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Certificates of InsuranceY CERTIFICATE OF INSURANCE This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois insures the following policyholder for the coverages indicated below: Name of policyholder ADVANCED DATA PROCESSING INC. Address of policyholder 520 NW 165TH STREET RD STE#201 MIAMI, FLA. 33169-6303 Location of operations SAME Description of operations BILLING & COLLECTION SYSTEMS The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions. and conditinnc of thn_p nnfir-inc The limit..,f. ,.k.........•..... -_.._ .- POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD IM nuVU ueen reuucea by any paid claims. LIMITS OF LIABILITY _I Effective Date Expiration Date at beginning of policy period) 9 8 4 8 5 8 2 0— 5 B Comprehensive Business Liability 0 3/ 0 6/ 0 0 0 3/ 0 6/ 01 BODILY INJURY AND PROPERTY DAMAGE This insurance includes: ® Products - Completed Operations ® Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $ 1 , 0 0 0 , 0 0 0 ❑ Personal Injury ❑ Advertising Injury General Aggregate $ 2, 0 0 0, 0 0 0 ❑ Explosion Hazard Coverage Products - Completed ❑ Collapse Hazard Coverage Operations Aggregate $ 2 , 0 0 0 , 0 0 0 ❑ General Aggregate Limit applies to each project El EXCESS LIABILITY POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE Effective Date Expiration Date (Combined Single Limit) El Umbrella Each Occurrence $ ❑ Other 10/11/99 10/11/01 Agoregate $ 98KB72387F 04/06/00 04/06/01 Part 1 STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employers Liability Each Accident $ 10 0 0 0 0 Disease Each Employee $ 10 0 0 0 0 Disease - Policy Limit $ 5 0 0 0 0 0 POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD LIMITS OF LIABILITY 5553289A0159 AUTO Effective Date Expiration Date 07/01/00 01/01/01 at beginning of policy period) 500/500/500 Nar,�e and Address of Certificate Holder MONROE COUNTY BOCC 5100 COLLEGE ROAD RM # 203 KEY WEST, FLA.33040 ADDN INSD. MONROE COUNTY BOCC 558-994 a 2-90 Printed in U.S.A. if any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder 3 0 days before cancellation. If, however, we fail to mail such notice, no obligation or liability will be imposed on State Farm or its agents or representatives. C Signature of A orized Representative 09G P,2l Title Date DATE ACORDTM CERTIFICATE OF LIABILITY INSURANCE 04/14/03DnvvY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hamilton Dorsey Alston Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4401 Northside Pkwy Suite 400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30327-3078 770 850-0050 INSURED Advanced Data Processing, Inc. 520 NW 165th Street Road Suite 201 Miami, FL 33169-6303 OVERAGES INSURERS AFFORDING COVERAGE INSURERA: FCCI Insurance Compar INSURER B: Illinois Union Insurance INSURER C: INSURER D: INSURER E: NAIC # C 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 MIDD/YY M POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY GENERAL LIABILITY CPP0001965 10/10/02 10/10/03 EACH OCCURRENCE $1 000 000 PREMGE TOE ENTED n DAMACOMMERCIAL $50 000 MED EXP (Any one person) $5 000 CLAIMS MADE Fx_] OCCUR PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1 000 000 POLICY PROJECT LOC A AUTOMOBILE LIABILITY ANY AUTO CA0002425 10/10/02 10/10/03 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X X PROPERTY DAMAGE (Per accident) $ Hired Car PD $100 COMP. $250 Collision Deductibles: GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY UMB00001097 10/10/02 10/10/03 EACH OCCURRENCE $2 000 000 AGGREGATE $2 000 000 X OCCUR CLAIMS MADE $ ]DEDUCTIBLE $ RETENTION $ $10 000 A WORKERS COMPENSATION AND 001 WCO2A51763 10/10/02 10/10/03 WC STA IT OTH- Uj E.L. EACH ACCIDENT _ s500,000 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT 1 s500,000 If yes, describe under SPECIAL PROVISIONS below B OTHER Errors & BM120003667 10/10/02 10/10/03 $2,000,000 Occ/Agg Omissions $25,000 Retention DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 7 CIAL PROVISIONS RECEIVED BY DATE ��� - 9 2003 WAIVER N/A _„ .YES.