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Certificates of InsuranceKEY WEST IN`.;0f U NCE INC. ) 'F 3104 FLA.GLIIF..,VEPUE KEY WESIT, FIIL(+ill .13040 Phone. 305 - il'4.1096 AAApm, G i. t Sho)c D/caae +lebe ke dbla 2495 S. Roabevat Mvd. Key Ul1,t, Fiv ida 33040 ....per r. "I' nr Id 0or, = ( Wr. AI .L1EIt.' A IX BOX1392925 15 „ti•r�IL�- .. T A, rJ v •qiI _ r .._ F%I,, ,.V, N U1, I aJTOMOBaE LIA1311.)If .-i;,rl hFN .. ,. i. ANI1 ;I _ N...I ; •.Nel I. _. EXCESS LIABILITY UMHPIILA FJRN I11 nF: I HLII JMtlPC11A - FHA^ NORKER$' COMPENSAl1111" and EMPLOYERS" LIABILITY OTHER II DESCRIPTION OF OPERATIONS/LOCATIONSMWCLES Cancellation: Should any A the .above descrit J pany will enaoavor to mall .4-0. . mail such notice shall impose no D NAMEANDAODRFS i CI�P71FIC AFEHOLUER. Movvcoe County Building Dep- . P. U. Box 1980 Key West, Ftoxida 33041 _-ATTENTION: SHELLY - C2edk (')'(icc AOORD 25 (1 ) 3) I I 111 11111 I III i I I � I I iu I I i:cl tsed S, tcmbE-h. 1f' 1987 I, ,r. F i 111 1■1 111 ! 1 Il l l ltllalklluIIIIIIl 1 I• tI , 1 I Ali �� II l IF: , >I., , f N MW WEST INSUIUNCE INC. ';; 04 FLAGLhR AVENUF- KI;S' WEST, FLORIDA 33010 Phone: 905 • 294-1096 arre nor_ :�rl Ai.a.poht Gi4t Shop D4,we HebeA2e dba 2495 S. Roosevett: Mvd. Key Wat, Fton,ida 33040 te�mt,- Id UPI •. c,(' .�.:A K BOX1392923 N 1 JAI,- dIF fI ' I 1r i - 3IJ 7t1Fd0°ILE LIABILIT1'. •r,vl :Ilern If if I Wd..r;'au• i I,N, I,I A IQHM C Jn II R'i AN L M9r(I11A I OiPM WORKE RS'COM PENSATION and j I:1APLONI RS' LIABILITY OTHER___ �._.. �C SCRIPIION T OFFHA`IONS/LOCA[IONSMPUIa ES T-01,.1 g 1 11 1 1 1 EI 11111 1111 111 1 1 Cancellation- >hould any cf the above deal Ibet' i )any will endeavor Ic mail _l�_._- c r r h _ I rrlail such not re shall impose ro DI i; I i vAMC AND INppt}t� U! CI Hi1R ]Ar[ HOLDtR Monroe County Imumance PubEi-c SeAvi-Ce BaitAng - 64!iuq f17 Stock IbKand IFU Key (Vest, Htonida 33040 ft 1 �Pv,J.'fielflbeh. �3, 19k? if A ,c , I II AeDHD� �IIIII�II I III �i; � ifl �IIIII ikl� I� I� a mii 1 u�i��ti�ii�iu ,i i i II u � u u 1 ,ry �0 LTD Southernmost Insurance Agency 1104 Truman Avenue P.O. Box 323 Key West, Fl. 33041 Springboard Enterprises, Inc DBA Airport Gift Shop 3495 S. Roosevelt Blvd Key West, Fl. 33040 1, L )A,E,,Mv-,,-J 7/18/89 7'HI CERTIFICATE IS ISSUED AS A MAT TER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND. EXT'FND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPARVY LETTER LETTER A --United States Fidelity & Guaranty Company COMPANY B IETIC_ _ COMPANY E TEa C COMPANY LETTER COMPANY E ETTER THIS iS 10 CERT IF Y - TA" POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT VVIN HSTANOING 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 CONDI- TIONS OF 130-" PCJC+ES. POLICY NUMBER D,:- , >r �.nl F* IB Iou ,E DO T1, ALL LIMITS IN THOUSANDS GENERAL LI' LN[l SGR Gf F $ P'.A A� ?[al Y A I . % To Be Issued 7/12/89 7/12/9O ,UYJ IS ANIP OFF V,G+EDA $ R _ _ PERSONAB fi ADeE9➢SING INJURY $ R1 DAMAGF AEY ONE FIRE $ c — MEOTA, FXPEN4T ,ANY ONE PERSON, $ I AUTOMOBILE LIABILITY ANY AUTO CST _ $ ELL awNED nLrrs RECEIVE aomw n SCHT NduRv EouLEDAurns MoNr-�E,r CO UNTY ,PERPERsoN, $ HIRED AL OS , Adm ni�trativ. - i t rt I�PW ON OW T11 AUT, 1 C CCUENT $EI -- DATF_� — -- ANA6E i. 4R%LTi l "RUPERT r I DAMAGE TIME `'_I_NI IvLS _ $ EXCESS LIABILITY EAC. a.GREGATE )CCUPPENCE j $ $ OTHER THAN UMBRELLA FORM —_—.-- ,TATUTORv WORKERSCOMPENSATION — — AND $ _ FACT A(X DEN" EMPLOYERS' LIABILITY ( $ 'DISEASE POLICY JM1+II _ �_ ._� $ DnsEAss-EACR EMPLOYEE OTHER A Contents i TO Be Issued 17/12/89 i 7/12/90 $12,000. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS The Monroe County Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX Public Service Building- Wing 2 / PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 5825 Junior College Road V/ MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Stock Island, Key West, Fl. 33040 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. M)Olkio. CERTIFICATEOF INSURANCE GSR DATE MMIDDI SPRTN10/13/95 PRODU^ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 323 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33041-0323 COMPANIES AFFORDING COVERAGE A. Wayne Lujan COMPANY 305-296-5052 A OSF&G INSURED COMPANY B A°i'R6l$P OISR'W#AGEMENT Springboard Enterprises, Inc. dba: Airport Gift Shop COMPANY 9Y_ p,C/G C c6w7II/C 3495 S. Roosevelt Blvd. Rey West FL 33040 COMPANY DATE— p COVERAGES I'. r. WAWR! N/A YEC-i-'"� THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE P INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPLICY PERIOD ECT OWHICH 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 LTft TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE S 600,000 X PRODUCT. S-COMPIOP AGG $600,000 A COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR SSP700076603 07/12/95 07/12/96 =71 PERSONAL 3 ADV INJURY E 300,000 EACH OCCURRENCE i300,000 OWNER'S B CONTRACTOR'S PROT FIRE DAMAGE (Anyone tire) S 50,000 MED EXP (Any one person) s 5,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS ReCeIV G Rlsk M IIII. & 1, SS Control COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS DATL �� —' L,J ` /� BODILY INJURY (Per accident) $ INITIAL PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY LIMBS EACH ACCIDENT S 100,000 THE PROPRIETOR/ ❑INCL PARTNERSIEXECUTIVE WSSWZJ80659473 12/09/94 12/09/95 DISEASE -POLICY LIMIT $500,000 OFFICERS ARE: $ I EXCL DISEASE - EACH EMPLOYEE 1 $ 1 O0 , 000 OTHER I DESCRIPTION OF OPERATIONSILOCATIONSNEHICLEWSPECIAL ITEMS Additional Insured: Monroe County CERTIFICATE HOLDER CANCELLATION MONROE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Risk Management Kaye 5100 5100 College Road 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Rey West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESE S. AUTHORIZED REPRESENTATIVE ACORD 26S (3/93) c ! A. Wayne Lujan A .Ct : / /. April 22. 3M I.t Prism, MONROE COUNTY. FLORIDA Request For Waiver of Insurance Requirements It is requested that the insurance rcquiremcnis. as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following contract. Contractor: Springboard F t prj,'-- Tm, /Diana t1PhPr1P Contract for: Airport Gift Shop Address of Contractor: 3495 S. Roosevelt Blvd. Phone: Scope of Work: Key West, FL 33040 294-5055 Retail Gift Reason for Waiver: Only two employees who do not do any manual labor, clerks position who also cashiers. Request Workers Compensation reauirement be lower to Fla State Statute Signature of Contractor: Approved � Not Approved Risk Management Dale County Administrator appeal: Approvcd: Date: Board of County C'ommissioncrs appall: Approved: _ Meeting Date: Not Approved: Not Approved: WAIVER SOITHERNN'OST INSL;RRNCE TEL No.335-294-5574 Oct 15,95 11:11 Nc.ODE P.02/ 2 CERTIFICATE OF INSURANCE ;� 1a13/95 PRODUCER THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION Southernmost Insurance Agency P, 0. Box 329 ONLY AND CONFERS NO RIGHTS UPON THE GERTIFIGATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR j ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rey Nest FL 33041-0323 COMPANIES AFFORDING COVERAGE A OSPiO _... - ---- fA1APANY 6 Fireman'■ Fund A. Wayne Lu]an 305 _296-„5.052 Muuaeo springboard Enterprises, Inc.+ dba: Airport Gift Shop c' 3495 B. Roasayslt Blvd - Key West rl. 33040 Key C LG APANT CQVI?RP PAC THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURFO NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OCCLMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN MEDUOEO BY PAID CLAMS. CO LTR TYPEOFINSURANCE POLICY NUMBER DAICYIPFECTIVE POLICY TE IMMIMY'JY1 i DATEIMMIDDJYYJN LIMITS A GENERAL LIABILITY COMMERSIALOENERALUABLNY ESP700076603 07/12/95 07/12/96 GkNkHAL AOONhGAIk F 600,000 X PRODUCTS -COMPMPAGO S600 000 ULAIMY AVIIR -- IA:CON ••'•,; ._.