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Certificates of Insurance
3406NRO-01 DATE 011281201 YY) 01/28/2019 ACORO" CERTIFICATE OF LIABILITY INSURANCE `-� 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()es) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT Linda Regan Keyys Insurance Services a Division of IOA 13361 Overseas Highway Marathon, FL 33050 PHONE FAX A/C, No, Ext : A/C, No): E-MAIL . Linda.Regan@ioausa.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: United Specially Insurance Company 12537 INSURED INSURER B : INSURER C : 3406 N. Roosevelt Blvd, Corporation 1201 White Street Suite 102 INSURER D INSURER E : Key West, FL 33040-3328 INSURER F : rnVFRAnPR r`FRTIFICATF NIIMRFR• RFVISInM NI IMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPITR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR X X USA4232493 08/23/2018 08/23/2019 EACH OCCURRENCE $ 1,000,000 DAMAGETORENTEDPREMISES $ 100,000 MED EXP (Any oneperson) 5,000 PERSONAL & ADV INJURY 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY❑ jEo LOC GENERAL AGGREGATE 2,000,600 PRODUCTS -COMP/OPAGG Included Hired Non -Owned 1,000,000 X I OTHER: HNO Auto Liability AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS APPROVED COMBINED SINGLE LIMIT BODILY INJURY Perperson) $ BY DA BODILY INJURY Per accident $ �20PERTY AMAGE Re Or accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY WAIVER S-�- UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAR DED I I RETENTION $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY Y/N ANY PROPRIETOWPARTNER/EXECUTIVE ❑ FICER/MEMBER EXCLUDED? andatory in ) N / A PER OTH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE $ If as, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Operation of Administrative Office for tourism promotions When required by written contract, the certificate holder is a named additional insured and has waiver of subrogation on the General Liability (GL) policy per form Vs CIS 20130413 & CG 24 04 05 09. This certificate shows the Hired Non -Owned (HNO) Auto Liability coverage on the GL policy. Monroe County Board of County Commissioners 1100 Simonton Street 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 �� /�`/HO��diLLr en1J ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A` RE® CERTIFICATE OF LIABILITY INSURANCE ATMMOW D 4j5/20i8 ' 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(les) 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 Keys Insurance Services 805 Peacock Plaza Key West FL 33040 CONTACT Linda Regan NAME, PHONE (305)294-4494 No.(305)743-0502 ao RlLF ss;lregan@keysinsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Scottsdale Ins Cc INSURED 340.6 N. Roosevelt Blvd. Corporation dba Monroe County BOCC 1201 White Street, Suite 102 Key West FL 33040-3328 INSURER B : INSURERC: INSURERD: INSURERE: INSURERF: i%c:p ncig A r= NI IMRRI7.2017-2D18 REVISION NUMBER: trVVr-Mm r-0 v 1. .vr...-,w...........--- ---- --- 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. ILA TYPE OF INSURANCE AD POLICY NUMBER POLICY EFF p POLICY EXP D LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 500,000 A CLAIMS -MADE F0 OCCUR X CPS2526087 8/23/2017 8/23/2018 E TO RENTED PREMISES Eaocwrtence S 50,000 MED EXP (Any ona Person) $ 5,000 PERSONAL & ADV INJURY S Excluded GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY❑ jE�T � LOC GENERAL AGGREGATE $ 500,000 PRODUCTS -COMPIOPAGG $ Excluded Non owned auto $ 100,0001 OTHER: AUTOMOBILE LIABILITY CO aB Ider4l SINGLE MI $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident) $ PP arOPEaERR,TYDAMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAR DED I I RETENTION $ WORKERS COMPENSATION OTH- BOA" E $ E.LEACHACCIDENT S AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETORIPARTNERIEXECUTIVE E.L. DISEASE -EA EMPLOYE S OFFICERIMEMBER EXCLUDED? El (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE - POLICY LIMIT s DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101, AddlUonal Remarks Schedule, may be attached U more space le re ulred) AY PR E NAGEMENT o :Clem WAIVER N/A YES— CG-I le (305)295-4342 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners 1100 Simonton Street ROOM 268 AUTOO PRESE ATIVE Key West, FL 33040 �"�� 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS026 (201401) CERTIFICATE OF LIABILITY INSURANCE 3�26i2o 8 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, "subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER PAYCHEX INSURANCE AGENCY INC CONTACT NAME: (A//CNEo.Ext}: (A/C. No): (888) 443-6112 210705 P: F: (888) 443-6112 ADDRESS: ADDRESS: PO BOX 33015 INSURER(S) AFFORDING COVERAGE NAICH SAN ANTONIO TX 78265 INSURERA: Twin City Fire Ins Co INSURED INSURER 8: 3406 NORTH ROOSEVELT BLVD CORP MONROE INSURER C: COUNTY TOURIST DEVELOPM INSURER D: 1201 WHITE ST STE 102 INSURER E: KEY WEST FL 33040 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ IASR TYPEOFBVSURANCE ADDI SUBB POLWYNUSMER POLW EFF YM POLCCYB:YP LM& COMMERCIAL GENERALLIABWTY EACH OCCURRENCE $ CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence $ MED EXP (Any one person) $ PERSONAL 6 ADV INJURY $ GEMLAGGREGATE LIMIT APPLIES PER POLICY PROT- ❑ LOG GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE (Per accident) S S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ Id AGGREGATE $ EXCESS LIAB CLAIMS -MADE D RETENTION 5 s WORM. esco"ENS47709 ANDFdrPLO3GnSLL�rER.BT X PER OTH- STATUTE ER E.L. EACH ACCIDENT 11100,000 A ANY PROPRIETORIPARTNER/EXECUTIVEY/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) El N/A 76 WEG ZV2817 04/18/2018 04/18/2019 E.L. DISEASE- EA EMPLOYEE s100, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S 5 0 0 O 0 0 r DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICPMRD 101. Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. SAPP V Y A E ENT /! WAIVER N/A YES CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Monroe Count Board of y BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners 1111 12TH ST STE 408 A/U.TH�ORIZEDREPRESENTATIVE 6- KEY WEST, FL 33040 U 19BB-2015 ACORD CORPORATION. All rights reserve ACORD 25 (2 6/03) The ACORD name and logo are registered marks of ACORD w CERTIFICATE OF LIABILITY INSURANCE 3/25/201 ) THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER PAYCHEX INSURANCE AGENCY INC CONTACr NAME: (A/C. No, Ext): (AIC. No): (8 8 8) 4 4 3 - 6112 210705 P: F: (888) 443-6112 E-MAIL ADDRESS: PO BOX 33015 INSURER(S) AFFORDING COVERAGE NAICN SAN ANTONIO TX 78265 INSURERA: Twin City Fire Ins Co WSURED INSURER B 3406 NORTH ROOSEVELT BLVD CORP MONROE INSURER C: COUNTY TOURIST DEVELOPM INSURER D: 1201 WHITE ST STE 102 INSURER E: KEY WEST FL 33040 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IA'SR TPPEOFINSURANCE ADDI SVBA POLKTNU30ER POLICPEFF POLICYEAP LE1f1lS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ GEN'L MED EXP (Any one person) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: POLICY ECOT- ❑ LOC OTHER: GENERAL AGGREGATE $ PRODUCTS $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ S UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DE RETENTION $ $ A WORLERSCUMPENSA77ON ANDEMPLOYERSMR&HY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) Elwa yes, describe under D DESCRIPTION OF OPERATIONS below 76 WEC ZV2817 04/18/201V 04/18/2018 PER X STAME I I ERH- E.L. EACH ACCIDENT $100,000 E. L. DISEASE- EA EMPLOYEE '100, 000 E.L. DISEASE - POLICY LIMIT $ 5 0 � 0 0 0 , DESCRIPTION OF OPERATIONS /LOCATIONS/VEHI*KS)RD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. 4ED RIS GIE nA CEIR IFICA1 MOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Monroe County Board of BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners AUTHORIZED REPRESENTATIVE 1111 12 TH ST STE 408 h KEY WEST, FL 33040 V 1933-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORU® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 8/25/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: David Kincaid Keys Insurance Services 805 Peacock Plaza PHONE (305)294-4494 ac No: (305)743-0582 E-MAIL ADDRESS: insurance. com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Scottsdale Ins Co Key West FL 33040 INSURED INSURER B INSURER C: 3406 N. Roosevelt Blvd. Corporation, DBA: Monroe 1201 White Street INSURERD: Suite 102 INSURER E : INSURER F: Rey West FL 33040-3328 COVERAGES CERTIFICATE NUMBER:2016-2017 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR EACH OCCURRENCE $ 500,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 X CPS2526087 8/23/2016 8/23/2017 PERSONAL BADVINJURY $ Excluded GEN'LAGGREGATE X LIMIT APPLIES PER: POLICY PRO LOC JECT GENERAL AGGREGATE $ 500,000 PRODUCTS -COMP/OP AG $ Excluded Non owned a — 100,000 OTHER: AUTOMOBILE LIABILITY COMBINED OGLE LIMIT Ea accident rn BODILY iNJUI� (p person) ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS` BODILY INJU accident ) i$ NON -OWNED HIRED AUTOS AUTOS PROPERTY DA I? Per accident C UMBRELLA LIAB OCCUR EACH OCCURR AGGREGATE Lis EXCESS LIAB CLAIMS -MADE DED I I RETENTION r b WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? n N I A STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ ace Is rired) DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more s4D, 1 E ENTYES_ Cc, (305) 295 -4342 Monroe County Board 1100 Simonton Street Key West, FL 33040 GG• f'i"l4N G-C- 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of County Commissione THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Room 268 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE David Kincaid/LR ACORD 25 (2014/01) INS025 (201401) 01988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ���� • GSM DATE(NfM/DD/YV'YY) AFRO CERTIFICATE OF LIABILITY INSURANCE R054 14/26/2016 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUC R PAYCHEX INSURANCE AGENCY INC 210705 P: F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME A/CNo, Ext) NE (DNo): (888) 443-6112 E-MAILADDRESS. INSURER(S) AFFORDING COVERAGE NAIL# INSURER A: Twin City Fire Ins Co INSURED 3406 NORTH ROOSEVELT BLVD CORP MONROE COUNTY TOURIST DEVELOPM 1201 WHITE ST STE 102 KEY WEST FL 33040 INSURER B : INSURER C: INSURER D: INSURER E. INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF IA'SURANCE ADDL .SUBR POLICY ATIMBER POLIC'YEFF POLICYEXP LIAM MM/DD/YY1T l COMMERCIAL GENERAL LIABILITY EACH OCCURRE CLAIMS -MADE ❑OCCUR DAMAGE TO REN ED PREMISES (Ea occu ce) MED EXP (Any one ppa PERSONAL & ADV II� GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGAT'E� POLICY PRO- LOC JECT PRODUCTS - COMP/O g ..D OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT- (Ea accident) ANY AUTO BODILY INJURY (Per person)` S OWNED SCHEDULED BODILY INJURY (Per accidel 5 AUTOS ONLY AUTOS PROPERTY DAMAGE HIRED NON -OWNED AUTOS ONLY AUTOS ONLY (Per accident) 5 5 UMBRELLA UAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE g DED RETENTIONS S WORKERS('UMPENSA%'lUN X PER OTH- STATUTE ER AM)EAIPLOYERS'LIARIL7T)' E.L. EACH ACCIDENT 1100, 000 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ❑ WA 76 WEG ZV2817 04/18/2016 04/18/2017 E.L. DISEASE -EA EMPLOYEE 100� 000 If yes, describe under E.L. DISEASE - POLICY LIMIT ' 5 0 0 000 DESCRIPTION OF OPERATIONS below ) DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. APPPO A E ENT BY WAI A. E Gc :► .Irt -el Tu CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Monroe County Board of BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE County Commissioners 1201 S IMONTON ST KEY WEST, FL 33040 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACOP') C C 00Ro CERTIFICATE OF LIABILITY INSURANCE A164.� I r "w(m /11/2015 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 berms and conditions of the policy, certain Policies may require an endorsement. A statmnent on this certificate does not confer rights to the card to holder in lieu of such endomemen s . PRODUCER F. Hager Keys Insurance Services 805 Peacock Plaza PHONE (305)294-4494 FAX Isos)To3-ose2 No -MALL ,Zys:lhager®keysinsurance.com W&URENS)AFFORDING COVERAGE NAIC 0 Key West FL 33040 NSURERA:Scottsdale Ins Co INSURED 3406 N. Roosevelt Blvd. Corporation, DBA: Monroe County BOCC 1201 White Street Suite 102 Rey west FL 33040-332e NSURER B : ` INSURER C: '- INSURER 0: INSURERS: INSURER F: f�c�wfvw nafmorr[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. LTR TYPE OF INSURANCE AWL VJSR POLICY NUIIU)ER POLICY EPP LIMITSX A COMMERCIAL GENERAL LIABILITY a"A"� 5-1 00CUR EACH OCCURRENCE i 500,000 WEMIS S rrro 4, S 50,000 NEC) EXP(AM awpemn) $ 5,000 CPS2295190 6/23/2013 0/23/2016 - PERSONAL 3 ADV INJURY S Eacltlded GEM X AGGREGATE LIMIT APPLIES PER: POLICY C JPERCOT-F7Loc GENERAL AGGREGATE S 500,000 PRODUCTS - COMPIOP AGO S Excluded Mon ovmodmdo Is 100,000 O AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT -Ma a=kkmO I S 100,000 BODILY INJURY (Per Parson) S A ANY AUTO AIUJTMqED SCHE �� CPS2295190 6/23/2015 8/23/2016 BODILY KJURY Q%r acd&nQ S EO AUTOS HIREDAUTOS M PROPERTY QgMAGE S S WdaRELIA LIAR EXCESS LIAR OccLq CLAMS—MADECLAMS-mAml EACH OCCURRENCE S AGGREGATE S DED I I RETENTIONS I I V OF44M COMPENSATION AND EMPLOYEWLIABILnY YIN ANY PROPMETOMPARTNEROWCUTIVE I PWmbwY EXCLUDED? BB� yyooss duaft urdsr DESCRIPTION OF OPERATIONS hobw NIA I OTK ER E.L EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE S E L DISEASE - POLICY I'WT IS I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. AdMIM&I Remarks Schedule, may be attached if mac space Is requlmd) Certificate holder is also added as an additional insured. APP VE NAGEjVIENT DATE QY� rVlr( J WAIVER N/A ES_ if ( -• , 'F'i , . J C, SHOULD ANY OF THE ABOVE DESCI Monroe County Board Of un O ssione THE EXPIRATION DATE THE C 1111 12t:h Street, Ste •, (� A�N rt07 ACCORDANCE WITH E U F Key Nest, FL 33040 ]iG (,j60J38 80J 0311.9 AUTI R REPRESENT F Hager ® f9W2014 ACORD ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS026 (to14m) !D POLICIES BE CANCELLED BEFORE NOTICE WILL BE DELIVERED IN Y1-- All rights reserved. CERTIFICATE OF LIABILITY INSURANCE ti i1 `c; /?ni THIS CERTIFICATEIS 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 SUBROGATIONIS 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 PAYCHEX INSURANCE AGENCY INC CONTACT NAME. PHONE (A/C, No. Ext). iu . Na): (8 8 8) 4 4 3 - 6112 210705 P: F: (888) 443-6112 E-MAIL ADDRESS: PO BOX 33015 INSURER(S) AFFORDING COVERAGE NAIC# SAN ANTONIO TX 78265 INSURER A: Twin City Fire Ins Co 29459 INSURED INSURER B 3406 NORTH ROOSEVELT BLVD CORP MONROE INSURER C. COUNTY TOURIST DEVELOPM INSURER D: 1201 WHITE ST STE 102 INSURER KEY WEST FL 33040 INSURER F: 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. V,SR LTR TYPE OF I:SSL'RANCE IDOL 1' .SLBR pOLICYN1,1IRER POLICYEFF ;VAI/DD/YY)'1 POLICYECP 1 1 LEWIS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑OCCUR EACH OCCURRENCE S PREMSESO(EaoccurrDence) S MED EXP (Any one person) $ PERSONAL & ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE - POLICY F JE ❑ LOC PRODUCTS - COMP/OP AGG S OTHER: g AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) S ANY AUTO BODILY INJURY (Per person) 5 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accitlent ( ) s HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) S S UMBRELLA LIAB ::]-0; EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE g DED RETENTION s $ If ORKERS COMPENSATION A\DEMPLOYF.RS'LIABILIn' PER OTH- X STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ❑ WA 76 WEG ZV2517 04/18/2015 04/18/2016 E.L. EACH ACCIDENT 1100000 I E.L. DISEASE -EA EMPLOYEE 5100, 000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 5500,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached more space is r uired Those usual to the Insured's Operations. App R MA GEMENyTj( () WAIR N/A Y L- ,�/ ���' v � r LAIN,. I_LA I IUN ki SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Monroe County Board of +'� 7. h1N11^0J 08NBEFORE THE EXPIRATION DATE NOTICE O DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners 1 . u J AUTHORIZED REPRESENTATIVE. 1201 WHITE ST STE 102��� KEY WEST, FL 33040 f ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD nam 'Adare registered marks of ACORD JdUJ36 80.10311,g i C ALCM& CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDOryrYY) 6/10/2015 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 1ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED boAEPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: H the certificate holier is an ADDITIONAL INSURED, the poficy(les) 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 endorsements . PROM)CER Donna Marlene zzRoss Keys Insurance ServicesEdk P1fONE (305)294-4494 (305)743-05e2 (AtC. Not EARS: dross@keysinsurance. com 805 Peacock Plaza — INSURENSI AFFORDING COVERAGE HAIL 0 INSURERA:Scottsdale Ins Co Rey West FL 33040 INSURED INSURER a : WSURERC. 3406 N. Roosevelt Blvd. Corporation, DBA: Monroe 1201 White Street LNSURERD: INSURERE: Suite 102 1 INSURERF: — Rey West FL 33040-3328 COVERAGES CERTIFICATE NUMBER:CL1561009535 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT R TYPE OF INSURANCE Ada POLICY NUMBER POLICYEFF POLICY MM O EXP — -- LIMITS A X CeMMERCWL OENERIIL LIABILITY CLADAS-MADE � OCCUR EACH OCCURRENCETT-- DAbTRGI:'To RERiECS0,000 PREMISES ocamence 500,000 S MEDEXp( o„e is 5,000 CPS2047174 6/23/2014 0/23/2015 _ PERSONAL a ADV INJURY s Excluded GEML AGGREGATE LIMIT APPLIES PER: PRO-L LOC X POLICY JECT GENERAL AGGREGATE $ 500,000 PRODUCTS - COMP/OP AGO 1 E iY�i sided OTHER: i Non owned auto is 100,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMITfEa S 100,000 SOMLY INAIRY (Pot Person) s Ilk ANY AUTO � AUK OWNED SCHEDULED NO ED HIRED AUTOS E CPS2047174 8/23/2014 0/23/2015 1 BODILY INAIRYO'er acdderd) $ PROPERTY DAMAGE s S UMBRELLA LIAB OCCUR EACH OOP s AGGREGATE s EXCESS LIAB CLAIMS —MADE DED RETENTION t - - -- - -- $ i WORKERS COMPENSATION I AND EMPLOYERS' LIABILITY Y I N ' ANY PROPRI tIPARTNERVMa1m/E OFFICE EXCLUDED? (Mandatory in NM if yea. d—fte under DESCRIPTION OF OPERATIONS below N I A 11j I i E URM El. EACH ACCIDENT s _ E.L. DISEASE - EA EMPLOYE s E.L. DISEASE - POLICY LIMIT - — s L f"` Lt) Q V i k DESCRIPTION OF I LOCH CLES (ACORD /01, Additional Remarks Schedule, may be aftadredJP Certificate of r is @M added as an additional insured. B © _E(N}D� / �p �� Wce 1 c LsJ � WN J an x 0 U. c 2: Monroe County 1100 Simonton Suite 2-268 Key West, FL Board of County Commission Street 33040 SHOULD ANY OF THE ABOVE THE EXPIRATION DATE T ACCORDANCE" E POl AUTHORRSD TIVE IF Hager ® -2014 A !D POLICIES BE CANCELLED BEFORE NOTICE WILL BE DELIVERED IN All rinhts reserved ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD INS025 w4m) Other Named Insureds County BOCC V LLJ U = C:!: L> Q LL- Z Jw W � J� 0 U' N Additional Named Insureds Doing Business As I OFAPPINF (OZ2007) COPYRIGHT 2007, AMS SERVICES INC A`O & CERTIFICATE OF LIABILITY INSURANCE 8/26/2013 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(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cartiflade does not confer rights to the certificate holder In lieu of such endorsemen s . PRODUCER Keys insurance Services 805 Peacock Plaza Key West FL 33040 Donna Marlene Ross PHONE (305)294-4494 � Not. (303)741-0892 E'M mrosseksysinsurance.can IN AFFOROINO COVERAGE NMI INSURERA:Scottsdale Ins Co MUREo 3406 N. Roosevelt Blvd. Corporation 1201 White street Suite 102 x4W West rL 33040-3328 INSURE 9: INSURERC: INSURER0: INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER_CL1382604899 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR TYPE OF INSURANCE POLICY NUMBER POLICY EXP LIMITS JM A GENERAL UAWLrrY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 10 OCCUR 81929291 /23/2013 /23/2014 EACH OCCURRENCE S 300,000 DAMAGE TO RENTFUP noel S 50,000 MEDEXP anDe<tan S 5,000 PERSONAL E ADV INJURY S Exclude GENERAL AGGREGATE S 500,000 GENL AGGREGATE LIMIT APPLIES PER: X I POLICY PR LOC PRODUCTS - COMPIOP AGG S 8xclude S A AUTOMOSILELIASILRYdeml_ ANY AUTO ALL SOSOWNED �Q ULED HIRED AUTOS MAUTORON-OSWNED S1929291 /23/2013 /23/2014 100,000 BODILY INJURY (Per persm) S BODILY INJURY (Per accident) S PROPERTY DAMAGES S UMBRELLA LIAR EXCESS LIA9 OCCUR CWMS MADE r 1 EACH OCCURRENCE S AGGREGATE S DIED RETENTIONS S WORKERS COMPENSATION EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? (Menda"In NH) S . daeuibs under D PTXkI F OPERATIONS below NIA B D WAJ - �C . � I )` Q r^ — 11 YA: STATU RN E.L EACH ACCIDENT S E.L. DISEASE. EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (A"ach ACORD 101, AddlOonol RemoArs Schedule, I1 mom epeoe Is required) Certificate holder is also added as an additional insured. Monroe County Board of County Comissione 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010106) INS025 (2D1oos)m Hager 01988.2010 ACORD CORPORATION. All rights reserves The ACORD name and logo are registered marks of ACORD A� 0• GSM oATE(NIMNDNYYYI CERTIFICATE OF LIABILITY INSURANCE R054 14/26/2016 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). O UCER PAYCHEX INSURANCE AGENCY INC 210705 P: F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME PHHONgE ) (acNu): (888) 443-6112 AD�ESS. INSURER(S) AFFORDING COVERAGE NAIC# INSURER Twin City Fire Ins Co INSURED 3406 NORTH ROOSEVELT BLVD CORP MONROE COUNTY TOURIST DEVELOPM 1201 WHITE ST STE 102 KEY WEST FL 33040 INSURER 6 INSURER C: INSURER D: INSURER E: INSURER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN4R LTR TYPE 0FLVSUR9NCE ADDL v .SUBR POLICYNUMBER POLICY EFF .NAL/DD/YYf POLICYEXP 1 M1 LIAM COMMERCIAL GENERAL LIABILITY EACH OCCURREy C:::1 CLAIMS -MADE ❑OCCUR DAMAGE TO RE = PREMISES (Eao ce) =7a MED EXP (Any one tt5 PERSONAL B ADV IrptlRT>!. N GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE? g ;� POLICY PRO LOC JECT PRODUCTS - COMP/O r S � s...-j OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT -- (Ea accident) .�► J •• ANYAUTO BODILY INJURY (Per pe,s#rl** S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) 5 HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS UAB 14CLAIMS-MADE AGGREGATE S DED RETENTION 5 3 WORKERS COAPENL117ON A1,71£MPLOY£RS'LLABLLITY X PER OhF STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L. EACH ACCIDENT 1100, 000 A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) WA 76 WEG ZV2817 04/18/2016 04/18/2017 E.L. DISEASE -EA EMPLOYEE '100, 000 If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT ' rj 0 0 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. APPRO A E ENT BY WAI A E �� 7� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Monroe County Board of BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners AUTHORIZED REPRESENTATIVE 1201 SIMONTON ST KEY WEST, FL 33040 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD ACOR, ATE (MMIDD/YY) , CERTIFICATE OF LIABILITY INSURANCE o3/04/2002 PRODUCER (305) 743-0494 FAX (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 805 Peacock Plata ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West, FL 33040 INSURERS AFFORDING COVERAGE INSURED 3406 North Roosevelt Boulevard Corporation INSURER A: Preferred National Ins Co 1201 White Street INSURERB ' Suite 102 INSURERC: Key West, FL 33040-3328 INSURER D INSURER E. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY 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. ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIDATE [MM/DD/YY1 ON LIMITS EACH OCCURRENCE $ 500,0001 GENERAL LIABILITY 04079E 08/23/2001 08/23/2002 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 50,000 CLAIMS MADE � OCCUR MED EXP (Any one person) $ 5,00 A PERSUNAL & ADV INJURY $ EXcl ud GENERAL AGGREGATE $ 500,00 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ EXcl ud POLICY JEPROCT LOC AUTOMOBILE LIABILITY 04079E 08/23/2001 08/23/2002 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) 100,00 ALL OWNED AUTOS BODILY INJURY $ A SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AP 8AUTO MENT ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO BY $ AUTO ONLY: AGG EXCESS LIABILITY DATE s EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE I AGGREGATE $ WAIVER N! YES DEDUCTIBLE RETENTION $ .- $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY TOW LIMITS ER E.L. EACH ACCIDENT $ �- E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ li OTHER DESCRIPTION OF OPERATIONS/LOCATIONSfVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Additional Ins'd: Monroe County Board of County Commissioners l�C�TICII+A Tc IJf11 e�re� _ _ Monroe County Board of County Commissioners Maria Del Rio 1100 Simonton Street Key West, FL 33040 25S (7/97) FAX: (305)292-4564 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 CERTIFICATE HOLD MED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL�POSE N LI ION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS ENTS OR REPRE TATIVES. AUTHORIZED REPRESENTATIVE F. Hager D063359 \� / ACOR, , CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDfYY) 05/03/2001 PRODUCER (305) 743-0494 FAX (305) 743-0582 Keys Insurance Agency, Inc. P.O. Box 500280 Marathon, FL 33050-0280 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 INSURED 3406 North Roosevelt Boulevard Corporation 1201 White Street Suite 102 Key West, FL 33040-3328 INSURER A. Preferred National Ins Co INSURER Union American Ins Co INSURER C: 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFE TIVE DATE MMIDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY 04079E 08/23/2000 08/23/2001 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 51000 CLAIMS MADE D OCCUR A PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ Excluded PROECT LOC POLICY M J AUTOMOBILE LIABILITY CN114101 09/08/2000 09/08/2001 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ B SCHEDULED AUTOS (Per person) 100,000 X HIRED AUTOS X BODILY INJURY $ NON -OWNED AUTOS (Per accident) 300,000 PROPERTY DAMAGE $ (Per accident) 50,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO �� ��� 0OTHER � � THAN EA ACC $ $ AUTO ONLY: AGG EXCESS LIABILITY 0 EACH OCCURRENCE $ OCCUR CLAIMS MADE r ( Ul \\\ AGGREGATE $ DEDUCTIBLE ;i �� $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS I I ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ Ci E.L. DISEASE -POLICY LIMIT 1 $ OTHER TD c DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS GEE I IFiCA I E HOLDER X 1 ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Board of County Commissioners 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE -LDERN EDTOT E , Maria del Rio BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOS O OBLI TION OR L I 5100 College Road OF ANY KIND UPON THE COMPANY, ITS AGENTS EPRES TA VES. Key West, FL 33040 AUTHORIZED REPRESENTATIVE Francis L Haaer(D06335 ACORD ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YV) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION THE PORTER ALLEN COMPANY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 513 Southard St HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West, Fl 33040 INSURERS AFFORDING COVERAGE — t- INSURED —_ ___. INSURER A: ' ITH 3406 North Roosvelt Blvd Corp INSURERB: - - 1201 White St INSURERC: Key West, Fl 33040 INSURERD: — -- INSURER E rnVGoer_ce 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, POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND CONDITIONS OF SUCH - INSR -- --- POLICY EFFECTIVE POLICY EXPIRATIOON TYPE OF INSURANCE POLICY NUMBER AT M /YY DATE M DD Y ___ - - - — -- - LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ -'- I�'� �^ CLAIMS MADE OCCUR FIRE DAMAGE (Anyone fire) t -- MED EXP (Any one person) $ __.. LJ ---- PERSONAL & ADV INJURY $ — GENERAL AGGREGATE � $ - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ r� PRO- _ t' - .i ' `x -- POLICY T LOC Ij- TOMOBILE LIABILITY - -- - ANY AUTO ALL OWNED AUTOS -- — , / � I, ^� COMBINED SINGLE LIMIT (Ea accident) $ _-_ SCHEDULED AUTOS ./ HIRED AUTOS- uI- BODILY INJURY (Per person) $ �— NON -OWNED AUTOS CCY$ BODILY INJURY (Per accident) { I PROPERTY DAMAGE t 1 (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY_ OCCUR '�J CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE E -- -- RETENTION $ $ $ - }{ WORKERS COMPENSATION AND 2 O 2 5 8 4 ]- EMPLOYERS' LIABILITY 2001 18 2002 O 2 OWC STATU RY LIMITS HR — E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE OTHER E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIALPROVISIONS OPERATIONS OF TDC ADMINISTRATION OFFICE CFRTIFIrATP Ldnl nco -_ MONROE COUNTY BOARD OF COUNTY COMMISSI 5100 COLLEGE ROAD RISK MANAGEMENT DIVISION KEY WEST, FL 33040 L.AIV6tLLA I IUiN yyS,,H7p7ODU�LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1'CRF7'SIHEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Zr DAYS WRITTEN NOTICE TO THE CE;4r�,OR HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NN �I LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PHONE 305 292 4542 %CORD 25-S (7/97) © ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNY) PRODUCER 7-10-00 THIS CERTIFICATE IS ISSUE OF THE PORTER ALLEN COMPANY ONLY AND CONFERS NO RIGHTS MUPONR HE ICERTIFICATE 513 SOUTHARD STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR KEY WEST, FLORIDA 33040 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1-3t15-9qA_? SA9 INSURERS AFFORDING COVERAGE INSURED INSURER A: ZENITH INSURANCE COMPANY 3406 NORTH ROOSEVELT BLVD. CORP. INSURERB: 1201 WHITE STREET i1 `v` PliNSURER RER C: KEY WEST, FLORIDA 33040 ` D: INSURER E: (`AVFRArCC 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. ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE Y POLICY EXPIRATION DATE D -- LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) ! $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ — GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO T LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS •�n- n••-.j.;- ,�� • `h, BODILY INJURY (Per person) $ HIRED AUTOS 1 NON -OWNED AUTOS U OS �'.F � BODILY INJURY (Per accident) � $ lJ� j (� _ •__—!1 PROPERTY DAMAGE (Per accident) $ ..,.� GARAGE LIABILITY ANY AUTO EXCESS LIABILITY OCCUR � CLAIMS MADE DEDUCTIBLE `"•---- © �! �' C - / AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG EACH OCCURRENCE $ $ $ AGGREGATE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 20259 4-18-00 4-18-01 E.L. DISEASE - EA EMPLOYE $ 00 E.L. DISEASE - POLICY LIMIT $ nnn OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS � LOS CERTIFICATE HOLDER ILADDITIONAL INSURED; INSURER LETTER: MONROE COUNTY BOARD OF COUTY COMMISSIONERS RISK MANAGEMENT 5100 COLLEGE ROAD, STOCK ISLAND KEY WEST, FLORIDA 33040 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INS ILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE TI C LDER AMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE O G LIA ITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25-S (7/97) © ACORD CORPORATION 1988 ACORD- CERTIFICATE OF LIABILITY INSURANCE I DATE(MWDDlYY) PRODUCER The 513 Key Porter Allen Co Southard St West, F 1 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. INSURERS AFFORDING COVERAGE INSURED 3406 1201 Key North Roosevelt Blvd Corp White St , ` West, F 1 33040 ` INSURER A: Zenith Insurance Company INSURERB: INSURERC: INSURER D: INSURER E: CAVFROGFS 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE AT Y POLICY EXPIRATION 'ATEM LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE E OCCUR h' EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROECj F LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 4 `'� i _--- -- ? Y"1 Lj , _ __ _ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO C (" AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR F—ICLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY FLORIDA 20258 4 18 99 14 18 00 ORY LIMITS OER E.L. EACH ACCIDENT $ 1 0 0 0 0 0 E.L. DISEASE - EA EMPLOYE $ 10 0 0 0 0 E.L. DISEASE - POLICY LIMIT $ 5 0 0 0 0 0 OTHER I DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Monroe County Board of County COmm1S jp@jqiM ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Risk Management DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN 5100 College Road , Stock Island NOTICE TO THE CE FICATE HqIIER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Key West, F 1 33040 IMPOSE NO&ES2XI ABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR / REPRESE �j AUTHORIZA RfiPr IVE ?SATE . � L � .�:✓ C. ACORD 25-S (7/97) INITIAL -.—_ © ACORD .:::::...:.::.. ACOR M.. PRODUCER (305)743-0494 FAX (305)743-0582 eys Insurance Agency of Monroe County, Inc. P.O. Box 500280 Marathon, FL 33050-0280 Attn: Ext: ....................................................................................................................................... INSURED 3406 North Roosevelt Boulevard Corporation 1201 White Street Suite 102 Key West, FL 33040-3328 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. ..................................................... ............ ...... ..... ...... ......................................... ................... ................................. .................................. .................. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 'POLICY EXPIRATION LIMITS LTR < DATE (MM/DD/YY) S DATE (MM/DD/YY) i GENERAL LIABILITY GENERAL AGGREGATE $ 500,000 X COMMERCIAL GENERAL LIABILITY ....................:......... PRODUCTS - COMP/OPAGG $ .............................. .............. Excluded A CLAIMS MADE X OCCUR -' 04079C '08/23/1999 '08/23/2000 PERSONAL & ADV INJURY $ -O OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ .... .......................................... ................... 500,000 .............. FIRE DAMAGE (Any one fire) $ 50,000 _..._ _.__._...............__....... ............................................. MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ B................................................................_.........._. SCHEDULED AUTOS (Per person) 10O 000 X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) 390, OOO _.........._............_........._...............: PROPERTY DAMAGE $ 50,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: ................................................................ EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE ..... ............. .. ...... $ ..... ................... i OTHER THAN UMBRELLA FORM --- - $ WORKERS COMPENSATION AND O S O >1,-c -� >TORYLIMITS ER .... ;?................................... E.'dPLOYEP.S' LIAB!LITY ,. ,. �.. _ _.._. _:._�.._ ........................................... EL EACH ACCIDENT $ THE PROPRIETOR/ - �. cr INCL "' " EL DISEASE - POLICY LIMIT $ ... _ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL f0 EL DISEASE - EA EMPLOYEE $ OTHER . ^� CC DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Honroe County BOCC is added as an additional insured Monroe County SCE 5100 College RQa*IAL 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 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUP, NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE CANY, ITS AGENTS OR REPRESENTA#IVEA DerekZMarti n EVegue p `�l 11 Q �M( )U�t l�V� " q;Vj� ............ ::......... C 0.........: _T.M..::: PRODUCER (305)743-0494 FAX (305)743-0582 Keys Insurance Agency of Monroe County, Inc. P.O. Box 500280 Marathon, FL 33050-0280 Attn: Ext: ................................................................................................................................... INSURED 3406 North Roosevelt Boulevard Corporation 1201 White Street Suite 102 Key West, FL 33040-3328 DATE MM/DD/YY 09/09/1999 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 ..................................................................................... I ....................... COMPANY Preferred National Ins Co A 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 f POLICY EXPIRATION'. LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE ......................................................... $ 500,000 COMMERCIAL GENERAL LIABILITY : PRODUCTS - COMP/OP AGG'$ ............................... Excluded ......... .............. . ... ......... CLAIMS MADE X ;OCCUR , n A 0.'079C 08/23/1999 08/23/2000 PERSONAL & ADV INJLIR`/ ......... ....... $ 0 ._.. OWNER'S & CONTRACTOR'S PROT : EACH OCCURRENCE ............................................... $ 5OO OOO ........................................ E FIRE DAMAGE (Any one fire) $ 50,000 __. ..... ..................__. .... ....... ................ ........_........_...._.. MED EXP (Any one person) .. .................... ... $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS B BINDER 990909 09/08/1999 09/08/1999 (Per person) ........................................................... : " """' ! 100 000 ........ X HIRED AUTOS BODILY INJURY $ X : NON -OWNED AUTOS : (Per accident) ..................................................................................... 300,000 _........ _ ........._ ..._ ...._. PROPERTY DAMAGE $ 50,000 GARAGE LIABILITY i.................. AUTO ONLY - EA ACCIDENT $ ANY AUTO L ''{ ,y OTHER THAN AUTO ONLY: iiiiii EACH ACCIDENT $ ............. _....................... AGGREGATE '$ EXCESS LIABILITY ^ / �/ EACH OCCURRENCE $ UMBRELLA FORM a �/ _-- AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WUSIAIU- TORY LIMITS ER .::.::......:... ."" EMPLOYERS' LIABILITY EL EACH ACCIDENT $ .. . THE PROPRIETOR/ INCL ................... EL DISEASE - POLICY LIMIT $ DAATNERS!EYFCI. ITIVE ...... .. ... ..... ............... .. .. ... OFFICERS ARE: EXCL : EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS onroe County BOCC is added as an additional insured DATE. Monroe County BOCC INITIALL, 5100 College Road 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 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE DD Derek Marti n-Veaue ACOR ,,M CERTIFICATE OF LIABILITY INSURANCE DATE NY) PRODUCER The Porter Allen Company p y 513 Southard St 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. INSURERS AFFORDING COVERAGE INSURED 3406 North Roosevelt Blvd Corp 1201 White St J Key West, Fl 33040 INSURER A: Zenith Insurance Co INSURERB: 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE D T Y) POLICY EXPIRATION DATE (MM/DDNYI LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR, II, - EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP)OP AGG $ $ $ $ $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-- LOC JECT $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS f-� A�L „Y_ j 1"4I E`-f'' ..RIB F r, COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO a,et; rp. �'.� i�. ,a' VGS 'AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR El CLAIMS MADE DEDUCTIBLE RETENTION $ �,�': LJ J7 • r � �✓ t i _ EACH OCCURRENCE $ AGGREGATE $ $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 20258 4 1 8 19 9 4 18 2 0 WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $1 0 0, 0 0 0 E.L. DISEASE - EA EMPLOYE$5 0 0, 0 0 0 E.L. DISEASE - POLICY LIMIT i $1 0 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS a.V-n I WKIM I G "wL jr_n I I ADDITIONAL INSURED; INSURER LETTER: GAIVGCLLA I IVIV Monroe County Board of Commissioners Monroe County Risk Management Dept 5100 College Road Stock Island 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 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATIOj IA LITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ATT Maria Del Rio © ACORD CORPORA DATE (MMIDDNY) 09/15/1998 PRODUCER (305)743-0494 FAX (305)743-0582 Keys Insurance Agency of Monroe County, Inc. P.O. Box 500280 Marathon, FL 33050-0280 Attn: Leni a Lopez Ext: ._ .......... _..__... ......_ . ._._ .... _ .............. INSURED 3406 North Roosevelt Boulevard Corporation 3406 N Roosevelt Blvd 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 Preferred National Ins Co A ........ _ ..................... .............. COMPANY Union American Ins Co B COMPANY C ........ _ -. ............ __._._........_...... COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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. _ -.... _.. .......... _.. .- .................... ........ _......... _ .........._.. COI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION' LIMITS LTR DATE (MMIDDIYY) i DATE (MMIDDIYY) GENERAL LIABILITY GENERAL AGGREGATE :$ 500000 ...............................................:..................................... X : COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ A CLAIMS MADE X : OCCUR >'.......: ....... BINDER980823 08/23/1998 [ 08/23/1999 PERSONAL & ADV INJURY $ ................................ ........ ......:....................................... OWNER'S & CONTRACTOR'S PROT : EACH OCCURRENCE $ _..._-... - _.._... ._......... SOOOOO . ........ ....................................................................................... FIRE DAMAGE (Any one fire) $ 50000 ............................................................: MED EXP (Any one person) $ 5000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ B SCHEDULED AUTOS BINDER980827 08/27/199808/27/1999 (Per person) - - - 100,000 X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) ......... ......_...... .. .... __. 300 000 � .__. PROPERTY DAMAGE $ 5 GARAGE LIABILITY urr\A AUTO ONLY - EA ACCIDENT : $ ANY AUTO .................. OTHER THAN AUTO ONLY: EACH ACCIDENT $ { ............................................. .................................... AGGREGATE!$ EXCESS LIABILITY EACH OCCURRENCE $ ........................... ........ ....... ..... UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM rR $ WORKERS COMPENSATION AND LIMITS ER RY T O L S . EMPLOYERS' LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR! INCL EL DISEASE - POLICY LIMIT $ PARTNERS/EXECUTIVE _._................ ........ _. OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS Monroe County listed as additional insured 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 CERTIFICATE HOLDER NAMED TO THE LEFT, Monroe County BOCC BUT FAILURE TO MAIL SUCH NOTICE SHAL MPOSE NO OBLIGAT OR LIABILITY 5100 College Road OF ANY KIND UPON THE COMPANY, IT N REP Key West, FL 33040 � AUTHORIZED REPRESENTATIVE DATE •..`_�_1_QDerek Marti n-Veque CN-0000001041-00 1 8/27/98 8/27/99 12 NAMED INSURED AND ADDRESS AGENT$ NAME AND ADDRESS 19363/000 3406 N ROOSEVELT BLVD., INC. KEYS INS. AGENCY OF MONROE 1201 WHITE STREET STE 102 PO BOX 500280 �_ R,• KEY WEST,FL 33040-3328 MARATHON,FL 33050-0028 (305)743-0494 �y i ENDORSEMENT DESCRIPTION - DATE AMENDING INSURED ADDRESS ITEMTWO:--------------------------------------------- - --------------------- THIS POLICY PROVIDES ONLY THOSE COVERAGES WHERE A CHARGE IS SHOWN IN THE PREMIUM COLUMN BELOW. EACH OF THESE COVERAGES WILL APPLY ONLY TO THOSE 'AUTOS' SHOWN AS COVERED 'AUTOS'. 'AUTOS' ARE SHOWN AS COVERED 'AUTOS' FOR A PARTICULAR COVERAGE BY THE ENTRY OF ONE OR MORE OF THE SYMBOLS FROM THE COVERED AUTO SECTION OF THE BUSINESS AUTO COVERAGE FORM NEXT TO THE NAME OF THE COVERAGE. ----------------------------------------------------------------------------------- COVERED LIMITS OF ******** PREMIUMS ******** COVERAGES AUTOS LIABILITY VH# 1 ----------------------------------------------------------------------------------- BODILY INJURY 8 9 $100,000 EACH PERSON 97. $300,000 EACH ACCIDENT INCL. PROPERTY DAMAGE 8 9 $50,000 25. * UNINSURED MOTORIST - "REJECTED"* SUB -TOTALS..$ 122. P/R FACTOR.: .411 OLD PREMIUM: 122.00 NEW PREMIUM: 122.00 ADDT'L PREMIUM.$ .00 ----------------------------------------------------------------------------------- OP NAME D.O.B SEX M/S LICENSE PT ITEM THREE: ------------------------------------------------------------------------ VH OP YR MAKE MODEL VIN TR CLASS AG OCN RE CODE 32 LOSS PAYEE / LEASE / ADDITIONAL INSURED: ------------------------------------------- 1 MONROE CNTY.BRD.OF CNTY 5100 COLLEGE ROAD KEY WEST,FL 33040-0000 FORMS AND ENDORSEMENTS CONTAINED IN THIS POLICY AT ITS INCEPTION - FJUA-30(2/79) FJUA 00 34 03/97 IL 00 21 11/94 IL0017(11/85) FJUA22(CA0001)1293 CA0002 12/90 PART2 ANY QUESTIONS, COVERAGE INFORMATION, ASSISTANCE IN RESOLVI7RIZEMD AINTS, N ACT YOUR AGENT AT TELEPHONE NUMBER ABOVE. MIAMI, FLORIDA 4/07/99 COUNTERSIGNED BYP N M. SOTO AU REPRESENTATIVE THESE DECLARATIONS TOGETHER WITH THE BUSINESS AUTO POLICY PROVISIONS AND ENDORSE- MENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. FJUAD-02493 3406 NORTH ROOSEVELT BOULEVARD CORP \`� 3406 North Roosevelt Blvd COMPANY C Rey West, Fla. 33040 - - COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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 EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS COMP/OP AGG $ CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: X EXCL OTHER COMBINED SINGLE LIMIT $ C(' BODILY INJURY P` (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ v[C Cc� AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: 1` EACH ACCIDENT $ �I 041 AGGREGATE $ EACH OCCURRENCE AGGREGATE WC STATU- OTH- ------------- 20258 04/18/98 04/18/99 $ TORY LIMITS ER EL EACH ACCIDENT $ 100,000 EL DISEASE - POLICY LIMIT $ 500,000 EL DISEASE - EA EMPLOYEE $ 100 _ 0_.r 00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 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 EXCLUSIONS AND CONDITIONS OFISUCH PERTAIN THE SHOWAFFORDED MAY HAVE BEEN REEDUCED DESCRIBED Y ARID CLAIMSEIN IS SUBJECT TO ALL THE TERMS, O TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY OMMERCIAL GENERAL LIABILITY LAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. B I NDER4 7 31 0 8/ 2 3/ 9 7 0 8/ 2 3/ 9 8 GENERAL AGGREGATE $ 500,00 0 PRODUCTS—COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ 500,000 FIRE DAMAGE (Any one fire) $ 50,000 MED.D(P. (Any one person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON —OWNED AUTOS GARAGE LIABILITY JF C 0 0 0 7 9 5 2 2117 AnPRR'fER Btu-R.ISk �' RY yl�f 0 8/ 2 7/ 9 7 �� GFII�I`�,� � ' 0 8/ 2 7/ 9 8 COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ 100,00 0 BODILY INJURY (Per accident) $ 300,000 PROPERTY DAMAGE $ 50,000 EXCESS LIABILITY :::]UMBRELLA FORM OTHER THAN UMBRELLA FORM RATE wA!',+ER: N/A YFS EACH OCCURRENCE $ AGGREGATE $ WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY /' / / (, STATUTORY LIMITS $ EACH ACCIDENT DISEASE —POLICY LIMIT $ DISEASE —EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 0 DAYS NOTICE OF CANCELLATION FOR WORKER'S COMPENSATION; 10 DAYS NOTICE OR ALL OTHER COVERAGES .............. ONROE COUNTY BOARD OF COUNTY COMMISSIONERS LISTED AS ADDITIONAL INSURED. MONROE COUNTY ATT: RISK MANAGEMENT. 5100 COLLEGE ROAD STOCK ISLAND 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 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE h tEFTrBUZ�URE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR f � � f �Ti J OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 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L6-Z-L OWN' HUM ........ .. ....... ..... ...... ... ................... .... iix a/ww) 31VO ................................. ..................................... . . . . . . . . . . . . . . . . . . . .............................. . ...... .... IMO V IA (� C ISSUE DATE (MM/DD/YY) PRODUCER 3YS INSURANCE AGENCY .O. BOX 500280 kRATHON FL 33050 INSURED 406 North Roosevelt oulevard Corporation 406 N. Roosevelt Blvd. ey West, FL 33040 1109/16/96 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 A BANKERS INSURANCE JUA LETTER COMPANY B BRITAMCO-UNAMARK LETTER COMPANY LETTER y COMPANY D LETTER COMPANY E LETTER I I I.- I v �. r m r r nr�1 r nr ryuUIt1 Ur 111.HArvvt LI51 tU BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAtE MAYBE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLIdIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. O TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY B I NDER4 7 31 0 8/ 18 / 9 6 0 8/ 18 / 9 7 GENERAL AGGREGATE $ 500,00c MMERCIAL GENERAL LIABILITY LAIMS MADE FxOCCUR. PRODUCTS—COMP/OP AGG. $ PERSONAL & ADV. INJURY $ OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 500, 0 0 FIRE DAMAGE (Any one fire) $ 50,00c MED.EXP. (Anyone person) $ 5100 AUTOMOBILE LIABILITY FJC3 616 2 9 710 2 0 8/ 2 7/ 9 6 0 8/ 2 7/ 9 7 COMBINED SINGLE ANY AUTO LIMIT $ BODILY INJURY ALL OWNED AUTOS Received SCHEDULED AUTOS HIRED AUTOS ISi .'? 'r,l I - ' ontrc)l (Per person) $ 100 00 BODILY INJURY NON—OWNEDAUTOS y. LIl�r� _. --- Is --- (Per accident) $ 300,000 PROPERTY DAMAGE GARAGE LIABILITY___ _ .__.._._..__.,.._ 50 EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM A7TOk'F O`i'_. BY RISK, MANAG N1,. IV �� rs _ EACH OCCURRENCE $ EGATE _:,�: $ WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER j ' / —'— STATUTORY LIMITS $ EACH ACCIDENT ,« DISEASE —POLICY LIMIT $ DISEASE —EACH EMPLOYEE $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 0 DAYS NOTICE OF CANCELLATION FOR WORKER'S COMPENSATION; 10 DAYS NOTICE OR ALL OTHER COVERAGES .............. ONROE COUNTY BOARD OF COUNTY COMMISSIONERS LISTED AS ADDITIONAL INSUREDS- cL ' G /,Y�b'�e S�6,e� jt C �/GES MONROE COUNTY ATT: RISK MANAGEMENT 5100 COLLEGE ROAD STOCK ISLAND 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 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTAVQ ISSUE DATE (MM/DDNY) 11/05/96 PRODUCER EYS INSURANCE AGENCY .O. BOX 500280 kRATHON FL 33050 INSURED 406 North Roosevelt Boulevard Corporation 406 N. Roosevelt Blvd. Key West, FL 33040 TH15 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 A BANKERS INSURANCE JUA LETTER COMPANY B BRITAMCO-UNAMARK LETTER p rC ❑V v /l.rr F"I'L h, RRf11Y8� Ris , PR r T COMPANY C LETTER COMPANY D LETTER DATE ll — COMPANY E urnF�. �!/A vcr LETTER O TR TYPE OF INSURANCE 1 POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDNY) POLICY EXPIRATION DATE (MM/DDNY) LIMITS GENERAL LIABILITY OMMERCIAL GENERAL LIABILITY LAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT, B I NDER4 7 31 0 8/ 18 / 9 6 0 8/ 18 / 9 7 GENERAL AGGREGATE $ 500,00 PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ 500,000 FIRE DAMAGE (Any one fin:) $ 50,000 MED.EXP. (Anyone person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY FJC3 616 2 9 710 2 3, t .. - " ` 0 8/ 2 7/ 9 6 . {ia 0 8/ 2 7/ 9 7 COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ 100,000 BODILY INJURY (Per accident) $ 300,00 PROPERTY DAMAGE $ 50,000 EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE Is AGGREGATE $ WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER STATUTORY LIMITS EACH ACCIDENT DISEASE -POLICY LIMIT DISEASE -EACH EMPLOYEE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS 0 DAYS NOTICE OF CANCELLATION FOR WORKER'S COMPENSATION; 10 DAYS NOTICE OR ALL OTHER COVERAGES .............. ONROE COUNTY BOARD OF COUNTY COMMISSIONERS LISTED AS ADDITIONAL INSUREDS. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MONROE COUNTY MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ATT : RISK MANAGEMENT LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 5100 COLLEGE ROAD LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. STOCK ISLAND AUTHORIZEDREPRESE E KEY WEST FL 33040 C TZ C .. ................. ..................... .. ........ ... - - --- --- -------------- .... ................ ::i:::i: .............. .................................................................................... . . ................. . . . . . . ............................................ ............ .... ................. ...... ...... ................................................................... ....... ........................................................... ............. . . .. ....... ... .............. .. . ..... ISSUE DATE (MMIDDNY) .............. .............. .......................... ............... ............ ACORD, itliE-1 FICA URAI 1' c-"I"... ............. .. .......... ........................ ................................ ................... ......................... ................... . ... .... ... ............................... .................. ...................................... ............... ................ .......... ..................... .... ............................. ........................................... ....... ...... . .. . .. . ... ....... ... .................................................................. .... ......... .. ......... .. ..... % .......... .......................................... ............. 9/16/96 ...................... ....... ..... ........................................ .. ...... . ......................................................... PRODUCER . ....... ...... THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Keys Insurance Agency AND CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER. THIS P 0 Box 500280 CERTIFICATEDOES NOT AMEND, EXTEND OR ALTER THE COVERAGE Marathon, FL 33050 AFFORDED BY THE POLICIES BELOW. COMPANY LETTER A BANKERS INSURANCE COMPANY- FAJUA INSURED COMPANY LETTER B 3406 N Roosevelt Blvd Corp 3406 N Roosevelt Blvd COMPANY LETTER C Key West, FL 33040 COMPANY LETTER D COMPANY LETTER E ............ ..................................... ... . ............................ ............................................. ............................... ...... ...... ..... ...................... ............................................................... ............................................................................................................................... .... . .................................................................................................... . . . . . ........................ ......................... 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. ............................... .................................. ................................. . .. .... ... .. ........... ............ .................................................................... .... ............. M.. . .............................. ............................. .............. .............. ... .. 00. ... ... . . .. gAgm ... .... ..... ..................... .............. ........................... ............................ . .. .. ...... . ... .... . ... . ..................... ............................................ .......... . ...... .... . ... .. . . ... . . ...... .................... . .. ........... ...................................... ............... ........... .............................. .......... .............................. .......... . . ......... ....... ......................................... ...................................... . ............................ _1 . ........ .............. .................................... .................................... ........ ...................... ........ ........ ............................. ............................ ... .. ............................... ................... .. X..: .. . ........... ......... ... . . . . . . .... ........................................ ..... ...... ............ ..... .. ..... ........... ... ................................................. ......... ........... ..................................................I ................................................. ...................................................................... .................................................................... ........................................ .................................... .................................... .................................... .................................... ...... . ... .. . . .... .............................. ............... ........................... .............. .... ... . .......... ......... .......... .......... . . ........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... ....... ......... . . . ....... .......................... . ..... ........... .. ......................... ................................................................................... - ------------ ............................................................................... ......... ................................................................................ ........ ............. . .... ........... ..................................................................... .................................................................... ...... ... ............. ....... ................ ......... ................. . ......... . .............. .............................. ........ .................. ............................... ..................................I ... ... ...... .. . . . .... .. . ... . .. . ........................ ....................... Em"99M ............................................................ ............... ... .... �v. ................................................................................................ ..... . ................................. ......... ... . .... .......... . .......... ............ GENERAL LIABILITY General Aggregate Commercial General Liability T 0 ntrol Products-Comp/Op Agg. Claims Made Occur. V/ Personal & Adv. Injury Each Occurrence Owner's & Contractor's -M. 4- Fire Damage (Anyone fire) Prot. Med. Expense (Anyone person) A AUTOMOBILE LIABILITY FJC3616297103 8/27/96 8/27/97 Combined Single Limit ❑ Any Auto Bodily Injury (Per person) $100,000 ❑ All Owned Autos Bodily Injury (Per accident) $300,000 ❑ Scheduled Autos Property Damage $50,000 Hired Autos Ar"'rr",!,' ^ Rv RK klfN'�'Cif MD T Non -Owned Autos ❑ Garage Liability 17 ❑ Employers Non - Ownership EXCESS LIABILITY Each Occurrence Umbrella Form Aggregate Other Than Umbrella o h Form WORKER'S COMPENSATION Statutory Limits AND Each Accident EMPLOYERS' LIABILITY Disease -Policy Limit Disease -Each Employee A OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS .............................. .......................... ..... ..... ....... . ... ... ................ . ......... ..................... . . ........... ................... ... .................... . ... . .............. .......... _.. ................... ............. ...... ................................. ........................... ------- . ........................ ................................ . ........................ .................... ............ .................... ....................... ..... ....................... ...... ...................... . .... ..... ................bra . . . .......... ........................... % . .. ......... .. ............. .................... . 1. Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail 10 Monroe County days written notice to the certificate holder named to the left, but failure Attn: Risk Management to mail such notice shall impose no obligation or liability of any kind 5100 College Road Stock Island upon the company, its agents or representatives. Key West, FL 33040 C_ AUJWRIZED S TAT (PLC 002 7 5 ISSUE DATE (MM/DD/YY) PRODUCER EYS INSURANCE AGENCY .O. BOX 500280 .DiRATHON FL 33050 INSURED 406 North Roosevelt Boulevard Corporation 406 N. Roosevelt Blvd. Key West, FL 33040 1108/27/96 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 A BANKERS INSURANCE JUA LETTER COMPANY B BRITAMCO-UNAMARKAPPROVED BY RISK MCI AGENIENT LETTER COMPANY C B}r a/♦°!,�j LETTER COMPANY D DATE IF -so r LETTER COMPANY E O, LETTER 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 CERTIFICAI"E 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 POLidIES. LIMITS SHOWN M.AY HAVE BEEN REDUCED BY PAID CLAIMS. O TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDPM POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY OMMERCIAL GENERAL LIABILITY LAIMS MADE OCCUR. F11ER'S & CONTRACTOR'S PROT. B I NDER4 7 31 0 8/ 18 / 9 5 0 8/ 18 / 9 6 GENERAL AGGREGATE $ 500,000 PRODUCTS—COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ 5 0 0 0 0 FIRE DAMAGE (Any one fire) $ 50,000 MED.EXP. (Anyone person) $ 5.000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON —OWNED AUTOS GARAGE LIABILITY FJC3 616 2 9 710 2 1 CCC RISK A4,gr l 0AT F 0 8/ 2 7/ 9 6 ,; ,,4 0 8/ 2 7/ 9 7 COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ 100,000 BODILY INJURY (Per accident) $ 3 0 0 000 PROPERTY DAMAGE $ 50 00 EXCESS LIABILITY HUMBRELLA FORM OTHER THAN UMBRELLA FORM iw'PTIA l EACH OCCURRENCE Is AGGREGATE .. $ WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER STATUTORY LIMITS ACCIDENT $ SE —POLICY LIMIT Is SE —EACH EMPLOYEE $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 0 DAYS NOTICE OF CANCELLATION FOR WORKER'S COMPENSATION; 10 DAYS NOTICE OR ALL OTHER COVERAGES .............. ONROE COUNTY BOARD OF COUNTY COMMISSIONERS LISTED AS ADDITIONAL INSUREDS. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MONROE COUNTY MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ATT : RISK MANAGEMENT LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 5100 COLLEGE ROAD LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. STOCK ISLAND AUTHORIZED RE T TIV KEY WEST FL 33040 cc - Cc /.tJ6 SfrGej' WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 00 01A Original Printing Issued May 1, 1988 Standard INFORMATION PAGE RISK ID Insurer: RISCORP Insurance Company NCCI Carrier Code No. 25836 1. The Insured: 3406 NORTH ROOSEVELT BOULEVARD CORP 3406 N ROOSEVELT BLVD KEY WEST, FL 33040 Individual Partnership Mailing Address: 3406 N ROOSEVELT BLVD KEY WEST, FL 33040 Other workplaces not shown above: FEIN 65-0368637 P O L I C Y N O. 20258 X Corporation 2. The policy period is from April 18, 1996, 12:01 AM Standard Time, to April 18, 1997, 12:00 AM Standard Time at the insured's mailing address. The Anniversary Rating Date is April 18, 1996. 3. A. Workers' Compensation Insurance: Part One of the policy applies to the Workers' Compensation Law of the states listed here: FLORIDA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $100,000 each accident Bodily Injury by Disease $500,000 policy limit Bodily Injury by Disease $100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: NONE. D. This policy includes these endorsements and schedules: WC 00 04 14 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Code Premium Basis Rate Per Estimated No. Total Estimated $100 of Annual Annual Remuneration Remuneration Premium & Loss Control APPROVED BY RISK MANAGEMINT Owc SEE ATTACHED %may BY I Mew ._.---- Total Estimated Annual Premium $ -2 � to DATE Minimum Premium $203 Expense Constant $ I FR: N/A YES Countersigned by: PORTER-MMM COMMr, MY W23T, FL ks March 27, 1996 Copyright 1987 National Council on Compensation Insurance. infopage.mrg TECKEL cc:Tbc F/&4' h OT IFICATI02�I OF CSC GE n OWI�ERSHLP EYD O LSEI1riE�tTi- e rating is mandatory for all eligible insureds. The experience rating modification factor, if .*ty�a. L*cable to may change if there is a change in your ownership or in that of one or more of the entities bl_ to be with you for e�cperience rating purposes. Change in ownership includes sales, purchases, other transfers, ew entity and other changes provided for in the apucahie consolidations, dissolutions, formations of an :e rating plan manual. ,t repot` any change in owner slop to us in vmting within 90 days of such change. Failure t0 recei � SuckL within this period may result in revision of the experience rating modification factor used to der.=— -year ndorse:nent changes the policy to which it is attached and is elective on the date issued unless C:e: ��:Se scted. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) polic Vie. Erdorse:::e^t Rio. -serpent E�:e�tive: y 2d: prerrLurn S ante Company: RISCO? Countersigned by I Carrier Code:2582' b policy Date: 7-90) - Tright 1990 National Council on Compensation Insurance. - RISCORP Insurance Company Premium Summary RISCORP of Florida Guarantee Cost Plan Member Services Quotation 20258-000 Name 3406 NORTH ROOSEVELT BOULEVARD CORP Report Date 03/26/96 Address : 3406 N ROOSEVELT BLVD 305-296-1552 Policy Begin 04/18/96 04/18/97 City KEY WEST FL 33040 4266 Policy End Anv.Rate Date 04/18/96 Contact MS LINDA STEWART Agency PORTER-ALLEN COMPANY 00348-000 Phone 305-296-5832 ----------------- Guarantee Cost Plan Premium Calculation ----------------- 1. Manual - Rating Year 1996................................. 2,588 2. Increased Employers Liability Coverage . 3. Deductible/Coinsurance Coverage 0.000, . ........... 0 4. Other Additions ................................... 0 2,588 5. Managed Care Credit 0.00% ........................ 0 6. Safety Credit 0.00% .............................. 0 7. Drug -Free Program Credit 0.00% ................... 0 8. Experience Modification ...................... .... 0 N/A 9. Estimated Modified Premium .......................... 2,588 10. Airplane Seats .................................... 0 11. Premium Deviation 0.0006 ......................... 12. FCCPAP 0.00%..................................... 0 0 13. Other Additions ................................... Of Subrogation 0 2,588 14. Waiver ............................. 0 15. Stock Carrier's Discount 0.00% ................... 2,588 16. Estimated Direct Premium ........................... 17. Expense Constant .................................. Estimated Total Premium ............................. 140 2,728 Employer's Liability Limits: Accident 100,000 ----------------------- Individual Disease (policy) Disease (employee) 500,000 100,000 Classifications ---------------------- Class Estimated Estimated Employees Codes Description Payroll Rate Manual Full Part 8742 SALESPERSONS - OUTSI 105,528 1.40 1,477 2 0 8810 CLERICAL OFFICE EMPL 156,519 0.71 1,111 6 0 Totals .... 262,047 2,588 8 0 Premium Subject To Audit TECKEL Receives. c. & i-Ont1:01 Monroe County Tourist Development Council Administrative Office M E M O R A N D U M DATE: April 10, 1996 TO: Kay Miller FROM: Lynda Stuart RE: CERTIFICATES OF INSURANCE WORKERS COMPENSATION POLICY # 20258 Your request dated April 8th and received in my office on April 10th coincided with the arrival of the attached documentation. Good timing!!! Enclosures (3) WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 00 01A Ori inal'Printing Issued May 1, 1988 Standard INFORMATION PAGE RISK ID Insurer: RISCORP Insurance Company FEIN 65-0368637 Mailing Address: 3406 N ROOSEVELT BLVD BY`�/f/�/� ple/G KEY REST, FL 33040 DATE Other workplaces not shown above: 2. The policy period is from April 18, 1995-to April 18, 1996 at the insured's mailing address. The Anniversary Rating Date is April 18, 1995. 3. A. Workers' Compensation Insurance: Part One of the policy applies to the Workers' Compensation Law of the states listed here: FLORIDA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $100,000 each accident Bodily Injury by Disease $500,000 policy limit Bodily Injury by Disease $100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: NONE. D. This policy includes these endorsements and schedules: WC 00 04 14 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Code Premium Basis Rate Per Estimated No. Total Estimated $100 of Annual Annual Remuneration Remuneration Premium SEE ATTACHED Total Estimated Annual Premium $ Minimum Premium $203 Expense Constant $ Countersigned by: PORMM-AWAN caeMx, iaY WWT, M shb April 28, 1995 Copyright 1987 National Council on Compensation Insurance. BRUNDA cc : TJ C F/Z-- infopage.mrg WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 04 1.3 (Ed. 7-90) NOTIFICATION OF CHANGE IN OWNERSHIP ENDORSEMENT Experience rating is mandatory for all eligible insureds. The experience rating modification factor, if any, applicable to this policy, may change if there is a change in your ownership or in that of one or more of the entities eligible to be combined with you for experience rating purposes. Change in ownership includes sales, purchases, other transfers. mergers, consolidations, dissolutions, formations of a new entity and other changes provided for in the applicable experience rating plan manual. You must report any change in ownership to us in writing within 90 days of such change. Failure to report such changes within this period may result in revision of the experience rating modification factor used to determine your premium. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: Policv No. Endorsement No. Insured: Premium S Insurance Company: RISCORP INSURANCE COMPANY, Countersigned by Mav 3, 1995' NCCI Carrier Code: 25836 Policy Effective Date: PVC 00 04 14 (Ed. 7-90) Copyright 1990 National Council on Compensation Insurance. RISCORP Insurance Company Premium Summary RISCORP of Florida Guarantee Cost Plan Member Services Quotation 20258-000 Name 3406 NORTH ROOSEVELT BOULEVARD CORP. Report Date 04/26/95 Address : 3406 N ROOSEVELT BLVD 305-296-1552 policy Begin 04/18/95 City KEY WEST FL 33040 Policy End 04/18/96 - Anv.Rate Date 04/18/95 Contact : MS LINDA STEWART Agency : PORTER-ALLEN COMPANY 00348-000 Phone : 305-296-5832 - Guarantee Cost Plan Premium Calculation 1. Manual - Rating Year 1995 ....... .............%........... 2,355 2. increased Employers Liability Coverage . 3. Deductible/Coinsurance Coverage 0.00% ........... 0 4. Other Additions ................................... 0 2,355 5. Mar -:aged Care Credit 0.00% ........................ 0 6. Safety Credit 0.00% .............................. 0 .'•. Drug -Free Program Credit 0.00% ................... 0 8. Experience Modification ........................... 0 N/A 9. Estimated Modified Premium .......................... 2,355 'I. Airplane Seats .................................... _. Premium Deviation 0.00% ......................... 0 12. FCCPAP 0.00%..................................... 0 13. Other Additions ................................... 0 14. Waiver Of Subrogation ............................. 0 2,355 15. Stock Carrier's Discount 0.00% ................... 0 16. Estimated Direct Premium ............................ 2,355 17. Expense Constant .................................. 140 Estimated Total Premium ............................. 2,495 Employer's Liability Limits: Accident Disease (policy) Disease (employee) 100,000 500,000 100,000 ----------------------- Individual Classifications---------------------- ------------------------------------------------------------------------------ Class Estimated Estimated Employee_ Codes Description Payroll Rate Manual Full Part ----------------------------------------------i--------------------a----------- 8742 SALESPERSONS - OUTSI 86,484 1.40 1,211 8810 CLERICAL OFFICE EMPL 161,088 0.71 1,144 6 0 ------------------------------------------------------------------------------- Totals.... 247,572 2,355 8 0 Premium Subject To Audit BRUNDA ACORDo ISSUE DATE (MMMDNY) 1 1-7-95 PRODUCER Keys Insuracne Agency P.O. Box 500080 Marathon, FL 33050 INSURED 3406 North Roosevelt Boulevard Corporation 3406 N. Roosevelt Blvd. 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 BANKERS INSURANCE CO - FAJUA COMPANY LETTER B APPROVED BY RISK MANAGE/MMFNNT COMPANY LETTER C BYE COMPANY LETTER D COMPANY LETTER E T -O, t'�'Q ✓ vrr 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. GENERAL LIABILITY General Aggregate Commercial General Products-Comp/Op Agg. Liability Personal & Adv. Injury Claims Made Occur. Each Occurrence Owner's & Received Fire Damage (Anyone fire) Contractor's Prot. (1i>`. Ag fir & ,(ass ontio4 Med. Expense (Any one person) AUTOMOBILE LIABILITY -- — Combined Single Limit $ Any Auto NIT(Ai Bodily Injury (Per person) $100,000 _ All Owned Autos Bodily Injury (Per accident) $300,000 Scheduled Autos Property Damage $ 50,000 A (X) Hired Autos FJC3616297102 8-27-95 8-27-96 (X) Non -Owned Autos Garage Liability Employer's Non - Ownership EXCESS LIABILITY Each Occurrence Umbrella Form Aggregate Other Than Umbrella Form Statutory Limits WORKER'S COMPENSATION Each Accident AND Disease -Policy Limit EMPLOYERS' LIABILITY Disease -Each Employee OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Monroe County ATTN: Risk Management 5100 College Rd. Stock Island 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 10 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, itsWents or representatives. CER ■ IFI _A E O■ INSUR f wi S 1 ,AN■. .� G�icC 00275 I ISSUE DATE (MM/DD/YY) '. �/► 10 0 5 9 5 PRODUCER 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 KEYS INSURANCE AGENCY POLICIES BELOW. COMPANIES AFFORDING COVERAGE P.O. BOX 500080 4ARATHON FL 33050 COMPANY A BANKERS INSURANCE JUA LETTER COMPANY B BRITAMCO-UNAMARK LETTER INSURED COMPANY C A�,Q 406 North Roosevelt Boulevard Corporation LETTER COMPANY D OCT - 5 1995 LETTER 406 N. Roosevelt Blvd. Key West, FL 33040 COMPANY E B_ _ LETTER Y COVERAGES 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 Y PAID CDLAIMSEIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONSOR OF SUCH POLIud°THff IES. LIMITS SHOWNMAYHAVE BEEN REDUCED DESCRIBED O TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/Yr POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY DOL 0 2 0 2 0 3 2 94 6 0 8/ 18 / 9 5 0 8/ 18 / 9 6 GENERAL AGGREGATE $ 500,000 PRODUCTS—COMP/OP AGG. $ OMMERCIAL GENERAL LIABILITY LAIMS MADE OCCUR. PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ 5001000 OWNER'S & CONTRACTOR'S PROT. FIRE DAMAGE (Any one fire) $ 50,000 MED.EXP. (Anyone person) $ 5,000 AUTOMOBILE LIABILITY FJC3 616 2 9 7101 0 8/ 2 7/ 9 5 0 8/ 2 7/ 9 6 COMBINED SINGLE ANY AUTO LIMIT $ BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ 100 000 BODILY INJURY (Per accident) $ 300,000 HIRED AUTOS NON —OWNED AUTOS GARAGE LIABILITY .i.0 vC0 ,'X ' ��-`s ''•.i%rl� i PROPERTY DAMAGE EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM ._. OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION APPROVED 13Y RISK MANAGE ENT Q STATUTORY LIMITS '1 EACH ACCIDENT AND EMPLOYERS' LIABILITY BY— ��,�o� DISEASE —POLICY LIMIT ! $ DISEASE —EACH EMPLOYEE $ OTHER DATE r _ YES 1A'AIVFR: N DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 0 DAYS NOTICE OF CANCELLATION FOR WORKER'S COMPENSATION; 10 DAYS NOTICE OR ALL OTHER COVERAGES .............. ONROE COUNTY BOARD OF COUNTY COMMISSIONERS LISTED AS ADDITIONAL INSUREDS. CERTIFICATE HOLDER ` CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MONROE COUNTY MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ATT • RISK MANAGEMENT LEFT, BUT FAILURE TO MAIL SUCH NOTICE LL IMPOSE NO OBLIGATION OR 5100 COLLEGE ROAD LIABILITY OF ANY KIND UPON THE COMP/AITS AGENTS OR REPRESENTATIVES. STOCK ISLAND KEY WEST FL 33040 AUTH ZED RE ESENT E ACO140 25-S (7I90) c-r' C ACORD CORPORATION i m DATE A41hrO 11. CERTIFICATE OF INSURANCE 03/03/95' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THE PORTER .ALLEN COMPANY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 513 SOUTHARD STREET Received i__ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. KEY WEST, FLORIDAA 33040 Risk Mgmt. & Loss Control COMPANIES AFFORDING COVERAGE (305) 294-2542 j COMPANY DATE_/ (� 9 �' A COMMERCE MUTUAL INg CE COMPANY INSURED APMVE$ RISK RrANA ,E INITIAL COMPANY 3406 NORTH ROOSEVELT BLVD. CORP. c B -BY 3406 N. ROOSEVELT BLVD. COMPANY r Q�— KEY WEST, FLORIDA 33040 C DATE COMPANY � COVERAGES 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 EXPIRATION'. LIMITS TR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR OWNER'S & CONT PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A THE PROPRIETOR/ INCL' 20258 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL, _,__..-----_.--- OTHER PRODUCTS-COMP/OP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Anyone person) $ COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: RISK MANAGEMENT 5100 COLLEGE ROAD STOCK ISLAND KEY WEST, FLORIDA 33040 04/1V94 04/18/S,5 PROPERTY DAMAGE '..$ AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT i $ - AGGREGATE $ EACH OCCURRENCE $ AGGREGATE '.$ STATUTORY LIMITS =ACH ACCIDENT $ 100,000. DISEASE - POLICY LIMIT $ 500,900. DISEASE - EACH EMPLOYEE $ 100, 000. giI 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 CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE L SU LL IMPOSE NO OBLIGATION OR LIABILITY OF AN IND UPO E ls0 NY. ITS AGENTS OR REPRESENTATIVES. ACOR6 23-952C /164 cc . DAVID W. FIIKEMA 64-38-32�ICORD CORPORATION 1993 ..................................... ::::::::<S;S:::i f :::::::: :::::::::::::;.:.::::::::..............::.::.::.::.. :;;:::;• ISSUE D /D mc:::a:;:;: .....:::i:UATE.MMD;::'<:....... f ) 1/17/95 Received THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER Risk Mgmt. & Loss Control ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Keys Insurance Agency ATE �O D / �hS ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 500080 Marathon, FL 33050 INITIAL COMPANIES AFFORDING COVERAGE COMPANY LETTER A BANKERS INSURANCE CO - FAJUA INSURED COMPANY LETTER B APPROVED BY RISK MANAGEMENT COMPANY LETTER C BY 3406 North Rc evelt Boulevard Corporation COMPANY LETTER D T 3406 N. Roosevelt Blvd. COMPANY LETTER E Key West, FL 33040 GU'lr 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. ::::::::::::.:.::::::# ::..:'.ii....1...5i..................::::F.:::.::::.:.::. :.:::::::::.::.::::.::::.... ::::::.:::::::..:::::::::.:.::::::::::::::::::::::::..L.E1....::..:................................. :.:::....:.....:::::::::::::::::::::.:::::::.:.:.:...:::::::::.:::.:::::::::::::::.:...................:::::::.:..::.:. ::...................................................................................................................::.:..::.::tsl ............................................ . ::.:::::::::>::::::::.......>...............�... y'':::::.::::::.......................................................................................................................::...:: f.................................................................................................. GENERAL LIABILITY General Aggregate Commercial General Products-Comp/Op Agg. Liability Personal & Adv. Injury Claims Made Occur. Each Occurrence Owner's & Fire Damage (Any one fire) Contractor's Prot. Mod. Expense (Any one person) AUTOMOBILE LIABILITY Combined Single Limit $ Any Auto Bodily Injury (Per person) $100,000 All Owned Autos Bodily Injury (Per accident) $300,000 Scheduled Autos Property Damage $50,000 A W Hired Autos FJC3616297101 8/27/94 8/27/95 (X) Non -Owned Autos Garage Liability Employer's Non - Ownership EXCESS LIABILITY Each Uccurrence Umbrella Form Aggregate Other Than Umbrella Form WORKER'S COMPENSATION Statutory Limits AND Each Accident EMPLOYERS' LIABILITY Disease -Policy Limit Disease -Each Employee OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ::::::::. >`R'III€fti111t«<Hgll``:':'``:`'>_'>:`>'><l�l' ICE Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail 10 days Monroe County written notice to the certificate holder named to the left, but failure to mail Attn: Risk Management such notice shall impose no obligation or liability of any kind upon the 5100 College Road company, it gents or representatives. Stock Island Key West, FL 33040 AU RIZED EE TI C C '. a C. ..........................:....:.:.:.::.:.:::.:.:::.:.:::::......::......:::::::::::::::.::::::::::::::.:. .:: .: > #R... .� ::.:.........::::::::::.::::.:.:.:.:::::::::::.::::::.. ..... ........ 'ERTIFIJ4TE OF I�R�4NE �L.i O,�f27� ISSUE DATE (MM/DD/YY) 12/16/94 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Received DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE EYS INSURANCE AG NCY POLICIES BELOW. .0. BOX 500080 sk "?gmt. R- I,nss Ccrt(rc i COMPANIES AFFORDING COVERAGE RATHON FL 3305p, r1' COMPANY BANKERS INSURANCE JUA A crlmrIAl _ LETTER COMPANY B BRITAMCO-UNAMARK INSURED LETTER 1 MANArFLIENT lt *0North th Roos'ovel t COMPANY C oulevard Corporation LETTER BY 406 N. Roosevelt Blvd. COMPANY D ae ^ S� Key West, FL 33040 LETTER DATE COMPANY E WAIVER: N/A YES LETTER �rOYERA ..... ......... _ ......... ,. .. .. ... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD CERTIFIOAI E MAY BESISSUED OR MAY PERTAIN. THIf INSURANCE AFFORDED BY BY THE POLICIES DESCRIBED HEREIN IIS SUIBJECT TO ALL THE TIERMS IS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS TR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY DOL 0 2 0 2 0 3 2 9 4 6 8/ 18 / 9 4 8/ 1 8/ 9 5 GENERAL AGGREGATE $ 500,00( PRODUCTS-COMP/OP AGG. $ OMMERCIAL GENERAL LIABILITY LAIMS MADE OCCUR. PERSONAL & ADV. INJURY $ OWNER'S d CONTRACTOR'S PROT. EACH OCCURRENCE $ 500,00 FIRE DAMAGE (Any one fire) $ 50,00( MED.EXP. (Any one person) $ AUTOMOBILE LIABILITY FJC 3 616 2 9 7101 8/ 2 7/ 9 4 8/ 2 7/ 9 5 COMBINED SINGLE ANY AUTO LIMIT $ BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ 100 1 0 0 BODILY INJURY HIRED AUTOS NON -OWNED AUTOS i + C S col" (Per accident) $ 300,00 GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABILITY - - EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM OTHER THAN UMBRELLA FORM ......_ ... _......_.... ... _.................. .. ..... STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT $ AND DISEASE -POLICY LIMIT $ EMPLOYERS' LIABILITY DISEASE -EACH EMPLOYEE $ OTHER I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS 0 DAYS NOTICE OF CANCELLATION FOR WORKER'S COMPENSATION; 10 DAYS NOTICE OR ALL OTHER COVERAGES .............. ONROE COUNTY & MONROE COUNTY TDC LISTED AS ADDITIONAL INSUREDS... Llt IA. Hikt 11 i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MONROE COUNTY MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ATT : RISK MANAGEMENT LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPO NO OBLIGATION OR 5100 COLLEGE ROAD LIABILITY OF ANY KIND UPON THE COMP ITS AGE OR REPRESENTATIVES. STOCK ISLAND AU �REPREYE s KEY WEST FL 33040 Afl p S (7�9Q W. p OIRPOFlA i it ERT711F c s�+ 10 ISSUE DATE (MM/DD/YY) , Ux 1 1/04/93 INFORMATION ONLY AND PRODUCER ' `; THIS CERTIFICATE IS ISSUED AS A MATTER OF THIS CERTIFICATE CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE EYS INSURANCE AGENCY POLICIES BELOW. . O. BOX 500080 COMPANIES AFFORDING COVERAGE ARATHON FL 33050 COMPANY A BANKERS INSURANCE JUA LETTER COMPANY E BRITAMCO-UNAMARK APPROVED BY RISK MANAGEMENT INSURED LETTF P 406 North Roosevelt COMPANY C BY oulevard Corporation LETTER __ 406 N. Roosevelt Blvd. ' "Y D DATE r Key West, FL 33040 L"'Er COMPANY E WAIVER: N/A YES - LETTER 1 ERA es ". THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED NOTWITHSTANDING CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED SYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLIdiIES. LIMITS SHOWN MAY ! '/.V. BEEN REDUCED BY PAID CLAIMS. O POLICY °PFECTIVE POLICY EXPIRATION LIMITS TYPE OF INSURANCE POLICY NUMBER F, T E (MM/DD;YY) DATE (MM/DD/YY) GENERAL LIABILITY DOL 0 2 0 2 0 3 2 9 4 6 0 8/ 18 / 9 3 0 8/ 18 / 9 4 GENERAL AGGREGATE $ 0 0 0 0 PRODUCTS—COMP/OP AGG. $ 500,00 1500,00 OMMERCIAL GENERAL LIABILITY PERSONAL & ADV. INJURY $ LAWS MADE OCCUR. EACH OCCURRENCE $ 5 0 Q 0 0 NOWNER'S & CONTRACTOR'S PROT, FIRE DAMAGE (Any one fire) $ 50,00( MED.EXP. (Anyone person) $ AUTOMOBILE LIABILITY F JC 3 616 2 9 710 0 0 8/ 2 7/ 9 3 8/ 2 7/ 9 4 COMBINED SINGLE ANY AUTO LIMIT $ BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ 10 0 0 0 BODILY INJURY HIRED AUTOS NON —OWNED AUTOS (Per accidenq $ 300.00 GARAGE LIABILITY PROPERTY DAMAGE _ _ _ _ _ EXCESS LIABILITY EACH OCCURRENCE $ :::]UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT $ AND Received DISEASE —POLICY LIMIT $ EMPLOYERS' LIABILITY Risk Mgn it. & Loss Con rol DISEASE —EACH EMPLOYEE $ OTHER DATE /G INITIAL _ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIALZTEMS 0 DAYS NOTICE OF CANCELLATION FOR WORKER'S COMPENSATION; 10 DAYS NOTICE OR ALL OTHER COVERAGES .............. 11TT'nV r1r1TTTTTV r. Mrtworw rr)TTTiTV rPnr T.T.q'T�.r) AR Ann TTTONAL INSUREDS . . . . MONROE COUNTY TOURIST DEVELOPMENT COUNCIL 3406 N. ROOSEVELT BLVD. SUITE #201 KEY WEST FL 33040 SHOULD ANY OF T14E 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 SUCH NOTICE SHAL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, IT�AGENTS OR REPRESENTATIVES. L.t l'rnuui„ MONROE COUNTY, FLORIDA Request For Waiver of Insurance Requirements It is requested that the insurance requirements. as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following contract. Contractor: 3406 No. Roosevelt Blvd. Corp. Administrative Services for the TDC Contract for: 3406 No. Roosevelt Blvd. Address of Contractor: Key West, FL 33040 296-1552 Phone: Scope of Work: To provide Administrative Services to the Monroe County Tourist Development Council Reason for Waiver: Professional Liability will be supplied when a Marketing Director has been hired. Signature of Contractor: )proved _ Not App vcd Risk ManagementJ�/ Date / I� County Administrator appcal: Approved: Datc: Board of County Commissioners appcal: Approved: --- — Mccling Date: WAIVER Not Approved: Not Approved: r TheTravelersJ -he Travelers Insurance Companies Each A Stock Insurance Company) iartford, CT 06183-4040 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER (6-UB-325VO13-2-93) NEW-93 INSURER: THE TRAVELERS INSURANCE COMPANY NCCI CO CODE: 10804 1. INSURED: PRODUCER: 3406 NORTH ROOSEVELT BOULEVARD THE PORTER ALLEN COMPANY513 SOUTHARD STREET CORPORATION KEY WEST BOULEVARD406 HSUITE E201T FL 33040 KEY WEST FL 33040 Insured is A CORPORATION Other work places and identification numbers are shown on the schedule(s) attached. 2. The policy period is from 04-17-93 to 04-17-94 12:01 A.M. at the insured's mailing address. WORKERS COMPENSATION INSURANCE: Part One of the policy applies 3� A. to the Workers Compensation Law of the state(s) listed here: FL B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: 200,000 Each Accident Bodily Injury by Disease: 500,000 Policy Limit Bodily Injury by Disease: $ 2001000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: COVERAGE EXCLUDED. D. 0pi0includes theseenosments and schedules: WC004)Oeendorsements 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information s subject to verification and change by audit to be made ANNUALLY DATE OF ISSUE: 05-05-933 MT ST ASSIGN: FL OFFICE: ORIND 870 DISTRICT: C-06 PRODUCER: THE PORTER ALLEN COMPANY 266ND DATE (MMIDDNY) ACORD, CERTIFICA-1E OF LIABILITY INSUP LANCE 03/21/2003 PRODUCER (305) 294-2542 FAX (305) 296-7985 THIS CERTIFICATE IS IaSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Porter Allen Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 513 Southard Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West, FL 33040 INSURERS AFFORDING COVERAGE INSURED 3406 N ROOSEVELT BLD CORP. INSURER A: ZENITH INSURANCE COMPANY 1201 WHITE ST INSURER B: SUITE 102 INSURERC: KEY WEST, FL 33040 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. INSR TR TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR POLICY NUMBER POLICY EFFECTIVE DAT M /DIY POLICY EXPIRATION AT M/ Y LIMITS EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO171 LOC JECT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS qpp` I BY B DATE WAIVER ANA MENT COMBINED SINGLE LIMIT (Ea accident) $ BODILYINJURY ( person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO r.n, AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Z832025810 04/18/2003 04/18/2004 EACH OCCURRENCE $ AGGREGATE $ $ _ 1 ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYE $ 100,000 E. L. DISEASE -POLICY LIMIT 1 $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS liCR l lri%,m I C Fi%j r/ m I I AUUI I IUNAL INQUM u,I-w--Il- MONROE COUNTY BOARD OF COUNTY COMMISSIONERSS 1100 SIMONTON STREET KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, T SUI G COMPANY WILL ENDEAVOR TO MAIL 10 S WRITTEN N TOT CERTIFICATE HOLDER NAMED TO THE LEFT, SHALL POSE NO OBLIGATION OR BU ANY KIND UOON IL O ANY ETS AGENTS OR REPRESENTATIVES. LIABILITY FAX- 292-4564 ACORDM CERTIFICATE OF LIABILITY INSURANCE 08/21/2 0 ) PRODUCER (305)294-4494 FAX (305)294-0772 Keys Insurance Services, Inc. 805 Peacock Plaza 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. INSURERS AFFORDING COVERAGE NAIC # INSURED 3406 North Roosevelt Boulevard Corporation 1201 White Street Suite 102 Key West, FL 33040-3328 INSURERA: Colony Ins Co INSURERB: INSURERC: INSURERD: INSURER E: nnVFRAI_FC THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINi 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 ADDT TYPE OF INSURANCE POLICY NUMBER POLEFFE ICY CTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY MP738619A 08/23/2003 08/23/2004 EACH OCCURRENCE $ 500,0001 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (F, $ 50,00 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5,00 A PERSONAL & ADV INJURY $ Excl ude GENERAL AGGREGATE $ 500,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Excl ude POLICY PROECT LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS pie CM E N� NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ �E. ,,. ;_ _,___ (Per accident) GARAGE LIABILITY WAIVER N/A..-t-- YES' AUTO ONLY - EA ACCIDENT $ AUTO OTHER THAN EA ACC $ $ 1 EANY AUTO ONLY: AGG EXCESSIUMBRELL A LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ , $ DEDUCTIBLE " $ RETENTION $ WORKERS COMPENSATION AND WC STALIMTU- OTH- 'RYEMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Monroe County Board of County Commissioners are added as certificate holders and as additional insureds. Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED I EXPIRATION DATE THEREOF, THE ISSUING 10 DAYS WRITTEN NOTICE TO THE CI BUT FAILURE TO MAIL SUCH NOTICE SHAL OF ANY KIND UPON THE INSURER, ITS AUTHORIZED REPRESENTATIVE OR BE CANCELLED BEFORE THE WILL ENDEAVOR TO MAIL rE HOLDER NAI�q 1� THE LEFT, NO OBLIGATI/d!N/O LIABILITY ACORD 25 (2001I08,lr FAX: 295-4342 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE 08/21/2 0 PRODUCER (305)294-4494 FAX (305)294-0772 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 805 Peacock Plaza HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West, FL 33040 INSURERS AFFORDING COVERAGE NAIC # INSURED 3406 North Roosevelt Boulevard Corporation INSURER A: Colony Ins Co 1201 White Street INSURERB: Suite 102 INSURER C: Key West, FL 33040-3328 INSURERD: INSURER E: nnv11TnAf r= THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDIN, 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 D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DI POLICY EXPIRATION IIAIKAM'mm LIMITS GENERAL LIABILITY MP738619A 08/23/2003 08/23/2004 EACH OCCURRENCE $ 500,000 X I COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,000 CLAIMS MADE � OCCUR MED EXP (Any one person) $ 5,00( A PERSONAL & ADV INJURY $ Exclude GENERAL AGGREGATE $ 500,00( 'L AGGREGATE LIMIT APPLIES PER: k PRODUCTS - COMP/OP AGG $ Exclude POLICYF_j PRO' JECT LOCH N-OWNED AUTO $100,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLALIABILITY APPI �' K MAMA NT EACH OCCURRENCE $ OCCUR CLAIMS MADE BY AGGREGATE $ DATE �/ DEDUCTIBLE $ $ RETENTION $ W WORKERS COMPENSATION AND WC STATU- OTH- E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - FA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below VVV E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Monroe County Board of County Commissioners are added as certificate holders and as additional insureds. Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE HE EXPIRATION DATE THEREOF, THE ISSUING INS ER WILL ENDEAVOR TO 10 DAYS WRITTEN NOTICE TO THAENT FICATE HOLDER N EDT HE LEFT, BUT FAILURE TO MAIL SUCH NOTICE POSE NO LIG N I4ABILITY OF ANY KIND UPON THE INSURER, ITOR AUTHORIZED REPRESENTATIVE .� F. Haaer D063359 arnRn,2s t7nnvnsn FAX: 295-4342 ©ACORD CORPORATION 1988 A--pM CERTIFICATE OF LIABILITY I PRODUCER (305)294-4494 NSURANCE DATE(MM/DD/YY) Keys Insurance Agency, Inc. FAX (305)294-0772 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOR10 MATION 002 805 Peacock Plaza ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Key West, FL 33040 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED 3406 North Roosevelt Boulevard Corporation INSURERS AFFORDING COVERAGE 1201 White Street INSURER A: COIOny Ins CO SUi to 102 INSURER B: Key West, FL 33040-3328 INSURER C: INSURER D: COVERAGES INSURER E: THE POLICIES 01E INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIC ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AN POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ATED. NOTWITHSTANDING iNSR MAYBE ISSUED OR LTR TYPE OF INSURANCE D CONDITIONS OF SUCH GENERAL LIABILITY POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION P738619A DATE MM/DD/YY DATE MM/DD/ri X COMMERCIAL GENERAL LIABILITY 08/23/2002 08/23/2003 OCCURRENCE LIMITS $ CLAIMS MADE � OCCUR EACH SOO, 001 AFIRE DAMAGE (Any one f' — - re) $ MED EXP (Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL & ADV INJURY $ POLICY PRO- GENE RALAGGREGATE $ JECT LOC AUTOMOBILE LIABILITY P738619A PRODUCTS - COMP/OP AGG $ ANY AUTO 08/23/2002 08/23/2003 ALL OWNED AUTOS COMBINED SINGLE LIMIT A SCHEDULED AUTOS (Ea accident) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per person) $ BODILY INJURY (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE (Per accident) $ ANY AUTO APPRQ 9 K m ` G AUTO ONLY - EA ACCIDENT $ EXCESS LIABILITY OTHER THAN EA ACC $ OCCUR CLAIMS MADE DATE AUTO ONLY: AGG $ EACH YES OCCURRENCE AGGREGATE DEDUCTIBLE WAIVER /A $ RETENTION $ $ WORKERS COMPENSATION AND $ EMPLOYERS' LIABILITY ` C C y $ TORY LIMITS W ER E.L. EACH ACCIDENT $ OTHER E.L DISEASE -EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATION SlVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Additional Insured: Monroe County Board of County Commissioners CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: Monroe County Board Of County Commissioners Maria Slavik 1100 Simonton Street Key West, FL 33040 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY ILL ENDEAV0 TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFI TE HOLDER N / BUT FAILURE TO MAIL SUCH NOTICE SHALL D TOSE NO OBLI IAIBC OF ANY KIND UPON THE COMPANY, ITS ' AUTHORIZED REPRESENTATIVE R REPgE$ TATI F. Hager D063359 1 100 1 DATE (MWDD/YY) LIABILITY INSU'" 'ONCE / 10/09/2002 ACORD,� C ERTI F ICp ''C THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER (305) 294-2542 FAX (305) 296-7985 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Porter Allen Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 513 Southard Street INSURERS AFFORDING COVERAGE Key West, FL 33040 INSURER A: INSURED 3406 N ROOSEVELT BLD CORP. INSURERS: 1201 WHITE ST INSURER C: SUITE 102 INSURER D: KEY WEST, FL 33040 INSURER E: 7.7 NDING COVERAGES ION OF ANY ONTRACT OR OTHER DOCUMENT WITH TO ALL THE ERIMS,EXCLUSIONS AND COND TIONS OF SUCH THE POLICIES OF INSURANCE LISTED, ELOW HAVE BEEN ISSUED TO THE INSURED NAM IT ABOVE FOR THE POLICY PERIOD INDICATEMAY BE ISSUED OR D. NO IONS OF SUCH ANY REQUIREMENT, TERM OR CONDITION -SCRIBED HEREIN IS POLICIES.MAY AOGTHE REGATE LIMITS SHOWNCE DED MAYBY THE HAVE BEEN( REDUCED BY PAID CLAIMS. SUBJECT LIMITS POLICY EFFECTIVE POLICY EX (RATIO INSR TYPE OF INSURANCE POLICY NUMBER EACH OCCURRENCE $ GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ II PRODUCTS. COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JPERO- LOC CT NT COMBINED SINGLE LIMIT $ (Ea accident) AUTOMOBILE LIABILITY MAN EM ANY AUTO BODILY INJURY $ 1� (Per person) ALL OWNED AUTOS SCHEDULED AUTOS G BODILY INJURY $ (Per accident) HIRED AUTOS �E� YES NON -OWNED AUTOS Aj; !'41 PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ ^� EA ACC $ GARAGE LIABILITY OTHER THAN AUTO ONLY: AGG $ ANY AUTO " EACH OCCURRENCE $ EXCESS LIABILITY AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE RETENTION $ 04/18/2002 04/18/2003 TORY LIMITS ER 100 WORKERS COMPENSATION AND 832025809 E.L. EACH ACCIDENT $ 100 EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYE $ A E.L. DISEASE - POLICY LIMIT $ 500 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER MONROE COUNTY BUILDING & ZONING DEPT. 1100 SIMONTON STREET KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLtU our— , , EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY REPRESENTATIVES. OF ANY KIND UPON THE COMPANY, ITS AGENTS OR AUTHORIZED REPRESENTATI'r(E A. 1(7/97) JAX ; (305) 295-3994 C C�c,wcvwt,c gCDRQM CERTIFICATE OF LIABILITY INSURANCE DATE MM/DDNYYY 1 04/30/2004) PRODUCER (305)294-2542 FAX (305)296-7985 The Porter Allen Company 513 Southard Street 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. INSURERS AFFORDING COVERAGE NAIC # INSURED 3406 N ROOSEVELT BLD CORP. 1201 WHITE ST SUITE 102 KEY WEST, FL 33040 INSURERA: ZENITH INSURANCE COMPANY INSURER B: INSURER C: INSURERD: INSURER E: rn11C0Ant Q THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN 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 DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDDIYYI LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR 11 EACH OCCURRENCE $ DAMAGE TO RENTED $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROECT LOC J PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTOCOMINE'A ALL OWNED AUTOS SCHEDULED AUTOS i HIRED AUTOS NON-OWNEDAUTOS 'A P' �.i [.� `-MA y "' IvEI.:I N/A _LYES NIEN� —�! (F_aaBctleDISINGLELIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ 1 GARAGE LIABILITY ANY AUTO E AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below Z832025811 04/18/2004 04/18/2005 WCSTATU- OTH. E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS MONROE COUNTY BOARD OF COUNTY COMMISIONERS 1100 SIMONTON STREET KEY WEST , FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE SUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS W NOT! �"/ E CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAIL O M L S 0 E SHALL IMPOSE NO OBLIGATION OR LIABILITY OF A NP U T NSI ER, ITS AGENTS OR REPRESENTATIVES. DAVID AGUKU 25 (2007/09 rrAA; 1y4-4:01134 i-j t 1 c� : {���`� ���c\� ©ACORD CORPORATION 1988 TE ACORDM CERTIFICATE OF LIABILITY INSURANCE 1 09/15/z 0 ) PRODUCER (305)294-4494 FAX (305)294-0772 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 805 Peacock Plaza ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West, FL 33040 INSURERS AFFORDING COVERAGE NAIC # INSURED 3406 North Roosevelt Boulevard Corporation INSURERA: Colony Ins Co 1201 White Street INSURERB: Suite 102 INSURERC: Key West, FL 33040-3328 INSURERD: INSURER E: L, U VCRAV CG7 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDINi 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 ADDIN TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX] OCCUR MP738619B 08/23/2004 08/23/2005 EACH OCCURRENCE $ S00,00 DAMAGE TO RENTED $ 50 r 00 MED EXP (Any one person) $ S,00 PERSONAL & ADV INJURY $ Exclude GENERAL AGGREGATE $ S00,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROECT LOC J PRODUCTS - COMP/OP AGG $ Exclude AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO A P C . _ A BY _ �� GEMENT AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: qGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ DA7 WAI"-' _ __.._.',' S EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below t J , WC STATU- OTH- E.L.'EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is also added as an additional insured. Monroe County Board of County Commissioners 1100 Simonton Street Room 268 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED I EXPIRATION DATE THEREOF, THE ISSUING 10 DAYS WRITTEN NOTICE TO THE C BUT FAILURE TO MAIL SUCH NOTICE SH OF ANY KIND UPON THE INSURER, ITS E AUTHORIZED REPRESENTATIVE X A BE CANCELLED BEF THE l WILL ENDEAVOp T L D THE LEFT, LIABILITY ACORD 25 (2001/08) FAX: 295-4342 CORPORATION 1988 A CORD. CERTIFICATE OF LIABILITY INSURANCE =D�ATE (MAA/DD/YYYY) PRODUCER (305)294-4494 FAX (305)294-0772 9/15/2004 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 805 Peacock Plaza 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 3406 North Roosevelt Boulevard Corporation INSURERA: Colony Ins Co 1201 White Street Suite 102 INSURERB: Key West, FL 33040-3328 INSURER C: 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 INSR DD' L CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 08/23/2004 POLICY EXPIRATION 08/23/2005 LIMITS GENERAL LIABILITY X COMMERCIAL MP73861 BB EACH OCCURRENCE $ 500,00 GENERAL LIABILITY DAMAGE TO RENTED $ 50,00 CLAIMS MADE ] OCCUR MED EXP (Any one person) $ 5100 A PERSONAL & ADV INJURY $ Exclude GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 500 00 PRODUCTS - COMP/OP AGG $ Exclude POLICY JECT PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO MP738619B 08/23/2004 08/23/2005 ALL OWNED AUTOS 10n 00 BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS X BODILY INJURY (Per accident) $ NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: EXCESS/UMBRELLA LIABILITY AGG $ OCCUR CLAIMSMADE APP EACH OCCURRENCE $ AGGREGATE 3Y__7__ $ DEDUCTIBLE A RETENTION $ DATA „.._.. _.,.._-�,� -w_ $ WORKERS COMPENSATION ANDWA i�l 1-" EMPLOYERS' LIABILITY --. K WCSTATU- OTH- ..-.-- -_ _ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEEXCLUDED? E.L. EACH ACCID ENT $ If yes, describee under E.L. DISEASE - EA EMPLOYE $ SPECIAL PROVISIONS below OTHER E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is also added as an additional insured. Lc::, rr�(,6 •. i-� �+tiaYN.-C R—, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFO E THE EXPIRATION DATE THEREOF, THE ISSUING INS ER WILL END OR T MAIL Monroe County Board of County Commissioners 10 DAYS WRITTEN NOTICE TO THE CE FICATE HOLDE AM O THE LEFT, BUT FAILURE TO MAIL 1100 Simonton Street Room 268 SUCH NOTICE S IMPOSE NO OB TIQN R LIABILITY Key West, FL 33040 OF ANY KIND UPON THE INSURER, ITS E S SE AT AUTHORIZED REPRESENTATIVE HagerF. D063359 ACORD 25 (2001/08) FAX: 295-4342 t c � l` ©ACOR COR RATION 1988 ACOFt., .CERTIFICATE OF LIABILITY INSURANCE 05/OS/z s' PRODUCER (305)294-2542 FAX (305)296-7985 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Porter Allen Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 513 Southard Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West, FL 33040 INSURERS AFFORDING COVERAGE NAIC # INSURED 3406 N Roosevelt Bldg Corp INSURER A: Zenith Insurance Co 1201 White Street #E102 INSURERB: Key West, FL 33040 INSURERC: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY 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 DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECMIDDITIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR p A�'^,�G ED BY RISK NAGEMEN EACH OCCURRENCE $ DAMAGE TO RENTED $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- Loc PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DATE .._ WAIVER N/A \jJ� C C( YES(Per COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below Z83205812 04/18/2005 04/18/2006 OTH- 1 WC STATUS I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS Monroe County Board of County Commissioners Monroe County Risk Management PO 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 DAYS WRITTEN EURER, O THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILU MAI CE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF AN UP E ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/ ) rAA: (3U5)[95-i1/9 CC: ©ACORD CORPORATION 1988 ACORR, CERTIFICATE OF LIABILITY INSURANCE 08/19/2 0 PRODUCER (305) 294-4494 FAX (305) 294-0772 Keys Insurance Services, Inc. 805 Peacock Plaza 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. INSURERS AFFORDING COVERAGE NAIC # INSURED 3406 North Roosevelt Boulevard Corporation 1201 White Street Suite 102 Key West, FL 33040-3328 INSURERA: Colony Ins Co INSURERB: INSURER C: 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 D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MWDD/YYI LIMITS GENERAL LIABILITY MP32424098 08/23/2005 08/23/2006 EACH OCCURRENCE $ 500,00( X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,00( CLAIMS MADE FX I OCCUR MED EXP (Any one person) $'^ 5,00( A PERSONAL & ADV INJURY $ Exclude GENERAL AGGREGATE $ 500,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Exclude POLICY PROECT LOC J AUTOMOBILE LIABILITY ANY AUTO MP3242409B 08/23/2005 08/23/2006 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS $1.00,000 NON -OWNED AUTOS LIMIT FOR NON OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY LP EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE ' 2� i.. v/ AGGREGATE $ $ f $ DEDUCTIBLE / $ RETENTION $ WORKERS COMPENSATION AND JJJ L}( WC STATU- O R LIMIT EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? / J\ i E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is also added as an additional insured C C, Monroe County Board of County Commissioners 1100 Simonton Street Room 268 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED F EXPIRATION DATE THEREOF, THE ISSUING 10 DAYS WRITTEN NOTICE TO THE CI BUT FAILURE TO MAIL SUCH NOTICE SHAL OF ANY KIND UPON THE INS AUTHORIZED REPRESENTATIVE 59 IE CANCELLED BEFORE THE WILL ENDEAVOR TO MAIL E HOLDER , TO THE LEFT, I OR LIABILITY ACORD 25 (2001/08) ©ACORD CORPORATION 1988 ACORDa CERTIFICATE OF LIABILITY INSURANCE oaizs/2006 PRODUCER (30S)294-2542 FAX (305)296-7985 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Porter Allen Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 513 Southard Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West, FL 33040 INSURERS AFFORDING COVERAGE NAIC # INSURED 3406 N Roosevelt Bldg Corp INSURER A: Zenith Insurance Co 1201 White Street #102 INSURERB: Key West, FL 33040 NSURER C: NSURER D: INSURER E: {� VCR "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. INSR To DD' si�.GENERAL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY 7 JECT LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS _ , 5i .,'-/ .,,�...:. J( COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO, _ ' L , AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ , EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? If yes,SPEC AL PRO under SPECIAL PROVISIONS below Z832025813 04/18/2006 04/18/2007 WC STATU- TIR E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,00 E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ^A\IPL`I 1 ATIf kl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Monroe County Board of Commisioners 30 DAYS W ITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Risk Management BUT FAIL 0 NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 Simonton Street OF IIIDDD/// NSURER, ITS AGENTS OR REPRESENTATIVES. ALT R I Key West, FL 33040 Da re n ACORD 25 (2001/08) FAX: (305)292-4S42 ©ACORD CORPORATION 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE 09/08/2 o ) Pr'ODUCER (305)294-4494 FAX (305)294-0772 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION keys Insurance Services, Inc. 805 Peacock Plaza -----1— _-- ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS-CERTIFICATE DOES NOT AMEND, EXTEND OR HE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West, FL 33040 Hi3tIRERS AFFORDING COVERAGE NAIC # AED 3406 N. Roosevelt Blvd. Corporat'on INSURERA: Colony Ins Co 1201 white street suRER 9: ,I LSEP Suite 102 INSURER C: Key West, FL 33040 N$UR (AOidRO 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 ADUL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY MP3242409C 08/23/2006 08/23/2007 EACH OCCURRENCE $ 500,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ SO DD CLAIMS MADE LK OCCUR MED EXP(Any one person) $ 5,00 A PERSONAL & ADV INJURY $ Exclude GENERAL AGGREGATE $ 500,00( GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $ Exclude POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO MP3242409C 08/23/2006 08/23/2007 COMBINED SINGLE LIMIT (Ea accident) $ A ALL OWNED AUTOS SCHEDULED AUTOS 100,000 LIMIT FOR NON OWNED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY -FA ACCIDENT $ OTHER THAN EA ACC $ ANVAUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F_ICLAIMS MADE AGGREGATE $ DEDUCTIBLE - $ $ RETENTION $ ^^"-'��_ - WORKERS COMPENSATION AND WC STATLIMU- OTH. EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OTFiCEfLMEhtBER EXCLUDED? f. Iyes, desc,ibe under SPECIAL PROVISIONS below (� n I E.L. EACH ACCIDENT $ E.L DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ OTHER C L.�. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is also added as an additional insured G G : /-'+ n a-n,c e__ Monroe County Board of County Commissioners 1100 Simonton Street Room 268 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED EXPIRATION DATE THEREOF, THE ISSUINI 10 DAYS WRITTEN NOTICE TO THE(( BUT FAILURE TO MAIL SUCH NOTICE SWA[ AUTHORIZED REPRESENTATIVE BEFORE THE R TO MAIL EHO DER NAMED TO THE LEFT, NO IBLIC14ION OR LIABILITY ACORD 25 (2001108) 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE I 09/2 i 007 PRODUCER (305)294-2542 FAX (305)296-7985 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Porter Allen Company I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 513 Southard Street Key West, FL 33040 David Freeman DBA: Linda Stuart 1201 White Street #102 Key West, FL 33040 rnvoowr_oc HOLDER.? RE0EIVL-. �RER SEP 2 4 20 INSU ER A: RC: INSU INSU R D: NI�N� OOUNri INSURERE: AFFORDING COVERAGE NAIC # 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 AIDUL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I POLICY EXPIRATION LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE n OCCUR —J EACH OCCURRENCE $ DAMAGE TO RENTED $ $ MED EXP (Any one person) PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JPEO LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS _ � \yf -'{-- 4 Al� i 11✓✓ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Par accident) $ GARAGE LIABILITY ANV AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMSRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below Z832025814 04/18/2007 04/18/200$ WC STATU- OTH- CRY LIM E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEE $ 100,00 E.L. DISEASE -POLICY LIMIT $ 500,00 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS 201 White Street Suite#102 ; 3406 North Roosevelt Blvd Corp., Key West FL Monroe County Board of County Commissioners 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 THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SIR L I POSE N B T ON OR LIABILITY OF ANY KIND UPON THE INSURER. IT AGENT OR RE RE NT IVE3_ ACORD 25 GC,'c CORPORATION 1988 AC_O_RP CERTIFICATE OF LIABILITY INSURANCE OAT/ 006) 09/O8/200A1 PRODUCER (305)294-4494 FAX (305)294=0Z72 _. _.. FI— ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. iND CO FERS NO RIGHTS UPON THE CERTIFICATE 80S Peacock Plaza \ �, I _R.THIS ERTIFICATE DOES NOT AMEND, EXTEND OR VBY THE POLICIES BELOW. Key West, FL 3304(1„�_ 4S AFF RDING COVERAGE NAIC # INSURED 1201 White Street Suite 102 Key West, FL 33040 INSURER B. dN$Uf}ERO. -.. •.: (INSURER D: INSURER E. Ins 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 DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ri LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY jj CLAIMS MADE [X] OCCUR MP3242409D 08IZ312007 08/23/2008 EACH OCCURRENCE $ 500,000 DAMAGE TO RENTED $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADVINJURY $ Excluded GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY?T JECT LOC PRODUCTS-COMP/OP All $ Excluded AUTOMOBILE LIABILITY ANY MP3242409D 08/23/2007 08/23/2008 COMBINED SINGLE LIMIT (Ea accident) $ AUTOS 100,000 LIMIT FOR NON A SCHEDULED Auros OWNED AUTOS 1PeDPesIoo)uav $ OS NONOWNEDAUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ TYAUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIPBILITV OCCUR ❑ CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ EMPLOYWORKERS COMPENSATION ON AIVD EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' ' ^ WC STATUE- FR LIMUES E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes describe under SPECIAL PROVISIONS below „ � lll��� EL.DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is also added as an additional insured CFRTIFICATP WnI nro Monroe County Board of County Commissioners 1100 Simonton Street Room 268 Key West, FL 33040 F. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE p(p(pp((��1�ppppNCELLED BEFORE THE EXPIRATION DATE THEREOF, THE IS S R WIENDEAVOR ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE T CERIINN ATE OLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH N I SH SE OBLIGATION OR LIABILITY ACORD 25 (2001/08) CORPORATION 1981 TM CERTIFICATE OF LIABILITY INSURANCE DATE 03/30/2009, PRODUCER (305)294-4494 FAX (305) 743-0582 Keys Insurance Services, Inc. 805 Peacock Plaza _ 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 ALTER OYERAGE AFFORDED BY THE POLICIES OR BELOW. 11, [JBS AFFOR NG COVERAGE ff NAIC # INSURED 3406 N . Roosevelt Blvd. Corporation 1201 White Street Suite 102 APR Key West, FL 33040-3328 INSURER A:` Colony Ins Co IN R INMRAWU INSURER D: THE POLICIES OF INSURANCE: LISTED BELOW HAVE BEEN IS8U "'ro THE5NSURED 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYYI POLICY EXPIRATION DATE (MM/DDMI LIMITS GENERAL LIABILITY MP3242409E 08/23/2008 08/23/2009 EACH OCCURRENCE $ 500,000 DAMAGES ( RENTED $ 50,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5,000 CLAIMS MADE • - OCCUR PERSONAL & ADV INJURY $ Excluded A . i GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Excluded POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) 100,000 BODILY INJURY $ ALL OWNED AUTOS MP7386198 08/23/2008 08/23/2009 (Per person) SCHEDULED AUTOS A HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY (_ EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE l ~ $ $ DEDUCTIBLE $ RETENTION $ WC STATU- OTH- WORKERS COMPENSATION AND C E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? .. E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is also added as an additional insured Monroe County Board of County Commissioners 1100 Simonton Street, Room 268 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE ANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE�ISSUINCSI�RERL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICETI/�J/I`QATE OLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NO ' CE SF OF ANY KIND UPON THE IN R, AUTHORIZED REPRESENTATI F. Haaer OBLIGATION OR LIABILITY ESENTATIVES. ACORD 25 (2001/08) FAX: 295-4342 tACORrf gt)RPORATION 1988 ACORP, CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY 05/19/2009) PRODUCER (305)294-2542 FAX (305)296-7985 The Porter Allen Company 513 Southard Street Key West, FL 33040 David Freeman 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 3406 N Roosevelt Bldg Corp DBA : Linda Stuart 1201 White Street #102 Key West, FL 33040 INSURER A: Zenith Insurance Co INSURER B: INSURER C: INSURER D: INSURER E: CnVFRAGFS 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDfYY) POLICY EXPIRATION DATE (MM/DDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE r—] OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ BODILY INJURY HIRED AUTOS NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO � 0 $ AUTO ONLY: AGG EXCESSiUMBRELLA LIABILIT`,' Vb1b t EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE VDL $ RETENTION $ WORKERS COMPENSATION AND Z83202 5816 04/18/2009 04/18/2010 WC STATU- o R TORY LIMIT EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ],00 OQ A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ 100,000 OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE -POLICY LIMIT $ S00,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 201 White Street Suite#102 ; 3406 North Roosevelt Blvd Corp., Key West FL SHOULD ANY OF THE ABOVE EXPIRATION4A1E TH Monroe County Board of County Commissioners BUT ILU ETO 1100 Simonton Street O NY NDUP( Key West, FL 33040 Au o David Freeman IBED POLICIES BE CANCELLED BEFORE THE / IN INSURER WILL ENDEAVOR TO MAIL T CERTIFICATE HOLDER NAMED TO THE LEFT, SHALL IMPOSE NO OBLIGATION OR LIABILITY ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/08) ©ACORD CORPORATION 1988 C. c, DATE (MMIDDNYYY) ACORA CERTIFICATE 4F LIABILITY INSURANCE 8/3/2009 PRODUCER (305) 294-4494 FAX: (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Keys Insurance Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 805 Peacock Plaza ALTER THE C FFORDED BY THE POLICIES BELOW. Key West FL 33040 LI L1R G4P G COVERAGE NAIC # INSURED INSURERA:Colony tnS do 3406 N. Roosevelt Blvd. Corporation AIMORERB: 1201 White Street INSURERC: Suite 102 INSURER D: -- -- T,T o-�nwn—'2-2450 IcsrateEf (llf(,!iY OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED T07REIWURED 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/Y POLICY EXPIRATION DATE MMIDD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR MP3242409F 8/23/2009 8/23/2010 EACH OCCURRENCE $ 500,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP An one Person)$ 5,000 PERSONAL & ADV INJURY de $ Exclude GENERAL AGGREGATE $ 500,000 PRODUCTS - COMP/OP AGG $ Exclude GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY EOT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS / 4 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION vyn A ' ' EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under IPROVISIONS belowE.L. WC STATU- OTH- RY IMIT R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate holder is also added as an additional insured. CERTIFICATE Monroe County Board of County Conmissione 1100 Simonton Street Key West, FL 33040 Z . LFMMOCLA. m 1 IVIY SHOULD ANY OF THE ABOVE DESCRIBED ICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING 1 SURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE RT I ATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL SE NO I AT ON OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS ES T I ('_� (... AUTHORIZED F Hager ` ...AD. CERTIFICATE QF LIABILITY INSURANCE DATE 1u2 M/pOWYYY)A 8/3009 PRODUCER (3 05 ) 2 94 - 4 4 94 FAX: (305 ) 7 43- 0582 Key s Insurance Services Inc.NLY IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AND CONFERS NO RIGHTS UPON THE CERTIFICATE ;HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 805 Peacock Plaza[jt_ GAFFORDED BY THE POLICIES BELOW. - Ke West FL 33040 INSURERS AFC IN COVERAGE NAIC S INSURED 3406 N . Roosevelt Blvd. Corporation SEF I N S U P, 9R l Or y I Co INSU R INSURERC: 1201 White Street Suite 102 Key West FL 33040-3328; 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. AGGRE LIMINBEE REDUCEO BY PAD CLAIMS, INSIt L TYPE OF INSURANCE POLICY NUMBER DPOLICY �T�IMn UCY OM ��� LIMITS GENERAL LIABILITY EACH R 1 $ 500 , 000 O RENTED PREMIS T(Ea 290aM) $ 50 , OOO X COMMERCIAL GENERAL LIABILITY MED EXP one n $ 51000 A CLAIMS MADE OCCUR MP3242409F 8/23/2009 8/23/2010 P R V INJURY $ ExC1 GENERAL AGGREGATE $ 500,000 :J PRODUCIa - $ Excluded GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JLCT El LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 300,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY {Per accident) $ A HIRED AUTOS x NON -OWNED AUTOS MP3242409F 8/23/2009 8/23/2010 PROPERTY DAMAGE (Per aeddent) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO $ AUTO ONLY: A G EXCESS/UMBRELLA LIABILITY EACH OCPdUBMNCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE RE TI N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE 1 WC TATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? N yes, describe under CIAL PROVISIONS below' x E.L. DISMSE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERAT10NSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Certificate holder is also added as an additional. insured. CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissione 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING 1 R WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THf. CER33 R NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPO ION LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTA' F Hager A%&%AMW AD JAw-11vo) INS025 voe).oea �! /1VV�tV VVRf V�1A 9V919 1 avu Page 1 of 2 ACORD CERTIFICATE OF LIABILITY INSURANCE ° ^'E�w°°^Y PRODUCER r - ..luceanc cirarie ii iccc� .� ....,-.�., __ .04/08/2010 Ss. Paychex Insurance Agency, Inc.Y� CONFER NO RIGHTS MUPON R HE ur INFORMATION (QN CERTIFICATE 150 Saw rass Driv . _ HIS CERT ICATE DOES 9 e »� -�-�°► - � E-G VERA E AFFORDED gy0 T AMEND, EXTEND OR Rochester, NY 14620 HE POLICIES BELOW, I SUR RS AFFORDING COVERAGE INSURED 3406 NORTH R 3 INSURr'I A:*or Insur OOSEVELT BLVD, _ _ _ _ nce Company DBA MONROE COUNTY TOURIST DEVELOP ENT FINSURERB:- CORPORATION 1201 WHITE STREET, SUITE 102 ��`r----- ...... KEY WEST, FL 33040 _,.. i;: lWWO CatF. Tip_______ - -_ --_ ._� __� ---------- INSURER E: -� COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFIC TNOTWITHSTANDING E MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CONDITIONS OF SUCH RD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIMlDnfYVE POLICY EXPIRATION _ - --- j LIMITS GENERAL LIABILITY ) ( EACH OCCURRENCE , $ COMMERCIAL GENERAL_ LIABILITY ' FIRE DAMAGE (Any one fire) $ CLAIMS MADE _ I OCCUR - _ MED EXP (Any one person) 1 $ PERSONAL 8 ADV IN -� JURY $ p GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: $ r� PRO- r -� PRODUCTS - COMP/OP AGG , $ POLICY ° LOC ` AUTOMOBILE LIABILITY 4- , ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS _ J SCHEDULED AUTOS ! BODILY INJURY ' (Per person) $ t I HIRED AUTOS Cro I NON -OWNED AUTOS BODILY INJURY $ (Per accident) GARAGE LIABILITY ! i ANY AUTO EXCESS LIABILITY lOCCUR 71 CLAIMS MADE 31 DEDUCTIBLE I RETENTION $ WORKERS COMPENSATION AND A I EMPLOYERS' LIABILITY 176WEGJX8360 I OTHER , (o, 04/18l2010 PROPERTY DAMAGE (Per accident) S AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE Is AGGREGATE _41 I$ X j WC STATU- V OTH- F 04/18/2011 E.L. EACH ACCIDENT ` E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT ; $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY VILEST, FL 33040 ACORD 25-S (7/97) 100,000 100,000 500,000 CANCELLATION 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 REPRESENTATIVES, AUTHORIZED REPRESENT- �' t a ACORD CORPORATION 1988 0 DATE (MM/DD/YYYY) AiIC"R" CERTIFICATE OF LIABILITY INSURANCE 8/20l2010 PRODUCER (3 05) 2 94 - 4 4 94 FAX: (305) 74 3--05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc.20-ft ee? R NO RIGHTS UPON THE CERTIFICATE UHIS CERTI ICATE DOES NOT AMEND, EXTEND OR 805 Peacock Plaza d COVERA E AFFORDED BY THE POLICIES BELOW. Key West FL 33040 INSURERS AFFOI tDING COVERAG E NA IC # INSURED AuINS6 A-MOony Ins Co 3406 N . Roosevelt Blvd. Corporation INSURER B: 1201 White Street,+r,t. _5F]TY Suite 102 rI`;tl,?_�'' Key West FL 33040-3328 INSURER E: r^1/CM A f%_ CC THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAN DING 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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION. LIMITS TR Y DAT MM/D tYYYY AT MW D/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 A CLAIMS MADE: X OCCUR MP3242409G 8/23/2010 8/23/2011 MED EXP (Anyone person) $ 5, 000 PERSONAL & ADV INJURY $ Excluded GENERAL AGGREGATE $ 500, OOO GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ Excluded X POLICY PRo- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 100,000 ANY AUTO (Ea accident) A ALL OWNED AUTOS MP3242409G 8/23/2010 8/23/2011 BODILY INJURY SCHEDULED AUTOS (Per person?) $ HIRED AUTOS BODILY INJURY $ X .NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS ! UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE -''' $ RETENTION 1. $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 0: (Mandatory in NH) a E.L. DISEASE - EA EMPLOYEE' $ If yes, describe under rn �'/ SPECIAL PROVISIONS below 0 E.L_ DISEASE - POLICY LIMIT $ OTHER a I DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIALA&II16NS Certificate holder is also listed as an additional insured on the policy CERTIFIGATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County COIILICIissione DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 1100 Simonton St NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Key West, FL 33040 IMPOSE NO OBLIGATION OR LIABILITY OFjNY OD UPON THE INSURER, ITS AGENTS OR . REPRESENTATIVES. e// AUTHORIZED REPRESENTATIVE _ F . Hager / DAK ACORD 25 (2009/01) a 1988-2009 &ORD PORATION. All rights reserved. INS025 (200901) The ACORD name and logo are registered marks of ACORD 7 '4 CERTIFICATE OF LIABILITY INSURANCE 8/1/2oii l THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Hager F. Ha NAME: g Keys Insurance Services, Inc. PHONE, HON ,Ext): (305) 294-4494 FAX No): (305)743-0582 805 Peacock Plaza ADDRIESS:lhager@keysinsurance.corn Key West INSURED FL 33040 3406 N. Roosevelt Blvd. Corporation 1201 White Street Suite 102 PRODUCER 00002174 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE INSURERA:CO10ny Ins Co INSURER B : INSURER C : INSURER D : INSURER E : JKey West FL 33040-3328 IINSURER F: COVERAGES CERTIFICATE NUMBER:Master 11-12 REVISION NUMBER: NAIC # 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 IADDL'SU IRS POLICY EFF POLICY EXP LTR INSR WVp POLICY NUMBER MM/DD/YYYY MM/DD/YYYY ' LIMITS GENERAL LIABILITY ! EACH OCCURRENCE; $ 500,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED i PREMISES (Ea occurrence), $ 50,000 A CLAIMS -MADE X OCCUR MP3242409H 8/23/2011 '8/23/2012 MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ Exclude GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Excluded X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 100,000 (Ea accident) ANY AUTO' A MP3242409H 8/23/2011 8/23/2012 'BODILY INJURY (Per person) ! $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) X NON -OWNED AUTOS $ $ UMBRELLA LIAR OCCUR EACH CCURRENCE $ EXCESS LIAB CLAIMS -MADE LC4EGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WCSTATU- OTH- �'. AND EMPLOYERS' LIABILITY Y / N �,� TORY LIMITS ER - ANY PROPRIETOR/PARTNER/EXECUTIVE /'/ \I EXCLUDED? N / A E.L. EACH ACCIDENT' $ (Mandato m NH ll��nn//llll �SS�SSJJ �.' ' \ ( E.L. DISEASE - EA EMPLOYEE $ yes describe ntleERIMEMBER If` DESCRIPTION OF OPERATIONS below ' E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is also an additional insured on the policy. v�r� �rwn nva.u�rc %,AlVl.tLLA 1 IUIV Monroe County Board of County Commissione 1100 Simonton St Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE do Hager/DAY, v;-._'ice' J. Aa.Umu ca lZuUmUtf) U 1933-2009 ACORD CORPORATION. All rights reserved. INS025 (2009M) The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGES Ref # Description Employee Benefits Coverage Code EBLIA Form No. Edition Date Limit 1 10,000 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Non owned auto Coverage Code Form No. Edition Date Limit 1 300,000 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description ICoverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium nescription Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium nescription Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1EEV Copyright 2001, AMS Services, Inc. � A� ® CERTIFICATE OF LIABILITY INSURANCE F DATE 04-06-20112 THIS CERTIFICATEIS 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 SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PAYCHEX INSURANCE AGENCY INC a ONE Ext): (arc, Noi: (888) 44 3 - 611 210705 P:()- F:(888)443-6112 PO BOX 33015 ADDRESS: SAN ANTONI O TX 78265 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC p INSURED INSURER A : Twin City Fire Ins CO 3406 NORTH ROOSEVELT BLVD CORP MONROE COUNTY TOURIST DEVELOPM INSURER B 1201 WHITE ST STE 102 INSURER C KEY WEST FL 33040 NSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: ------------- --- - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE '',INSR WVD POLICY NUMBER (MMiDD/YYYY) (MMIDDIYYYY) LIMITS - GENERAL LIABILITY j I EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES IEa occurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) ! $ AP I 'PERSONAL & ADV INJURY S GENERAL AGGREGATE S WAJM N' _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP -OP AGG $ POLICY PROT JEC LOC (f� -' $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ J ► J l ! (Ea accident) ANY AUTO —I BODILY INJURY i.Per person) $ ALL OWNED AUTOS BODILY INJURY Wer accident)', S SCHEDULED AUTOS PROPERTY DAMAGE ^'.. HIRED AUTOS (Per accident) S - NON -OWNED AUTOS $ ' S UMBRELLA LIAR ;OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE' AGGREGATE $ DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION WC STATU- j OTH- AND EMPLOYERS' LIABILITY YN _X TORY LIMITS ER ANY PROPRIETOR + PARTNER1EXECUTIVE �-: N A' - E.L. EACH ACCIDENT $ 100,000 «MEMBER EXCLUDE67 u I A OFFICER 76 WEG ZV2817 04/18/2012. 04/18/2013 E.L. DISEASE -EA EMPLOYEE' $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $5 0 0 , 0 0 0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addiilonal Remarks Schedule, if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners 1201 WHITE ST STE 102 KEY WEST, FL 33040 CC_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEQ R PRESENTATIVE / 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD A� �® CERTIFICATE OF LIABILITY INSURANCE DATE 9/6/2012 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 Keys Insurance Services 805 Peacock Plaza Key West FL 33040 CONTACT Donna Marlene Ross NAME• PHONE (305) 294-4494 FAX (305)T43-0582 E'�L ,mross@keysinsurance.com INSURERS AFFORDING COVERAGE NAIC 0 INSURERA:C010nY Ins Co INSURED 3406 N. Roosevelt Blvd. Corporation 1201 White Street Suite 102 lKey West FL 33040-3328 INSURER B: INSURERC: INSURER D: INSURER E 1 INSURERF: COVERAGES CERTIFICATE NUMBER:CL129603827 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLISUBRI IPJqR WVn POLICY NUMBER POLICY EFF 1NIMMnfYYYY1 POLICY EXP IMMIDDAINY)LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 500,000 DAMAGE TO RENTED PREMISE Fa oca:rre $ 50 , 000 A }( COMMERCIAL GENERAL LU\BILITY CLAIMS -MADE a OCCUR 4P3242409H /23/2012 /23/2013 MED EXP one person S 5,000 PERSONAL & ADV INJURY $ Exclude GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ Exclude X POLICY PRO- LOC S AUTOMOBILE LIABILITY C a accident) SINGLE LIM 300,000 BODILY INJURY (Per person) S A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 3242409H /23/2012 /23/2013 BODILY INJURY (Per accAenl) S PROPERTYDAMAGE Per � eel S HIRED AUTOS NON -OWNED x AUTOS S UMBRELLALIAB OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIAB CLAIMS -MADE APPRO SI( EMEM DED I I RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y f N OFFICER/MEMBER EXCLUDED? NIA UA W O r�' M STATU- OTH- E L EACH ACCIDENT S E.L DISEASE - EA EMPLOYE S (Mandatory In NH) If yes, descrbe under DESCRIPTION OF OPERATIONS below s I�L� ( (� EL DISEASE - POLICY LIMIT S V DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) Certificate holder is also added as an additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBEIA THE EXPIRATION DATE T E F, Monroe County Board of County Commissione ACCORDANCE WITH THE P IC OVI I 1100 Simonton Street A IT Key West, FL 33040 AUTHORIZED REPRESENTAT F Hager v' ACORD 25 (2010/05) r: 1988-2010 ACO D COR I NS02S (201005) C1 The ACORD name and logo are registered marks of ACORD POLICIES BE CANCELLED BEFORE TICE WILL BE DELIVERED IN TION. All rights reserved. 4 A ' A —%" !1< VAI CERTIFICATE OF LIABILITY INSURANCE DATE (MM/ 04-04D20113 THIS CERTIFICATEIS 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 SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PAYCHEX INSURANCE AGENCY INC PHONE FAX IA A/c,N°r i888)443-6112 210705 P: O- F: (888)443-6112 EMAINo,Ext): PO BOX 33015 ADDRESS: SAN ANTONI O TX 78265 INSURER(S) AFFORDING COVERAGE NAIC M INSURER A : Twin City Fire Ins Co INSURED INSURER B 3406 NORTH ROOSEVELT BLVD CORP MONROE INSURERC: COUNTY TOURIST DEVELOPM 1201 WHITE ST STE 102 INSURER D KEY WEST FL 33040 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR WVD' POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY ' EACH OCCURRENCE $ !COMMERCIAL GENERAL LIABILITY it III '. '; �, PREMISES (Ea occurrence) $ CLAIMS -MADE OCCUR VIED EXP (Any one person) $ II PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:, �! POLICYL PRO JECT I LOC i (GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS u AUTOS HIRED AUTOS II I NON -OWNED r� L AUTOS —'—i u �/ Y BY DA W N u AGEMENT /r �' J I l�� / rvv j COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) $ $ j UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE u u EACH OCCURRENCE $ AGGREGATE $ j DEDI I RETENTION $ $ A 1 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED? u IMandatory in NH) N/A U' 76 WEG ZV2817 04/18/2013 04/18/2014 WC STATU- OTH- X TDRY LIMITS ER E.L. EACH ACCIDENT $ 1 O O O O O E.L. DISEASE - EA EMPLOYE $ 100 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 u u� DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Monroe County Board of BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE County Commissioners DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE / 1201 WHITE ST STE 102 KEY WEST, FL 33040��--a-��"�� t 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (20 /05) The ACORD name and logo are registered marks of ACORD L L.' l ® A� o CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8/26/2013 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 terns 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 Keys Insurance Services 805 Peacock Plaza cOMEA Donna Marlene Ross NAME: .NONE (305) 294-4494 FAiC.AX (305)743-0582 EMAIL •mross@keys insurance. com. INSURERS AFFORDING COVERAGE NAIC # INSURERA:Scottsdale Ins Co Key West FL 33040 INSURED INSURER B : INSURERC: 3406 N. Roosevelt Blvd. Corporation 1201 White Street INSURERD: Suite 102 INSURER E : INSURERF: Key West FL 33040-3328 COVERAGES GtK I ItR.A 1 r- 1Yum12cF%----- - ------ - - - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO'LICY f FRIOD 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 A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 5Z OCCUR DDL UB POLICY NUMBER CPS1829291 POLICY EFF M/ /23/2013 POLICY EXP /D /23/2014 LIMITS EACH OCCURRENCE $ 500,000 D E PREMISES Ea occurrence $ SO OOO MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ Excluded GENERAL AGGREGATE $ 500,000 PRODUCTS - COMP/OP AGG $ Exclude GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY AP I E Ea accident BODILY INJURY (Per person) $ BY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS DATEANY WAI /{�[ _ 7— f t/ r� C — � BODILY INJURY (Per accident) $ PR OPERTY DAMAGE Per accident)$ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DIED RETENTION $ WC STATU- OTH- FIR WORKERS COMPENSATION E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECU I IVE E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A H es, describe under D_SCRIPTION OF OPERATIONS bebw C. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is also added as an additional insured. I;a Monroe County Board of County Commissione 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED THE EXPIRATION DATE THEREOF, N, ACCORDANCE WITH THE PQOCY PRWISI AUTHORIZED F Hager :S BE CANCELLED BEFORE WILL BE DELIVERED IN © 988-2010 ACORD CORPORATION. All rights reserved. A\+VRIJ LU t&V IV/VMf INS025 (201005).01 The ACORD name and logo are registered marks of ACORD oATE Mph �c CERTIFICATE OF LIABILITY INSURANCE 8/26/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS OR ALTER RIG C COVERAGE THE CERTIFICATE THE POLICIES HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, 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 pollcy(ies) must be endorsed. If SUBROGATION IS WANED, 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 endorsemen s . CaRrmy Doaaa Mariana Ross PRODUCER MOI (305)294-4494 lAn� N& l3051743-0593 Keys Insurance Services E•bl S05 Peacock Plaza mroseftkeyainaurance.can Rey West FL 33040 INSURED 3406 N. Roosevelt Blvd. Corporation 1201 White Street Suite 102 We Wear FL 33040-3328_ DVERAGES CERTIFICATE NUMBER:cy1382504898 REVIUIUN numoclr. 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 CLAAIIMMS. LIMITSiR TYPE OF INSURANCE POLICY NUMBER EACH OCCURRENCE s aENERAL UABLLRY SOO,O ----•-----------, a 50.0 MMCL4 GENERAL LIABILITY jL X CO CLANS -MADE a OCCUR I I CP81029291 �S/13/2013 �123/2014 500 L AGGREGATE LIMIT APPLIES PER: s AUTOMOBILE LIABILITY 81929291 /23/2013 /23/2014 sonILY IUMRY (Per person) S BODILY INJURY (Per aoddvM) $ A ANY AUTO ALL OWNED SCHEDULED AUrAUrOS � H014.OWNED HIRED AUTOS x AUTOS 6 S UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE 1 EACH OCCURRENCE S $ AGGREGATE $ OED I IRETENTIONS WC STATU OTH• FR WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY pROpR�ORIPARTNERIEXECUTIVE a OFFICERIMEMBER EXCLUDED? if—ItUmd sry M NH) a ws. dYafhe Ufld.f NIA VVAI C.tIQ _ I E.L. EACH ACCIDENT 7 E.L DISEASE • EA EMPLOYE EL DISEASE. POLICY I— I DESCRIPTION OF OPERATIONS J LOCATIONS J VEHICLES (Arisdr ACORD 101, Addleonsl RomeAa 8ehadule, d more .pxe b raqulred) Certificate holder is also added as an additional insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commission 1100 SjMOnton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 ! Hager a 1980-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010l05) INS025 WOOs1.01 The ACORD name and logo are registered marks of ACORD A.1h (mwDalyYYY) �Ro® CERTIFICATE OF LIABILITY INSURANCE 14/6/2014 S CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 'RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES AELOW. 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 SUBROGATIONIS WAIVED, subject to the Serms 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). PAYCHEX INSURANCE AGENCY INC 210705 P: F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 (W,ro,Ex* 3 (c,No>'8881j 443-6112 ADDRESS: 2 r A INSURER(S) NAICR AFFORDING COVERAGE �� C INSURERA: Twin City Fire Ins Co {7• t�J M Mygr�R® 3406 NORTH ROOSEVELT BLVD CORP MONROE COUNTY TOURIST DEVELOPM 1201 WHITE ST STE 102 KEY WEST FL 33040 INSURER B : INSURER C: INSURER D: - INSURERE: '- INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 15SULU IU IHL IIVAUKCV ruamcv r•ov Vc — II — . vim..+. .. --- 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 7TPEOFINSURANCE ADDL SUB POL[CYNUAMER 1'OLICYEFF POLICTAAP LIAIITN COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F] OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES a occurrence)$ MED EXP (Any one person) PERSONAL &ADV INJURY $ GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO- ❑ LOC PRODUCTS-COMP/OPAGG S JECT OTHER COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) BODILY INJURY (Per person) $ b ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOSNON-OED HIRED AUTO AUTOS "DA *E— E ENT �'� (. C- BODILYINJURY(Peraccident) S PROPERTY DAMAGE (Per accident) $ S UMBRELLALAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAS CLAIMS -MADE $ p, D RETENTION S WOREMSCIUWANSAT" ANDEN?LOrEWL Off- T ANY PROPRIETOR/PARTNER/EXECUTIVEYM OFFICERMEMBEREXCLUDED? ❑ (Irandatoryln Aql) If yes. describe under WA 76 WEG ZV2817 04/18/2014 04/18/2015 PER X STATUTE R� E.L. EACH ACCIDENT l O O, 0 0 0 E.L. DISEASE-EAEMPLOYEE $1O0, 000 E.L. DISEASE - POLICY LINT S 5 0 0 , 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS /LOCATIONS/ VE/OLIPMRD 101, Additional Remarks Schedule, may be attached if more space Is required) Those usual to the Insured's Operations. Monroe County Board of ,Inty Commissioners 1201 WHITE ST STE 102 KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE RATION. All rights resen ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD UALE(mWol /YYYY) �Ro® CERTIFICATE OF LIABILITY INSURANCE 4/6/2014 S CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS :RTIFICATE 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. r IMPORTANT, It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the inns 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). PAYCHEX INSURANCE AGENCY INC 210705 P: F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 (=I No, Ex* 3 wa,Nog 881" 443-6112 qpp �; r .'� INSURERM) WORDING COVERAGE Or "C) Q NAICa INSURERA: Twin City Fire Ins Co �• iV aIfUw 3406 NORTH ROOSEVELT BLVD CORP MONROE COUNTY TOURIST DEVELOPM 1201 WHITE ST STE 102 KEY WEST FL 33040 INSURER B : (�^ INSURER C: INSURERD: - - INSURER E: r"— INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SULTR V ADLICYNU116ER POLICYEFF POLICYEXP L17►fITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE ❑OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence $ MED EXP (Any one person) PERSONAL & ADV INJURY $ GENERAL AGGREGATE GENLAGGREGATE LIMIT APPLIES PER POLICY[:] JECT ❑ LOC PRODUCTS - COMP/OP AGG OTHER $ h , AUTOMOBILE LJABILRY ANY AUTO B PP ENT COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON OWNED HIRED AUTO5 AUTOS DATE- WAIVER N/A "— r ' r �� PROPERTY DAMAGE (Per accident) $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE D RETENTION S $ rvDrrERscvaaenSAzrW ANDFMIIOIF"L ffff,lr ANY PROPRIETORIPARTNERIEXECUTIVEY/N PER oTH X I STATUTE ER E.L. EACH ACCIDENT $ 100,000 A OFFICER/MEMBER EXCLUDED? (IYandabryinNH) ❑ WA 76 WEG ZV2817 04/18/2014 04/18/2015 E.L.DISEASE- EAEMPLOYEE 100,000 If yes, deserts under E.L. DISEASE - POLICY LIMIT S 5 0 0 0 0 0 DESCRIPTION OF OPERATIONS below , OESCRPTIONOFOPER nQW /LOCATIONS/ 1Wff/CPWRD 101, Additional Remarks Schedule, may be attached if more space Is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Monroe County Board of DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1nty Commissioners AUTHORIZED REPRESENTATIVE 1201 WHITE ST STE 102 74--KEY WEST, FL 33040 01988-2014 ACORD CORPORATION. All rights resen ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE1 'E/11/2015 T' 11 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 REPRESE NTATVE OR PRODUCER, AND THE CERTIFICATE HOLDER_ IMPORTANTc If the cercate holder is an ADDITIONAL INSURED, the policy(ias) must ha endorsed_ If SUBROGATION IS WAIVED. subject to the to mis and co n dtdons of the Policy, certain policies may require an endortHsmeRL A sfatemett[ on hits—txftcata does not confer rights to the certificate holder in Iteu of such andorsantantts)_ PRODUCER Keys ii'fsvraraca sarvi cJas BOS Peacock P1 aza Kay ..rear >n. 33040 p_ asgor PHOe� _ CSOM)M94-4404 F Na ....... gp�ii. 111ager9leaysiaasuranOo_com OR001Ki OOVERAOE � rHSORERq=gaottsdLla X— Co _ OaWREO 3aaa - _ Roosaval t B1vdl _ Corperatioa , DHA o IQoraroa Couraty HOCC 1201 Thai t'v 5����t Sui Ca 102 Key west PL aso4o-3326 NLYRtaZt 8 : __ ursura3r c • I Wit/RER O: I INSYRER E ' RF- COVERAGES CERTIFICATE NUMBER=CL3511111066'l REVISION NUMBER_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REpU1REMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PemTAl N, THE INSURANCE AFFORDED aY 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_ L�jRR TYPE OF IIBILtAlc6 POLICY EPF O DiII1E X MNMERGIAL OENERgL L1nsILfrY Ewaa i S00,000 A X� OGGUR i 00.000 5.000 CYS2295190 B/23/2013 PEwsoNal a ww INA/RY i Ercolatdad OENL AOOr�6ATE uMIT MLIEi PER: AGGREGATE i soo . 000 X ppLIOY JE�ct Loc PROWGTS-COIMP/OP A00 i ZiCO1VdYA Nen ewrrod alas i 100.000 AYTOMOBILE uAB/CITY UMir i .00.000 A ANy AUTO /LLL OWNED SQ�OI.ILEO Rc^AIITd, X NOMOWJEO CY82295190 0/23/2015 B/23/2016 BODILY INAIRY (Par Palasrl) i 6001LY 1f'l1URY (Por9aYdorq i PROPERTY MMa[iE i i YI/IBRELLA Llna �� EAOFI OGCIJRRENCE i ApfyREO,ATE i EXGESR UAB V-L/yrn16-MADE I oED RE-rENnota a: __ i WORIQ=FtS COI�ENSATON ' qNO Ef1.mlOYER3' LlAa1LfTY 1/WY PROPRIETQRNARITIER/EJ�Cl/nVE YO �OFFIOERIAEMBER EXQUOEd) N/A EI EACH ACCItYENT i � (Manafalory in NN) E1 oI5EA3E - EA EMPLOYE i 1I YY ao><ne.o, ur,COr '�ESCRIPTON OF l101LS � El. d3EA2E -POLICY DMIT 5 I OESOiIIP1lON 6F OPERAiWr®/ I..00ArWNi / VEWCLEi (AOOR010t, /WmiOnal RMnal4a ECMdW4 rr,aY r,a ava�I,sJ iI rrrpp sp. a Ia rgWrad) cerci.Fi care holder is also added as atf ad�ditiorlal insa�rad_ APP V NAGFjMENT WAi E _ QY� : C.,C (-,-- . li 1-4 SHOULD ANY OF THE ABOVE OESCW EO POLICIES BE CANC ELLEO BEFORE MODrO@ COISIl tY Board O£ �p O s810rne THE EXPIRATION GATE THE O NOTICE WILL BE DEtJVE REP IN ty? Slot ACCORDANCE WITN THE PO LIC .......I 1111 12 t1-I Street. Ste 4A�� M� G 1 AOH Key west. FL 33040 :J 210 J 3 N 2l 0-4 Q 3 -I13 /.YTNORtl£U I�PREiENr J y� F Hagar ® i988-2016 ACORn CORPORATION_ All rtohts mserved_ AC ORD 26 (20t4/Ot) The ACORD name and Ingo era reglstarad marKs of ACORD IN5025 / -mq A V CERTIFICATE OF LIABILITY INSURANCE /26/z ' 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 pollcy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terns and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the esrtlfleste holder In lieu of such endorsement(s). PRODUCER - CONTACT DOnna Marlene Ross Keys Insurance Services (305)294-4494 1 1FAAXH& (303)743-0982 605 Peacock Plaza E-MN .mroso@keyYinsurallce.CCU Key West FL 33040 INSURERA:SC0tt8dale Inn CO INSURED INSURER B : 3406 N. Roosevelt Blvd. Corporation INSURE C: 1201 White Street INSURER0: Suite 102 INSURERE: xey West FL 33040-3328 1 INSURER F: w �w•eww nculaleW WIIeJRCR. GOVt:KAUr-* vcnrrrrvhaVIwMv..".--_---------------- THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR Ilya TYPE OF INSURANCE UUL SUM POLICY NUMBER POLICY EXP UNITS GENERAL LIABILITY EACH eCG1RRENCE S 500, O00 p Irencd $ 50,000 X COMMERCIAL GENERAL LUIBLRY MED ampanno„ S 5,000 A CLAIMS -MADE Q OCCUR CPS1029291 /23/2023 /23/2014 PERSONAL d ADV INJURY S Exclude GENERAL AGGREGATE S 500,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMPJDP AGO S 8xclude S X POLICY M PRO LOC AUTOMOBILE LIABILITY NO UMrr 9= 9 100,000 BODILY INJURy(Per Perm) S S3929291 /23/2013 /23/2014 ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AHIRED AUTOS AUTOS (Per aedd&W 3 AUTOS 3C AUT08NOr+VNED UMBRELLA UAS OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAS CLAIMS -MADE r DED RETENTIONS WC STATU O H• $ WORKERS COMPENSATION B ' E.LEACHACCK)ENT S AND EMPLOYERS'LIABILTTY YIN ANY PROPRIETOWPARTNENEXECUTIVE NIA D° WAI CC E.L. DISEASE - EA EMPLOYE $ OFFICERIMEMSER EXCLUDED? (Mandatory In NH) • •Ft ' � E.L DISEASE. POLICY LIMB S O describe under OF RATIONS txlow ^�W�C I)' Q '- DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Addlllond Remoda Sehadole, U mole epme In rogWred) Certificate holder is also added as an additional insured. Monroe County Board of County CO2maissicne 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Hager w..w —4w ■^O%nrn..f%022r%0A71nW All ..hta rsnnn/Afl_ ACORD 25 (2010105) - --- - --... - - - - INS025 (xwoos).ol The ACORD name and logo are registered marks of ACORD ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM;DD:YYYY) 6/15/2015 THIS CERTIFICATEIS 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 SUBROGATIONIS 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 PAYCHEX INSURANCE AGENCY INC 210705 P: F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: A/C,N,E.t), iac,Nn). (888) 443-6112 E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC4 INSURER A. Twin City Fire Ins Cc 29459 INSURED 3406 NORTH ROOSEVELT BLVD CORP MONROE COUNTY TOURIST DEVELOPM 1201 WHITE ST STE 102 KEY WEST FL 33040 INSURER B. INSURER C. INSURERD. INSURER E. INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /.\SR LTR,N:N/DD/YYF3 TYPE OF/.\"SCRA.\CE :fDOL SC'RR pOLlCY:\'L';IIRER POLICY E'EF POLICY EAT LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 OCCUR CLAIMS -MADE El DAMAGE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) 5 PERSONAL 8 ADV INJURY 5 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE g PRODUCTS - COMP/OP AGG POLICY PRO ❑ LOG JECT 5 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 5 BODILY INJURY (Per person) _ 5 ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) 5 PROPERTY DAMAGE (Per accident) 5 HIREDAUTOS NON -OWNED AUTOS 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 AGGREGATE 5 EXCESS LIAB CLAIMS -MADE DED RETENTION E WORKERS CO:HPE.YS9T/O.\' A\DEMPLOYERS'LIARILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN X PER OTH- STATUTE ER E.L. EACH ACCIDENT 1100,000 A OFFICERIMEMBER EXCLUDED? (Mandatory in NH) ❑ N/A 76 WEG ZV28=7 04/18/2015 04/18/2016 E.L. DISEASE -EA EMPLOYEE 5100, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 5 rj 0 0 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached' morespace Is r uired Those usual to the Insured's Operations. AP P R MA GEMENT WAI R N/A_ � _., L 1r x_�, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Monroe County Board of �.7 •QN11^^0J 3()dN%1 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners 1 ."� J Win AUTHORIZED REPRESENTATIVE 1201 WHITE ST STE 102 KEY WEST, FL 33040 / ( L 1 it, hid y i ��h ('()) ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 2014/01) The ACORD nam d are registered marks of ACORD dd(1336 80,E 031IJ .J� A� V CERTIFICATE OF LIABILITY INSURANCEDATE 1 6�lo i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE&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 endorsements . PRODUCER Keys Insurance Services SOS Peacock Plaza Key West FL 33040 g;rDonna Marlene zzRoss PHONE (305)294-4494 � No (305)743-03e2 EA SE.dross@keysinsurance.com INSURERS) AFFORDM COVERAGE NAIL C INSURERA:Scottsdale Ins Cc INSURED 3406 N. Roosevelt Blvd. Corporation, DBA: Monroe 1201 White Street Suite 102 Rey West FL 33040-3328 INSURER B INSURERC: LNSURERD: �- INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER:CL3561009535 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i im TYPE OF INSURANCEC POLICY NUMBER EFF POLICY mm EXP — -� UNITS X COMMERCIAL GENERAL LIABILITY EACH OCCURREHCE f 500,000 a DAMAGEA SM -2gNM1RENTEffi8 f 50,000 CLAIMS4AADE OCCUR MEDEXP( ar f 5,000 CPS2047174 6/23/2014 0/23/2015 i� PERSONAL aADVINJURY f Excluded GEITL AGGREGATE LIMIT APPLIES PER- GENERAL AGGREGATE S 500,000 X POLICY PRC4T LOC PRODUCTS . COMPIOP AGO I S Zza yded OAR: ; Nan ownod auto Is 100,000 AUTOMOBILE LIABILITY aarNED Ne SING OMIT Is 100,000 BODILY INJURY (Per pefaw) S A ANY AUTO SODILYINAIRY(Pwacckimt) S ALL SCHEDULED AUT� AUTOS CPS2047174 0/23/2014 S/23/2015 PROPtffOS ERTY DAMAGE f HIRED AUTOS ]L ANON-OYYNED f UMBRELLA LIAB OCCUR EACH OCCURRENCE f AGGREGATE f EXCESS LMB C(M&WAADE DM I I RETEMIM f i VWRICERS COMPENSATION I AM EMPLOYERS' LIABILITY 1 T Y I N MANY PROPRIETOPWARTKERJEXECUTWE OFRCERIMEVAER EXCLUDED? N I A E.L. EACH ACCIDENT f _ El. DISEASE - EA EMPLOYEE S (Mandamory in NM I(yoa roaertbo undor --- — DESCRIPTION OF OPERATIONS bohrw E.L. CMSEASE • POLICY LIMIT f C2 f"- v CM OESCIMPnON OF 1 LOCA (AGGRO 101, AddNbnal Remarks Schedule, may be attrcl+� ifWN Certificate of r is @M added as an additional insured. BFPENTJLu WAN Cy LLJ 0 U. o g Monroe County 1100 Simonton Suite 2-268 Key West, FL Board of County Commission Street 33040 SHOULD ANY OF THE ABOVE THE EXPIRATION DATE T ACCORDANCE WITH E POl AUTHORIZED 77� F Hager ® -2014 A ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 pm40t) D POLICIES BE CANCELLED BEFORE NOTICE WILL BE DELIVERED IN All rfahts reserved, Additional Named Insureds Other Named Insureds Monroe County BOCC Doing Business As LLJ `-� :� ►r- Cr � C.) O O LA- W ; —) . _i v1 C7 OFAPPINF (0=007) COPYRIGHT 2007, AMS SERVICES INC A`O & CERTIFICATE OF LIABILITY INSURANCE 8/26/2013 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(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cartiflade does not confer rights to the certificate holder In lieu of such endorsemen s . PRODUCER Keys insurance Services 805 Peacock Plaza Key West FL 33040 Donna Marlene Ross PHONE (305)294-4494 � Not. (303)741-0892 E'M mrosseksysinsurance.can IN AFFOROINO COVERAGE NMI INSURERA:Scottsdale Ins Co MUREo 3406 N. Roosevelt Blvd. Corporation 1201 White street Suite 102 x4W West rL 33040-3328 INSURE 9: INSURERC: INSURER0: INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER_CL1382604899 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR TYPE OF INSURANCE POLICY NUMBER POLICY EXP LIMITS JM A GENERAL UAWLrrY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 10 OCCUR 81929291 /23/2013 /23/2014 EACH OCCURRENCE S 300,000 DAMAGE TO RENTFUP noel S 50,000 MEDEXP anDe<tan S 5,000 PERSONAL E ADV INJURY S Exclude GENERAL AGGREGATE S 500,000 GENL AGGREGATE LIMIT APPLIES PER: X I POLICY PR LOC PRODUCTS - COMPIOP AGG S 8xclude S A AUTOMOSILELIASILRYdeml_ ANY AUTO ALL SOSOWNED �Q ULED HIRED AUTOS MAUTORON-OSWNED S1929291 /23/2013 /23/2014 100,000 BODILY INJURY (Per persm) S BODILY INJURY (Per accident) S PROPERTY DAMAGES S UMBRELLA LIAR EXCESS LIA9 OCCUR CWMS MADE r 1 EACH OCCURRENCE S AGGREGATE S DIED RETENTIONS S WORKERS COMPENSATION EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? (Menda"In NH) S . daeuibs under D PTXkI F OPERATIONS below NIA B D WAJ - �C . � I )` Q r^ — 11 YA: STATU RN E.L EACH ACCIDENT S E.L. DISEASE. EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (A"ach ACORD 101, AddlOonol RemoArs Schedule, I1 mom epeoe Is required) Certificate holder is also added as an additional insured. Monroe County Board of County Comissione 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010106) INS025 (2D1oos)m Hager 01988.2010 ACORD CORPORATION. All rights reserves The ACORD name and logo are registered marks of ACORD