-- B Y CFRTIFICATF HOLDER CANCELLATION Monroe County BOCC Attn: Darice;Room 268 1100 Simonton St. - 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 _.1 Q 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 AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #S159805/M152419 CMW 0 ACORD CORPORATION 1938 Client#: 16916 Anarunl ACORD- CERTIFICATE OF LIABILITY INSURANCE 6DATE /3/20/3120M/DD/YYYY) 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wachovia Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4401 Northside Pkwy Suite 400 Atlanta, GA 30327-3078 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 770 850-0050 INSURERS AFFORDING COVERAGE NAIC # INSURED AHolding, Inc. Advanced nced Data Processing, Inc. 520 NW 165th Street Road; Suite 201 Miami, FL 33169-6303 INSURER A: FCCI Insurance Company INSURER B: Illinois Union Insurance Company 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 INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE M DD POLICY EXPIRATION DATE MM/DD LIMITS A X GENERAL LIABILITY CPP0001965 10/10/03 10/10/04 EACH OCCURRENCE $1 000 000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR DAMAGE TO RENTEDPREMISES (Ea $100 000 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE OT- LOC PRODUCTS - COMP/OP AGG s2,000,000 A X AUTOMOBILE LIABILITY ANY AUTO CA0002425 10/10/03 10/10/04 COMBINED SINGLE LIMIT (Ea accident) $1 ,OOO ,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ X Hired Card PD $100 Comp. $250 Coll PROPERTY DAMAGE (Per accident) $ Deductibles GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ - ANY AUTO H $ A EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE UMB00001097 10/10/03 10/10/04 EACH OCCURRENCE s2,000,000 AGGREGATE s2,000,000 DEDUCTIBLE RETENTION $ $1O 000 $ $ A WORKERS COMPENSATION AND LIABILITY 001 WCO2A51763 10/10/03 10/10/04 WC STATU- DER E.L. EACH ACCIDENT $500 000 ANY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Ifes, y SPECIdescribe under AL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $500OOO E.L. DISEASE - POLICY LIMIT $500OOO B OTHER Errors & BM120009844 10/10/03 10/10/04 Limit: $2,000,000 Omissions Retention: $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES B T L ROVISIONS BY La�J DATE �._ 2 � � I cnc WAIVER N/A YES, PC0TICIP ATC u/11 nee Monroe County BOCC Attn: Darice Room 268 1100 Simonton St. - Room 268 Key West, FL 33040 ernen �s roeh,rnu� . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENT TN For WIS by: /d Stse I I Uaavrm I / Ud*44 MJS01 © ACORD CORPORATION 1988 CG� NI •w..HF. IIRo 4 a ETiTaT:rST ACORU. CERTIFICATE OF LIABILITY INSURANCE 12771200(M � PRODUCER Wachovia Insurance Serv-AT, GA 4401 Northside Pk wy, Suite 400 Atlanta, GA 30327-3078 770 850-0050 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. INSURERS AFFORDING COVERAGE NAIC # INSURED ADPI Holding, Inc. 520 NW 165th Street Road; Suite 201 Miami, FL 33169-6303 INSURER A: St Paul Fire S Marine Insurance Co 24767 INSURERB: Illinois Union Insurance Company 27960 INSURER C: INSURERD: INSURER E: v 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 TYPE OF INSURANCE POLICY NUMBER PDt ICY EFFECTNE POOLIICY EXPIRATIONLim" A X GENERAL LIABILITY TT06800034 06/30/04 06130/05 EACH OCCURRENCE $1 000 000 DAMAGE TO RENTED $250 000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $10 000 CLAIMS MADE FRI OCCUR PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2 00O 000 POLICY PRO-JEcT LOC A X AUTOMOBLE LIABL" ANY AUTO TT06800034 OW30104 0&30M5 COMBINED SINGLE LIMIT ml (Eaacent) $1,000,000 ODLY INJURY (Perperson) $ ALL OWNED AUTOS SCHEDULED AUTOS AP VE i PIS - a F�,la l.