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Certificates of Insurance MOLECUL-01 KWENGLER ACOR©`° CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) (►•-- 3/28/2023 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 have ADDITIONAL INSURED provisions or 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: Maury,Donnelly&Parr,Inc. PHONE FAX 24 Commerce St. (A/C,No,Ext): (410)685-4625 (A/C,No):(410)685-3071 IL Baltimore, MD 21202 ADDARESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA:Massachusetts Bay Insurance Company 22306 INSURED INSURERB:Hanover Insurance Company 22292 The Goodman-Gable-Gould Company INSURERC:Evanston Insurance Company 35378 3903 Naylors Lane INSURER D: Baltimore, MD 21208 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR ZDQ J264551 00 1/1/2023 1/1/2024 DAMAGE TO RENTED 100 000 X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY JECTPRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT 1,000,000 Ea accident $ X ANY AUTO X AWQJ320165 1/1/2023 1/1/2024 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE UHQJ26455200 1/1/2023 1/1/2024 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Errors&Ommissions =MKLV1PEO002582 1/1/2023 1/1/2024 See below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) APPROVED BY RISK MANAGEMENT Professional Liability Coverage- v gDeductible:$25K Claim/$75K Agg DATE Fu3/W2g120i2 3 Retroactive Prior WAIVER NIA- YES-Monroe County,Board of County Commissioners its employees,and officials will be included as Additional Insureds as respects to General Liability and Auto Liability for operations performed by Named Insured on all policies except for Workers Compensation CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE i ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �....„,11 ADJUS -1 OP ID: DH A�OR CERTIFICATE OF LIABILITY INSURANCE DATE 06 /08 /2018 Y) 06/08/2018 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 have ADDITIONAL INSURED provisions or 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 315 - 768 -8888 CONTACT NAME: Robert Broccoli Gilroy, Kernan & Gilroy, Inc. PHONE 315 - 768 -8888 FAX 315 - 768 -8600 210 Clinton Road INC, No, Eat): INC, No): P.O. Box 542 E-MAIL ADDRESS: New Hartford, NY 1 341 3 - 0 54 2 Robert Broccoli INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Cincinnati Insurance Co. 10677 — INSURED Adjusters International Inc. INSURER B : Federal Insurance Co. 20281 126 Business Park Drive Westchester Fire Insurance Co 10030 Utica, NY 13502 INSURER C INSURER D : ACE American 22667 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER /Y POLICY EFF POLICY EXP LIMITS 1 TR INSD WVP (MMIDDYYYI (MMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X X CPP5252643 12/09/2017 12/09/2018 DAMAGE TO $ 500,000 MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY Tei LOC PRODUCTS - COMP /OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO X X CPP5252643 12/09/2017 12/09/2018 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X AUTOS ONLY X AUTNOS Vy ONE (PencEciident) p AMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 20,000,000 EXCESS LIAB CLAIMS -MADE X X CPP5252643 12/09/2017 12/09/2018 AGGREGATE 20,000,000 DED X RETENTION $ 10,000 $ B WORKERS COMPENSATION X PER OTH AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE 14089 -01 06/06/2018 06/06/2019 1,000,000 OFFICER/MEMBER EXCLUDED? N I N / A E.L. E A CCIDENT $ (Mandatory In NH) I E.L. DISEASE - EA EMPLOYEE $ 1,000 000' If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below l E.L. DISEASE - POLICY LIMIT $ C E &O G27459298003 06/01/2018 06/01/2019 Ea Occur 5,000,000 D Cyber G46849759 12/18/2017 12/18/2018 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space i required) Certificate holder is included as Additional Insured on a primary/non - p contributory basis as required by written contract. Waiver of Subrogation AP • ; uyE Y • ISK V. Uf� � ' applies. The