Tallahassee PL 32301 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 1$ SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. II~~~ ~ TYPE OF INSURANCE POLICY NUMBER PD~~~1MMlDDIYYI DATE MMlDDIVY LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(E~~u~~ce\ $ I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ "- PERSONAL & ADV INJURY $ "- GENERAL AGGREGATE $ ~'L AGG~EnE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO- nl POLICY JECT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Eaaccident) "- - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - - HIRED AUTOS BODILY INJURY (Per accident) $ - NON-QWNED AUTOS .~.~( - lA, ,,~~ PROPERTY DAMAGE $ (Per accident) ==iAGE LIABILITY ( -d-.\S" -0 jo AUTO ONLY - EA ACCIDENT $ ANY AUTO ..... EAACC $ .~. OTHER THAN . AUTO ONLY: AGG $ =SE5SJUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ ~ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ITO~yOLIMITS I IOJlt A EMPLOYERS' LIABILITY 2700012252061 01/25/06 01/25/07 $ 100000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100000 ~~tl~Ls~~~~g~~s below .-- E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVIStoNS CERTIFICATE HOLDER Monroe County Attorney's Office Kathy Peters POBox 1026 Key West FL 33041 CANCELLATION MONCOO 1 SHOULD ,ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATJON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE T ~ ACORD 25 (2001/08) C C' @ R CORPORATION 1988 ACORD", CERTIFICA TE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) 08/03/2009 PRODUCER Phone: (850)878-6600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hendrickson Insurance Servicest Inc. ONLY AND CONfERS NO RIGHTS UPON THE CERTIFICATE POBox 180099 HOLDER.. THIS CERnFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tallahassee, FL 32318 License #: A 116382 INSURERS AFFORDING COVERAGE HAlC. INSURED INSURER A: Zurich North America Floridian Partners, LLC INSURER B: FUBA Workers ComD 108 South Monroe St Ste 200 INSURER c: Tallahassee. FL 32301 INSURER 0: I INSURER E: COVERAGES THe POLlCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEC TO THE INSURED NAMED ABOVE FOR THE POLlCV PERIOD INDICATED. NOTVVITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 'MilCH 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 SHOVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~:: t:t~~ poucy NUMBER POUCV EfFECTIVE PDUCY EXPIRATION UMIT8 A Y GENERAL UABrUTV PAS01894908 08/25/2008 08/25/2009 EACH OCCURRENCE S 1 000..000 - ~~~~~J~E~=~nce) ~ COMMERCIAL GENERAL LIABILITY S 1 00041000 - o CLAIMS MADE I!J OCCUR MED EXP (Any ane person) S 10 000 ~ Hired & Non-Owned A PERSONAL & ADV INJURY S 1.000 000 ~ f;ENERAL AGGREGATE S 2.000 000 il'L. AGGRM UMIT APPUE5 PER: PROOUCTS . COM PlOP AGG S 2.000 000 X POLICY :r:RT n LOC ~OMOBILE UAB1UTY COMBINED SINGLE LIMIT S ANY AUTO (EiI acck:lenl) - ---..--... ~ ALL OWNED AUTOS BODILY 'NJURY S SCHEDULED AUTOS (Per person) I-- - HIRED AUTOS DOO1L Y INJURY S NON..OWNEO AUTOS ( :0. .Q (Per accident) - ''f{\ - PROPERTY DAMAGE S (Per accident) GARAGE UABIUTY I' \ ,c:::. ~ -..- " =1 ANY AUTO '." b -~;C1J J,UTO ONLY - EA ACCIDENT J Z OTHER THAN EAACC S ,l,UTO ONLY: AGG S EXCESSIUMBAELLA LlABIUTY '{ eACH OCCURRENCe 5 o OCCUR D CLAIMS MADE AGGREGATE S R DEDUCTIBLE .