�. hs: i�i '."',. DILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS X Hired Car PD BY ;1000 Co m DATE P P $1,000 Coll • W - "' -L 1 -- yi _ "'" -. "" " ,,j PROPERTY DAMAGE Per —dent) $ Deductibles: GARAGE LIABILITY UA AU TO ONLY - EA ACCIDENT $ EA ACC ER THA O ONLY: AGG $ ANY AUTO f�-llrN C $ A EXCESSAIMBRELLA LIABILITY X OCCUR ❑ CLAIMS MADE TT06800034 06/30/04 06/30/05 EACH OCCURRENCE $2 000 000 AGGREGATE s2,000,000 $ $ DEDUCTIBLE $ X RETENTION $ 10 0000 A WORImRS COMPENSATION AND WVA6810771 06/30/04 06/30/05 X OR LIMIT oTR E.L. EACH ACCIDENT $500 000 EMPLOYERS' UABILrrY ANY PROPRIETOR/PARTNEPJEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $500,000 I(yes describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 B Errors S: BMI20009844 10/10104 06/30/05 Limit: $2,000,000 IOTHER Omissions Retemntion: $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Monroe County Board of County Commissioners is included as additional Insured as respects general and auto liability coverage as required by written contract with the above named insured. Monroe County Board of County Commissioners P.O. BOX 1026 Key West, FL 33041-1026 ACORD 25 (2001108) 1 of 2 #S629361/M567567 e— r, : 414-� LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IE NO OBLIGATION OR LUIBLITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORRED REPRESENT For NS by: f dr /hem MJS01 O ACORD CORPORATION 1988 Client*- 16916 ADPIHOI ACORU. CERTIFICATE OF LIABILITY INSURANCE 06/30/05°"""' PRODUCER Wachovia Insurance Serv-AT, GA 4401 Northside Pkwy, Suite 400 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. Atlanta, GA 30327-3078 770 850-0050 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: St Paul Fire & Marine Insurance Co 24767 ADPI Holding, Inc. 520 NW 165th Street Road; Suite 201 Miami, FL 33169-6303 INSURERB: Illinois Union Insurance Company 27960 INSURERC: INSURERD: 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 LTR ADD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE M DD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR TT06800205 06/30/05 06/30/06 EACH OCCURRENCE $1 00U 000 PREMISES (E, occurrence) DAMAGE TO RENTED $250000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY LOC JECT PRODUCTS - COMP/OP AGG s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Hired Car PD TT06800205 BYM $1,000 CompDATE $1,000Collision 06/30/05 ; �_ 06/30/06 i�'1ikNAij [4'�E:V'�BODILYINJURY _ COMBINED SINGLE LIMIT (Ea accident) $1 000�000 (Per person) $ X BODILY INJURY (Per accident) $ X X _---- ~- - �{1P,, `�� PROPERTY DAMAGE �era`ada"c) $ Deductibles GARAGE LIABILITY ANY AUTO AWTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $ 1 D 000 TT06800205 06/30/05 •, 06/30/06 EACH OCCURRENCE $3 000 000 AGGREGATE s3,000,000 $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WVA6811458 06/30/05 06/30/06 TATUS OTH- X TWCCRY SLIMITS I I ER E.L. EACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYEEI $500,000 E.L. DISEASE - POLICY LIMIT 1 $500,000 B OTHER Errors and Omissions BM120023494 06/30/05 06/30/06 Limit: $2,000,000 Retention: $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Monroe County Board of County Commissioners is included as additional insured as respects general liability coverage as required by written contract with the above named insured. Monroe County Board of County Commissioners P.O. Box 1026 Key West, FL 33041-1026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL A0_ 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 AUTHORIZED REPRESENT TIV For WIS by: d %t'rr ACORD 25 (2001108) 1 Of #M660078 DLS01 © ACORD CORPORATION 1988 G , Client*- 16916 DPWOl ACpRD,M, CERTIFICATE OF LIABILITY INSURANCE (MMIDDYWY) 07106/06 7 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wachovia Insurance Serv-AT, GA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4401 Northside Pkwy, Suite 400 r-^-------------- Atlanta, GA 30327-3078 770 850-0050 r---------- HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR —A6TER-THE-GOVERAGE AFFORDED BY THE POLICIES BELOW. AFF RDING COVERAGE NAIC # INSURED ADPI Holding, Inc. 520 NW 165th Street Road; SUit Miami, FL 33169-6303 ( 201 JUL 7 ( INSURER A:,.St Paul Fire & Marine Insurance Co 24767 RB:�IIlinois Union Insurance Company 27960 INSURER C INsuRERO:' 7 RER E: j / ILI 9NK "!"Ap"'PnFNT 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. FISH LTR ADD-L INSRE TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE IMMVDDtYy1 06/30106 POLWYEXPIRATN)NDATE DATE 01111i LIMITS A GENERAL LIABILITY TT06800205 06/30/07 EACH OCCURRENCE $1 00Q 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7XOCCUR DAMAGE TO RENTEDPREMISES E,�uad�a, MED EXP(Any one person) E250OOO $10000 PERSONAL &ADV INJURY $1 00Q 000 GENERAL AGGREGATE s2.000.000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $2 QQQ 000 POLICY f PRECO- JT M LOG A AUTOMOBILE X LIABILITY ANY AUTO TT06800205 06/30106 06130/07 COMBINED SINGLE LIMIT (Ea accident) E1,000,QQQ ALL OWNED AUTOS SCHEDULED AUTOS q 4 X BODILY INJURY (Pe, person) $ HIRED AUTOS NON -OWNED AUTOS �C(((\'''���� ,Y.