__.. PEFSONA_ S Nry wJURv 16300,000 OWNER'S L CONTRACTOR PROT EACH OCCURRENCE 000 000,000 FIRE DAMAGE (AnY mFlln) MED EXP V" pknep f50 000_ f S 000 AUTOMOBILE LIMLRY ANY AUTO qPn R(i',,,� F[1 PN PLC.' 9TI FItG FS'ck1T COMBINEDSINGLE UNIT f ALL OWNED AiJTO6 SCHEDULED AvroO WREDAUTOS NON -OWNED AUTOS <—!�X'or RV (1hTF'INJURY — CJQ G GLI�� BWILY INJURY fPIX PMiRN (Pe..wldknN f . f N" •J'%FR: N1� YES ... PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY; EACH-AOCIOENT . S + _.... _.._...._..__... I AGGREGATE f EXCESS LLA'LRY EACH OCCURRENCE f UMBRELLAFORM I AGGREGATE f OTHER THAN UMBRELLA FORM _— ......... .......—...... ..__._.__.... . $ E WORKERS OCMPENSATNTN AND ENFLOYER►' LIABILITY STATUTORY LIMITS EACH ACCIDENT • - ".: f 100,000 PMEAr�NEnR'sEr�n IVE wx OFFICERS ARE X EXCL W55WZJ80659473 12/09/94 12/09/95 LYsrA6E-ParcYla+rt DISEASE -EACH EMPLOYEE s 500,000 f 100 000 OTHER I DMDRIPTIDN OF OPERIITNJNEILOCATIONSNEHICLESNPEMAL ITEMS Additional Insured: Monroe County W NCIl.OER �FANGiLLATION—....-- ...�.. MONROE2 SHOULD ANT OF THE ABOVE DESCRIBED POLICIES ME CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE MMUNG COMPANY WILL ENDEAVOR TO MAIL Monroe County Risk Management , 0 DAYS WRITTEN NOTICE TO THE OBATIF1CATi MOLDER NAMED TO THE LEFT, Rays 5100 Cvllsgs Road BUT FAILURE TO Lift SUCH NOTICE SMALL IMPOSE NO OILMATCN OR LIABILITY Rey Went rL 33040 OF ANY KIND UPON THE COMPANY, IT$ AGENTS OR REPRESENTAhVEE. AUTHORIZED REPRESENTATIVE A. Wayne Lu]an ACML"-1{, A®AOORDi GRhORAYION`199y ALL A41561UP. CERTIFICATE OF INSURANCE GSR TC DATE(MWDDIYY) SPRIN-1 -: 01/10/96 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 323 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rey West FL 33041-0323 COMPANIES AFFORDING COVERAGE COMPANY A USF&G A. Wayne Lujan 305-296-5052 INSURED COMPANY B Travelers Springboard Enterprises, Inc. COMPANY dba: Airport Gift Shop C 3495 S. Roosevelt Blvd. Rey West FL 33040 COMPANY D 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 IDATE(MWDD/YY) TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 600,000 X PRODUCTS - COMP/OP AGO $ 600,000 A COMMERCIAL GENERAL LIABILITY BSP700076603 07/12/95 07/12/96 CLAIMS MADE � OCCUR PERSONALS ADV INJURY $ 300 , 000 EACH OCCURRENCE $ 300,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO APPROVED BY RISK MANAGEMENT COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS By_ DATE z , Ct iiI (PerOILY eeideJt)RY $ PROPERTY DAMAGE $ WAIVER: N/A YES GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMDRELLA FORM 4GGREGATE % OTHER THAN UMBRELLA FORM $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY LIMITS EACH ACCIDENT $ 100,000 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE 6FR13—UB-759K735-8-95 12/09/95 12/09/96 DISEASE -POLICY LIMIT $500,000 DISEASE - EACH EMPLOYEE $ 100,000 OFFICERS ARE: X EXCL OTHER i Received Risk Mgmt. is Lo; , DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS Additional Insured: Monroe County iNP[IA; CERTIFICATE HOLDER CANCELLATION MONROE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Risk Management Kaye 5100 College Road 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Rey West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE A. Wayne Lujan w ACORD 25S (�19�Y' CC � ��� CPR C O 1 N 1993 -ACORD... CERTIFICATE`` OF LIABILITY INSURANCgSR JJ DATE(MMIDDIVY) PRIN-1:- 02/05/97 PRODUCER ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency P. O. Box 323 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rey West FL 33041-0323 COMPANIES AFFORDING COVERAGE A. Wayne Lujan PNoni 305-296-5052 FaX NO. COMPANY A USF&G Ai"I'MM BV RISK MRNSGEMENT INSURED _ COMPANY B FWCJUA By �. Sprin4board Enterprises, Inc. dba: Airport Gift Shop COMPANY PATE COMPANY NAIIr IER: N/AYES CC. - D _ i/ 3495 S. Roosevelt Blvd. Rey West FL 33040 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. 00 GO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATTE(MM/DDIVY) POLICY EXPIRATION DATE(MMIDDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 600,000 A X COMMERCIAL GENERAL LIABILITY BSP700076604 07/12/96 07/12/97 PRODUCTS - COMP/OP AGG $ 600,000 CLAIMS MADE X OCCUR PERSONALS AOV INJURY $ 300,000 EACH OCCURRENCE $ 300,000 OWNER'S S CONTRACTOR'S PROT FIRE DAMAGE (Any one tire) $ 50,000 MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS II ^ �`,J j BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ OTHER THAN AUTO ONLY ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOVERS'LIABILITV X WC TORY LIMITS STATU- OTERH EL EACH ACCIDENT $ 100,000 B THE PROPRIETOR/ f INCL TIVE PARTNERS/EXECU(— OFFICERS ARE: X EXCL 6FR13UB759R735895 12/09/96 12/09/97 EL oisEASE -Poucv LIMIT $100,000 EL DISEASE - EA EMPLOYEE $500,000 OTHER . A Commercial Applica BSP700076604 07/12/96 07/12/97 A Property Section BSP700076604 07/12/96 07/12/97 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS Monroe County 5100 College Road, Rey West, FL. 33040 is named as an additional insured on the liability policy. CERTIFICATE HOLDER CANCELLATION MONROE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Risk Management 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Donna Perez 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Rey West, FL 33040 OF ANY KING UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE A. Wayne Lujan Q AGORD 25S (1/95) OACORp PORATIO 1' ARDITIONAL HAZARDS CSR JJ 02/05/97 . Springboard Enterprises, Inc. SPRZN-1 Attach to Certificate of Insurance PAGE 2 LOCATION# 1-: CLASSIFICATION CLASS PREMUM TERR RATE PREMIUM CODE BASIS PREMIOPS PRODUCTS PREMIOPS I PRODUCTS Gift Shop- 3495 S. Roosevelt S-50,000 4 Blvd LOCATION # CLASSIFICATION CLASS i PREMIUM TERR RATE PREMIUM CODE BASIS PREMIOPS PRODUCTS PREMIOPS PRODUCTS LOCATION # CLASSIFICATION CLASS PREMIUM TERR RATE PREMIUM CODE BASIS PREMIOPS PRODUCTS PREMIOPS I PRODUCTS LOCATION# CLASSIFICATION CLASS PREMIUM TERR I RPTE PREMIUM CODE BASIS PREM/OPS PRODUCTS PREMIOPS I PRODUCTS LOCATION # CLASSIFICATION CLASS PREMIUM RATE PREMIUM TERR CODE BASIS PREMIOPS PRODUCTS PREMIOPS I PRODUCTS LOCATION # CLASSIFICATION CLASS PREMIUM RATE PREMIUM TERR CODE BASIS PREM/OPS PRODUCTS PREMIOPS I PRODUCTS LOCATION # CLASSIFICATION CLASS PREMIUM RATE PREMIUM TERR CODE BASIS PREMIOPS PRODUCTS PREMIOPS PRODUCTS _ I LOCATION # CLASSIFICATION CLASS PREMIUM RATE PREMIUM TERR CODE BASIS PREM/OPS PRODUCTS PREMIOPS PRODUCTS _ _ � LOCATION # CLASSIFICATION CLASS PREMIUM RATE PREMIUM TERR CODE BASIS PREMIOPS PRODUCTS PREMIOPS I PRODUCTS LOCATION ,. CLASSIFICATION CLASS PREMIUM TERR RATE CODE BASIS PREMIOPS PRODUCTS PREM PRODUCTS /OPREMIUMPS - i LOCATION # CLASSIFICATION CLASS PREMIUM TERR RATE PREMIUM CODE BASIS PREMIOPSPRODUCTS PREM/OPS PRODUCTS ATTACH TO COMMERCIAL GENERAL LIA131LITY APPLICATION ACORD CERTIFICATE OF LIABILITY INSURANCE ESR VT DATE(MM/DDnY) SPRIN-ls. 09/03/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . 0. Box 323 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Key West FL 33041-0323 COMPANY A USF&G A. Wayne Lujan Phone No. 305-296-5052 Fax No. INSURED COMPANY B FWCJUA COMPANY C Springboard Enterprises, Inc. dba: Airport Gift Shop COMPANY D 3495 S. Roosevelt Blvd. Key West FL 33040 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMM/DD/YYI POLICY EXPIRATION DATE IMM/DD/YYI LIMITS GENERAL LIABILITY GENERAL AGGREGATE $600,000 K PRODUCTS-COMP/OP AGG 5600,000 A COMMERCIAL GENERAL LIABILITY BFS00000069096 07/12/97 07/12/98 CLAIMS MADE 1XI OCCUR PERSONAL & ADV INJURY 5 300,000 EACH OCCURRENCE $300,000 OWNER'S& CONTRACTOR'S PROT FIRE DAMAGE (An, ane fire) $SO,000 MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS AOPROVED 8V M '., EMENT BooavIn) Per person) 5 BODILY INJURY (Per accident) $ HIRED AUTOS NONOWNEDAUTOS FY r DATE PROPERTY DAMAGE 5 GARAGE LIABILITY , ^ AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE 5 _-f EXCESS LIABILITY EACH OCCURRENCE 3 AGGREGATE 5 UMBRELLA FORM � \/ p, I _ OTHER -n.AN JMbn2LLA FOMIci WORKERS COMPENSATION AND EMPLOYERS' LIABILITY K WC STU- OTH TORV LITAMITS ER EL EACH ACCIDENT $100,000 B THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE 6FR13UB759K735895 12/09/96 12/09/97 EL DISEASEPOLICYLIMIT $100,000 EL DISEASE - EA EMPLOYEE 5500,000 OFFICERS ARE: $ EXCL OTHER A Property BFS00000069096 07/12/97 07/12/98 Pars Prop $29,120 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Retail Gift Shop. CERTIFICATE HOLDER .CANCELLATION MONROE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Additional Insured: EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Board of County 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Commissioners 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 CWL OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE A. Wayne Lujan A - W 1 L (v:r) ACORD 26-S 11./951 61 OACO ORPORATION 1989 ' ACORQ CERTIFICATE OF LIABILITY INSURANCkP DATE (MM/DRIN-L 12/15/9 7 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 323 Key West FL 33041-0323 COMPANIES AFFORDING COVERAGE _ _ A. Wayne Lujan coMPANv A FWCJUA Phone No. 305-296-5052. Fax No. INSURED COMPANY B COMPANY Springboard Enterprises, Inc. dba: Airport Gift Shop ',.. C COMPANY 3495 S. Roosevelt Blvd. Key West FL 33040 D 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 LTR _� Ir POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MMIDDIVV) DATE(MMIDDIYY) LIMITS GENERAL LIABILITY ERAL AGGREGATE $ 600,000 A $ COMMERCIALGENERAL LIABILITY BFS00000069096 07/12/97 07/12/98 �PRODUCTS-COMP/OP AGO $600000 SONAL 8 ADV INJURY S 300,000 CLAIMS MADE OCCUR EACH OCCURRENCE $ 300 , OOO — OWNER'S 8 CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ 10 ,000 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS y K �EMFNT F Y B —� BODILY INJURY (Per person) $ w1 HIRED AUTOS BODILY INJURY 5 NON -OWNED AUTOS 11 PATE (Per accident) �-- --S' PROPERTY DAMAGE $ nl WA GARAGE LIABILITY AUTO ONLY _EA ACCIDENT $ OTHER THAUTO ON LY AEA ANY AUTO ` DENT - $ __.. V AGGREGATE $ EXCESS LIABILITY Cc EACH OCCURRENCE_ $ AGGREGATE $ UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND I$ 71-1 X C S LIMIUTS `OER EL EACH ACCIDENT _ $ 100,000 EMPLOYERS' LIABILITY THE PROPRIETORI i�wcL 6FR13UB759K735897 12/09/97 12/09/98 EL DISEASEPOLICYLIMIT $500, 000 A PARTNERS/EXECUTIVE OFFICERS ARE'. X EXCL _ "- EL DISEASE - EA EMPLOYEE $ 100 OTHER A IProperty BFS00000069096 I 07/12/9707/12/98 Pers Prop $29, 120 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS Retail Gift Shop1O/Additonal Insured: Monroe County-BOCC, Attn. Risk 33040. Management, 510D College Road, Key West, FL CERTIFICATE HOLDER CANCELLATION MONROE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County-BOCC 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Risk Management BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 College Road Key West, FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPO SENTJGL�-r�- a R A. Wayne Lujan J ACORD 25-S (1/95) ©ACORD CORPORATION DATE (MM/DD/YY)ACORD ''DU R.ERIN-1 ' 07/18/00 r PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1104 Truman Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040-3395 COMPANIES AFFORDING COVERAGE Richard S. McAdams COMPANY A USF&G/Metlife Auto & Home Phone No. 305-296-5(52 Fax No.305-293-0629 INSURED COMPANY (p B COMPANY Springboard Enterprises, Inc. dba: Airport Gift Shop C COMPANY 3495 S. Roosevelt Blvd. Key West FL 33040-5260 D 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. POLICY EFFECTIVE POLICY EXPIRATION CO TYPE OF INSURANCE LTR POLICY NUMBER LIMITS DATE (MM/DD/YY) j DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 600, 000 PRODUCTS - COMP/oPAGG $600,000 A I X COMMERCIAL GENERAL LIABILITY BFS00000637393 07/12/00 07/12/01 PERSONAL & ADV INJURY $ 3 0 0 , 0 0 0 CLAIMS MADE ❑X OCCUR EACH OCCURRENCE $ 3 0 0 , O O O OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ 10,000 AUTOMOBILE LIABILITY r '� COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS '. ODF BODILY INJURY (Per person) $ BODILY INJURY � $ HIRED AUTOS �I — � `-� � NON -OWNED AUTOS (Per accident) - -- --- - ---- PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: l ANY AUTO EACH ACCIDENT $ -- i CID AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND ' WC STATU- OTH-I EL EACH ACCIDENT EMPLOYERS' LIABILITY $ EL DISEASE - POLICY LIMIT $ THE PROPRIETOR INCL PARTNERS/EXECUTIVE EL DISEASE - EA EMPLOYEE $ OFFICERS ARE: EXCL OTHER A Property Section BFS00000637393 07/12/00 07/12/O1 I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Gift Shop- 3495 S. Roosevelt Blvd. KEY WEST FL. 33040 CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED. CERTIFICATE HOLDER CANCELLATION SPRING- 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 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, COMMISSIONERS 5100 COLLEGE RD. BUT FAI AIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY KEY WEST FL 33040 Y KI PON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. REP SE E c dr •• s ACORD 25-S (1/95) " ACORD CORPORATION 1988 AnowlI CERTIFICATE OF L'ABIL' JNSURA[ CP,P 'RI -1 DATE 05/09/Ol PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1104 Truman Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rey West FL 33040-3395 COMPANIES AFFORDING COVERAGE Richard S. McAdams COMPANY Phone No. 305-296-5052 Fax No.305-293-0629 A St. Paul Fire & Marine Ins Co INSURED COMPANY B The Hartford COMPANY C SPRINGBOARD ENTERPRISES, INC. D/B/A AIRPORT GIFT SHOP COMPANY D 3495 S. Roosevelt Blvd. Key West FL 33040-5260 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 600,000 X PRODUCTS - COMP/OP AGG $ 600, 000 A COMMERCIAL GENERAL LIABILITY BFS00000637393 07/12/00 07/12/01 CLAIMS MADE ❑X OCCUR PERSONAL & ADV INJURY $ 3 0 0 , 0 0 0 EACH OCCURRENCE $ 3 0 0, 0 0 0 OWNER'S 6 CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS c:'`'K ,��F�' i BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS `Y DATE to I yrq '' BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO t EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY LIABILITY ATU X WC S LIMI TORY LIMIT ER C EL EACH ACCIDENT $ $1 O O, 0 0 0 B THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: Hx EXCL 20 WEC DU9125 12/09/00 12/09/01 EL DISEASE -POLICY LIMIT $ $500, 000 EL DISEASE - EA EMPLOYEE $ $10 0 , 0 0 0 OTHER A Property Section BFS00000637393 07/12/00 07/12/01 CONTENTS $40,551 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Gift Shop 3495 S. Roosevelt Blvd. KEY WEST FL. 33040 CERTIFICATE HOLDER IS ALSO ADDED AS AN ADDITIONAL INSURED. CERTIFICATE HOLDER CANCELLATION MONROE 5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE COUNTY OF MONROE, BOARD OF EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COUNTY COMMISSIONERS 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MARIA DEL RIO 5100 Junior College Road B ILU TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 0 AN IND UPON TH.5,COMPANY, ITS A2EM OR REPRESENTATIVES. A I PRES AT E Richard S. c dams ACORD 25-S (1/95) " ACCRD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE- R nM > DATE(MMlDD/W) SFRIN-1 08/31/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency 1104 Truman Ave. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 COMPANIES AFFORDING COVERAGE A. Wayne Luj an Phone No. 305-296-5052 Fax No.305-293-0629 COMPANY AUSF&G/St. Paul Ins. INSURED - COMPANY f ' V Springboard Enterprises, Inc. dba: Airport Gift Shop 0 B COMPANY C COMPANY D 3495 S. Roosevelt Blvd. Key West FL 33040-5260 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY I GENERAL AGGREGATE $ 600,000 X PRODUCTS - COMP/OPAGG $ 600,000 A COMMERCIAL GENERAL LIABILITY BFS00000367801 07/12/99 07/12/00 CLAIMS MADE [*] OCCUR PERSONAL & ADV INJURY $ 300,000 EACH OCCURRENCE $ 3 0 0 , 0 0 0 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ 10,000 AUTOMOBILE LIABILITY "� " COMBINED SINGLE LIMIT $ ANY AUTO y BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS h�?E .^ (l' ,' ' .: MO / ! vC �__ _� LY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ o . AGGREGATE $ EXCESS LIABILITY DATE EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM INITIAL IAL -� $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OETR TORY LIMITS ER ' EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OFFICERS ARE: EXCL OTHER A Commercial Applica BFS00000367801 07/12/99 07/12/00 A Property Section BFS00000367801 07/12/99 07/12/00 DESCRIPTION OF OPERATIONSILOCATIONSA/EHICLES/SPECIAL ITEMS Gift Shop- 3495 S. Roosevelt Blvd additional insrued. certificate holder added as CERTIFICATE HOLDER CANCELLATION MONROE4 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 5100 College Road D&Yg_RJ 17141 THE CER TE HOLDER NAMED TO THE LEFT, f/ R LIABILITY BUT FA LURE �ENT�SPORESENTATtVES. PECO�, Key West FL 33040 OF AN_ UPON AUTHORIZED REPRE NTATIVE A. Wayne Lujan ACORD 25-S (1l95) ACORD CORPORATION 1988 ; ACORD � ��'� � © LIABILITY YI INSURANCE,., DATE(MM/DDIYY) INSURANCE,., 01/11/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency 1104 Truman Ave. Key West FL 33040 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE A. Wayne Luj an Phone No. 305-296-5052 Fax No.305-293-0629 COMPANY A USF&G/St. Paul Ins. INSURED COMPANY B The Hartford COMPANY C Springboard Enterprises, Inc. dba: Airport Gift Shop COMPANY 3495 S. Roosevelt Blvd. Key West FL 33040-5260 D 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 LTR TYPE OF INSURANCE POLICY NUMBER LICY EFFECTIVE FD1TE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 600,000 PRODUCTS -COMP/OPAGG $ 600, 000 A X COMMERCIAL GENERAL LIABILITY BFS00000367801 07/12/991�07/12/00 PERSONAL & ADV INJURY $ 3 0 0 , 0 0 0 �CLAIMS MADE 'u OCCUR EACH OCCURRENCE $ 3 0 0 , 0 0 0 I OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ 10,000 AUTOMOBILE IF LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS yr' �" �r } 1E\ n n/ /�r , �' L!�(Per COMBINED SINGLE LIMIT $ BODILY INJURY person)$ BODILY INJURY(Per accident)$ HIRED AUTOS NON -OWNED AUTOSD u Fc PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ �- UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ' WC STATU- OTH- X TORY LIMITS I _1ER EL EACH ACCIDENT I $ $10 0 , 0 0 0 EL DISEASE -POLICY LIMIT $ $ 5 0 0 , 0 0 0 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL 20WEC DU9125 DV 01 12/09/99 12/09/00 EL DISEASE - EA EMPLOYEE $ $10 0 , 0 0 OTHER A 'Commercial Applica BFS00000367801 07/12/99 07/12/00 A ''Property Section BFS00000367801 07/12/991 07/12/00 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Gift Shop- 3495 S. Roosevelt Blvd certificate holder added as additional insrued. CERTIFICATE HOLDER CANCELLATION MONROE - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COUNT EXPIRATI0yam/pTE THEREOF, THE ISSUING CO NY WILL ENDEAVOR TO MAIL 30 BAYS E RFI CAT HOLDER th1ED TO THE LEFT, COMMISSIONERS 5100 COLLEGE ROAD KEY WEST FL 33040DATE �l J BUT AIL T SUC LL IMP 0 OBLIGATION OR LIABILITY OF ANY KIND UP THE CO PANY, ITS GENTS OR EPRESENTATIVES. AUTHORIZED REPRE TATIV INITIAL ACORD 25-S (1/95) A. Wayne Luj an " ACORD CORPORATION 1988 ACORQ. CERTIFICATE OF LIABILITY INSURANCFID BB DATE(MM/DDIYY) PRIN-1 12/01/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1104 Truman Ave. Rey West FL 33040 COMPANIES AFFORDING COVERAGE A. Wayne Lujan COMPANY A USF&G Phone No. 305-296-5052 Fax No.305-293-0629 INSURED COMPANY B The Hartford Springboard Enterprises, Inc. ✓ COMPANY dba: Airport Gift Shop C COMPANY 3495 S. Roosevelt Blvd. �p� Rey West FL 33040 D 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 600 , OOO A X COMMERCIAL GENERAL LIABILITY BFS00000154370 07/12/98 07/12/99 PRODUCTS - COMP/OPAGG $ 600,000 CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ 300,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 300,000 FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ 10 , 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO j. ALL OWNED AUTOS ' j" BODILY INJURY $ SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS lY- NON -OWNED AUTOS (Per accident) LATE ------- PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY —0 'W111(X}- EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND STAT$ X ORY LIMITS OER EL EACH ACCIDENT $ 100,000 EMPLOYERS' LIABILITY B THE PROPRIETOR/ INCL BINDER#NFL01168 12/09/98 12/09/99 EL DISEASE -POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE OFFICERS ARE: X EXCL EL DISEASE - EA EMPLOYEE $ 100 , 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESISPECIAL ITEMS Airport.Gift Shop Monroe County Risk Management Board of County listed Commissioners, 5100 College Road Rey West, FL 33040 is as an Additional Insured on the General Liability policy. CERTIFICATE HOLDER CANCELLATION MONROE 4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Monroe County Risk Management BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 College Road Rey West FL 3Roa /C/ V /&/')' OF ANY KI N T TS AGE PRESENTATIVES. AUTHORIZE EP / v DATEj W Lu n ACORD',25-S (1/95) INITIAL ©A RDCORPORATION 1988 '> AcORo CERTIFICATE OIF LIABILITY INBURANC�ID 01 0 DMM/DD/YY, P RIN-1 7/0(2/98 PRODUCER Southernmost Insurance Agency 1104 Truman Ave. Rey 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 A. Wayne Lujan Phone No. 305-296-5052 Fax No.305-293-0629 co AANY USF&G INSURED COMPANY B COMPANY C Springboard Enterprises, Inc. dba: Airport Gift Shop COMPANY 3495 S . Roosevelt Blvd. Rey West FL 33040 D 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. FLTR TYPE OF INSURANCE POLICY POLICY NUMBER DATE EFFECTIVE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DDIYY) LIMITS A GENERAL LIABILITY g COMMERCIAL GENERAL LIABILITY CLAIMS MADE �X OCCUR OWNER'S & CONTRACTOR'S PROT BFS00000154370 07/12/98 07/12/99 GENERAL AGGREGATE $ 600,000 PRODUCTS - COMP/OPAGG $ 6OOr000 PERSONAL & ADV INJURY $ 300 r OOO EACH OCCURRENCE $ 300 r OOO FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS .c-`�KOI/ R K ti� r M'" BODILY INJURY (Per accident) $ NON -OWNED AUTOS oy PROPERTY DAMAGE $ GARAGE LIABILITY DATE ..�ILI 01 AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO I1'Att'ER: i?, L TFS EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM I///"""���(�l I(�I r 1 1 Lr a Ii7I $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND %�� t WC STATU- OTH- TORY LIMITS ER EL EACH ACCIDENT S EMPLOYERS' LIABILITY W ' EL DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE 1 $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATEHOLDER''; CANCELLATION MONROE4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Additional Insured: Monroe Co. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Board of County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 College Road Rey West FL 33040 OF ANY KIND UPON THE COMPANY ITS AG S OR REPRESENTATIVES. AUTHORIZED REPRESENTATIV DATE >ACORD 25 S (1/91) A. Wayne Luj ORPO TION t988 INITIAL Ekzutbernunoat Iosnrdoce A.�eocy 1104 Truman PonOnue F.O. 8pri Inc. dte- AicTPoct Gift 349� S Domsemelt ' ATION FIE H ER IF ATE IS ISSUR Jig li ATTER OF INFORMATION TT , EXTEND OR ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FHOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANY Cc'rpo at COMPANY flsFFC, APPROVED BY RISK MANAGEMENT COMPANY u COMPANY � NAMED _��� � THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ESPECT TO WHICH THIS INDICATED, NOTWITHSTANDING ANY MAY PERTAINTHE INSURANCE AFFORDED avTHE POLICIES DESCRIBED HEREIN ~SUBJECT _ ALL _—E TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CERTIFICATE MAY BE ISSUED OR PC POLICY EXPIRATION LIMITS CO DATE (MWDDrM I TYPE OF INSURANCE POLICY NUMBER xcy EFFECTIVE DATE (MMIDDNY) GENERAL AGGREGATE GENERAL LIABILITY 600,000. EACH OCCURRENCE $ �00' Ora). 1 FIRE DAMAGE (Any one fire) $ 000 It MED EXP (Any ON person) COMBINED SINGLE LIM i AUTOMOBILE LIABILITY 1 EACH OCCURRENCE $ EXCESS LIABILITY DATE 3 AGGREGATE $ UMBRELLA FORM MIIAL $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS THE PROPRIETOR/ PARTNERS/EXECUTIVE DISEASE - EACH EMPLOYEE $ 100, 000 OFFICERS ARE: EXCL, dtHi DESCRIFHON OF ofiERATK*iStLo�.ATK)NS/VEMdLESr*PECIAL ITEMS CERTIFICATE WLDER SHOULD MY OF THE ABOVE DESCRIBED POLICIES 13E CAMICEI I En BEFORE THE /EXPIRATM DATE THEREOF, THE MSUMG COMPANY vmLL ENDEAVOR TO MAIL !P4onroe "'Ourity Management 30 DAYS wMTTEH NOTICE TO THE CERTMATE HOLDER NAMED TO THE LEFT, _ OF ANY KIND UPON THE COMPANY ITS AGENITS OR REPRESENTATIVES. BUT FAILURE TO MAIL SUCH NOTICE SHALL MMpOSE No OBLIGATION OR UAMLITY ' =^ `� --���--- ----- -----------'---- `----------'---- --c��7t�w~�*p°~ ACORD. CERTIFICATE OF LIABILI PRODUCER MSC INS AGCY OF TN,LLC/PHS 241036 P:(866)467-8730 F:(877)538-8526 P. O. BOX 29611 CHARLOTTE NC 28229 INSURED AIRPORT GIFT SHOP SPRINGBOARD ENTERPRISES, INC. 3495 S. ROOSEVELT BLVD. KEY WEST FL 33040 COVERAGES TY INSURANCE AM DA Uo 08-11-2003 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 INSURER A: Hartford Ins Co of the Southeast INSURER B: INSURER C INSURER D: 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. lR LT LTR TYPE OF 1NSURANCE POLICY NIJNBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD Y i LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY S FIRE DAMAGE (Any one fire) 'i MED EXP (Any one person) $ CLAIMS MADE OCCUR PERSONAL & ADV INJURY TS _ GENERAL AGGREGATE j S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO- F POLICY LOC AUTOMOBILE - LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS 10 ye A AG ��r` , MENT BODILY INJURY (Per S SCHEDULED AUTOS AP� p f� person) BODILY INJURY S _ - HIRED AUTOS BY NON -OWNED AUTOS (Per accident) PROPERTY DAMAGEES S DATE ---, - (Per -accident)-______ WAW l_ GARAGE LIABILITY AUTO ONLY-- EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ 60 • AUTO ONLY: AGG $ EXCESS LIABILITY r EACH OCCURRENCE $ OCCUR u CLAIMS MADE _ AGGREGATE I $ DEDUCTIBLE S I OTC S ,RETENTION WORKERS COMPENSATION AND WCY TATT T �R X A EMPLOYERS'UAB/UTY 20 WEC DU9125 ',' 12/09/02 12/09/03 E.L. EACH ACCIDENT $100, 000 E.L. DISEASE - EA EMPLOYEE $10 0 , 0 0 0 E.L. DISEASE - POLICY LIMIT j $5 0 0, 0 0 0 OTHER I_...I it DESCRIPTION OF OPERAT/ONS/LOCATIONSNEH/CLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPEC/AL PROVISIONS Those usual to the Insured's Operations. CERTIFICATE HOLDER _U ADDITIONAL INSURED; INSURER LETTER: Monroe County Board of Commissioners Attn: Risk Management Department 1100 Simonton St Key West, FL 33040 CANCELLATION OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 'RESENTATIVES. ACORD 25-S (7/97) ® ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE ROP IDIN DATE(MMlDDIYY 3 SPRIN-1 OB 14 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 1104 Truman Ave. Key West FL 33040-3395 Phone: 305-296-5052 Fax: 305-293-0629 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: The S t . Paul Co. INSURER B: SPRINGBOARD ENTERPRISES INC. INSURER G: (DBA) AIRPORT GIFT SHOD 495 S. Roosevelt Blvd. INSURERD: Key West FL 33040-5260 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMMIDDIYY E PDATEY MWDDIYY N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 300 , OOO PREMISES (Ea occurence) $300,000 A X COMMERCIAL GENERAL LIABILITY BRO1423681 07/12/03 07/12/04 MED EXP (Any one person) $ 10,000 CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ 300,000 GENERAL AGGREGATE $ 600,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 600,000 POLICY PRO- JECT 1-1 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS A�' K "MAN MENi PROPERTY DAMAGE (Per accident) $ t BY / GARAGE LIABILITY PATE AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO `1 �IAI 4 EE / I A _---Y ES 'T ��— $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE �% J RETENTION $ WORKERS COMPENSATION AND OTH- TORY LIMITS E.L. EACH ACCIDENTANY LIABILITY PROPRIEfORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? JEREMPLOYERS' E.L. DISEASE - EA EMIf DISEASE -POLICY yes, describe underSPECIAL PROVISIONS belowE.L. OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Gift Shop-3495 S. Roosevelt Blvd. KEY WEST FL. 33040. In Key West International Airport. **Certificate holder is added as an Additional Named Insured to the policy** 6- o P,,� . �rl, CL r��.lrryrs.�ry•�.��n-�� r•�nrr���•��r�u� MONROE5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County & DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners/Risk Mgmt Dept. 1100 Simonton Street IMPOSE NO OBLIGATION O BILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRE NT A. Wayne Lu-an acnvn 7s r7nnvnmi t �JG ACORa EVIDENCE OF PROPERTY INSURANCE OP ID xx DATE 08/103_ 08/1/DD1/0 BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PRODUCER PHONEIFAX 305-296-505Z305-293-062 COMPANY x I IA/CNe,Extl: , Southernmost Insurance Agency The St. Paul 1104 Truman Ave. Dept. AT 40092 Key West FL 33040-3395 Atlanta GA 31192-0092 A. Wa ne Lu ' an -- LOAN NUMBER POLICY NUMBER CODE: SUB CODE: AGENZY CUSTOMERID#: SPRIN-1 INSURED BK01423681 Springboard Enterprises Inc. (DBA) Airport Gift Shop EFFECTIVE DATE EXPIRATION DATE - CONTINUED UNTIL 3495 S. Roosevelt Blvd. 07/12/03 07/12/04 TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: Key West FL 3 3 0 4 0- 5 2 6 0 PROPERTY INFORMATION LOCATION/DESCRIPTION 001 Location: 1 Building: 1 Gift Shop 3495 S. Roosevelt Blvd Key West FL 33040 COVERAGE INFORMATION AMOUNT OF INSURANCE DEDUCTIBLE COVERAGEIPERILS/FORMS Premise 1 Building 1 Contents (Excluding Wind & Hail) APP V D B I,K MAN EMENT $44,312 $500.00 Property off Premises BY $25,000 $25,000 $500.00 $500.00 Valuable Records/Papers DATE WAIVER N/A YES • � I��w� III REMARKS (Including Special Conditions) Additional Named Insured is to be listed as: Monroe County & Monroe County Board of County Commissioners CANCELLATION THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. ADDITIONAL INTEREST NAME AND ADDRESS MORTGAGEE }{ ADDITIONAL INSURED Monroe County & LOSS PAYEE _ LOAN# Monroe County Board of County Commissioners/Risk Mgmt Dept. 1100 Simonton Street AUTHORIZED REPRESENTA Key West FL 33040 ,.