- S S RETENTION S S B WORKERS COMPENlAnON AND 10642853 04/01/2009 04101/2010 2'_LT~~rilt's I tal: EMPLOYERS' UAEUUTY 100 000 ANYPROPR~C~ARTNE~CUT~ E.L. EACH ACCIDeNT S OFFfCERIMEMBER EXCLUDED1 E. L- DISEASe - EA EMPLOVEE S 100.000 ~~E~t~LP:~~;:~~s below E.L. DISEASE - POLICV LIMIT S 500.000 OTHER DEICRrpTlCN OF OPEAAnONaI LOCAll0Na I veHICLES I EXCLUIIONa ADDED BY ENDORSEMENT I aPECrAL PROVIsrON8 CERTIFICATE HOLDER Monroe County Board of CO. Commissioners 1100 Simonton Street Suite 205 Key West, FL 33040 CANCELLATION SHOUlD Am OF me ABOVe D!SCRIBE!D POU~ES Ell: CANCELLED BEFORE THE expIRATION DATI! THEREOF. THE ISSUING INSURER WIU. ENDEAVOR TO MAil M.- DAYS WRITTEN NOTICE TO THE CERnFlCATE HalDER NAMED TO THE LEFT. BUT FAilURE TO DO 80 SHALL IMPOSE NO OBUG OR UABIUTY OF ANY KlNpUPON E INSURER. ITS AGI!NTS OR REPRE8EN~ E ;" AUTHDRt RI!PREBENTAnve (iJ/~~ CCR ~ ACORD CORPORATION 1988 rinted by CCR on August 03, 2009 at 01 :34PM ACORD 2& (2001/08) ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDDIYYYY) 07/16/2009 PRODUCER Phone: (850)878-5600 THJS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hendrickson Insurance Services, Inc. ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE POBox 180099 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tallahassee. FL 32318 I NAlC # License #: A 116382 INSURERS AFFORDING COVERAGE INSURED INSURER A; Zurich North America I Floridian Partners, LLC INSURER B: FUBA Workers Comg I 108 South Monroe St Ste 200 INSURER C; I Tallahassee, FL 32301 INSURER 0; I I INSURER E: f COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO 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 DESCRrSED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. INSR ~~~ POLlCV NUMBER POLICY EFFECTJVE POLICY EXPIRATIONl LJMITS ITA T....~ U~ A Y GENERAl LIABILITY PAS01894908 08/25/2008 08/25/2009 I EACH OCCURRENCE $ 1 000.000 fo-. DAMAGE TO RENTeD L COMMERCIAL GENERAL LIABLJTY PREMISES tEa occurencol S 1 000.000 L :J CLAIMS MADE (i] OCCUR MED EXP (Any ono porson) S 10 000 I ..L1,~OOO l_ PERSONAL & ADV INJURY ._ GENERAL AGGREGATE S 2.000 000 GEN'l AGGRn lIMIT APPLIES PER: i PRODUCTS - COMP/OP AGG S 2 000 000 i [Xl POtlCY ~WT n Loe t ~OMOBILE liABILITY ~. l COMBINED SINGLE LIMIT S f- ANY AUTO I (Ea accident) hSQm I ~ ALL OWNED AUTOS ! BODILY INJURY 'b1 S I- SCHEDULEO AUTOS f (Por persen) - HiRED AUTOS BCDI.Y INJURY D-07 (Per accident) S NON-OWNED AUTOS {,(~ ,- .." PROPERTY DAMAGE I '-I (Por a ccid an I) S GARAGE LIABILITY ~ ! AUTO ONL V - EA ACCDENT S q ANY AUTO I I OTHER THAN EA ACe s AUTO ONLY: AGG S [3CE5S1l1MBRB-LA lIABILITY I EACH OCCURRENce S OCCUR D CLAIMS MADE _~~G~_____ .L_..__....__._,..____._ I s R DEDUCTIBlE S RETENTlON S S B WORKERS COMPENSATION AND 10642853 04/01/2009 ' 04/01/2010 I X I we STATU- I IO~. EMPLOYERS. LIABILITY I E.L. EACH ACCIDENT 1 00.000 ANY PROPRIETORIPARTNERlEXECUTJVE $ OFFICERIMEMBER EXCLUDED? E.L. DISEASE - fA EMPLOYEE S 100.000 g~~~~.~~~s~~s below E.L. DISEASE - POLICY LIMIT S 500.000 OTHER I I I r DESCRIPTION OF OPERATIONS' LOCATIONS I VEHICLES I EXCLUSIONS ADDED BV ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Monroe County Board of CO. Commissioners 1100 Simonton Street Suite 205 Key West, FL 33040 SHOULD ANY OF ntE ABOVE DESCRfBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WilL ENDEAVOR TO MAIL~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED T E LEFT, BUT FALURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY Of Y KIN UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) CCR @ ACORD CORPORATION 1988 Printed by CCR on July 16, 2009 at 12:19PM IMPORTANT If the certificate harder is an ADDITIONAL INSURED. the policy(fes) 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 poUcy, certain policies may require an endorsement. A statement on thfs 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 constftute a contract between the issuing Insurer(s). authorized representative or producer. and the certificate horder, nor does it affirmatively or negatIvely amend. extend or alter the coverage afforded by the poUcles listed thereon. ACORD 25 (2001/08) Printed by CCR on July 16. 