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Certificates of Insurance $IA....IF=IG.tIGFIwI.IIII'.,I~_UIl~N".................i......i..... .. . .tT~ ~~M:D~~Y) THlSCERTIFICATE IS ISSUED AS -A MATTER OF INFORMATioN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ~---_._--- COMPANIES AFFORDING COVERAGE ACORDTM PRODUCER ". ..\ .) J.J.. \.".; .'~:: .J ,. , _ i __:..) -- ~ ',.- . ,. ~ ,J < 5 I ': . , . \ ';J.~, ) ..... .J j ').4- COMPANY A ~ I ,.~~"\ 'C', '! r" { INSURED COMPANY B , .;. .J I.:.J "; ~. . ~..; I) :" .; ,") j :,.... " "" I " COMPANY C I ~, 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, CO LTR POLICY EFFECTIVE POLICY EXPIRATION DATE (MMlDDIYY) DATE (MMlDDIYY) TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) -- -.".-...--.'--"--'- CLAIMS MADE OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) ~~;FENl WAIVER N/A _YES ....~'~... ._--t~:....~-_.._.. ~Cl5kL $ $ EL DISEASE - EA EMPLOYEE $ PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY. EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE EACH OCCURRENCE AGGREGATE EXCESS LIABILITY UMBRELLA FORM i__.----92:..H~R THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY '-"-"--'- WC STAT~'--OTH. TORY LIMITS ER EL EACH ACCIDENT THE PROPRIETOR! PARTNERs/EXECUTIVE OFFICERS ARE: --+~-~~-- ....__...._-~--~---------~---------_.- OTHER INCL EL DISEASE. POLICY LIMIT EXCL i.-.QlmTl#fG.l11!.~t)E!'*.. , l j I I I ! LIMITS ~__'~__I ) -': '; I '..1 $/ ! )') $1 , ):), ", $1 ., $ $ ; .' $ $ $ $ $ $ $ -.----1 I I ; I ____oj I i I I _-I I I I I I I :::::-::::1 ! BOARD OF COUNTY COMMISSIONERS 3491 S. ROOSEVELT BLVD KEY WEST FL 33040 ~jj.'tIdN{ . Hr~~~~~~~~~~;~E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ! EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL S NOTICE S OSE NO OBLIGATION OR LIABILITY &l~;t)OIttMtONAltlN$WR$;'tFi.r ./ j I. . . .. . . . . i.'~;9~I~B2&;S(~~ ~ ~ S J cP'tvJ--... 1!1 fA..- OOAf8jSJlj'fON't..! GEICO GENERAL INSURANCE COMPANY M "' ~ N o ~ Named Insured and Address: o J> " '" ~ o M '" Certificate of Insurance Date of Certificate: 02-13-01 JUDY T BOBICK 1200 20TH TER KEY WEST FL 33040-4505 Policy Number: 418-30-58 '" "' o N o o -; Policy Period: 02-13-01 (12:01 A,M, Standard Time) to UNTIL TERMINATED (12:01 A,M. Standard Time) During the term of coverages provided, the Company and the insured shall be bound by the provisions of the policy (or poli- cies) of insurance in current use hy the Company in the state, This is to certify; that the captioned policy includes the limits specified herein for each person and for each occmrence under the Bodily lnjmy Liability Coverage; the limits specified herein for each occmrence under the Property Damage Li- ability Coverage; and limits specified herein for each person and for each occurrence for Bodily lnjmy under the Unin- smed Motorists Coverage. Description of Vehicle: 95 SUZUKI 2S3TE02V5S6405466 Description of Vehicle: === - IE ~ ~ .. &ill! ~ - -- - ~ - ii!IE - - - .. - - - ~ - .. iillIIiIIii!! - COVERAGE LIMITS OF COVERAGE LIMITS OF COVERAGE Bodily Injury Liability $ 50 M and $ 100 M (Each Person) (Each Occurrence) $ (Each Person) M and $ (Each Occurrence) M Property Damage Liability $50M (Each Occurrence) $ (Each Occurrence) Uninsured Motorists (Bodily Injury) $ 50 M and $ 100 M (Each Person) (Each Occurrence) $ M and $ (Each Person) (Each Occurrence) M INTERESTED PARTY We agree to provide you with written notice of termination in the event this policy becomes cancelled. Notice provided may be more than ten (10) days, but not less than ten (10) days. Name and Address BOARD OF COUNTY COMMISION 34915 S ROOSEVELT BLVD KEY WEST FL 33040 APffiovtD BY RISK MAN'AGfMfNl BY (, ~c ,.L :!0k~-j: ~-'" "- DATE WAlVER: N/^ ~S ~... U99 (5-87) 00004494 C E R T I F I CAT E o F INS U RAN C E Issue date: 4-19-01 Producer *QUINTANA & ASSOCIATES KW 1704 ROOSEVELT BLVD KEY WEST FL 33040 Insured ACE BUILDING MAINTENANCE 1200 20TH TERRACE KEY WEST FL 33040 This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies below. COMPANIES AFFORDING COVERAGE Company letter A Indian Harbor Insurance Company letter B Company letter C Company letter D Company letter E COVERAGES This is to certify that policies of insurance listed below have been issued to the insured named above for the policy period indicated, notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. Co Lt Type of Insurance Policy number Policy Policy Effective Expire A GENERAL LIABILITY X Commercial General Liab. AIL027000316 Claims made X Occurence 4-16-01 4-16-02 Owner's & contractors protective AUTOMOBILE LIABILITY Anr auto Al owned autos Scheduled autos Hired autos Non-owned autos Garage liability EXCESS LIABILITY Umbrella form - Other than umbrella form WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY OTHER 'OJ ,,-II Description of operations/locations/vehicles/special items CERTIFICATE HOLDER IS ALSO LISTED AS ADDITIONAL INSURED. Certificate holder BOARD OF COUNTY COMMISSIONERS/AIRPORT 3491 S ROOSEVELT BLVD. KEY WEST FL 33040 ALL LIMITS IN THOUSANDS General aggregate..... .$2,000 Products-completed operations aggregate. .$N/A Personal & advertising injury... .$EXCL. Each occurrence...... ..$1,000 Fire damage (any one fire) ............ .$50, Medical expense (any one person).......... .$5, CSL Bodily Injury (per person) Bodily Injury (per accident) Property damage $ $ $ $ Each occurrence Aggregate $ $ Statutory $ $ $ (each accident) (disease-policy limit) (disease-each empl.) CANCELLATION Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail 10* days written notice to the cert~ficate 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 ... .~..I!I... "a:la~liil..jKA~I:E}~i*.:...I.'..;.ii..:ti..K;.r;;tE:'}'}})}}::.:.::::::.::::.:}>..................................... ~..... ... :]::::::Si].,..::::::!g]~]]~]]::....:Ei]...:~,.]::~;:]:~]:;]:~:E:::]:].,..\'r';~;Sf:!Jm!:!:;~F::::::::::::::::::::::~::~::::::::::::::::,:::.:.:....... ..................................................................... .... .......................... ....... ....... DATE (MM/:lDIYY)' 01/22/01. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER QUINTANA & ASSOC., INC, 1704 N ROOSEVELT BLVD, KEY WEST, FL 33040 COMPANY A UNIONAMERICA INS. CO. INSURED COMPANY B ACE BUILDING MAINTENANCE 1200 20TH TERRACE KEY WEST COMPANY C THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POliCIES DESCRiBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ' CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DDIYY) DATE (MM/DDIYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [!] OCCUR OWNER'S & CONTRACTOR'S PROT EZ967469 03/08/00 03/08/01 GENERAL AGGREGATE PRODUCTS - COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) $ 2,000,000. $ N/A $ EXCLUDED $ 1,000,000, $ 50,000. $ 5,000, . AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ $ STATUTORY LIMITS EACH ACCIDENT $ DISEASE - POLICY LIMIT $ DISEASE - EACH EMPLOYEE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ALSO LISTED AS ADDITIONAL INSURED, BOARD OF COUNTY COMMISSIONERS/AIRPORT 3491 S ROOSEVELT BLVD. KEY WEST FL 33040- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL --1Q.. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY A9:&RQ~~${i~).:.:..:.....:..<.......................... ....... ............................................................................................................................................................................................................<)............:...:...)>...:})..?..~A9:&RQ~Qije&RAjjQNj~$... QUINTANA & ASSOC., INC. 1704 N ROOSEVELT BLVD, KEY WEST, FL 33040 -.....FI~~TEis ISSU~D~ A';;'~~F 1~~i~~N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE ............................. ",' ... ........ ~: ft.... '6 ... PRODUCER COMPANY A UNIONAMERICA INS, CO. INSURED COMPANY B ACE BUILDING MAINTENANCE 1200 20TH TERRACE KEY WEST COMPANY C THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRA liON LTR DATE (MM/DDIYY) DATE (MM/DDIYY) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY A CLAIMS MADE [!] OCCUR EZ967469 03/08/00 03/08/01 OWNER'S & CONTRACTOR'S PROT LIMITS GENERAL AGGREGATE PRODUCTS - COMPIOP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (Anyone penson) $ 2,000,000. $ N/A $ EXCLUDED $ 1,000,000. $ 50,000. $ 5,000. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT $ ..Y BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ [11\TE PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO \, I.~ I > AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ $ EXCESS LIABILITY UMBRELlA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL STATUTORY LIMITS EACH ACCIDENT $ DISEASE - POLICY LIMIT $ DISEASE - EACH EMPLOYEE $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ALSO LISTED AS ADDITIONAL INSURED, g.!f:!P.At~fH>~~~I/// ..................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......... ............. ........................................................... ......................... ....................... . . . . . . . . . . . . . . . . . ........................ . ................... teANdtilXtjdH ..................................... .................................... ::::::::::::;:;::::;;:;:::;::;::;::;::;::;:;;:;;;;:::;;;:;:;:::;:::::::::::::::::::.:.:........ ....................... A<<&Rtt~~:tMi.&j/:{ ........................ ..................... .................. SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ---1lL 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. AUTHORIZEDE~~ ~ ~ ~O. ~ , , ,1~iiAPORAno.N 1993 BOARD OF COUNTY COMMISSIONERS/AIRPORT 3491 S ROOSEVELT BLVD, KEY WEST FL 33040- ..... . ............................ ............................ . ........................ PRODUCER QUINTANA & ASSOC INC 1704 N ROOSEVELT BLVD KEY WEST FL 33040 305-294-6261 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 POUCIES BELOW. INSURERS AFFORDING COVERAGE ACORDTM CERTIFICATE OF LIABILITY INSURANCE INSURED JUDITH BOBICK DBA ACE BUILDING MAITENANCE 1200 20TH TERRACE KEY W ST, FL 33040 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. IN:: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: GENERAL LIABILITY - COMMERCIAL GENERAL LIABILITY l CLAIMS MADE 0 OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER h POLICY n ~~g: n LOC AUTOMOBILE LIABILITY I- ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) -- PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ i OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ I- ALL OWNED AUTOS - _ SCHEDULED AUTOS _ HIRED AUTOS I NON-OWNED AUTOS P I i GARAGE LIABILITY ~ ANY AUTO EXCESS LIABILITY ~OCCUR D CLAIMS MADE I DEDUCTIBLE ""1 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I TORY LIMITS I IU~~- EL EACH ACCIDENT $ E,L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ A OTHER BOND 3-518-205 12/15/2000 12/15/2001 10,000 DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION BOARD OF COUNTY COMMISSIONERS/AIRPORT 3491 S, ROOSEVELT BLVD 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-.1Q. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS O~ REPRES6lf' ATIVES. ~ A/m;R~ tl~/Wn (?A '-" -' 0 ACORD CORPORATION 1988 I ACORD 25.S (7197) O~L8 ' o/~ - /I'dob/ 01 ACORCt CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE QUINTANA & ASSOC INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1704 N ROOSEVELT BLVD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. KEY WEST FL 33040 INSURERS AFFORDING COVERAGE INSURED INSURER A: NnVA I""A<::IIAI TV JUDITH BOBICK INSURER B: 1200 20TH STREET INSURER c: KEY WEST, FL 33040 INSURER D: I 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 DOCUVIENT 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, I~:: TYPE OF INSURANCE POLICY NUMBER PJl"L+f' EFFECTIVE Pg~!fJ ~J:~t~N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 300,000 A - 09AL030267 6/30/1999 6/30/2000 ~MERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 50,000 - CLAIMS MADE D OCCUR MED EXP (Anyone person) $ 5000 - PERSONAL & ADV INJURY $ 300 000 - GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COM PlOP AGG $ 300,000 "'l POLICY n ~~gn LOC ~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) - ALL OWNED AUTOS ';-m~~a : u~rr;;-~' BODILY INJURY - $ SCHEDULED AUTOS (Per person) e-- HIRED AUTOS - .,Y BODILY INJURY 1- (Per accident) $ NON-OWNED AUTOS -,q~ - (1 aTE - PROPERTY DAMAGE $ ,/ (Per accident) GARAGE LIABILITY \'\'\' V t ~: i'4.:' . _Tr,;' AUTO ONLY - EA ACCIDENT $ ===j ANY AUTO 6t~ ". (ill /7 OTHER THAN EA ACC $ Jb; AUTO ONLY: AGG $ EXCESS LIABILITY 1,7 cJJ EACH OCCURRENCE $ :::J OCCUR 0 CLAIMS MADE CJ. ~ AGGREGATE $ $ ===j ~EDUCTIBLE G'~\ \;,.11. ". 11'7 1 $ RETENTION $ $ WORKERS COMPENSATION AND U (J IIIVCSIArU-;1 IOJ~' TORY LIMITS EMPLOYERS' LIABILITY E,L, EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E,L. DISEASE. POLICY LIMIT $ OTHER 10,000 BOND 3-518-205 12/15/1999 12/15/2000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED AS TO GL & BA CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONROE COUNTY BOARD OF COMM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL..J.Q. DAYS WRITTEN 5100 COLLEGE RD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL KEY WEST, FL 33040 \ IMPOSE ZJATION OR LIABILITY OF nD UPON THE INSURER, ITS AGENTS OR REP!r3l:1 TATDIl s, ~J _ AUT 1,( pt7t~ v,. U~vt~J{ tV I / ""?' COVERAGES ACORD 25-S (7197) @ ACORD CORPORATION 1988 ACORDN CERTIFICATE OF LIABILITY INSURANCIi,EJ?C!~ B~ DATE (MM/DDIYY) 02/11/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 5487 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5487 INSURERS AFFORDING COVERAGE Phone: 305-294-1096 Fax:305-294-8016 i INSURED ['NSURER A: -- Old Dominion Insurance -- jlNsuRER B: "- Ace Building Maintenance I INSURER c: 1200 20th Terrace I INSURER D: Key West FL 33040 I 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, f~: -. .. - ~;~(;;~NSU-MNCE "---;;;L~E;' LIMITS GENERAL LIABILITY A IX'] COMMERCIAL GENERAL LIABILITY ~-rl CLAIMS MADE I~ OCCUR j MP48269 09/06/02 09/06/03 EACH OCCURRENCE I $ 1000000 FIRE DAMAGE (Anyone lire) $ 500000 MED EXP (Anyone person) $ 10000 PERSONAL&ADVINJURY $1000000 GENERAL AGGREGATE $ 2000000 1 PRODUCTS - COMP/OP AGG , $ 1000000 I I ~EN'L AGGREG~E LIMIT APPLIES PER: I I POLICY! 1 fG8i LOC I AUTOMOBILE LIABILITY , -'I , ANY AUTO ['] ALL OWNED AUTOS rl' I SCHEDULED AUTOS , ,HIRED AUTOS t--l ~-j NON-OWNED AUTOS r-- 1$ I I 1$ BODILY INJURY (Per accident) $ I GARAGE LIABILITY 1--1 ANY AUTO i---i PROPERTY DAMAGE I (Per accident) 1$ I EXCESS LIABILITY t=-J OCCUR D CLAIMS MADE 1 [..1 DEDUCTIBLE I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WAIVER N/~, '_Y~~J~ j O~i~~~. ~fk 1lc'I52s< I 1 EA ACC $ AGG $ 1 OTHER I 1 EACH OCCURRENCE I $ AGGREGATE $ $ 1$ , 1$ ---I I WC S1~!"Oi"i1- TORY LIMITS I I ER I I E.L EACH ACCIDENT 1 $ I E,L DISEASE - EA EMPLOYEE $ E. L DISEASE. POLICY LIMIT I $ DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLEs/EXCLUSIONS ADDED BY ENDORSEMENTlSPECIAL PROVISIONS Certificate holder is additional insured C- 0 I":> ~ '. ~ ,^-c:r.. 'At Cl- CERTIFICATE HOLDER Y ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Monroe County BOCC 3491 s. Roosevelt Blvd. Key West FL 33040 MONROEC 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 0 lABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Bar 1t~ ACORD 25-S (7197) ACORDm CERTIFICATE OF LIABILITY INSURANCl;cEg~~~ B~ DATE (MM/DDIYY) 08/29/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Key West FL 33040 i INSURERS AFFORDING COVERAGE Phone: 305-294-1096 Fax:305-294-8016 INSURED i INSURER A: Old Dominion Insurance i INSURER B Ace Building Maintenance ! INSURER c' 1200 20th Terrace INSURER D Key West FL 33040 i INSURER E i 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 ---_.-- IN R LTR' TYPE OF INSURANCE POLICY NUMBER N A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR I EACH OCCURRENCE 09/06/04 FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG MPG48269 09/06/03 COMBINED SINGLE LIMIT (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per person) APP~B, BY J.ll DATE WAIVER I BODILY INJURY , (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT $ EA ACC $ AGG! $ GARAGE LIABILITY ! ANY AUTO OTHER THAN AUTO ONLY EXCESS LIABILITY OCCUR EACH OCCURRENCE AGGREGATE CLAIMS MADE DEDUCTIBLE RETENTION $ I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I I $ E.L DISEASE. EA EMPLOYEE $ E.L DISEASE. POLICY LIMIT i $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate holder is additional insured CERTIFICATE HOLDER CANCELLATION ,Y ADDITIONAL INSURED; INSURER LETTER: LIMITS $ 1000000 $ 500000 $ 10000 $ 1000000 $ 2000000 $2000000 1$ $ $ , $ I $ $ $ ; $ $ Monroe County Risk Management ATTN Maria 1100 Simonton Street Key West FL 33040 MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .JJL... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR L1AB OF ANY KIND U Ke ACORD 25-5 (7/97) cc:~ ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP 10 B-;r DATE (MMlDDIYYYY) ACEBU-2 03/30/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone: 305-294-1096 Fax:305-294-8016 INSURERS AFFORDING COVERAGE NAlC# INSURED INSURER A: Old Dominion Insurance INSURER B: Ace Building Maintenance INSURER C: 1200 20th Terrace INSURER D: Key West FL 33040 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 NSRI TYPE OF INSURANCE POLICY NUMBER PD~~~ iriMrDD~E P~k~CE'r/~t;h1:~~N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 >-- UAMA{;!: A X COMMERCIAL GENERAL LIABILITY MPG48269 09/06/03 09/06/04 PREMISES (Ea occurence) $ 500000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 PERSONAL & ADV INJURY $ 1000000 >-- GENERAL AGGREGATE $2000000 I--- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 2000000 h .nPRO- nLOC POLICY JECT I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT '---- $ ANY AUTO (Ea accident) I--- ALL OWNED AUTOS BODILY INJURY '---- $ SCHEDULED AUTOS (Per person) I--- I--- HIRED AUTOS BODILY INJURY (Per accident) $ NON-OWNED AUTOS >-- I--- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY M.rf ~'ENl EACH OCCURRENCE $ o OCCUR D CLAIMS MADE ~"~~ SK AGGREGATE $ }\ ' ' - ~/I J ! 1 J.'./_.___ $ R DEDUCTIBLE . '- $ RETENTION $ B'I ---..'-0 ~ l I JL{ __ $ WORKERS COMPENSATION AND GAl,,; .,~- ~~-~"",-~--,.- -.., I,vv<.; ::iIAIU- I IOTH- TORY LIMITS ER EMPLOYERS' LIABILITY ~'-~ WAIVER NIA.-...I . V l"".: ~T' ._.._,.....,.-. E.L. EACH ACCIDENT $ ANY PROPRIETOR!PARTNER!EXECUTIVE OFFICER!MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under EL DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS certificate holder is additional insured. CERTIFICATE HOLDER Monroe County Board of County Commissioners 1100 Simonton Street Key West FL 33040 CANCELLATION MONROEC 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 LIABI REPRESENTATIVES, AUTHORIZED REPRESENTATI Ke ACORD 25 (2001/08) ACORDN CERTIFICATE OF LIABILITY INSURANCE CSR CH I DATE (MMlDDIYYYY) BOBIJU1 05/19/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Key West FL 33045-5548 Phone: 305-294-7696 Fax:305-294-7383 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Allstate Insurance Co. 19232 INSURER B: Judith Bobick INSURER C: dba Ace Building Maintenance 1200 20th Terrace INSURER D: Key West FL 33040 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 PD~~~lMMlDDIYYI P8k,."E'IMMlbONYlN LIMITS GENERAL LIABILITY EACH OCCURRENCE $ - COMMERCIAL GENERAL LIABILITY uAIVIA"r::, $ PREMISES (Ea occurence) I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ - GENERAL AGGREGATE $ - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 'I n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 100000 X ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ A ..!... SCHEDULED AUTOS 048723343 05/17/04 05/17/05 (Per person) HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (Per accident) - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ =1 ANY AUTO OTHER THAN EA ACC $ ,--- AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY APP~ ~h ~ ;~ r:~N~1 Er , EACH OCCURRENCE $ =:J OCCUR D CLAIMS MADE AGGREGATE $ BY'5J ::::::..:; ,----,--~.- - $ =1 DEDUCTIBLE DATE _.,,__. " ~L I nU $ RETENTION $ , I J $ WORKERS COMPENSATION AND '"," ~ I\'{;'>'_ ~_T I TORY LIMITS I IUJ~- EMPLOYERS' LIABILITY ANY PROPRIETOR!PARTNER!EXECUTIVE E.L EACH ACCIDENT $ OFFICER!MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ ~~~~I~IS~~~Jm?6~s below EL DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 1995 Suzuki Sidekick 2S3TE02V5S6405466 CERTIFICATE HOLDER CANCELLATION MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County Commissioners 3491 S Roosevelt Blvd Key West FL 33040 NOTICE TO THE IFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OB GATI N OR lABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) ACORDTM CERTIFICATE OF LIABILITY INSURANCE I D~f12~~85~t) PR~\j~TANA & ASSOC INC 305-294-6261 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1704 N ROOSEVELT BLVD HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR KEY WEST FL 33040 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A WESTERN SURETY COMPANY JUDY BOBICK INSURER B: DBA ACE BUILDING MAINTENACE INSURER C 1200 20TH TERRACE INSURER D' KEY WEST FL, 33010 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 ADD'L LTR IN RD POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MM/D Y DATE MM DDNY LIMITS CLAIMS MADE OCC:UR EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurence) MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS PRODUCTS. COMP/OP AGG HIRED AUTOS APP BY DATE WAIVER COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) NON.OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONL Y . EA ACCIDENT ANY AU ro OTHER THAN AUTO ONLY' EA ACC S AGG OCCUR CLAIMS MADE EACH OCCURRENCE AGGREGATE EXCESS/UMBRELLA LIABILITY DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes. describe under SPECIAL PROVISIONS below OTHER A JANITORIAL BOND WC STATU. OTH. TORY LIMITS ER EL EACH ACCIDENT E,L, DISEASE. EA EMPLOYEE E,L, DISEASE - POLICY LIMIT 69713292 5/13/2004 5/13/2005 $100,000 DESCRIPTION OF OPERA TIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS JANITORIAL SERVICE CERTIFICATE HOLDER CANCELLATION Boce 3491 S ROSSEVEL T BLVD KEY WEST FL. 33040 ATT:BEVETTE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL J.Q... DAYS WRITTEN ACORD 25 (2001/08) ~ @ACORDCORPORATION 1988 ~AlIstate. You're 1 good hands. CERTIFICATE OF INSURANCE EFFECTIVE DATE OF CERTIFICATE 05/18/04 ALLSTATE INSURANCE COMPANY HOME OFFICE - NORTH BROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER JUDITH BOBICK 048723343 BAP DBA ACE BUILDING MAINTENA 1200 20TH TERRACE KEY WEST, FL 33040-4505 The person or organization designated below is described in the policy as: MC BOARD OF COUNTY COMMISSIONERS 3491 S ROOSEVELT BLV KEY WEST, FL 33040-5295 POLICY PERIOD 05/18/04 TO 05/18/05 AT 12:01 A,M, STANDARD TIME ~ LIENHOLDER (Loss Payable Clause) X ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED CERTIFICATE HOLUt::R Coverages designated are afforded as stated below: AS THEIR INTEREST MAY APPEAR To the person or organization stated above: This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days written notice at its last address known to the Company, Proof of such mailing is deemed sufficient proof of such notice. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. BU1380-1 PAGE 1 OF 1 BU114-2 Ii ---. ~AlIstate. , Youre in good hands POLICY NUMBER 048723343 BAP COMMERCtAL AUTO CA 20 01 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respert to covf'r<lge provider! by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is in- dicated below, Endorsement Effective MAY 18, 2004 Countersigned By: Named Insured: JUDITH BOBICK DBA ACE BUILDING MAINTENA (Authorized Representative) SCHEDULE Insurance Company ALLSTATE INSURANCE COMPANY Policy Number 048723343 BAP Effective Date MAY 18, 2004 Expiration date MAY 18, 2005 Named Insured JUDITH BOBICK DBA ACE BUILDING MAINTENA Address 1200 20TH TERRACE KEY WEST, FL 33040-4505 Additional Insured (Lessor) MC BOARD OF COUNTY COMMISSIONERS Add ress 3491 S ROOSEVELT BLV KEY WEST, FL 33040-5295 Designation or Description of "Leased Autos" AS THEIR INTEREST MAY APPEAR CA 20 01 10 01 Copyright, ISO Properties, Inc" 2000 Page 1 of 2 ~ ~ BU114-2 Coverages Limit Of Insurance Liability $100,000 EACH" ACCIDENT Personal Injury Protection (or equivalent no-fault coverage) $ Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ For Each Covered "Leased Auto" Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ For Each Covered "Leased Auto" Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ For Each Covered "Leased Auto" (If no entry appears above, information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement) 1. Any "leased auto" designated or described in the Schedule or in the Declarations will be considered a covered "auto" you own and not a covered "auto" you hire or bor- row. For a covered "auto" that is a "leased auto" Who Is An Insured is changed to in- clude as an "insured" the lessor named in the Schedule, 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. A. Coverage C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Can- cellation Common Policy Condition, 2. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expira- tion date shown in the Schedule, or when the lessor or his or her agent takes pos- session of the "leased auto", whichever occurs first 2. If you cancel the policy, we will mail notice to the lessor, 3. Cancellation ends this agreement D. The lessor is not liable for payment of your premiums. B. Loss Payable Clause E. Additional Definition 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto", As used in this endorsement: 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part, "Leased auto" means an "auto" leased or rented to you including any substitute, re- placement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. CA 20 01 10 01 Copyright, ISO Properties, Inc" 2000 Page 2 of 2 ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID V~ DATE (MMlDD/YYYY) ACEBU-2 11/01104 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone: 305-294-1096 Fax:305-294-8016 INSURERS AFFORDING COVERAGE NAlC# INSURED INSURER A: Old Dominion Insurance INSURER B: Ace Building Maintenance INSURER C: Judith Bobick DBA 1200 20th Terrace INSURER D: Key West FL 33040 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 'D~'1'~1MMlDDrril- DATE~ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - PREMiS~s (Ea occurence) A X X COMMERCIAL GENERAL LIABILITY MPG48269 09/06/04 09/06/05 $ 500000 f-- ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 PERSONAL & ADV INJURY $ 1000000 I-- GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $2000000 n 'nPRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - ". ),jIo':]i C: ?,.j;:, J $ SCHEDULED AUTOS "]~'~; 1'"lf':'I"'j (Per person) - At t"', ,0.., l..~ U '- 1//1 (J;) HIRED AUTOS f".f U , BODILY INJURY - ~~,..~-" $ NON-OWNED AUTOS ~AI: -.,,,j.l1~ I {l-jl ,_ (Per accident) I-- f-- / PROPERTY DAMAGE $ " ,Ie D t,.I' ^ ....j YES, -.- - (Per accident) .. 1 (Oil a- GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO M OTHER THAN EA ACC $ 1 " AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY U ~ , cJJ!f EACH OCCURRENCE $ ~ OCCUR o CLAIMS MADE ( L . AGGREGATE $ ~J~ rr&z. $ ==l DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I TORY LIMITS I IUJ~- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L, DISEASE - EA EMPLOYEE $ ~~~MtS~~t~M~16~s below E,L DISEASE - POLICY LIMIT $ OTHER A Commercial Applica MPG48269 09/06/04 09/06/05 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS janitorial sevice; certificate holder is also additional insured. C c : ~ I'\. ~n('e...- CERTIFICATE HOLDER Monroe County BOCC & TDC Attn: Risk Management 1100 Simonton Street Key West FL 33040 CANCELLATION MONBOCC 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 0 LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRE NT IVES, ~.~T. 2: Jr4:Z:~, ACORD 25 (2001/08) ACORDN CERTIFICATE OF LIABILITY INSURANCE OP ID B, DATE (MMlDDIYYYY) BOBIJU1 02/17/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5548 Phone: 305-294-7696 Fax:305-294-7383 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Allstate Insurance Co. 19232 INSURER B: Judith Bobick INSURER C: dba Ace Building Maintenance 1200 20th Terrace INSURER D: Key West FL 33040 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, L TR NSR TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR POLICY NUMBER $ $ $ $ $ PRODUCTS - COMP/OP AGG $ EACH OCCURRENCE PREMISES (Ea occurence) MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE LOC COMBINED SINGLE LIMIT 05/18/05 (Ea accident) A X 048723343 05/18/04 ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per person) BODILY INJURY (Per accident) GARAGE LIABILITY ANY AUTO PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH OCCURRENCE EXCESS/UMBRELLA LIABILITY OCCUR D CLAIMS MADE AGGREGATE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR!PARTNER!EXECUTIVE OFFICER!MEMBER EXCLUDED? ~~~MtS~~~v,~?6~s below OTHER $ E,L. DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 1995 Suzuki Sidekick 2S3TE02V5S6405466 LIMITS $ 100000 $ $ $ $ EA ACC $ $ $ $ $ $ $ AGG CANCELLATION MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO LIGA ION LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR CERTIFICATE HOLDER Monroe County Board of County Commissioners PO Box 1026 Key W~t FL 33040 ee..:~ ACORD 25 (2001/08) @ACORDCORPORATION 1988 .,.----+" ~AlIstate. You're in good hands. CERTIFICATE OF INSURANCE EFFECTIVE DATE OF CERTIFICATE 05/18/05 ALLSTATE INDEMNITY COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER JUDITH BOBICK 048723343 BAP DBA ACE BUILDING MAINTENA 1200 20TH TERRACE KEY WEST, FL 33040-4505 The person or organization designated below is described in the policy as: MC BOARD OF COUNTY COMMISSIONERS 3491 S ROOSEVELT BLV KEY WEST, FL 33040-5295 POLICY PERIOD 05/18/05 TO 05/18/06 AT 12:01 AM, STANDARD TIME ~ LIENHOLDER (Loss Payable Clause) X ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED CERTIFICATE HOLDER Coverages designated are afforded as stated below: AS THEIR INTEREST MAY APPEAR EME T ~zt ~ '_ (f2LL C(j ~ ~ ~ fJlliJQ vv/~ i ~,Ii ~r~ To the person or organization stated above: This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days written notice at its last address known to the Company, Proof of such mailing is deemed sufficient proof of such notice, This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. C C!:>P(j '. -r: ... Q. n c. -t...- BU1380-1 PAGE 1 OF 1 BU114-2 . ~AlIstate. You're In good hands. POLICY NUMBER 048723343 BAP COMMERCIAL AUTO CA 20 01 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement This endorsement changes the policy effective on the inception date of the policy unless another date is in- dicated below, Endorsement Effective MAY 18, 2005 Countersigned By: Named Insured: JUDITH BOBICK DBA ACE BUILDING MAINTENA (Authorized Representative) SCHEDULE Insurance Company ALLSTATE INDEMNITY COMPANY Policy Number 048723343 BAP Effective Date MAY 18, 2005 Expiration date MA Y 18, 2006 Named Insured JUDITH BOBICK DBA ACE BUILDING MAINTENA Address 1200 20TH TERRACE KEY WEST, FL 33040-4505 Additional Insured (Lessor) MC BOARD OF COUNTY COMMISSIONERS Address 3491 S ROOSEVELT BLV KEY WEST, FL 33040-5295 Designation or Description of "Leased Autos" AS THEIR INTEREST MAY APPEAR CO(::>..j: ~ \ V'.,. 0-.. I\. Co ~ CA 20 01 10 01 Copyright, ISO Properties, Inc" 2000 Page 1 of 2 BU114-2 II Coverages Limit Of Insurance Liability $100,000 EACH "ACCIDENT Personal Injury Protection (or equivalent no-fault coverage) $ Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ For Each Covered "Leased Auto" Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ For Each Covered "Leased Auto" Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ For Each Covered "Leased Auto" (If no entry appears above, information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement) A. Coverage 1. Any "leased auto" designated or described in the Schedule or in the Declarations will be considered a covered "auto" you own and not a covered "auto" you hire or bor- row. For a covered "auto" that is a "leased auto" Who Is An Insured is changed to in- clude as an "insured" the lessor named in the Schedule, 3. If we make any payment to the lessor, we will obtain his or her rights against any other party, C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Can- cellation Common Policy Condition, 2. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expira- tion date shown in the Schedule, or when the lessor or his or her agent takes pos- session of the "leased auto", whichever occurs first 2. If you cancel the policy, we will mail notice to the lessor, 3. Cancellation ends this agreement D. The lessor is not liable for payment of your premiums, B. Loss Payable Clause E. Additional Definition 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto", As used in this endorsement: 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part, "Leased auto" means an "auto" leased or rented to you including any substitute, re- placement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. CA 2001 1001 Copyright, ISO Properties, Inc" 2000 Page 2 of 2 ACORDN CERTIFICATE OF LIABILITY INSURANCE OP 10 B~ DATE (MMlDDIYYYY) ACEBU-2 09/15/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone: 305-294-1096 Fax:305-294-8016 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Old Dominion Insurance INSURER B: Ace Building Maintenance INSURER C: 1200 20th Terrace INSURER D: Key West FL 33040 INSURER E: CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBl:D POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR ITY OF Y KI ON THE INSURER, ITS AGENTS OR / 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 GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ~ OCCUR POLICY NUMBER EACH OCCURRENCE 09/06/06 09/06/05 PREMISES (Ea occurence) MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG A X MPG48269 LOC COMBINED SINGLE LIMIT (Ea accident) ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EXCESS/UMBRELLA LIABILITY OCCUR 0 CLAIMS MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR!PARTNER!EXECUTIVE OFFICER!MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER $ E.L DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMEN I SPECIAL PROVlSI NS ec.: r:. ~ d. ",. ( .e.... CERTIFICATE HOLDER Monroe County Board of County COIMllissioners 1100 Simonton Street Key West FL 33040 LIMITS $ 1000000 $ 500000 $ 10000 $ 1000000 $2000000 $ 2000000 $ $ $ $ $ EA ACC $ $ $ $ $ $ $ AGG ACORD 25 (2001/08) @ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR CH I DATE (MMlDDIY'IYY) BOBIJUl 03/29/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5548 Phone: 305-294-7696 Fax: 305-294-7383 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A ~lstate Insurance Co. 19232 INSURER B JUdith Bobick INSURER C dba Ace Building Maintenance 1200 20th Terrace INSURER D Key West FL 33040 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS L TR NSR POLICY NUMBER DATE (MMlDDIYY) TYPE OF INSURANCE GENERAL LIABILITY DATE (MMlDDIYY) EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR PREMISES (Ea occurenee) MED EXP (Anyone person) PERSONAL & AOV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG GEN'L AGGREGATE LIMIT APPLIES PER :;~2T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea aCCIdent) A X 05/18/05 05/18/06 048723343 ANY AUTO AU OWNED AUTOS X SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BODIL Y INJURY (Per person) BODIL Y INJURY (Per aCCIdent) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY. EAACCIDENT OTHER THAN AUTO ONL Y EXCESSlUMBRELLA LIABILITY OCCUR D CLAIMS MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERlMEMBER EXCLUDED? If yes. describe under SPECIAL PROVISIONS below OTHER $ EL DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ CERTIFICATE HOLDER CANCELLATION LIMITS $ $ $ $ $ $ $ 300000 $ EA ACC $ $ $ $ $ $ $ AGG MOnroe County Board of County Commissioners 3491 S Roosevelt Blvd 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 10 DAYS WRITTEN NOTICE TO TH CE FICATE HOLDER NAMED TO THE LEFT, Bur FAILURE TO DO SO SHALL N OR LIABILITY OF KIND UPON THE INSURER, ITS AGENTS OR MCBCCOM ACORD 25 (2QJl1/08), C. C~~t.a./liVG-C REPRESENT AUTHORIZED Christi @ ACORD CORPORATION 1988 :,ep,15 2f)!)5 3:16?M Malsc~- Chal:!j~ SJ:~~Y i.iJcp I~O, Oi?~ r', 1 710 hth Dixie Hlgbwjy · Sulte 101 Coral GUles, PIorlda 33146 l'llotlt: (W) 662-3852 Paa~661-9NI htlpcl/www.JnI:IUl'ICy.mJn ED . :::=...-== Matson-Charlton Surety Group September 15, 2005 Maria Slavik Risk Management Specialist Monroe County Risk Management P.O. Box 1026 Key West, FL 33041 RE: JUDITH BOBICK DBA ACE BillLDING MAINTENANCE JANITORIAL SERVICE BOND NO. 69713292 Dear Ms. Slavik: Pursuant to my voice mail message to you, our client has notified our office of your request for a Certificate of Insurance for the Dishonesty Bond they have in place. Please note that unlike insurance policies that expire every year, tbis bond is continuous and has been so since its effective date of May 13, 2004. Certificate of Insurance are not issued on bonds and/or additional insured are not added on, since the bond is strictly between the surety, (Western Surety Company) and our client's actions. This policy is in effect and the renewal premium for 2005-2006 has been paid. If any further information is needed, please feel free to contact me at (305) 662~3852 Cc: Richard Collins - Fax No. (305) 292-3516 ~ .~..~.~~..__.~. .._~~~~-~~-.~., [i!j ~Wf@ Western Surety Company JANITORIAL SERVICE BOND Bond No. 69713292 In consideration of an agreed premium, Western Surety Company, a South Dakota corporation, hereby agrees to indemnify Judv Bobick dba Ace Buildin~ Maintenance of 1200 20TH TERR.. KEY WEST. FL 33040 (the "Obligee"), against loss of money or other property, real or personal, belonging to any and all subscribers (the "Subscriber") to its services, or in which the Subscriber has a pecuniary interest, or for which the Subscriber is legally liable, which the Subscriber shall sustain as the result of any fraudulent or dishonest act, as hereinafter defined, of an Employee or Employees of the Obligee acting alone or in collusion with others, and for which the Obligee is liable, the amount of indemnity on each of such Employees being ONE HUNDRED THOUSAND AND NO/100 DOLLARS($ $100.000.00 ). THE FOREGOING AGREEMENT IS SUBJECT TO THE FOLLOWING CONDITIONS AND LIMITATIONS: TERM OF BOND: SECTION 1. The term of this bond begins with the 13 day of Mav ,2004, at 12:00 o'clock night, standard time, at the address of the Obligee above given, and ends at 12:00 o'clock night, standard time, on the effective date of the cancellation of this bond in its entirety. DISCOVERY PERIOD: SECTION 2. Loss is covered under this bond only (a) if sustained through any act or acts committed by any Employee of Obligee while this bond is in force as to such Employee, and (b) if discovered prior to the expiration or sooner cancellation of this bond in its entirety as provided in Section 11, or from its cancellation or termination in its entirety in any other manner, whichever shall first happen. DEFINITION OF EMPLOYEE: SECTION 3. The word Employee or Employees, as used in this bond, shall be deemed to mean, respectively, one or more of the natural persons (except directors or trustees of the Obligee, if a corporation, who are not also officers or employees thereof in some other capacity) while in the regular service of the Obligee in the ordinary course of the Obligee's business during the term of this bond, and whom the Obligee compensates by salary or wages and has the right to govern and direct in the performance of such service, for whom a premium has been paid, and who are engaged in such service within any of the States of the United States of America, or within the District of Columbia, Puerto Rico, the Virgin Islands, or elsewhere for a limited period, but not to mean brokers, factors, commission merchants, consignees, contractors, or other agents or representatives of the same general character. FRAUDULENT OR DISHONEST ACT: SECTION 4. A FRAUDULENT OR DISHONEST ACT OF AN EMPLOYEE OF THE OBLIGEE SHALL MEAN AN ACT WHICH IS PUNISHABLE UNDER THE CRIMINAL CODE IN THE JURISDICTION WITHIN WHICH ACT OCCURRED, FOR WHICH SAID EMPLOYEE IS TRIED AND CONVICTED BY A COURT OF PROPER JURISDICTION. MERGER OR CONSOLIDATION: SECTION 5. If any natural persons shall be taken into the regular service of the Obligee through merger or consolidation with some other concern, the Obligee shall give the Surety written notice thereof and shall pay an additional premium on any increase in the number of Employees covered under this bond as a result of such merger or consolidation computed pro rata from the date of such merger or consolidation to the end of the current premium period. NON-ACCUMULATION OF LIABILITY: SECTION 6. Regardless of the number of years this bond shall continue in force and the number of premiums which shall be payable or paid, the liability of the Surety under this bond shall not be cumulative in amounts from year to year or from period to period. LIMIT OF LlABWTY UNDER THIS BOND AND PRIOR INSURANCE: SECTION 7. With respect to loss or losses caused by an Employee or which are chargeable to such Employee as provided in Section 4 and which occur partly under this bond and partly under other bonds or policies issued by the Surety to the Obligee or to any predecessor in interest of the Obligee and terminated or cancelled or allowed to expire and in which the period for discovery has not expired at the time any such loss or losses thereunder are discovered, the total liability of the Surety under this bond and under such other bonds or policies shall not exceed, in the aggregate, the amount carried under this bond on such loss or losses or the amount available to the Obligee under such other bonds or policies, as limited by the terms and conditions thereof, for any such loss or losses, if the latter amount be the larger. DEDUCTIBLE: SECTION 8. The Surety shall not be liable under this bond on account of any loss or losses through fraudulent or dishonest acts committed by any Employee of Obligee, unless the amount of such loss or losses, after deducting the net amount of all reimbursement and/or recovery, including any cash deposit taken by the Obligee, obtained or made by the Obligee or the Surety on account thereof, prior to payment by the Surety of such loss or losses, shall be in excess of ONE HUNDRED DOLLARS ($100.00), and then for such excess only, but in no event for more than the amount of insurance carried on such Employee under this bond. If more than one Employee commits the fraudulent or dishonest act resulting in such loss or losses, said deductible amount shall apply to each Employee so involved. Form 1375-10-2002 .. ~ SALVAGE: SECTION 9. If the Obligee shall sustain any loss or losses covered by this bond which exceed the amount of coverage provided by this bond, the Obligee shall be entitled to all recoveries, except from suretyship, insurance, reinsurance, security or indemnity taken by or for the benefit of the Surety, by whomsoever made, on account of such loss or losses under this bond until fully reimbursed, less the actual cost of effecting the same; and less the amount of the deductible carried on the Employee causing such loss or losses; and any remainder shall be applied to the reimbursement of the Surety. CANCELLATION AS TO ANY EMPLOYEE: SECTION 10. This bond shall be deemed cancelled as to any Employee: (a) immediately upon discovery by the Obligee, or by any partner or officer thereof not in collusion with such Employee, of any fraudulent or dishonest act on the part of such Employee; or (b) at 12:00 o'clock night, standard time, upon the effective date specified in a written notice served upon the Obligee or sent by mail. Such date, if the notice be served, shall be not less than ten (10) days after such service, or, if sent by mail, not less than fifteen (15) 4ays after the mailing. The mailing by Surety of notice, as aforesaid, to the Obligee at its principal office shall be sufficient proof of notice. CANCELLATION AS TO BOND IN ITS ENTIRETY: SECTION 11. This bond shall be deemed cancelled in its entirety at 12:00 o'clock night, standard time, upon the effective date specified in a written notice served by the Obligee upon the Surety or by the Surety upon the Obligee, or sent by mail. Such date, if the notice be served by the Surety, shall be not less than ten (10) days after such service, or if sent by the Surety by mail, not less than fifteen (15) days after the date of mailing. The mailing by the Surety of notice, as aforesaid, to the Obligee at its principal office shall be sufficient proof of notice. The Surety shall refund to the Obligee the uneuned premium computed pro rata if this bond be cancelled at the instance of the Surety, or at short rates if cancelled or reduced at the instance of the Obligee. PRIOR FRAUD, DISHONESTY OR CANCELLATION: SECTION 12. No Employee, to the best of the knowledge of the Obligee, or of any partner or officer thereof not in collusion with such Employee, has committed any fraudulent or dishonest act in the service of the Obligee or otherwise. If prior to the issuance of this bond, any fidelity insurance in favor of the Obligee or any predecessor in interest of the Obligee and covering one or more of the Obligee's Employees shall have been cancelled as to any of such Employees by reason of (a) the discovery of any fraudulent or dishonest act on the part of such Employees, or (b) the giving of written notice of cancellation by the insurer issuing said fidelity insurance, whether the Surety or not, and if such Employees shall not have been reinstated under the coverage of said fidelity insurance or superseding fidelity insurance, the Surety shall not be liable under this bond on account of such Employees unless the Surety shall agree in writing to include such Employees within the coverage of this bond. LOSS. NOTICE. PROOF. LEGAL PROCEEDINGS: SECTION 13. At the earliest practical moment, and at all events not later than fifteen (15) days after discovery of any fraudulent or dishonest act on the part of any Employee by the Obligee, or by any partner or officer thereof not in collusion with such Employee, the Obligee shall give the Surety written notice thereof and within four (4) months after such discovery shall file with the Surety affirmative proof of loss, itemized and duly sworn to, and shall upon request of the Surety render every assistance, not pecuniary, to facilitate the investigation and adjustment of any loss. No suit to recover on account of loss under this bond shall be brought before the expiration of two (2) months from the filing of proof as aforesaid on account of such loss, nOr after the expiration of twelve (12) months from the discovery as aforesaid of the fraudulent or dishonest act causing such loss. If any limitation in this bond for giving notice, filing claim or bringing suit is prohibited or made void by any law controlling the construction of this bond, such limitation shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by such law. TEMPORARY EMPLOYEES: SECTION 14. The Obligee shall not at any time while this bond is in force direct any temporary employee(s) to any subscriber's premises unless such person(s) is/are accompanied by a foreman who is in the regular employ of the Obligee. For purposes of this restriction, any person who works less than the normal working hours established by his employer or otherwise fails to meet the definition of "Employee" above is considered a temporary employee. EXCLUSIONS: SECTION 15. This bond does not apply to loss that is an indirect result of any act or loss caused by or involving one (1) or more Employees, whether the result of a single act or series of acts, covered by this insurance including, but not limited to, loss resulting from: a. The Obligee's inability to realize income that would have been realized had there been no loss covered by this bond. b. Payment of damages of any type for which the Obligee is legally liable. Compensatory damages arising directly from a covered loss will be paid. c. Payment of costs, fees, or other expenses incurred by the Obligee in establishing either the existence or the amount of loss under this bond. This bond does not apply to expenses related to any legal action. OTHER INSURANCE: SECTION 16. This bond does not apply to loss rBcoverable or recovered under other insurance or indemnity. However, if the limit of the other insurance or indemnity is insufficient to cover the entire amount of the loss, this bond will apply to that part of the loss, other than that falling within any Deductible Amount, not recoverable or recovered under the other insurance or indemnity, but not for more than the amount of indemnity as stated above. DATED May 13 2004 By \,#' f!\ III .&0--u~, "---" k~;Jffl;u~nj> : ~ S~3-U, >p '/c'D~- 'i, c ~~(rI~ COMMERCIAL AUTO CA 20 01 10 01 ~AlIstate. . '*-t':" In good r~a. POLICY NUMBER 048723343 BAP THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM This endorsement modifies insurance provided under the following: With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement This endorsement changes the policy effective on the inception date of the policy unless another date is in- dicated below, Endorsement Effective MAY 18, 2006 Countersigned By: Named Insured: JUDITH BOBICK DBA ACE BUILDING MAINTENA (Authorized Representative) SCHEDULE Insurance Company ALLSTATE INDEMNITY COMPANY Policy Number 048723343 BAP Effective Date MAY 18, 2006 Expiration date MAY 18, 2007 Named Insured JUDITH BOBICK DBA ACE BUILDING MAINTENA Address 1200 20TH TERRACE KEY WEST, FL 33040-4505 Additional Insured (Lessor) MC BOARD OF COUNTY COMMISSIONERS Address 3491 S ROOSEVELT BLV KEY WEST, FL 33040-5295 Designation or Description of "Leased Autos" AS THEIR INTEREST MAY APPEAR RECEiVED t\PR 1 X ~nnh CA 20 ~~~~NE~T Copyright, ISO Properties, Inc" 2000 Page 1 of 2 / ec~ ~ BU114-2 Coverages Limit Of Insurance Liability $300,000 EACH" ACCIDENT Personal Injury Protection (or equivalent no-fault coverage) $ Com prehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS: $ For Each Covered "Leased Auto" Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ For Each Covered "Leased Auto" Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS $ For Each Covered "Leased Auto" (If no entry appears above, information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement) A. Coverage 1. Any "leased auto" designated or described in the Schedule or in the Declarations will be considered a covered "auto" you own and not a covered "auto" you hire or bor- row, For a covered "auto" that is a "leased auto" Who Is An Insured is changed to in- clude as an "insured" the lessor named in the Schedule, 3. If we make any payment to the lessor, we will obtain his or her rights against any other party, C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Can- cellation Common Policy Condition, 2. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expira- tion date shown in the Schedule, or when the lessor or his or her agent takes pos- session of the "leased auto", whichever occurs first 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement D. The lessor is not liable for payment of your premiums, B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto", E. Additional Definition As used in this endorsement: 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. "Leased auto" means an "auto" leased or rented to you including any substitute, re- placement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. CA 20011001 Copyright, ISO Properties, Inc., 2000 Page 2 of 2 ~AIIsta1e. '" You're in good'. ds. CERTIFICATE OF INSURANCE EFFECTIVE DATE OF CERTIFICATE 05/18/06 ALLSTATE INDEMNITY COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER JUDITH BOBICK 048723343 BAP DBA ACE BUILDING MAINTENA 1200 20TH TERRACE KEY WEST, FL 33040-4505 The person or organization designated below is described in the policy as: MC BOARD OF COUNTY COMMISSIONERS 3491 S ROOSEVELT BLV KEY WEST, FL 33040-5295 POLICY PERIOD 05/18/06 TO 05/18/07 AT 12:01 A,M. STANDARD TIME ~ LIENHOLDER (Loss Payable Clause) X ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED CERTIFICATE HOLDER Coverages designated are afforded as stated below: AS THEIR INTEREST MAY APPEAR To the person or organization stated above: This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days written notice at its last address known to the Company, Proof of such mailing is deemed sufficient proof of such notice, This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above, BU1380-1 PAGE 1 OF 1 BU114-2 &I ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID.1m1 DATE (MMIDD/YYYVl BOBlJU1 06/13/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5548 Phone: 305-294-7696 Fax:305-294-7383 INSURERS AFFORDING COVERAGE NAIC# INSURED . INSURER A: Allstate Insurance Co. 19232 Judith Bobick I INSURER B -------- dba Ace Building Maintenance --_..~....._.--.._- 1200 20th Terrace INSURER c: INSURER 0: Key West FL 33040 I 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. I'LTR ~SR[ TYPE OF INSURANCE ~NERAL LIABILITY i COMMERCIAL GENERAL LIABILITY I I CLAIMS MADE D OCCUR POLICY NUMBER 'D~~T':~r~8~V:: P~l%T'~:IDD N LIMITS EACH OCCURRENCE $ PREMISES (Ea occurencel $ MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ -. GENERAL AGGREGATE $ ... PRODUCTS - COM PlOP AGG $ A GEN'L AGGREGATE LIMIT APPLIES PER: ,I POLICY n ~~gT n LOC '~TOMOBILE LIABILITY X _ ANY AUTO ALL OWNED AUTOS - X SCHEDULED AUTOS 048723343 05/18/06 05/18/07 COMBINED SINGLE LIMIT (Eaaccident) _..m. BODILY INJURY (Per person) $ 300000 HIRED AUTOS NON-QWNED AUTOS $ .-- BODILY INJURY (Per accident) 1$ PROPERTY DAMAGE I (Per accident) $ 1~_~rAGE LIABILITY 'I ANY AUTO ! EXCESs/UMBRELLA LIABILITY ~ OCCUR D CLAIMS MADE ,h DEDUCTIBLE ~ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ~~~I~tS~~~v~~?6~s below OTHER AGG " " "",.".',-<, (._~.<:::,(). 11 ~ If> .. [5-(. 'f' r. '.m__ ;-'l'(}.' (Cb 0 _ i (Crf'-f v.. An ,ita 1> ,~ b1-;;:V: ~ .'Mn 0 EACH OCCURRENCE AGGREGATE .~ I TORY LIMIT'S I I U J:t E.L. EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 1997 Jeep Gr Cheroke Sidekick 1J4GZ78Y6VC646697 CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners 3491 S Roosevelt Blvd Key West FL 33040 MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN ACORD 25 (2001/08) C. Co : o ANY KIND UPON THE INSURER, ITS AGENTS OR PORA TION 1988