•-- A. Wayne Lu ACORD 27 (3193) c ORD C PORATION 1993 08/11/2003 11:57AM THE HARTFORD PAGE 5 OF 5 ACORD- CERTIFICATE OF LIABILITY INSURANCE U04 oe-l1 T2003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MSC INS AGCY OF TN LLC/NHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, E%TEND OR 241036 P: (866) 467-8730 F: (877) 538-8526 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P . 0. BOX 29611 INSURERS AFFORDING COVERAGE CHARLOTTE NC 28229 INSURED INSURER A.Hartford Ins Co of the Southeast AIRPORT GIFT SHOP SPRINGBOARD INSURER B. ENTERPRISES, INC. INSansa c 3495 S. ROOSEVELT BLVD . INSURER D. KEY WEST FL 33040 INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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 SUC POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. yTYPE OF IPSUAAPCE POLICY NUM POLICY EFFECTIVE DATE MM DD YY POLICY EXPIRATION DATE MM DD YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE (Any one fi $ rPERSONAL COMMERCIAL GENERAL LIABILITY NED EXP (Any one person) $ CLAIMS MADE F OCCUR a ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LINIT APPLIES PER. PRODUCTS - COMP/OP AGG $ POLICY PRO- Los AUTOMOBILE LIABILITY h �� D� D ^ (� ? (BMaB QNCBDdB INGLE LIMIT S ANY AUTO R% BY ALL OWNED AUTOS SCHEDULED AUTOS DATE BODILY INJURY (Fez person} $ � HIRED AUTOS NON -OWNED AUTO WAIVER/A BODILY INJURY (Pez accident) $ * —YES ----:: PROPERTY DAMAGE (Par accident) $ GARAGE LIABILITY 1 AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY.. AGG EXCESS LIABILITY OCCUR ❑ CLAIMS MADE �1. EACH OCCURRENCE S AGGREGATE $ $ DBDOCTIBLe M $ $ RETENTION $ . i A NORNERS COMPENSATION AND EMPLOYERS' LIABILITY 20 WEC DU 9 1 2 5 1 2/ 0 9/ 0 2 1 2/ 0 9/ 0 3 QTSjX NC STATU- OTH- E.L. EACH ACCIDENT $ 1 0 0 0 0 0 E.L. DISEASE - EA EMP10 $1 0 0 000 E.L. DISEASE - POLICY L $8 0 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSE-*IEST/SPECIAL PROVISIONS Those usual to the Insured's Operations. CERTIFICATE HOLDER I I ADDITIONAL INSURED) INSURER LETTERS I:AIV I:l.LLA'1'1VLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Board of Commissioners 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICAT HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO Attn: Risk Management Department OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS O 1100 Simonton St REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTA ACORD 25-S (7/97) 0 ACORD CORPORATION 1YUb AC ORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MWDD/YYYY) SPRIN-1 01 26 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1104 Truman Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040-3395 Phone:305-296-5052 Fax:305-293-0629 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: The St. Paul INSURER B: The Hartford SPRINGBOARD ENTERPRISES, INC. (DBA) AIRPORT GIFT SHOP INSURERC: 3495 S. Roosevelt Blvd. INSURERD: Key West FL 33040-5260 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDT PDATE CY MWDD/rr IRATIN LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR BKO1423681 07/12/03 07/12/04 EACH OCCURRENCE $ 300,000 PREMISES (Ea occurence) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADVINJURY _, GENERAL AGGREGATE $ 300,000 ' $ 60 0 , 0 0 0 GENT AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ 600 , 000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS A U Yo +SK AGE COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ _ P PERTYDAMAGE ccidenq $ GARAGE LIABILITY 1 AHNY AUTO I_ DATE —_. WAIVER AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ 6V6 cc EACH OCCURRENCE $ AGGREGATE $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 20 WEC DU9125 05 12/09/03 12/09/04 X I TORY LIMITS I ER E.L. EACH ACCIDENT $ 100 000 r E.L. DISEASE - EA EMPLOYEE $ 100 , 000 E.L. DISEASE - POLICY UVIT S 5 00 , Q 00 OTHER _ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Gift Shop-3495 S. Roosevelt Blvd. KEY WEST FL. 33040. In Key West Internatio nal Airport GtK I IFIGA I L HULULK CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .30 DAYS WRITTEN BOARD OF COUNTY COMMISSIONERS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL RISK MANAGEMENT DEPT. 1100 SIMONTON ST.IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR KEY WEST FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIV !:�� A. Wa a Lu'an ACORD 25 (2001/�9,8) � © COR ORPORA N 1988 C G;44_L � .�3r DIT10,0AL Lt36A;ii6WRA4G 46RMATION 1 iP 1i1 WL,"' DI / 2 6 jU 4 SPRINGBOARD ENTERPRISES, INC. SPRIN-1 Attach to Certificate of Insurance PAGE 3 LOCATIONS # STREET, CITY, COUNTY, STATE, ZIP CODE 3495 S. Roosevelt Blvd. 1 Key West FL 33040 Monroe I STATE L O CLASS CODE COMPANY _ CATEGORIES, DUTIES, CLASSIFICATIONS #EMPLOYEES FULL PART ESTIMATED ANNUAL RATE ESTIMATED C. USE TIME TIME REMUNERATION ANNUAL PREMIUM FL 1 8017 Store -Retail NOC 2 0 31500 3.29 1410.00 I i � M rwcpmO ...., ACORD,. CERTIFICATE PRODUCER Southernmost Insurance Agency g Y 1104 Truman Ave. Key West FL 33040-3395 OF LIABILITY INSURANCE OP ID B DAT7(MM/D7D/"YYYY) SPRIN-1 04 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. Phone:305-296-5052 Fax:305-293-0629 INSURERS AFFORDING COVERAGE INSURED NAIC # INSURER A: The St. Paul - Sp ringgboard Enterprises, dba : Ai ort Gift Shopp 3495 S. Roosevelt Blv3. Inc, INSURERS: INSURER C: Key West FL 33040-5260 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. TSR MS TYPE OF INSURANCE POLICY NUMBER ?,0 TIDY EFFECTIVE POLICY EXPI TI N GENERAL LIABILITY A X I COMMERCIAL GENERAL LIABILITY BK01857969 JI CLAIMS MADE X OCCUR �-�GEN'L AGGREGATE LIMIT APPLIES PER POLICY JPERCOT n LOC AUTOMOBILE LIABILITY , ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS 17 HIRED AUTOS ilNON -OWNED AUTOS GARAGE LIABILITY 7 ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR [�] CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? yes, describe under SPECIAL PROVISIONS below OTHER ­C mmruwrY LIMITS EACH OCCURRENCE $300,000 07/12/04 I 07/12/05 PREMISES (Ea occurence) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL&ADVINJURY $300,000 GENERAL AGGREGATE $ 600,000 PRODUCTS - COMP/OPAGG $ 600,000 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY $ (Per accident) PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ APPI EPAEt47 EACH OCCURRENCE $ BY -� AGGREGATE $ DAT.._._ is L .L�DISCEASE H ACCIDENT $ .LASE - EA EMPLOYEE $ L- POLICY LIMIT $ A !Commercial Applica BK01857969 07/12/04 07/12/05 A' DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS Gift Shop - 3495 S. Roosevelt Blvd. Certificate holder is additional insured. CERTIFICATE HOLDER Monroe County Bldg. Dept. 305-289-2515 3798 Overseas Highway Marathon FL 33050 CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR r ACORD 25 (2001! ) • A. Wa a �Zu' n 4 G: © CORD CORPORATION 1988 DATE ACORD. CERTIFICATE OF LIABILITY INSURANCE 110-27-2004 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MSC INS AGCY OF TN, LLC/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 241036 P: (8 6 6) 4 6 7- 8 7 3 0 F: (8 7 7) 5 3 8- 8 5 2 6 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P . 0. BOX 29611 INSURERS AFFORDING COVERAGE CHARLOTTE NC 28229 INSURED INSURER A: Hartford Ins Co of the Southeast AIRPORT GIFT SHOP SPRINGBOARD INSURERB: ENTERPRISES, INC. INSURERC: 3495 S. ROOSEVELT BLVD. INSURERD: KEY WEST FL 33040 INSURER E: aw • �nrwa_v THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PO INS" TYPE OF INSURANCE POLICY NUMBER DAE MIDDNY DA EY M%DD/YYEXRAN LIMITS LTA GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY I FIRE DAMAGE (Any one fire) $ CLAIMS MADE U OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY S GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ GENT AGGREGATE LIMIT APPLIES PER: POLICY JECT PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ IEa accident) ANY AUTO BODILY INJURY S ALL OWNED AUTOS SCHEDULED AUTOS APf4 ' `t4 11AN (Per person) BODILY INJURY $ HIRED AUTOS BY nq .� (Per accident) NON -OWNED AUTOS DArE PROPERTY DAMAGE $ t/ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG F EXCESS LIABILITY n EACH OCCURRENCE $ OCCUR u CLAIMS MADE C AGGREGATE $ S DEDUCTIBLE $ C RETENTION $ �' $ TH- X WORYC STATU- OER WORKERS COMPENSATION AND E.L. EACH ACCIDENT $10 0 , 0 0 0 A EMPLOYERS' LIABUM 20 WEC DU912 5 12 / 0 9 / 04 12 / 0 9 / 0 5 E.L. DISEASE - EA EMPLOYEE $10 0 , 0 0 0 E.L. DISEASE - POLICY LIMIT I S 5 0 0, 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. GG ; �na•� c� CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Monroe County Board of Commissioners Attn: Risk Management Department 1100 Simonton St. Key West, FL 33040 )ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 1IRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 'RESENTATIVES. AUTHORIZED REPRESENT ACORD 25-S 17197) 0 ACORD CORPORATION 1930 Ro. CERTIFICATE OF LIABILITY INSURANCE OP ID $ DATE (MM/DD/YYYY) PRODUCER SPRIN-1 09/12/05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1104 Truman Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040-3395 Phone_305_296_5052 Fax: 305-293-0629 'INSURERS AFFORDING COVERAGE NAIC # INSURED ----1N--SURER INsuRERA. St. Paul/Travelers --F- - -- — f S rin board Enterprises Inc . wsuRER B - --- -- —�. a: itport Gift Shop INSURER _— 3495 S. Roosevelt Blvd. --- �_ Key West FL 33040-5260 INSURER ---- --- --- ---- COVERAGES 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;A6D' LTR VNSRq' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVETPOLIC-- EXPIRATION — -- -- — - — DATE MMlDDlYY DATE MM/DD/YY) LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ 300 r OOO A g COMMERCIALGENERALLIABILITY BK02138899 �DATAAG>-rO�NTED--- - 07/12/05 07/12/06 IPREMISEs(Eaoccurence) �$300r000 ' � t � CLAIMS MADE C] OCCUR --- — VIED EXP (Any one person) $ 10 O O 0 _ r --- PERSONAL & ADV INJURY s 300 r 000 --— GENERAL AGGREGATE 1$ 60O 000 GLN'L AGGREGATE LIN I APPLIES PER: --- ---- _.! PRO- n PRODUCIS- COMPIOPAGG $600,000 POLICY I JECT !, LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT 1I (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS ! BODILY INJURY $ to (Per person) — -� - HIRED AUTOS BODILY INJURY NON -OWNED AUTOS ' "' _ _ �E'Mt-%.j (Per accident) $ —I ------ t I PROPERTY DAMAGE I (Per accident I $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ r ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESS/UMBRELLA LIABILITY ' EACH OCCURRENCE $ J OCCUR LJ CLAIMS MADE! (AGGREGATE $ -- $ DEDUCTIBLE d------� - ,- - -- RETENTION j WORKERS COMPENSATION AND 'L vv-- $ WC EMPLOYERS' LIABILITY �TORY LIMITS j ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT Ir$ I OFFICER/MEMBER EXCLUDED? �..._—If yes, describe under E.L. DISEASE - EA EMPLOYEE _ SPECIAL PROVISIONS below �-- --.---_--_ Y$ OTHER '"' - ----- ��I EL.I SEASE-POI_iCYI IMI-, -- i i DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Gift Shop- 3495 S. Roosevelt Blvd CC - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO ***Additional Insured*** DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners PO BOX 1026 IMPOSE NO O/BLJ�A?���J OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRES ATIELT VFSi1 /' i ACORD 25 (2001/08) A' © Ai CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE °A 10-18-2005 PRODUCER MSC INS AGENCY OF 241036 P: (8 6 6) 4 6 7- PO BOX 29611 CHARLOTTE NC 28229 TN, LLC/NFIB/PHS 8 7 3 0 F: (8 7 7) 5 3 8- 8 5 2 6 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 AIRPORT GIFT SHOP ENTERPRISES, INC. 3495 S . ROOSEVELT KEY WEST FL 33040 SPRINGBOARD BLVD . INSURER A: Hartford Ins Co of the Southeast INSURERB: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM1DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ CLAIMS MADE U OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PROECT LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ $ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO APP EA ACC S OTHER THAN — AUTO ONLY: qGG $ EXCESS LIABILITY _ iJAI II II {� EACH OCCURRENCE $ OCCUR u CLAIMS MADE ''^'----^--- AGGREGATE $ DEDUCTIBLE m $ RETENTION $ v_ V $ WORKERS COMPENSATION AND X WC STATU- OTH- LIMER A EMPLOYERS' LIABILITY 20 WEC DU912 5 12 / 0 9/ 0 5 12 / 0 9/ 0 6 E.L. EACH ACCIDENT $10 0, 0 0 0 E.L. DISEASE - EA EMPLOYEE $1 0 0 , 000 .L. DISEASE - POLICY LIMIT $5 O O , O O O OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. C. C- . T" it n 4 n C Q. CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Monroe Count y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Board of Commissioners 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE Attn : Risk Management Department HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO 1100 Simonton St. OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 A ORI 'D'RJF�ESEN ATI1%� r�a.vnv c.av I frail 11 ACORD CORPORATION 1988 ACORD� CERTIFICATE OF LIABILITY INSURANCE VC 10-16X-I2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MSC INS AGENCY OF TN, LLC/NFIB/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 241036 P: (866)467-8730 F: E COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 29611 t I INSURERS AFFORDING COVERAGE CHARLOTTE NC 28229 INSURED INSUR A:H rtford Ins Co of the Southeast jOSUR B: AIRPORT GIFT SHOP SPRINGB AR OCT 2 J INSUR _ C: ENTERPRISES, InfC. Nn D: 3495 S. ROOSEVE;LT BLVD. NSURERE: KEY WEST FL 33040 MONROE COUN 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. IIn TYPE OF INSURANCE PoLICV EFFECTIVE POLICY NUMBER DATE MMIDDpY POLICY EXPIRATION DATE MMIDDIYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE IAny one fuel S CLAIMS MADE LJ OCCUR MED EXP (Any one person) 5 PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS COMP/OP AGG $ GENT AGGREGATE LIMIT APPLIES PER: POLICY PECT RO LOC AUTOMOSILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO IEa accdenq $ ALL OWNED AUTOS BODILY INJURY ''. SCHEDULED AUTOS (Per Parson) HIRED AUTOS BODILYIN JURY $ NON -OWNED AUTOS IPer accidend PROPERTY DAMAGE $ _ - ._ _ - -, (Per acciden0 GARAGE LIABILITY Vj IV'"' , ' " AUTO ONLY - EA ACCIDENT $ S ANY AUTO OTHER THAN EA ACC $ / AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ j $ OCCUR a CLAIMS MADE 1r `' AGGREGATE 1$ ^ -j \�.� DEDUCTIBLE ( $ RETENTION S WC STATU- OTH- X WORRERS COMPENSATION AND TORY U.T EB E.L. EACHAccmENT s100,000 A YERS EMPLO' LIABILITY 20 WEC DU9125 12/09 06 12 09 07 . E.L. DISEASE - EA EMPLOYEE 51 O O ,000 E.L. DISEASE - POLICY LIMIT sSOO, OOO OTHER DESCRIPTION OF OPEMTIONS/LOCATIONSIVEHICLESIEXCLU810N3 ADDED BV ENDORSEMENTISPECIAL PROVISIONS Those usual to the Insured's Operations. I CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County y EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL Board of Commissioners 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICALE Attn ` Risk Management Department HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO ' g p OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St. REPRESENTATIVES. Key West, / FL 33040 A ORITB Imp gEM ESEN ATI \Vj`-Lam•`/` C.O : C_41 B.- ACORD 25-S (7/97) ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE PRODUCER THIS CERTIFICATE IS ISSUED AS A ONLY AND CONFERS NO RIGHTS UI Southernmost Insurance Agency -- ---------.--...._,.. _- H nER.THIS. CERTIFICATE DOES 1010 Kennedy Drive, suite 300 i SA T THE COVERAGE AFFORDED Key West FL 33040--4133 Phone:305-296-5052 Fax:305-293-0 9 INSURERSAFFOR&NG COVERAGE INSURED ' I sURER St. aul/Travele � MAR 1 INSUk R gErinoard Enterprises In¢. I INsuRERc. b a: �i art Gift Shop 3495 S. oosevelt Blvd. "- -- Key West F% 33040-5260 - - Jr+sulzr:R D. I %'.:': i'.11'.'U45t)PkR E: j DATE fMM/DDIYYYY) THE CERTIFICATE AMEND, EXTEND OR rHE POLICIES BELOW. 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. INS LTR NSRE TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/1.1' DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $500,000 A X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FxIOCCUR 90K72273 07/12/06 07/12/07 PREMISES(Ea occurence) s300,000 MED EXP(My one person) $5,000 PERSONAL B ADV INJURY $500,000 GENERAL AGGREGATE $1,000,000 GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $1,000,000 POLICY PRO- ECT LOC AUTOMOBILE LIABILITY AUTO ntSINGLE LIMIT COMBINEANY (Ee accident) $ ALL OWNED AUTOS SCHEDULED AUTOS q�(,\. BODILY INJURY (Per person) $ � HIRED AUTOS NON -OWNED AUTOS \I' _.. BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ - GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ AUTO r , OTHEANV EA ACC THAN $ $ v AUTO ON AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE C (. EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE' — RETENTION It Lj'l� $ $ WORKERS COMPENSATION AIID EMPLOYERS' LIABILITY TORV LIMITS Eft E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E. L. DISEASE - EA EMPLOYEE $ E. L. DISEASE -POLICY LIMIT $ OTHER A Property Section 90K72273 07/12/06 07/12/07 DESCRIPTION OF OPERATIONS / LOC:ATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Gift Shop- 3495 S. Roosevelt Blvd Q. I,XPI V CLLA 1 I V n MONRORI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN County Commisioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Maria Slavic 1100 Simonton Street, Ste 268 IMPOSE NO OBLI LIABILITY OFA IND UPO RER ITS AGENTS OR Key West FL 33040 REPRESENT ES.ffK 25 (2001108) IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. Removed From. GL Simp. App. During 6.1 Update 07/21/97 Transition Tab information: Has this risk or any loc not qualified?: N IPrm 1 Bld 1 PR App Data Removed During 6.2 Update 07/21/97 Premises Info Cov' information: Forms and Cond to Apply 1: Excluding Wind Acow- CERTIFICATE OF LIABILITY INSURANCE OP10 DATEINUMMYY"' SPRIN-1 08 13 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1010 Kennedy Drive, suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rey West FL 330401-4133 Phone: 305-296-50152 r"-305-293-0629 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURFRA St. Paul/Travelers Springcard Enterprises Inc. F11.1.u.m. dba Eisport Gift Shop 3495 S. Roosevelt Blv . Key West rL 33040-5260 THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTNITHSTANDING ANY REMIREMElT, 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 SHO✓JN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR PaNd TYPE OF INSURANCE POLICYRUMBfiR DATE DATE (NUNDOOM UNITS GENERAL LIABILITY EACH OCCURRENCE $ 500 , 000 PREMISES-DRIS' GET Ea=mna $ 300,000 8 X COMMERCIALGElERALUABIUTY 90R72273 07/12/07 07/12/08 MED EXP (Arty one person) s5,000 CLAIMS MADE ® OCCUR PE3SONALSADVINJURY $500,000 GENERAL AGGREGATE $1,000,000 GEN•L AGGREGATE LIMIT APPLIES PER: PRODUCTS -OOMPOP AM $1,000 000 POLICY PIiO• LOC JECT AUTOMOBILE UABMJTY ANYAUTO COMBINEDSINGLE LIMIT (Ea awM il) $ BODILY INJURY (Per pewon) $ ALL OWNED AUTOS SCHEDULED AUTOS SODILV INJURY (PeraalbrR) $ HIRED AUTOS NON-0YVNEDAUTOS PROPERTY DAMAGE (Per amlbM) $ GARAGE LIABILITY ,.. AUTO ONLY. EA ACCIDENT $ OTHER THAN EA ACC $ ANYAUTO $ AWOMLY. AM EXCES "RELLA LIABILTIY OCCURRENCE $ OCCUR [] CLAIMS MADE .. _.-� ` - �- �Yj AGGREGATE $ $ DEDUCTIBLE / $ $ RETENTION $ I10RKERS COMPENSATION AND EMPLOYERS• LIABILITY ANY PROPRIETOR�PARTNERIFXECUTNE OFFICERIMEMBER EXCLUDED? 1 �/ TORVLIMITS ER E.L. EACH ACGDEMIT $ E.L. DISEASE -EA EMPLOY $ K yr, domTbe under SPECIAL PROVISIONS bloc, l� E.L. DISEASE -POLICY LIMIT $ OTHER nnRR'''' W DEN]IP710N OF OPEMTIONS I IlDC1ATONS I VE11Klfis I EXCLUSIONS ADDED BY ENDORSEMENT/SPBCULL MOUSIONB Certificate holder is additional insured CERTIFICATE HOLDER CANCELLATION MORRORI SHOULD ANY OF THE ABOVE OWCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County, BOCC DATE THBIIEOF• TIE e m ERRMER WILLENDEAVOR TO MML 10 DAYS WRITTEN Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL Maria Slavic 1100 Simonton Street, Ste 268 IMPOSE NO OBLIGATION OR L AINIITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRESBITATNE Jan Marie Weatherhead ACORD 26 (2001/08) ® ACORD CORPORATION 1988 ce, � C A� CERTIFICATE OF LIABILITY INSURANCE °1M VAMIDDIYYYY) THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOUR THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOVIL THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: lithe cwdfdmte holder Is an ADDITIONAL INSURED, the policy(les) must be endomed. If SUBROGATION 13 VIIAIVED, subject to the terms and conditions of the policy, certain policies may require an endomeww* A statement on UMe CKWICRis does not corker rights to the certlflcate holder in lieu of such endorse s PRODUCER Island Insurance Agency, Inc. Key West FL 33040 NAME:OWDICT AydNln Phillips N (305) 284MM (365) 294- m Nc.3229FlagWAve#112 AODReS8 Islantlinsurance@conicastnet PURCM9i CUSTOMER Ilk INIRIMERM AFFORDING COVERAGE NAIL 0 INSURED SEAPORT GALLERY, INC. dba INTERNATIONAL AIRPORT STORE BEST OF KEY WEST 3495-L S. RSVLT BLVD KEY WEST FL 33040 INSURERA: UNITED STATES LIABILITY INS CO INSURERS: INSURER C: INSURER D' INSURER E: INSURER F: ^A� u„�e. RFVIRIrw Nr11BER! 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. IISR TYPE OF INSURANCE WSR W E POLICY NUMBER UNITS GENERAL WIULITY EACH OCCURRENCE $ 300,000 PREMISES Ea aoaxrertce $ 100,000 COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5,000 CLAIMS -MADE 6Z OCCUR PERSONAL&AOV INJURY $ 300.000 A X CL 1673025 10/022014 10102/2015 GENERALAGGREGATE $ 600,000 PRODUCTS-COMMOPAGG $ W0,000 NWRLAGGREGAFE LIMITAPPUES PER: PROPOLICY ECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LUT COMBINED wzkk q) S ANYAUTO ALL OWNED AUTOS SCHEOULEDAUTOS HIRED AUTOS APPRT4P4t*,w.G B WAIVER �A.�G MENT /rnf� I CC' ' ` 4 � BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAVAGE (Per aedderM) $ NOWOVMEDAU70B $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ omm um CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ YIJORIURB COMMOON I IN AND F]MPLOY�S' LIABILITY Y / N ANY PROPRETOHtPARTNERlEXECUTNE ❑ OFFICERIMEMBER EXCLUDED? (Mandit" In NH) NIA ORY LMRS ER E.L.EACH ACCIDENT $ E.L. DISEASE - EA $ E.L. DISEASE -POLICY LIMIT S I describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEMI:LEB (Attad+ACORD 101. AddManal Rawrke Sdodule, I more apace is requked) RETAIL STORE LOCATED AT: KEY WEST INTERNATIONALAIRPORT, 3495-L S. RSVLT BLVD, KEY WEST, FL 33M "'""'CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED"— MONROE COUNTY BOARD OF COUNTY COMMISSIONERS c/O KWIA 3491 S. RSVLT BLVD KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE VEM TEE^ PROV"S �6 WV 8— J30 kjol ACORO 26 (2009/09) The ACORD name and logo are reg'Istered marks of Ha-409 i ACORD CORPORATION. All rights reserved.