2009 a112:19PM A CO'RDnf C;ERTIFIC:A TE OF LIABILITY INSIUF~ANCE I DA TE (M MIDDNYVY) 08/1012010 PRODUCER Phone: (850)878-5600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hendrickson InsUranCE! Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P 0 BClx '180099 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tallahclssee, FL 32318 License #: A116382 INSURERS AFFORDING COVERAGE NAIC # INSUREO IN SUR ER A: ZU ri<:h Floridian Partners, LLC: fNSU RER B: Florida Citrus Business & Industries Fund 108 S. Monroe St., Suite 2(10 INSURER c: Tallahclssee, FL 32301 INSURER 0: I INSURER E: COVERAGES THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONCITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESI~ECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ,a,LL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEeN REDUCED BY PAID CLAIMS. I~JSR ~~g'~ r.IID A td",e POLICY NU MBER ~ALf~~~t~88~f Pgk~I~.~~~G~N LIMITS LTR yt"t: U~ A Y GEr~ERAL LIABILITY PA:SOO1894908 08/25/2010 08J25/2011 EACH OCCUR RENeE s 1 000 000 - DAMAGE X- OMMERCIAL GENERAL UABILIlY PREMISES tEa occurence) S 1 000,000 ~ CLAIMS MAOE ~ OCCUR MEn EXP (Anyone person) $ 10 000 x... Hired & Non..Owned J. PERSONAL & ADV INJURY 5 1.000.000 - GEr-lE RAL AGGREGATE 5 2.000 000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 5 2 000.000 Xl POLICY n. ~~i n. LOC A AUTOMOBILe UABILITY P A:3001894908 08/25/2010 08/25/2011 COMBINED SrNGLE LtMIT tr ANY AUTC' (Ea accidont) 5 1.000.000 ~ I 1--1 AlL OWNED AUros 80DIL Y INJURY 5 SCHEOUL:D AUTOS (Per person) ~ x... HIRED AUTOS lilY 80DIL Y INJURY $ A- NON-OWNED AUTOS (Per- accident) - '.rf\ .~ I , PROPERrf DAMAGE S (Per accident) ~AGE UABIUTI \) UI ~ /( (('/ (V I AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACe s AUTO ONL Y: AGG S EXCESSJlJMSRI:LU' lIABILITY 'f'v EACH OCCURRENCE S ~ OCCUR D CLAIMS MADE AGGREGATE S S R DEDUCTIBLE S RETENTJON S $ B WORKERS COMPENS.~ TION AND 10642853 04/01/2010 04/01/2011 )( I we s~~u- I IOl~- EMPLOYERS' LIABILITY 1 00.000 ANY PROPRIETORJPAnnJER/EXECUTIVE E.L. EACH ACCIDENT S OFFICER/MEMBER EXI:LUDED? E.L. DISEASE.. EA EMPLOYEI S 100.000 If yes, des:ribe undar 500.000 SPECfAL PROVISIONS bel:Jw E.L. DIS EASE. POLley LIMIT S OTHER DESCRIPTION OF OPERATICJNS I LOCATIONS /VEHICLES / EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISfONS CERTIFICATE HOLDER ACORD 25 (2001/08) CANCELLATION Monroe County Board elf County Commi!;sioners 1100 Silnonton Street Suite 2C15 Key West. FL 33040 SHOULD ANY OF THE JlBOVE DESCRIBED POLfCIES BE CANCELLED BEFORE THE EXPIRA TlON DATE THEREOF. THe lSf;UnJG INSURER WILL ENDEAVOR TO MAIL~ DAYS WRITTEN NOTICE TO THE CERTIFICA1"e HOLDER NAME TO TH LEFT. BUT FAILURE TO DO 50 SHALL IMPOSE NO OBI:-IGi!\lION OR LIABILITY O~/ANY KIN UPON THE INSURER. ITS AGENTS OR REPRESE 'A'Ti~ES~" i' I AUTHOR D R~AESEr~TAT E _•'F AWRD CERTIFICATE OF LIABILITY INSURANCE DATE (MM;DDIYYYY) 07/27/2011 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 PHO : Hendrickson Insurance Services, Inc. Joan Schim P 0 Box 180099 PHONE 850 87 (AIC No): ( ) rat, No. Extl: ( ) 8 -560 850 562 -8298 E -MAIL Tallahassee, FL 32318 ADDRESS: maria@ hendricksoninsuranceser Vices.com License #: A116382 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Zurich 419356 _ — INSURED _ INSURER B : Florida Citrus, Business & Industries Fund Floridian Partners, LLC INSURER C: 108 S. Monroe St., Ste. 200 INSURERD: Tallahassee, FL 32301 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 00000181 - 132512 REVISION NUMBER: 2 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, { I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR - LTR INSR MD POLICY NUMBER (MM MI TYPE OF INSURANCE Y LILY EFF POLICY EXP ! - -- IDDlYVYY) (MDDIYYYY) LIMITS A GENERAL LIABILITY N PAS001894908 08/25/2011 08/25/2012 EACH OCCURRENCE i $ _ 1,000,000 DAMAGE RETE _ _ X COMMERCIAL GENERAL LIABILITY PREMISES TO (Ea oocur ante) $ 1,000,000 CLAIMS -MADE 1 X 1 OCCUR MED EXP (Any one arson r ( y per) $ 10,000 J -- _ __ -- - - -- - PERSONAL & ADV INJURY $ 1,000,000 E LOC GENERAL AGGREGATE _ � 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 X POLICY . PRO- - $ A AUTOMOBILE LIABILITY Y N PAS001894908 08/25/2011 08/25/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY (Per person) I$ ALL OWNED SCHEDULED AUTOS _AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE - - _ —' AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE ' $ EXCESS LIAB CLAIMS -MADE AGGREGATE 1-$ DED RETENTION $ $ ■ B WORKERS COMPENSATION N 10642853 04 /01/2011 04/01/2012 X WC srATU- OTH - ' AND EMPLOYERS' LIABILITY TORY I IMITS FR ANYETOR/R /EXECUTIVE Y/ N E.L. EACH ACCIDENT - $ 100,000 OFFICER/MECER /ME EXCLUDED? OFFICER/MEMBER EXCLUDED? N N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Sche ule, if • re s -, a is require. —...' L - 1 "t v- ( CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE AOVE DESCRIBED POLICIES BE Monroe County Board of CO. Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CANCELLED BEFORE 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Suite 205 Key West, FL 33040 AUTHORIZED REPRESENTATIVE --% . (JLS) © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Printed by JLS on July 27, 2011 at 08:02AM ACORD ,,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 07/27/2011 PRODUCER Phone: (850)878 -5600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hendrickson Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P O BOX 180099 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Tallahassee, FL 32318 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. License #: A116382 INSURERS AFFORDING COVERAGE NAIC # L INSURED INSURER A: Zurich Floridian Partners, LLC INSURER B: _Florida Citrus, Business & Industries Fund 108 S. Monroe St., Ste. 200 INSURER C- Tallahassee, FL 32301 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED V THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L LTR INSRD TYPF OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION -- - _ -- DATE IMM /DD/YYI DATE (MM/DD/YY) , f LIMITS A Y GENERAL LIABILITY PAS001894908 08/25/2010 08/25/2011 EACH OCCURRENCE $ 1 000,000 DAMAGE TO RENTED _X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $ 1,000,000 _ j CLAIMS MADE X.. OCCUR - -- - - MED EXP (Any one person) $ 10,000 X Hired & Non -Owned A PERSONAL & ADV INJURY $ 1 000,000 - - - - - -- - - - -- ' GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2 X POLICY I1 JECT 1 i LOOC" - - _ A L Y AUTOMOBILE LIABILITY PAS001894908 08/25/2010 08/25/2011 COMBINED SINGLE LIMIT F ANY AUTO (Ea accident) $ 1,000,000 - _ ALL OWNED AUTOS 1 SCHEDULED AUTOS BODILY INJURY $ _._ (Per person) X HIRED AUTOS • BODILY INJURY 1 X NON -OWNED AUTOS (Per accident) $ - -- - -- - - - PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY - -� AUTO ONLY - EA ACCIDENT I $ _ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY CLAIMS MADE li EACH OCCURRENCE $ [ AGGREGATE $ DEDUCTIBLE 1 $ RETENTION $ B WORKERS COMPENSATION AND 10642853 04/01/2011 04/01/2012 X ORY L MITS OT H- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE N E.L. EACH ACCIDENT $ _ 1 00,000 OFFICER/MEMBER EXCLUDED? $ E.L. DISEASE - EA EMPLOYEE 100,000 If yes, describe under OTHER SPECIAL PROVISIONS below l E.L. DISEASE - POLICY LIMIT I $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS IONS CERTIFICATE HOLDER CANCELLATION 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 30 DAYS WRITTEN Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Suite 205 REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENT ? -- (JLS) ACORD 25 (2001/08) © ACORD CORPORATION 1988 Printed by JLS on July 27, 2011 at 08:03AM 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 (2001/08) Printed by JLS on July 27, 2011 at 08:03AM ACC) D CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) ki...---- 07/30/2012 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). CONTACT PRODUCER _ NAME: Jasmina Rodriguez Hendrickson Insurance Services, Inc. (A IC No.Ext): (850)878 -5600 (A/C, No): (850)562 -8298 P 0 Box 180099 E-MAIL asmina HendricksonlnsuranceServices.com Tallahassee, FL 32318 ADDRESS: jasmina@HendricksonInsuranceServices.com #: A116382 INSURER(S) AFFORDING COVERAGE NAIC 1 INSURERA: Maryland Casualty Company 19356 INSURED INSURER B: Everest National coo PBOA Floridian Partners, LLC INSURERC: - 108 S. Monroe St., Ste. 200 INSURERD: Tallahassee, FL 32301 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: 00000181 -0 REVISION NUMBER: 1 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM /DDIYYYY) (MMIDDIYYYY) A GENERAL LIABILITY Y N PAS001894908 08/25/2012 08/25/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO X COMMERCIAL GENERAL LIABILITY PREMISES (Ea E occurrence) $ 1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN1. AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 - X POLICY 1 .1F/IT LOC $ A AUTOMOBILE LIABILITY Y N I PAS001894908 08/25/2012 08/25/2013 COMc ident) NGLE LIMIT COM $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ - ALL OWNED SCHEDULED BODILY INJURY (Per acadent) $ AUTOS AUTOS -- NON -OWNED X HIRED AUTOS X AUTOS PROPERTY ident) AGE $ (Per accident) $ i UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ IM L ORY ITS B WORKERS COMPENSATION N 2700012252081 01/25/2009 01/25/2010 X T LIMI ER O T OTH- AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L. EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? ' N (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 100,000 N y e, dscribe under DES OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Re arks,Schedule, if more space is required) , l • ---- T N :6 - 11 ..-- f' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE DESCRIBED POLICIES BE Monroe County Board of County THE EXPIRATION DATE T OF, NOTICE WILL BE DELIVERED IN ED BEFORE Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Suite 205 AUTHORIZED RE - RESENTATIVE Key West, FL 33040 (JTR) © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Printed by JTR on July 30, 2012 at 10:54AM