workers' compensation policy includes coverage in the state of ' GEMEIVT Florida. BY �, ` DA �(� i_l i WAIYEFI N/ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board ACCORDANCE WITH THE POLICY PROVISIONS. of County Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 (c i Prilav162. v 7 E ACORD 25 (2016/03) © 1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORO® ADJUS-1 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/11/2017 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 315-768-8888 Gilroy, Kernan & Gilroy, Inc. 210 Clinton Road P.O. Box 542 New Hartford, NY 13413-0542 Robert Broccoli CONMTTACT Robert Broccoli A PHONE 315-768-8888 Fax 315-768-8600 (A/C, No, Et): (A/C, No): EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Cincinnati Insurance Co. 10677 INSURED Adjusters International, Inc. INSURER B : Hartford Casualty Ins Co 29424 126 Business Park Drive Utica, NY 13602 INSURER CWestchester Fire Insurance Co 10030 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. INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR X X CPP5252643 12/09/2017 12/09/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED ence) 500,000 MED EXP (Any oneperson) $ 6,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY D jECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBII tlEeD SINGLE LIMIT $ 1,000,000 BODILY INJURY Per personL $ ANY AUTO X X CPP5252643 12/09/2017 12/09/2018 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Per. accident $ X AUTOS ONLY X AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE X X CPP5252643 12/09/2017 12/09/2018 DED X RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) N / A 01WECLM7787 12/27/2017 12/27/2018 ISTATUTE PER X I OTH- E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C E&O/Cyber G27459298003 06/01/2017 06/01/2018 Ea Occur 6,000,000 Aggregate 000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate holder is included as Additional Insured on a primary/non- contributory basis as required by written contract. Waiver of Subrogation applies. The workers' compensation policy includes coverage in the state of GEMENT Florida. "PRO9_E8_ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. of County Commissioners 1100 Simonton Street Key W9�st, FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 142109 6GOODCO ACORcDr. CERTIFICATE OF LIABILITY INSURANCE DATE 06I26IO6OmrYl PitODUCER HRH of Baltimore, Inc. 303 International Circle Suite 400 Hunt Valley, MD 21031 t.- ..:: - 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. 4#JSURERS AFFORDING COVERAGE NAIC 0 INSURED L...; L_ Adjusters International Corp. �.� The Goodman -Gable -Gould Co 6 Reservoir Circle #202 JUN 3 0 �"MISURER Baltimore, MD 21208.1308 SURER A: T In Clty Flr@ Ins CO wsuRE B'. H rtford Fire Ins Co NSUREA a Hartford Casualty D: INSURER E: V THE POLICIES OF INSURANCE LISTED BELOW HAVE EEN ISSUED ll'II ,AMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY IEH DOCi1G hFT•WI'FFYRESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR um NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE Mit DDm POLICY EXPIRATION DATE MM/DDm LIMITS A GENERAL LIABILITY 30UUNIF4335 01101106 01101107 EACH OCCURRENCE $1 OOO OOO DAMAGE TO RENTED P MI rt r $300OOO X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $1 O 000 CLAIMS MADE a OCCUR PERSONAL S ADV INJURY $1 OOO 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 POLICY 7 PRQ`T LOD B AUTOMOBILE X LIABILITY ANY AUTO 30UENUL0387 01101106 01101107 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS__ X X HIRED AUTOS NON -OWNED AUTOS --- BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG C EXCESSIUMBRELLALIABILITY 3OXHUIF4626 01/01/06 01/01/07 EACH OCCURRENCE s4000000 AGGREGATE s4,000,000 OCCUR CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $ 10000 A WORKERS COMPENSATION AND 30WENK2643 04101/06 04/01/07 C STATU- oTH- X I TWO E.L. EACH ACCIDENT $500,000 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $500OOO E.L. DISEASE - POLICY LIMIT 1 $500000 If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Monroe County, FL is named as Additional Insured as respects liability for operations performed by the Named Insured. Monroe County, FL Attn: Nat Cassel P. O. Box 1026 Key West, FL 33041 ABOVE DESCRIBED 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 BO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Af`nOn 9F Nf101111R\ � _e n .�Ann•/uo.n�.I enA¢r n ACnRn A CORD DATE (MM/DD/YYYY) rM CERTIFICATE OF LIABILITY INSURANCE 5/7/2009 PRODUCER Phone: 315-734-9386 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Haylor, Freyer & Coon, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ATS Risk Associates HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 502 Court Street, Suite 205 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Utica NY 13502 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Chubb Adjusters International INSURERB: The Goodman, Gable, Gould Company 6 Reservoir Circle INSURERC: Baltimore MD 21208 INSURER D: INSURER E: r f%VFRArCC 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 LTRDATE DD'L POLICY NUMBER POLICY EFFECTIVE (MWDDfYYI POLICY EXPIRATION DATE (MWDDIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGETORENTED PREMISES Ea occurence $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE El OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ /o-.4,01 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU OTH- T RY LIMIT ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ A OTHER Professional Errors and 81706777 11/5/2008 11/5/2009 $5,000,000 Limit $25,000 SIR Omissions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Monroe County Board of County Commissioners are named as additional named insureds under the above professional liability insurance. VCrf I Irmom 1 C r1VLI JCr( VAIVVCLLA I IVIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER Monroe County Board of County WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Commissioners CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO 1100 Simonton St Rm 268 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Key West FL 33040 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) ©ACORD CORPORATION 1988 ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/7/2009 PRODUCER Phone: 315-734-9386 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Haylor, Freyer & Coon, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ATS Risk Associates HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 502 Court Street, Suite 205 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Utica NY 13502 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Chubb Adjusters International INSURERB: The Goodman, Gable, Gould Company 6 Reservoir Circle INSURERC: Baltimore MD 21208 INSURER D: INSURER E: UU V tHAUt5 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. INSRADD' LTR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAUE TO PREMISES RENTED $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL& ADV INJURY $ GENERALAGGREGATE $ �EN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS . BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ i GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ ]DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU OTH- T RY LIMIT ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A OTHER Professional Errors and Omissions 81706777 11/5/2008 11/5/2009 $5,000,000 Limit $25,000 SIR DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Monroe County Board of County BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Commissioners CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO 1100 Simonton St Rm. 268 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Key West FL 33040 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ^"""" _' %"""""'l ©ACORD CORPORATION 1988 Client#: 142109 6GonDCn ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE 05/07/09DnrYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willis of Maryland, Inc. 303 International Circle ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 400 Hunt Valley, MD 21031 INSURERS AFFORDING COVERAGE NAIC # INSURED The Goodman, Gable & Gould Co. INSURER A: Hartford Insurance Co 914 INSURER B: Twin City Fire Insurance Company 29459 6 Reservoir Circle #202 Baltimore, MD 21208-1308 INSURER C: 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/Y POLICY EXPIRATION DATE MWDD/YY LIMITS A GENERAL LIABILITY 3000NIF4335 01/01/09 01/01/10 EACH OCCURRENCE $1 QQQ QQQ X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FRI OCCUR DAMAGE TO RENTEDPREMISES (Ea occurrence) $300 QQQ — MED EXP (Any one person) $1 Q QQQ PERSONAL & ADV INJURY $1 QQQ QQQ GENERAL AGGREGATE $2 QQQ QQQ FEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2 000 000 POLICY PRO LOC JECT A AUTOMOBILE LIABILITY X ANY AUTO 30UENUL0387 01/01/09 01/01/10 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS , BODILY INJURY (Per person) $ X HIRED AUTOS X NON -OWNED AUTOS X Drive Other Car �'14 v1 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE 30RHU108006 01/01/09 01/01/10 EACH OCCURRENCE $4 QQQ QQQ AGGREGATE s4,000.000 $ DEDUCTIBLE $ X RETENTION $ 10000 B WORKERS COMPENSATION AND 30WENK2643 04/01/09 04/01/10 X OR LIMIT ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $500 000 E.L. DISEASE - EA EMPLOYEE $500 000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE NAMED AS ADDITIONAL INSURED. VGII I if IV/11 G f7V1_1/Gf7 %;AIVI:CLLA I IUN Monroe County, Florida 1100 Simonton Street, Room 268 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _f4f) 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 AL;UKU ZO (ZUU1/Us) 1 of 2 #S447396/M443707 6CSHE 0 ACORD CORPORATION 1988 Clientit- 1A2109 6GOODCO ACORDTM CERTIFICATE OF LIABILITY INSURANCE YYYY) 6/25DATE (M/2012 M/DDIM/DD1 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 Willis of Maryland, Inc. 303 International Circle CONTACT NAME: Carol Shemer PHONE 410 771-3838 410-527-7274 A/C No Ext : A/C, No ADDRESS: carol.shemer@willis.com Suite 400 Hunt Valley, MD 21031-0000 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Hartford Insurance Co 914 INSURED INSURERB, Twin City Fire Insurance Compan 29459 The Goodman, Gable & Gould Co. 6 Reservoir Circle #202 INSURER C Baltimore, MD 21208-1308 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE NSRADDLSUBR WVD POLICY NUMBER MM/DDY EFF MMIDDIYEYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 3000NIF4335 , -., + --- - - - L ;y -+ ,......_......_._. _ ... ,. 1/01/2012 _..._ 01101/2013 T .- ,.._. EACHOCCURRENCE$1 000000 PREMISES EaEoccccurrence s3000OO MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT El LOC PRODUCTS -COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS Drive Oth Car X 30UENULM87 - /0112012 01/01/201 accidentSINGLE LIMIT (CEO, $� r 1 000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 30RHU108006 1/01/2012 01101/2013 EACH OCCURRENCE $4 000 000 AGGREGATE s4,000,000 DIED I X RETENTION $10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYs Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 30WENK2643 4/01/2012 04/01/201 U- X WCSTATOTH- ER E.L. EACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYEE $500000 E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space Is required) CFRTIFICOTF HAI nFR CONCFI I OTIr]N Monroe County Board of C ry County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Suite 2-268 Key West, FL 33040 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S675882/M655315 6CSHE Client#: 142109 6GOODCO ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/27/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR N T ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE OES NOC=aT� J ONTRAC BETWEEN THE ISSUING INSURER($), AUTHORIZED TTjN�P,�.. REPRESENTATIVE OR PRODUCER, AND TH CERTIF IMPORTANT: If the certificate holder is an AD ITIONAL INSURED, the policy(ies) mud be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certai policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen JAN— PRODUCER Willis of Maryland, Inc. CONTACT NAME: net Peitz PHONECCo Fztl 410 771-3838 F4X 410-527-7274 ac, No 225 Schilling Circle Hunt Valley, MD 21031-0000 410 771-3838 1rI0iVR0E RISK MANAGEM pREss: 1 net.peltz@willis.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers 31194 INSURED INSURER B: Travelers Property Casualty of 31194 The Goodman, Gable & Gould Co. 6 Reservoir Circle #202 INSURER C : Baltimore, MD 21208-1308 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUB WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Dfl OCCUR X X 6306C55942013 A R MANAG BY at DAB WA 1/01/2013 (L 01/01/2014 EACH OCCURRENCE $1 000000 PREMISES Ea o� ence $ 30O 000 MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 17 POLICY F PROECT LOC J PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOSNON-OED X HIRED AUTOS X AUTOS X Drive Oth Car X 8107CO5370713 1/01/2013 01/01/201 MBINED SINGLE LIMIT (CEO, accident $ 1, 000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PER POra.denDAMAGE $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP7CO5371913 1/01/2013 01/01/2014 EACH OCCURRENCE s4,000,000 AGGREGATE s4,000,000 DED X RETENTION $10000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A UB659155A13 1/01/2013 01/01/2014 X wCSTATU- OTH- FR E.L. EACH ACCIDENT $500OOO E.L. DISEASE - EA EMPLOYEE $500OOO E.L. DISEASE - POLICY LIMIT 1 s500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS NAMED AS ADDITIONAL INSURED AS RESPECTS LIABILITY FOR OPERATIONS PERFORMED BY NAMED INSURED. Lha:41l2L91rA1a Monroe County, FL Board of County Commissioners P. 0. Box 1026 Key West, FL 33041 Lc. 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S712438/M712414 6CSHE A-f4 ne TriS-7i31I911117 �.ncrrur. r-'Gw ACORD. CERTIFICATE OF LIABILITY INSURANCE DAT1l071207/20D/YYYO) 14 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 Willis of Maryland, inc. CONTACT NAME: (A/C, o E,): 410 771-3838 A/C No: 410-527-7274 E-MAIL ADDRESS: 225 Schilling Circle INSURER(S) AFFORDING COVERAGE NAIC # Hunt Valley, MD 21031-0000 INSURER A: Travelers Indemnity Company 25658 410 771-3838 INSURED The Goodman -Gable -Gould Co. INSURER B : Travelers Property Casualty of 31194 IN ER c : Farmington Casualty Company 41483 INSURER D : 3903 Naylors Lane Baltimore, MD 21208 INSURER E : INSURER F : POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING 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 LTR TYPE OF INSURANCE ADDL INSR U WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A GENERAL LIABILITY 6306C55942014 1/01/2014 01/01/201 EACH OCCURRENCE $1,000000 PREMISES �om�irr . $ 100 000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) s5,000 CLAIMS -MADE OCCUR PERSONAL SADVINJURY $1,000,000 GENERAL AGGREGATE $10,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,000 OMBINED SINGLELIMIT Eaaaccident) $ $1,000,000 B POLICY JEC7 LOC AUTOMOBILE LIABILITY 8107C05370714 1/01/2014 01/01/201 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X AUTOS X PROPERTY DAMAGE Per accident $ $ HIRED AUTOS X rive Oth Car B X UMBRELLA LIAR OCCUR CUP7C05371914 1/01/2014 01l01/201 EACH OCCURRENCE $4 OOO OOO AGGREGATE $4 OOO OOO EXCESS LIAB CLAIMS -MADE DED X RETENTION $10000 $ C WORKERS COMPENSATION U66C59155A14 1l01l2014 01/01/201 OTH- WC STATU- FR X TORY LIMITS E.L. EACH ACCIDENT $500000 AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N 'N EL. DISEASE - EA EMPLOYEE $500,000 OFFICER/MEMBER EXCLUDED? F NIA (Mandatory in NH) E.L. DISEASE - POLICY LIMIT $500,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I more space is required) , RE: THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE NAMED AS NT ADDITIONAL INSURED. *BY Oyu-, �/. CC • Z l Monroe County, Florida 1100 Simonton Street, Room 268 Key West, FL 33040 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 ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S794472/M794446 6JPEL Client#: 142109 6G00000 GATE (MM/OO/YYYY) ACOR�_M CERTIFICATE OF LIABILITY INSURANCE �/2o/2o1s THIS CERTIFICATE IS ISSU EO AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE GOES NOT AFFIRMATIVELY OR NEGATIVELY ^MENU, EXTENU OR ALTER THE COVERAGE AFFORUEU BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE UOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AU TH ORIZEO REPRESENTATIVE OR PRODUCER, ANm THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder m an AUUITIONAL INSURED, the policy(ies) must be endorsed_ If SUBROGATION IS WAIVE, 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 en dorsement(s ). PRODUCER NAME: Willis of Maryland, Inc_ (vgHeo NN �tp 410 771-3838 �w/c, vo): 410-527-7274 225 Schilling Circle E-MAIL E Hunt Valley, ME3 21031-0000 AooREss_ 410771-3838 INsuRER(s)AFFO RUINo coVERACE _ ryn w su RERA :Travelers Insurance Company Lim 36161 wsu REo Irvsu RER e: Trav¢I¢rs 1 rop¢rty Casualty of 3119A Th¢ Goodman-Gabl¢-Gould Co. 3903 Naylors Lane INsu RER c =Farmington Casualty Company INsu RER o : Tra Y¢I¢rs Ind¢m nity Company 25658 25658 Baltimore, MD 21208 NsuRER E I NSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS INDICATE CERLIF EXCLUSIONS LTR IS TO CERTIFY THAT THE POLICIF_S OF INSURANCE U. NOTWITH STANDING ANY REQUIREMENT, ICAiE MAY BE ISSUED OR MAY PERTAIN, THE ANO CON UITIONS OF SUCH POLICIES. AO 6R P O SU RANCE INSR WVO GENERAL unaiurv- LISTED @EL_OW HAVE @F_EN TERM OR CONDITION OF ANY INSURANCE AFFORDED BY THE LIMITS SHOWN MAY HAVE BEEN POLICY NUMBER 6306C55942015 ISSUED TO THE INSUR EO NAMED ABOVE FOR THE POLICY PERIOU CONTRACT OR OTHER OOCUM ENT WITH RESPECT TO WFIICH THIS POLICIES OESC RIBEO HEREIN IS SUBJECT TO ALL THE TERMS, REDUCED BV PAID CLAIMS. OLICY EFF - POLICY EXP (MM/UO/YYYY) (MM/n0/YYYY) LIMITS 1/01/2015 01/01/2U'1 occL�RRENc,P s1,000,000 A I X c,oMMFRCI AI. C�FNE RAL L AHIu r Y FAc,H NT 1�'rzAErniEs (Ea occurrence) s 100,000 I__MADE X OCCVR MFIJ FXP (Any one parson) S5,000 PF_RSO NAL 8 AOV INJURY 51,000,000 -.FNF RAI A�caRFcaATF s10,000,000 F AiPI EIS N Ac�RFcnTE L PER PROU1JcrS - coMP/oP AGG s 2,000,000 I POIIC:Y Pe OT LOC: 5 p uroMOBILE LIABILITY 8107C05370715 -1/01/2015 01/01/2016 c,oMuwLO SINC3LE LIM IT 1,000,000 (Ea ac anp 5 XI q gVTO � UOUILY INJURY IPar parson) 5 ALL OwNFO S'GHFUVLFU � i � cc Ua BODILY I V (P¢ra i nq 5 AUTOS AUTOS rJ Xi, X `" REL�AVTOS AUTOS�JF (Peru _ _ X UMBRELLA LIAB X occur. C-UFYC053Y19115 1/01/2015 01/01/2016_EA_CH occuRRENCE _ 5_4_�_000,000 B EXCESS LIA@ CLAIMS MADE AC C3ATE 34_y000y000_ oEo I XI RE rE 'no s10000 _ 4 C WORKERS COMPENSATION '' IJ 66C59155A15 WC STATLJ- OT11- 1/01/2015 01/01/2016 X ANO EMPLOYERS' LIABILITY Y / N ITORV LIMITS ER - ROPRIETOR/PA RTNFR/FXFCI_ITIVF E L EACH ACCIpENT 55 UO,000 ONY FFICER/MEMBER EXCLVOE U'+ N / (Mantlatory in NH) 'i , E.L. DISEASE - EA EMPLOYEE. SS UU,000 Ir yes. aa=onna nne nr o Esc RIP IION or oPERAnoNs nelow I F L Disc ASF - POLIcv uMI. s500,000 OESC RIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORO lM SSIC)nal R¢ma I SCM1¢dulE Ir n spat¢ Is r¢quINI^ RE: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS NAMED AS A�OITIONAL INSURED AS RESPECTS LIABILITY FOR OPERATIONS PERFORMED BV NAMES INSURE_ APR E �^' MENTV CERTIFICATE HOLDER GANG ELLATION MOn County, FL Board Of SHOULD ANY OF THE ABOVE OESC RIBEO POLICIES BE CANCELLED BEFORE THE EXPIRATON DATE THEREOF. NOTICE WILL BE OELIV EREO IN County Commissioners AC CO RBA NCE WITH THE POLICY PROVISIONS- P_ O_ Box 1026 Key West, FL 33041 AVTHO RIZEO REPRESENTATIVE 1988-2010 ^CORD OO RPORATION_ All rights reserved. AGORO 25 (2010/05) 1 Of 1 The ACORU Hama and logo are registered ma rKs of ACORO ttS851 946/M851 768 6JPEL