-' ��I1,-� 1 _. .... X BODILY INJURY (PoreccNent) X PROPERTY DAMAGE (Per accident) $ ,.v/:-.... a. GARAGE LIABILITY AUTO ONLY -EAACCIDENT $ AUTO ONLY: EA ACC AUTO ONLY: AGG $ ANY AUTO C $ A EXCESSIUMBRELLA X LIABILITY OCCUR ❑CLAIMS MADE TT06800205 /? 06/30/06 06/30/07 EACH OCCURRENCE s5,000,000 AGGREGATE s5,000,000 DEDUCTIBLE X $ RETENTION $ 10000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY HNUB9178C808 06/30/06 06130/07 XWC STATU- oTH- EL EACH ACCIDENT $500000 My PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED] If yes, describe ender SPECIAL PROVISIONS below E.L. DISEASE- EA EMPLOYE ESOO QQQ E.L. DISEASE -POLICY LIMIT $500000 B OTHER Errors & BM120033046 66/30/06 06/30/07 2,000,000 Per Claim Omissions 2,000,000 Aggregate 25,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Monroe County Board of County Commissioners is included as additional insured as respects general liability coverage as required by written RECEIVED contract with the above named insured. UI. JIRV- Monroe County Board of Commissioners 490 63rd Street, Suite 170 Marathon, FL 33050-1026 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _-1n DAYS WRRTEN IS TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENT For WIS by: !� /0 %I1!W ACORD 25 (2001108) 1 Of 2 #M1046612 ESE01 o ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25S t20011n81 1 -11 a........ unanw: TImTD ACORD,. CERTIFICATE OF LIABILITY INSURANCE F02105108° " PRODUCER Wachovis insurance Serv-AT, GA 4401 Northside Pkwy, Suits 400 Atlanta, GA 303273OT8 T70 $50-0060 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. INSURERS AFFORDING COVERAGE NAIC a INSURED Advanced Data Processing, Inc. 500 NW 165th Street, Suite 104 Miami, FL 33169-6303 INSURERA St Paul Fire & Marine Insurance CO 24767 INeuNEN B: The Travelers Indemnity Company Of A 25666 INSUItERc: Columbia Casualty Company 31127 RER D: NSURER E: :n GOVERAUrb 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. TYPEOFINWRAMCE POLICY HURM I UNITS A GENERALUAINLm COMMERCIAL GENERAL UABIJTY TF-06604232 06(30107 06130108 EACH OCCURRENCE $1 000 000 O REl 5250 000 E1 O 000 CLAIMS MA)E � OCCUR NED EXP (AeY ano ) PERSONAL B ADV INJURY S1000000 GENERAL AGGREGATE S2 000 000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP Am E200000D POLICY % LDC A AUTOMOBILE LIABILITY ANY AUTO TE06804232 06/30/07 0600108 COMBINED SINGLE UMIT lEs acNtleN) . E1,000,000 X BODLYINJURY (Per PBmn) E ALL OWNED AUTOS SCHEDULED AUTOS _ X BODLLY INJURY E HIRED ALTOS NONaV'/NEDNITOE~) X PROPERTY DAMAGE (Peraxitlonl) E GARAGE UASILITY �if� AUTO ONLY - EA ACCIDENT E OTHEA IHMI EAACC AUTO ONLY: AGG E ANY AUTO _'T'- -- .... S A EXCEE&UMBRELu iL"I"AIBILITY TEOGBO4232 OW30107 06130M EACH OCCURRENCE $10 000 000 X AGGREGATE $10 000 000 OCCUR CJ CLAIMS MADE _ E DEDUCIBLE E X E RETENTION $ 10000 l- B wDlacEa coMPENSATNa-AND HHUB6187CS28 0613WO7 06130M X MS I NIT OTH- E.L EACH ACCIDENT $500 000 ENPLOYERB UABLITY RI ANY PROPRIETOPARTNERIEXECUTNE OFFl[BtIhEMBER EXCUJOEDT E.LDISFASE-EAEMPLOYEE s5000OO E.L DISEASE -POLICY OMIT 5500000 M � WIM, C OTHER Errors 8: 297142446 o613M07 OW30IN $Z000,000 Aggregate Omissions $25,000 Deductible oS cRwroN of oPERATxIm I LocATx NB/ VIB;9 I EICI.WIGIM ADDED BY EN56nSF.M1ENT I SPECIAL PMOVa101116 N required by written agreement, the Monroe County Board of County Commissioners is included as an additional insured under the general liability policy, but only to the extent of its insurable interest. Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 1 a12 8913142141M1243335 ANY OF THE ABOVE DEKMBED POLICES BE CANCELLED BEFORE THE EXPIRATION EREDF, TIE ISBUING INBUR WM ENDFAVOR TO MAIL 16_ DAYS WRITTEN TOTIECERBF WHOLDBt NAMEDTOTIELEFT,BUTFAILUREMDOBOSHALL HOOSLIGATION OR LIABLRY MANY KIND UPON THE INBUREIL ITSAGENTB OR Fa1MSby. KCM02 0 ACORD CORPORATION 1981 G G �+tiuirTtit.. Dr'Drif o * 127: 27 N DJ P NE A CORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/02/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wachovia Insurance Services, Inc. -,ONLY,AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4401 Northside Pkwy, Suite 400 HAt=DER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Atlanta, GA 30327-3078 ;ALTER THE COVE GE AFFORDED BY THE POLICIES BELOW. 770 850-0050 INSURERS AFFORDING COVERAGE NAIC # INSURED ;� J� � MCI Holdings, LLC i , INSURER A: St Pail Fire & Marine Insurance Co 24767 INSURER B: The Standa d Fire Insurance Company 19070 Advanced Data Processing, Inc. � Y...JNsuRER.c: 6451 North Federal Highway, Suite 10 2 t p Fort Lauderdale, FL 33303 INSURER E: ~%AIG-ft A /+cc% 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 LTR ADD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY TE06804232 06/30/08 06/30/09 EACH OCCURRENCE $1 000 000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $250 000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 1 000 KEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG s2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO TE06804232 06/30/08 06/30/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ � J GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $NY A AUTO 1 OTHER THAN EA ACC $ $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY X OCCUR FICLAIMS MADE TE06804232 06/30/08 06/30/09 EACH OCCURRENCE $10 000 000 AGGREGATE $10 000 000 DEDUCTIBLE X RETENTION $ 10 000 $ Is B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY HCUB3240M136 06/30/08 06/30/09 X I WC STATU- I OTH- E.L. EACH ACCIDENT s500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS If required by written agreement, the Monroe County Board of County Commissioners is included as an additional insured under the general liability insurance. /�L-�TIL-1/�ATI• IIAI e�e.w Monroe County Board of County Commissioners 1100 Simonton Street 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 41 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 For WIS by: ,',p ;00f4e �--•-� 1— —wi / pg3 ;:D I LOVJ0Z LN14d44/b L DN 13 0 ACORD CORPORATION 1988 A QP S UB OU j!d f Hdf MdbLf Hi prof s!jt !!bo!!BEEJ- POBM!JJTVSFE-!u f !!gprjdz)jf t *!n vt d!cf !!f oepst f e/!!B!t Lbd n f ou po!!d jt !!df sygdbLf !!epf t !!opd!dpog sl!lhi d !Lp!d f !df sjgdbLf Hi pmf sljo!O v!pdt vdi !f oepst f n f oat */ .j!TVCSPHBU.PO!!Jr!!X B ffE-!!tvclf dd!Lp!!d f Vsn t !boe!!dpoejypot !pdd f !gp#z-!df sbjo!!gpr#jf t !!n bz sf r vjsf !!!bo!!!f oepst f n f oLl!!!B!!!t Lbd n f od!po!!d jt Hdf *dbtf !!!epf t !!opd!dpog sl!lhi Lt !!tp!!d f Hdf sagdbLf i prof sl!jo!!li v!!p j!t vdi !!f oepst f n f oat */ EJrDNB.N FS Ui f !!Df sjgdbLf !!pd,bt vsbodf !!po!!d f !!sf wf st f !tjef !!pd!d jt !g)sn !lepf t !opd!dpot ywLf !!b!!dpoubdd!cf u< f f o d f !!jt t vjoh!!jot vsf s)t *-1 lbvd p4{f e!!sf qsf t f oLbgW !!psi!gspevdf s-!boe!!d f Hdf sljgdbLf Hi prof s-!!!opsl!epf t !!ju bg sn bo m!!psl!of hbLj d m!!bn f oe-!!f yLf oe!!psl!brd sl!d f !!dpmf cbhf !!bgpsef e!cz!d f !gprjaljf t !i# d e!d f sf po/ RnPSFIAA TWAII9rVQ* o _ice tju%j .P 14UvOOZOLN zgogq t o urnwni n - ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODNYYY) 07/021 9 PRODUCER Wells Fargo Insurance Services USA, Inc. 4401 Northside Pkwy, Suite 400 Atlanta, GA 30327-3078 770 850-0050 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. INSURERS AFFORDING COVERAGE NAIC # INSURED MCI Holdings, LLC Advanced Data Processing, Inc. 6451 North Federal Highway, Suite 1002 Fort Lauderdale, FL 33308 INSURER A. St Paul Fire & Marine Insurance Co 24767 INSURER B: The Standard Fire Insurance Company 19070 INSURER C: INSURER D: INSURER E: LUvc141AUCO 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. TYPE OF INSURANCE POLICY NUMBER pa=LTR TE C D C N LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR TE06804556 06/30/09 06/30/10 EACH OCCURRENCE $1 000 000 PREM ffA occurrence) TO RENTED AMA)( $250Q9 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE $2 00Q 000 [�EN'_L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2 000000 POLICY j�T LOC A AUTOMOBILE LIABILITY X ANY AUTO TE06804556 06/30/09 06/30/10 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS / PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ A EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE TE06804556 06/30/09 CCU, 06/30/10 EACH OCCURRENCE s5.000.000 AGGREGATE s5,000,000 $ $ DEDUCTIBLE $ X RETENTION $ 1 Q 000 B WORKERS COMPENSATION AND HCUB3240M13609 06/30/09 06 330/10 U- OTH- X I IMSM E.L. EACH ACCIDENT $500,000 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE -POLICY LIMIT $500,000 If yes describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS If required by written agreement, the Monroe County Board of County Commissioners is included as an additional insured under the general, automobile, and umbrella liability insurance. TE Monroe County Board of Commissioners 490 63rd Street, Suite 170 Marathon, FL 33050-1026 ACORD 25 (2001108)� of 2 #S1496358/M1492141 CG SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ftfl_ 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 AUTIjO R�EjPRESENTAI O *Z;ei/ ESE01 Q ACURID CUKFURAnUIn I WGIS IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ecnRn 94-Q mnn, inns .. _ .. IL WEAL 3�is/M74J1747 MCIHOLD ACORDTM CERTIFICATE OF LIABILITY INSURANCE DAT6/24/2D/YYYY) r24/2o10 PRODUCER Commercial Lines ... (770) 850-0050 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NFERS NO RIGHTS UPON THE CERTIFICATE Wells Fargo Insurance Services USA, In:. D �(� [� ` /=LTER CERTIFICATE DOES NOT AMEND, EXTEND OR 4401 Northside Parkway, Suite 400 `__! _ �/OVERAGE AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30327 INSUREI S AF ORDING COVERAGE NAIC # INSURED Intermedix CorporationJUL 9i WRER St. UI Fire and Marine Insurance Company 24767 INSURER Stan Jard Fire Insurance Co. 19070 6451 North Federal Highway RER Suite 1002 MONROE COUN I NSURER D: Fort Lauderdale FL 33308 RISK MANACE'I 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPI D TION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY TE06804556 06/30/10 06/30/11 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED— PRFMI.RFR (Fa ncel $ 250,000 MED EXP (Any one person) $ 10,000 CLAIMS MADE r7x OCCUR PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,0D0,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PE O LOC A AUTOMOBILE LIABILITY X ANY AUTO TE06804556 06/30/10 06/30/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ 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 A EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE TE06804556 06/30/10 1 06/30/11 EACH OCCURRENCE $ 5.000,000 AGGREGATE $ 5.000.000 v $ DEDUCTIBLE a RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY HCU63240M13609 06/30/10 06130/11 X WC STATU- OTH- E.L. EACH ACCIDENT $ 5W.000 ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 500,000 99 DISEASE -POLICY LIMIT 1 $ 500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS If required by written agreement for the Named Insured's work, the Monroe County Board of County Commissioners is included as an additional insured under the general, automobile, and umbrella liability insurance. C C) T / l� ��) ��� ( 14� / SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Monroe County Board of Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 490 63rd Street, Suite 170 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Marathon FL 33050-1026 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (20011DR1 4 —4 ,, 1540284 w --WMv a.vrcrvr%m 1 wry I V00 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGOKD 25-5 (Y009/05) 2 of 2 #S915260/M915043 ACORbP CERTIFICATE OF LIABILITY INSURANCE `�. DATE (/2012 YYYY) os/2o/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTIT NTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANTain IMPORTANT: If the certificate holder isDITI a policy(i )must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, colicies may require an endorse nt. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorse. PRODUCER Marsh USA Inc. 1560 Sawgrass Corporate Pkwy, Suite 300 J u N �� NAMECONTA PHONE (A/C No): E-MAIL ADDRES Sunrise, FL 33323 Attn: FtLauderdale.CertRequest@marsh.com F:212-948- 101 309-GAWU-PROF-1 2-13 12 �IONR�E CD>CII�ITY RISK MANAGEMENT INSURERS AFFORDING COVERAGE NAIC # RER A : St. Paul Mercury Insurance Company 24791 INSURED Intennedix Corporation 6451 North Federal Highway, Suite 1002 INSURER B Phoenix Insurance Company 25623 INSURER C : N/A N/A INSURER D : Travelers Property Casualty Insurance Company 36161 Fort Lauderdale, FL 33308 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: ATL-002982264-07 REVISION NUMBER:2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADDLSUBRTYPE INSR WVD POLICY NUMBER MM/ POLI DIYYYY EXP MM/DDEFF POY/YYYY LIMITS A GENERAL LIABILITY TE06804866 06/30/2012 06/30/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FT] OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 250,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X I POLICY PRO- LOC $ D AUTOMOBILE LIABILITY BA 1A817433 06/30/2012 06/30/2013 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS Owned Comp/Coll Ded. $1,000 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS F Hired Comp/Coll Ded. $100/$1,000 1 $ A X UMBRELLA LIAB X OCCUR TE06804866 06/30/2012 06/30/2013 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE X DED I I RETENTION $ 10,000 $ B WORKERS COMPENSATION UB-1A83727-2-12 06/30/2012 06/30/2013 X WC UMIT OTH- AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? 7 (Mandatory in If yeS, describe and under DESCRIPTION OF OPERATIONS below N I A . APIRO BYE.L. E.L. EACH ACCIDENT 500,0(10 $ E.L. DISEASE - EA EMPLOYE $ 500,000 DISEASE -POLICY LIMIT 500,000 $ W ortG Ct��e DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) If required by written agreement for the Named Insured's work, the Monroe County Board of County Commissioners is included as an additional insured under the general, automobile, and umbrella liability insurance. lha►i117LsfG\lRiL@lsl11:4 hllClsfaR�G\IUL' Monroe County Board of Commissioners 490 63rd Street, Suite 170 Marathon, FL 33050-1026 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 of Marsh USA Inc. Carmen Gordon ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD a � ERTIFICATE € F LIABILITY INSURANCE DAaWO11DD1YYYY) oalo2no12 THIS CERTIFICATE IS ISSUED AS A MATTFR OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE "OLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED I3Y 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: N the certHicate holder Is afl ADDITIONAL INSURED, the po►icy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the tennis and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to itw cortiflcate Folder In lieu of such endorsement(s). PRODUCER Marsh USA Inc. 1560 Saw�rass Corporate Pkwy. Suite 300 CONTACT NAM : PHONNE FAX ESE : Sunrise, FL 3M23 Attn:='Lauderdale.Cer,Request@marsh.=n F:2'2-948Z12 INSURE S AFFORDING COVERAGE NAIL S INSURER A: St. Paul Mercury Insura:ce Company 24791 1013'J9-GAnU-PROF-12-' 3 INSURED .ntermedix Corporation 6451, North Federal Highway, Suite 1002 INSURER B : Phoerfix Insurance Company 25623 INSURER C : N1A NiA INSURER D; Travoens Property Casualy InsJrance Company 36161 oc INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: ATL-002982264-09 REVISION NUMBE'R:2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WSR I TYPE OF INSURANCE ADDL SUERPOLKY im POLICY NUMBER MmeR EFF Y EXPLTR LIMITS A GENERAL LIABILITY ZLP-IOT93I IA-12-13 06130.2012 06i3012013 EACH OCCURRENCE S 1,000,C00 %( COMMERCIALGENERAL LIAB:LITY DAMAGE RENTEEF PREM. ESO S 250,C00 CLAIMS -MADE F—x ] OCCUR MED EXP tAny one $ 10,C'l10 PERSCQNAL&ABVINJURY-- g 1,0004-K GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,OCO = X POUC i T LOC D AUTOMOBILE LIABILITY BA 1A817433 06130012 0613012013 COMBIN Ea tSINGLE LI iT $ 1,000,000 BODILY INJURY (Per person) 8 X ANY AUTO BODILY INJURY (Peracodent) S ALL OVWED SCHEDULEC AUTCS AUTOS NON -OWNED HIRED AUTOS AUTOS Owned ComJiColl Ded. $1,000 and Cump oll. Deo $19L1�1,004 PROP=RTV DAMP E a eca lentI S A X UMBRELLA LIAB X OCCUR TLP-10T9611A•12.13 06130@C12 C6f3012013 EACH OCCURRENCE s 5,CW'000 AGGREGATE S 5C00,0W EXCESS LIAB CLAIMS -MADE h DEC I I RETENTIONS 10,000 g B WORKERS COMPENSATION U&1A83727-2-12 06�3OW-12 C6130/2013 NC STATJnu - OTH- rR _ AND EMPLOYERS' LUKBWTY Y-LN_ -- -- — ——500.000 ANY PROPRIE'OR•PARTFIERV(ECUTIVE OFFICER,UE JI3ER EXCLUOF-D? � (Mandatory In NH) N r A E.L. USEASE - EA EMPLOYEE S 500,000 E.L D SEASE - POLICY LIMIT S E00,000 tt yes descrlbs t ntle• DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES fAtlaeh ACORD 101, Additional Remarks Schedule, V more space is required) If required by written agreement for the Naried InSwed's work, the Monrce County Boa d of County Comm'ss ones is included as an additional insured under the 9ena-al, automobile, and umbrella liability, insu-ance AP ISK AGEMENT BY DA WAI _ CERTIFICATE HOLDER CANCELLATION Monroe CoJnty Board of Conmissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 49033rd Street, Suite 170 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Maration, FL 330,50-1026 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Carmen Gordon -� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD AIR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09iO3i2013 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 Marsh USA Inc. 1560 Sawgrass Corporate Pkwy, Suite 300 CONTACT NAME: __ A PHONE (A/C. No Ex A/C, No): Sunrise,FL 33323 Attn: FtLauderdale.CertRequest@marsh.com F:212-948-0512 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE _ NAIC # 101309-GAWU-PROF-13-14 INSURER A: St. Paul Mercury Insurance Company 24791 INSURED Intermedix Corporation 6451 North Federal Highway, Suite 1000 Fort Lauderdale, FL 33308 INSURER B : Farmington Casualty Company 41483 INSURER C : N/A N/A INSURER D : Travelers Property Casualty Company Of America 25674 INSURER E : INSURER F : COVEPAnFS CERTIFICATE NUMBER: ATL-002982264-12 REVISION NUMBER:4 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 LTR ADDL SUBR POLICY NUMBER MMIDDIYYYY MMIDDIY YY LIMITS A GENERAL LIABILITY ZLP-15P51524-13-13 06/30/2013 06/30/2014 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence 250,000 $ MED EXP (Any one person) $ 10'000 CLAIMS -MADE F_x_1 OCCUR PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ POLICY PRO X LOC D AUTOMOBILE LIABILITY BA-1A817433 06/30/2013 06130/2014 COEaMBINEccidenD SINGLE LIMIT at 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS Owned Comp/Coll Ded. $1,000 Hired Comp/Coll Ded. $1001$1,000 PeOPERTntDAMAGE $ A X UMBRELLA LIAB X OCCUR ZLP-15P51524-13-13 06/3012013 06/30/2014 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE X DIED RETENTION $ 10,000 $ B WORKERS COMPENSATION UB-tA837272-13 06130120t3 06/3012014 X WC STATU- OTH- ER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatoryin NH) N / A E.L. EACH ACCIDENT 50t)'�0� $ E.L. DISEASE - EA EMPLOYE $ 5001)�0 E.L. DISEASE - POLICY LIMIT $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) If required by written agreement for the Named Insured's work, the Monroe County Board of County Commissioners is included as an additional insured under the general, automobile, and umbrella liability � insurance. AP EMENa B ; N -T) C DA WAIV N A t� CtKIIFII;AItHULUtK l'HIYI'CLLHIIVIV _ (',� Monroe County Board of Commissioners 490 63rd Street, Suite 170 Marathon, FL 33050-1026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAN &�LED$FFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE--RELIVF4D IN ACCORDANCE WITH THE POLICY PROVISIONS. —? � O AUTHORIZED REPRESENTATIVE of Marsh USA Inc. fV Carmen Gordon •—� U 1988-2010 ACURD GOIRPUKA I IUN. All rlgnts reservea. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD