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Certificates of Insurance
DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/31/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain ,_' � p y, 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 'a NAME: Aon Risk Services central, Inc. PHONE O FAX W Chicago IL Office (A/C.No.Ext): (866) 283-7122 (A/C.No.): (800) 363-0105 'a 200 East Randolph E-MAIL 2 Chicago IL 60601 USA ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Great Lakes Insurance SE AA1120697 Fed Ex corporation and its subsidiaries INSURERB: Including Federal Express corporation 3620 Hacks cross Road INSURER C: Building B, 3rd Floor INSURER D: Memphis TN 38125 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570106013259 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, Limits shown are as re uested INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (POLICY (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 28294024 07 01 2024 07 01 2025 EACHOCCURRENCE $5,000,000 CLAIMS-MADE OCCUR DAMAULIONENIED PREMISES(Ea occurrence) MED EXP(Any one person) PERSONAL&ADV INJURY co u" P'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE N M POLICY CI PEC ❑LOC PRODUCTS-COMP/OP AGG 0 OTHER: o r AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT `') (Ea accident) ANYAUTO BODILY INJURY(Per person) O OWNED SCHEDULED BODILY INJURY(Per accident) z AUTOS ONLY AUTOS HIREDAUTOS NON-OWNED PROPERTY DAMAGE W 2 ONLY AUTOS ONLY (Per accident) U i" W UMBRELLA LIAB OCCUR pph�ii yy EACH OCCURRENCE U EXCESS LIAB CLAIMS-MADE A AlR��gk T AGGREGATE k y""yyg DED RETENTION WORKERS COMPENSATION AND �- "" ""' PER STATUTE OTH- EMPLOYERS'LIABILITY ER Y/N 3024 ANY PROPRIETOR/PART BEE - "'"""'"'"'""'""'""�' E.L.EACH ACCIDENT IXECUTIVE OFFICER/MEMBER N/A �,��. .,� (Mandatory in NH) I,�,tl 1Q �"�' '-& "" E.L.DISEASE-EA EMPLOYEE If yes,describe underAMM r DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) C SEE ATTACHED FOR FULL SCHEDULE OF SUBSCRIBING INSURERS. RE: Key West International Airport - 9400 Overseas Hwy., Marathon, F -■ 33050. As required by contract but subject to the terms, conditions and exclusions of the policy, Monroe county BOCC is included as Additional Insured(s) as respects operations performed by or for the Named Insured. As required by contract, the Insurers agree to waive their rights of subrogation against Monroe county BOCC to the same extent Federal Express corporation has waived its rights of recovery under the terms of the agreement. In the event the insurance described on this certificate of insurance is cancelled, non-renewed or there is a reduction in coverage/material change which effects the interest of the certificate holder, or if this insurance is allowed to lapse for non-payment of premium, the issuing company will mail thirty ■ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION �■ DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. '+■-® 1■ Z� Monroe county BOCC AUTHORIZED REPRESENTATIVE 1100 Simonton St. Key West FL 33040 USA IV. Fni nJfi�cj p��JJJ �/(� ©1988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016/03) The ACORD name and logo are registered marks ofACO AGENCY CUSTOMER ID: 570000095155 /�1 ® LOC#: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services Central , Inc. FedEx corporation and its subsidiaries POLICY NUMBER see certificate Number: 570106013259 CARRIER NAIC CODE see certificate Number: 570106013259 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Additional Description of Operations!Locations/Vehicles: (30) days prior written notice to the certificate holder. ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000095155 LOC#: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services Central , Inc. FedEx Corporation and its subsidiaries POLICY NUMBER See Certificate Numbe 570106013259 CARRIER NAIC CODE See Certificate Numbe 570106013259 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance SCHEDULE OF SUBSCRIBING INSURERS POLICY TERM: JULY 1, 2024 TO JULY 15 2025 COVERAGE: Aircraft Hull , Spare Engines, Liability Insurance and Primary AVN52E SUBSCRIBING INSURERS FOR 76.5% PARTICIPATION POLICY NUMBER GLOBAL AEROSPACE 10% 282940/24 GREAT LAKES INSURANCE SE - 4.96% MAPFRE GLOBAL RISKS, COMPANIA INTERNACIONAL DE SEGUROS Y REASEGUROS, S.A. - 0.1% NATIONAL FIRE & MARINE INSURANCE COMPANY - 1.839% MITSUI SUMITOMO INSURANCE COMPANY (EUROPE) LIMITED - 0.925% TOKIO MARINE SPECIALTY INSURANCE COMPANY - 1.237% VARIOUS INSURERS THROUGH AON GROUP LIMITED, AVIATION 59% AVLON2400983 SCHEDULE OF LLOYD'S SYNDICATES Lloyd's Syndicate TRV 5384 - 2% Lloyd's Syndicate XLC 2003 - 6% Lloyd's Syndicate KLN 510 - 0.5% Lloyd's Syndicate TMK 1880 - 2% Lloyd's Syndicate TRV 5000 - 2% Lloyd's Syndicate LIB 4472 - 2.5% Chubb European Group SE - 5% HDI Global Specialty SE - 3.5% Helvetia Swiss Insurance Company in Liechtenstein Ltd - 2% Convex Insurance UK Limited - 7.5% Axis Specialty Limited - 1% Elseco Limited - 1.5% ALLIANZ GLOBAL RISKS US INSURANCE COMPANY - 5% AlAL000905024AM XL SPECIALTY INSURANCE COMPANY - 6% UA00001150AV24A STARR INDEMNITY & LIABILITY COMPANY - 10% 1000189049-07 UNITED STATES AVIATION UNDERWRITERS 10% SIHL2-3351 ACE American Insurance Company - 5% National Liability & Fire Insurance Company - 5% ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000095155 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services Central , Inc. FedEx Corporation and its subsidiaries POLICY NUMBER See Certificate Numbe 570106013259 CARRIER NAIC CODE See Certificate Numbe 570106013259 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance SCHEDULE OF SUBSCRIBING INSURERS POLICY TERM: JULY 1, 2024 TO JULY 15 2025 COVERAGE: Aircraft Hull , Spare Engines, Liability Insurance and Primary AVN52E SUBSCRIBING INSURERS FOR 23.5% PARTICIPATION POLICY NUMBER TIGER INTERNATIONAL INSURANCE LIMITED ("TIGER") TIG70124MAIN Coverage is Directly Procured by the PolicyHolder SEVERAL LIABILITY NOTICE The subscribing insurers' obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for any reason does not satisfy all or part of its obligation. Each of the aforementioned Insurers has authorized Aon Risk services, Inc. to issue this certificate on its behalf. Aon Risk services, Inc. is not an insurer and therefore has no liability under the above policies as an insurer, nor does it have any liability under the policies as an insurer as a result of the issuance of this certificate. TIGER has authorized Aon Insurance Managers (Cayman) Ltd. , who in turn have authorized Aon Risk services southwest, Inc. to issue Certificates of Insurance on TIGER's behalf. Aon Insurance Managers (Cayman) Ltd. is not an insurer and therefore has no liability under the above policies as an insurer, nor does Aon Insurance Managers (Cayman) have any liability under the policies as an insurer as a result of issuing this certificate. ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD ANDEOUT-01 ATHO. CERTIFICATE OF LIABILITY INSURANCE 1 DATE(MMIDD/YYYY) _.... 71612022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. _. .......... IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer g0ts to the certificate holder in lieu of such endorsemen s. CONTACT John Darr Darr Schackow PRODUCER Agency -PHON o E�ct,.(888)337-9322.., _„•„•„• �i�c,No�(352)376-5 ^T G ape vWl e t N32607 nRoad LLC o�R� a. 741 Newberry d=-MAIL IN •,R),$,)AFFORDINC,COVERAGE „„„,P„,_--- NAJC# ,. . ...._—_... ._. INS I RER�A Nw_Insurance Co.Of Americ.a.�._...— 25463 INSURED IliedsInsurance Co of America .. 1 Q1 7 Anderson Outdoor Advertising Ib..uweR:.G— e.-_...............................� _ .... 9 Azalea Drive ....m........ ......... .. ..................�_-r Key West,FL 33040 INSURER E: m,,,,_. . .. .,. INSURER F . __- __. w.... .... .. COVERAGES CERTIFICATE NUMBER _....._..... � REVISION NU1IflBER�_m 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, .•I pEXCLU• IONS COMMERCIAL CONDITIONS I UN O N UCH_ADDL SIUBR.LIMITS ..�.m. .,...••UMBER.....,,,,, WWI)CY EF�PAID MPO CYD�I . TYPE of INSURANCE MITS SHOWN MAYNAY HAVE BEEN REDUCED B DAMAGE TO yenuMlrs ........ 1,000,000, TED 00 000 CLAIMS-MADE X occuR ACP5915051075 8/7/2022 8/7/2023Fatlx) IT O .LEPEXP(A,n ane,�rso� ___-� S��O....I _ ,,,, ... _ .._... ....— 1,000,000 p�6�•c�hlnJ.�asa,oyiNJURY ..._�.. . ___ .... mm If.... L ATE ENLAGGREGATf ER: POLICYJT PROACTa&OMP/OPA C..$_, ... 2,000000 C _- THF.R.. LOC .. $ _ ..... _. _ _ 000,000 B AUTOMOBILE LIABILITY �' AQD SINGLE LIMIT : 1�,,,,W^,.... ANY AUTO _ X ACP3048894871 7/10/2022 7/10/2023 B Y Irt1„I Y(aer ersan� $ _•_..,, D OWNE SCHEDULED AUTOS ONLY X AUTOS Per accGdent $ HIRED NON-OWNED PROPERY Ah9AM1GE AUTOS ONLY AUTOS ONLY ,mlPzrud.,-nC UMBRELLA LIAB. ..00CUR O q ; N EXCESS CLAIMS MADE AC AGATE. . O ..m„ $DED RE __- WORKERS COMPENSATION AR J9.TI_TE ] OTH AND EMPLOYERS'EMBER EXCLUDED? �NIA(Mandatory in BE E YINANY PROPRIETOR/PARTNER/EXECUTIVE FFICER/M M .L DISEASE )n.A.,EMPLOYEEti$_ _ If yes,describe under _ m DESCRIPTION OF OPERATIONS below ESL DISEASE-POU Y LIMIT. $ ......... _ ._.._.. .....�. ..... ..... .� DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:As Per Contract or Agreement on File with Insured. Monroe County BOCC is named as an Additional Insured for General Liability and Commercial Auto when required by written contract or agreement. All policy terms,conditions and exclusions apply. _ .......... _ . CERTIFICATE HOLDER CANCELLATION ......... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. Insurance Compliance PO Box 100085-FX -- _...... Duluth,GA 30096 AUUTTHORIZED REPRESENTATIVE .......�.............-. � - .._._. ......... 5116, ............ _...... ..........,.•. - ....... ACORD 25(2016103) ©1988-2015 ACORD CORPORATION All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or poaici described below is in force as of the effective date of this certificate. This Certifica does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverag policy numbered and described below. CERTIFICATE HOLDER: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AIRPORTS BUSINESS OFFICE KEY WEST INTERNATIONAL AIRPORT 3491 S ROOSEVELT BLVD KEY WEST, FL 33040 INSURED: ANDERSON JOHN DBA<ANDERSON ADVERTISING 1104 TRUMAN AVENUE KEY WEST, FL 33040 FEB 2 S r�: �n rs numbered and .e o� fns�FMWTC I POLICY NUMBER I POLICY I POLICY I LIMITS OF LIABILITY 1 1 TYPE OF INSURANCE I & ISSUING CO. IEFF. DATE 1EXP. DATE I (*LIMITS AT INCEPTION) 1 LIABILITY 1 77-PR-492060-3001 1 08-07-99 108-07-00 1 1 [X] Liability and I NATIONWIDE I I I Any One Occurrence........ $ 1,000.000 1 I Medical Expense 1 MUTUAL FIRE I I 1 1 I [X] Personal and 1 INSURANCE CO. I I I Any One Person/Org ....... $ 1,000,000 1 1 Advertising Injuryl I I I I [X] Medical Expenses 1 I I I ANY ONE PERSON ........... $ 5.000 1 1 [XI Fire Legal I I I 1 Any One Fire or Explosion $ 50,000 1 1 Liability I I I I 1 I I I General Aggregate* ....... $ 1,000.000 1 I I I I I Prod/Comp Ops Aggregate* .$ 1,000.000 1 i[] Other Liability I I I I I I 1 AUTOMOBILE LIABILITY I I I 1 [ ] BUSINESS AUTO 1 Ri Bodily Injury I I t t I (Each Person) .......... $ 1 [ ] Owned I r � 1 (Each Accident) ........ $ 1 [ ] Hired 1 1 Property Damage 1 1 [ ] Non -Owned 1 L;aiL ____ __�. I (Each Accident) ........ $ I I I I Combined Single Limit .... $ EXCESS LIABILITY 1 [ ] Umbrella Form 1 1 I 1 Each Occurrence .......... $ I Prod/Comp Ops/Disease 1 1 Aggregate* ............. $ STATUTORY LIMITS 1 [ ] Workers' 1 BODILY INJURY/ACCIDENT ... $ I Compensation � flaw I Bodily Injury by Disease 1 and I I I I EACH EMPLOYEE .......... $ 1 [ ] Employers' I I I I Bodily Injury by Disease Liability 1 I I I POLICY LIMIT ........... $ I DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES/RESTRICTIONS/SPECIAL ITEMS DATE THE MONROE COUNTY BOAD OF iN'�A1 COUNTY COMMISSIONERS IS LISTED AS ADDITIONAL INSURED Effective Date of Certificate: 08-07-1999 Authorized Representative: John M Darr IV Date Certificate Issued: 02-24-2000 Countersigned at: Nationwide Insurance 2727-6 NW 43rd Street a POLICY NUMBER: 77N708916 POLICY HOLDER: JOHN AND MICHELLE ANDERSON AUTO PO ICY CHANGE REQU ST FEB 2 g i (_ i� TS DATE PREPARED: 02/24/00 CHANGE EFF DATE: 02/24/00 POLICY EFF DATE: 10/26/99 POLICY EXP DATE: 04/26/00 THE UNDERSIGNED COMPANY AGREES TO EXTEND THE FOLLOWING COVERAGES AS RESPECTS THE DESCRIBED AUTOMOBILES) COMMENCING ON THE CHANGE EFFECTIVE DATE INDICATED. PENDING THE ISSUANCE OF A NEW DECLARATION PAGE OR THE EARLIER TERMINATION OF THESE COVERAGE(S) BY THE COMPANY OR THE POLICYHOLDER. THIS EXTENSION OF INSURANCE SHALL BE IN ACCORDANCE WITH THE TERMS OF THE COMPANY'S AUTO INSURANCE POLICIES AND MANUAL OF RATES AND CLASSIFICATIONS APPLICABLE IN THE STATE ON THE CHANGE EFFECTIVE DATE OF THIS CHANGE REQUEST. THIS COVERAGE MAY BE CANCELLED BY THE COMPANY BY MAILING WRITTEN NOTICE TO THE POLICYHOLDER STATING WHEN IN ACCORDANCE WITH ANY STATUTES OR POLICY TERMS SUCH CANCELLATION SHALL BE EFFECTIVE. NATIONWIDE MUTUAL FIRE INSURANCE CO. VEHICLE #2 1995 FORD F150 1FTEX14H4SKA86394 COMPREHENSIVE COLLISION PROPERTY DAMAGE BODILY INJURY MEDICAL PAYMENTS UNINSURED MOTORIST --BODILY INJURY PERSONAL INJURY PROTECTION THIRD PARTY: ADDITIONAL INTEREST EMPLOYER MONROE COUNTY AIRPORT BUSINESS OFC 3491 S ROOSEVELT BLV KEY WEST, FL 33040-5295 250 250 100000 50/100 5000 50/100 BASIC STACKED cz' John Darr IV 1114523 Natio ide Insurance 2727-6 NW 43rd Street Gainesville, FL 32606 PHONE (352) 338-0552 CHECKS AND DRAFTS ARE RECEIVED SUBJECT TO COLLECTION ONLY. JOHN AND MICHELLE ANDERSON 9 AZALEA DRIVE KEY WEST. FL 33040-6206 22e- .00 DATE CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. CERTIFICATE HOLDER: COUNTY OF MONROE BOARD OF COUNTY COMMISSIONERS AIRPORTS BUSINESS OFFICE KEY WEST INTERNATIONAL AIRPORT 3491 S ROOSEVELT BOULEVARD KEY WEST, FL 33040 INSURED: ANDERSON JOHN DBA<ANDERSON ADVERTISING 1104 TRUMAN AVENUE KEY WEST, FL 33040 POLICY NUMBER I POLICY I POLICY I LIMITS OF LIABILITY TYPE OF INSURANCE & ISSUING CO. JEFF. DATE 1EXP. DATE I (*LIMITS AT INCEPTION) LIABILITY 77-PR-492060-3001 08-07-99 108-07-00 j [X] Liability and I NATIONWIDE Any One Occurrence........ $ 1,000,000 Medical Expense MUTUAL FIRE [X] Personal and INSURANCE CO. Any One Person/Org ....... $ 1.000,000 Advertising Injury) [X] Medical Expenses ANY ONE PERSON ........... $ 5.000 [X] Fire Legal Any One Fire or Explosion $ 50.000 Liability General Aggregate* ....... $ 1,000.000 Prod/Comp Ops Aggregate* . $ 1,000.000 [ ] Other Liability AUTOMOBILE LIABILITY [ ] BUSINESS AUTO N ^ n '' Bodily Injury (Each Person) .......... $ [ ] [ ] Owned Hired j -- �_ (Each Accident) ........ Property Damage $ [ ] Non -Owned �•,. (Each Accident) ........ $ a Combined Single Limit .... $ EXCESS LIABILITY Each Occurrence .......... $ Prod/Comp Ops/Disease [ ] Umbrella Form I Aggregate* ............. $ STATUTORY LIMITS [ ] Workers' BODILY INJURY/ACCIDENT ... $ Compensation Bodily Injury by Disease and I EACH EMPLOYEE .......... $ [ ] Employers' Bodily Injury by Disease Liability POLICY LIMIT ........... $ I DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES/RESTRICTIONS/SPECIAL ITEMS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS LISTED AS AN 47ATE - ADDITIONAL INS 0 POLICY Effective Date of Certificat0lNIM-67-'I99T-- Authorized Representative: John M Darr7Inrance Date Certificate Issued: 12-13-1999 Countersigned at: Nationwide 2727-6 NW 43rd Street CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. CERTIFICATE HOLDER: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN MARIA SLAVIK P 0 BOX 1026 KEY WEST, FL 33041-1026 INSURED: ANDERSON OUTDOOR ADVERTISING INC 9 AZALEA DRIVE KEY WEST, FL 33040 POLICY NUMBER I POLICY I POLICY LIMITS OF LIABILITY TYPE OF INSURANCE & ISSUING CO. JEFF. DATE 1EXP. DATE (*LIMITS AT INCEPTION) LIABILITY 77-PR-492060-3001 08-07-05 08-07-06 Any One Occurrence........ 1.000,000 [XI Liability and NATIONWIDE Medical Expense MUTUAL FIRE Any One Person/Org ....... $ 1,000.000 [X] Personal and INSURANCE CO. Advertising Injury) ANY ONE PERSON ........... $ 5,000 [X] Medical Expenses Any One Fire or Explosion $ 100,000 [X] Fire Legal � � � Liability I General Aggregate* ....... $ 1,000,000 Prod/Comp Ops Aggregate* . $ I [ ] Other Liability AUTOMOBILE LIABILITY [ ] BUSINESS AUTO A� ?s` �` "'` A� } "' Bodily Injury (Each Person) .......... $ Owned [ ] II - - . I (Each Accident) ........ $ Property Damage � C J Hired � -��'`�� `�'` X (Each Accident) ........ $ [ ] Non -Owned A t. L!' a9�I. I _ _.,.. Combined Single Limit .... $ Each Occurrence .......... $ EXCESS LIABILITY �^ f Prod/Comp Ops/Disease Aggregate* ............. $ [ ] Umbrella Form STATUTORY LIMITS BODILY INJURY/ACCIDENT ... $ [ ] Workers' Bodily Injury by Disease Compensation EACH EMPLOYEE .......... $ � and Bodily Injury by Disease [ ] Employers' POLICY LIMIT ........... $ Liability Effective Date of Certificate Date Certificate Issued: c c. DESCRIPTION OF UPEKAIIUNJ/LU1,A11Uiv3 VEHICLES/RESTRICTIONS/SPECIAL ITEMS CERTIFICATE HOLDER IS ALSO AN ADDITIONAL INSURED 08-07-2005 Authorized Representative 01-03-2006 Countersigned at: John M. Darr Jr. NatJ ide Insurance 27 7 W 43rd Street CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. CERTIFICATE HOLDER: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN MARIA SLAVIK P 0 BOX 1026 KEY WEST, FL 33041-1026 INSURED: ANDERSON OUTDOOR ADVERTISING INC 9 AZALEA DRIVE KEY WEST, FL 33040 I 1 POLICY NUMBER 1 POLICY I POLICY 1 LIMITS OF LIABILITY i TYPE OF INSURANCE 1 & ISSUING CO. 1EFF. DATE 1EXP. DATE l (*LIMITS AT INCEPTION) l LIABILITY 77-PR-492060-3001 1 08-07-05 1 08-07-06 1 1 [XI Liability and 1 NATIONWIDE 1 I Any One Occurrence........ $ 1,000.000 l Medical Expense l MUTUAL FIRE [XI Personal and 1 INSURANCE CO. 1 1 Any One Person/Org ....... $ 1.000,000 1 1 Advertising Injuryl 1 1 l I [XI Medical Expenses 1 1 I 1 ANY ONE PERSON ........... $ 5,000 l 1 [XI Fire Legal 1 I I 1 Any One Fire or Explosion $ 100.000 l Liability 1 1 l l I 1 I 1 1 General Aggregate* ....... $ 1,000.000 1 I 1 l Prod/Comp Ops Aggregate* .$ i [ ] Other Liability I 17,r,:. A(3 AUTOMOBILE LIABILITY 1 � [ ] BUSINESS AUTO I Bodily Injury °t 1 1 (Each Person) .......... $ C ] Owned r,,' . I, I° `,__ 1 (Each Accident) ........ $ [ ] Hired I i ICI Property Damage [ ] Non Owned 1 I u( (Each Accident) ........ $ I 1 1 Combined Single Limit . $ I EXCESS LIABILITY 1 I 1 Each Occurrence .......... $ 1 I I I 1 Prod/Comp Ops/Disease [ ] Umbrella Form I i I 1 Aggregate* ............. $ I 1 I I 1 STATUTORY LIMITS l [ ] Workers' I 1 I l BODILY INJURY/ACCIDENT ... $ I Compensation 1 1 1 1 Bodily Injury by Disease and 1 I I 1 EACH EMPLOYEE .......... $ [ ] Employers' 1 I I i Bodily Injury by Disease I Liability 1 l 1 1 POLICY LIMIT ........... $ DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES/RESTRICTIONS/SPECIAL ITEMS CERTIFICATE HOLDER IS ALSO AN ADDITIONAL INSURED Effective Date of Certificate: 08-07-2005 Authorized Representative: John M. Darr Jr. Date Certificate Issued: 02-28-2006 Countersigned at: Nationwide Insurance 2727- NW 43rd Street c.0 = CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend. or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and describe . r 1° i- CERTIFICATE HOLDER: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST. FL 33040 hUCF IiVL-1) OCT PA^4:4F M!NTY RI°'.'9�".APE"AIflT ANDERSON OUTDOOR ADVERTISING INC 9 AZALEA DR KEY WEST. FL 33040 POLICY NUMBER I POLICY I POLICY TYPE OF INSURANCE & ISSUING CO. IEFF. DATE IEXP. DATE LIABILITY 77-PR-492060-3001 08-07-06 08-07-07 [X] Liability and NATIONWIDE Medical Expense MUTUAL FIRE [X] Personal and INSURANCE CO. Advertising Injuryl [X] Medical Expenses [X] Fire Legal Liability I I I I I I [ ] Other Liability AUTOMOBILE LIABILITY [ ] BUSINESS AUTO ] Owned [ ] Hired [ ] Non -Owned LIMITS OF LIABILITY (*LIMITS AT INCEPTION) Any One Occurrence........ $ 1.000,000 Any One Person/Org ....... $ 1,000,000 ANY ONE PERSON ........... $ 5.000 Any One Fire or Explosion $ 100,000 General Aggregate* ....... $ 1,000.000 Prod/Comp Cps. Aggregate* . $ Bodily Injury (Each Person) .......... $ (Each Accident) ........ $ Property Damage (Each Accident) ........ $ Combined Single Limit .... $ EXCESS LIABILITY (I _ �� (,u Each Occurrence .... ..... $ Prod/Comp Ops/Disease [ ] Umbrella Form Aggregate* - ......._ $ STATUTORY LIMITS [ ] Workers' f BODILY INJURY/ACCIDENT ... $ Compensation V Bodily Injury by Disease and EACH EMPLOYEE .......... $ [ ] Employers' Bodily Injury by Disease Liability POLICY LIMIT ........... $ DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES/RESTRICTIONS/SPECIAL ITEMS CERTIFICATE HOLDER IS AN ADDITIONAL INSURED FOR GENERAL LIABILITY Effective Date of Certificate: 08-07-2006 Date Certificate Issued: 10-10-2006 Authorized Representative Countersigned at: John M. Darr Jr. Nationwide Insurance 2727-6 NW 43rd Street CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and describbd below is in force as of the. effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter th�?Tepms and Conditions of Insurance coverage contained in any policy numbered and described below. "' 9 CERTIFICATE HOLDER: INSURED: .. MONROE COUNTY BOARD OF COUNTY aov s IL, E ANDE�SON OUTDOOR ADVERTISING COMMISSIONERS INC 1100 SIMONTON ST - 9 A74LEA DR KEY WEST, FL 33040 - KEY WEST, FL 33040-6206 POLICY NUMBER I POLICY I POLICY TYPE OF INSURANCE & ISSUING CO. JEFF. DATE JEXP. DATE LIABILITY 77-PR-492060-3001 08-07-07 08-07-08 [XI Liability and NATIONWIDE Medical Expense MUTUAL FIRE [X] Personal and INSURANCE CO. Advertising Injury) [XI Medical Expenses [X] Fire Legal Liability C ] Other Liability 61ITnMOPTI F I TARTI TTV LIMITS OF LIABILITY (*LIMITS AT INCEPTION) Any One Occurrence........ $ 1,000,000 Any One Person/Org ....... 8 1,000,000 ANY ONE PERSON ........... $ 5,000 Any One Fire or Explosion E 100,000 General Aggregate* ....... $ 1,000,000 Prod/Comp Ops Aggregate* . $ STATUTORY LIMITS [ ] Workers' BODILY INJURY/ACCIDENT ... $ Compensation Bodily Injury by Disease and EACH EMPLOYEE .......... $ C ] Employers" Bodily Injury by Disease Liability POLICY LIMIT ........... s C. C -, � Tv-tm-vi C-iz.J Effective Date of Certificate: 08-07-2007 Date Certificate Issued: 11-01-2007 DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES/RESTRICTIONS/SPECIAL ITEMS CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ON GENERAL LIABILITY Authorized Representative Countersigned at: JOHN M. DARR, JR A061657 2727-6 NW 43rd Street Gainesville, FL 32606 C FtTTFTCATE--OF INSURANCE.. The company indicated below certifies at t e in 'ura-nce afforded by the policy or policies numbered and described below is in force as of the ffect ve date of this certificate.1 This Certificate of Insurance does not amend, extend, or otherwise a ter t e T � and 4or"U_i,ns of Insurance coverage contained in any :-icy numbered and described below. �'`' CERTIFICATE HOLDER: r r INSURED: MONROE COUNTY BOARD OF COUNTY '"'� ._ - '' _ ANDERSO OUTDOOR COMMISSIONERS ADVERTISING INC ATTN RISK MANAGEMENT 9 AZALEA DR 1100 SIMONTON ST KEY WEST, FL 33040-6206 KEY WEST, FL 33040 POLICY NUMBER I POLICY I POLICY LIMITS OF LIABILITY TYPE OF INSURANCE & ISSUING CO. JEFF. DATE 1EXP. DATE (*LIMITS AT INCEPTION) LIABILITY 77-PR-492060-3001 08-07-08 08-07-09 CX] Liability and NATIONWIDE Any One Occurrence........ $ 1,000,000 Medical Expense MUTUAL FIRE [X] Personal and INSURANCE CO. Any One Person/Org ....... $ 1,000,000 Advertising Injury) [XI Medical Expenses ANY ONE PERSON ........... $ 5,000 [X] Fire Legal Any One Fire or Explosion $ 100,000 Liability I I I I General Aggregate* ....... $ 1,000,000 Prod/Comp Ops Aggregate* . $ C ] Other Liability AUTOMOBILE LIABILITY 77-BA-492060-0001 08-07-08 08-07-09 1 [X] BUSINESS AUTO NATIONWIDE Bodily Injury MUTUAL FIRE (Each Person) .......... $ C ] Owned INSURANCE CO. (Each Accident) ........ $ [XI Hired Property Damage [X] Non -Owned � � (Each Accident) ........ $ � Combined Single Limit .... $ 1,000,000 EXCESS LIABILITY Each Occurrence .......... $ Prod/Comp Ops/Disease C 'J Umbrella Form Aggregate* ............. $ STATUTORY LIMITS C ] Workers' BODILY INJURY/ACCIDENT ... $ Compensation Bodily Injury by Disease � and � EACH EMPLOYEE .......... $ C ) Employers' Bodily Injury by Disease Liability � /' � '� POLICY LIMIT ........... $ � DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES/RESTRICTIONS/SPECIAL ITEMS MONROE COUNTY BOARD OF COMMISSIONERS IS LISTED AS ADDITIONAL INSURED Effective Date of Certificate: 08-07-2008 Authorized Representative: JOHN M. DARR, JR A061657 Date Certificate Issued: 07-29-2009 Countersigned at: 5200-B W Newberry Road Gainesville FL 32607 C RTIFICATEfOruNE� $ The company indicated below certifies t at the in r nce afforded by the policy or policies numbered and described below is in force as of the e fective d of t c wificate. This Certificate of Insurance does not amend, extend, or otherwise al er the Terms and Conditions!of Insurance coverage contained in any policy numbered and described below. --- --- rirt� 0r 00UNi1Y f' CERTIFICATE HOLDER: - - _.'._ `__ __ INSURED.._.._._...__ MONROE COUNTY BOARD OF COUNTY ANDERSON OUTDOOR COMMISSIONERS ADVERTISING INC ATTN RISK MANAGEMENT 9 AZALEA DR 1100 SIMONTON ST KEY WEST, FL 33040-6206 KEY WEST, FL 33040 1 I POLICY NUMBER I POLICY I POLICY I LIMITS OF LIABILITY TYPE OF INSURANCE I & ISSUING CO. IEFF. DATE IEXP. DATE 1 (*LIMITS AT INCEPTION) 1 LIABILITY 1 77-PR-492060-3001 1 08-07-09 108-07-10 1 [X] Liability and I NATIONWIDE I i I Any One Occurrence........ $ 1,000,000 I Medical Expense I MUTUAL FIRE CX] Personal and I INSURANCE CO. I I I Any One Person/Org ....... $ 1,000,000 Advertising Injuryl 1 CX] Medical Expenses I I I I ANY ONE PERSON $ 5,000 [X] Fire Legal I I I I Any One Fire or Explosion $ 100,000 1 1 Liability General Aggregate* ....... $ 1,000,000 1 1 ( I I Prod/Comp Ops Aggregate* . $ 1 C ] Other Liability I AUTOMOBILE LIABILITY C] BUSINESS AUTO I I I I Bodily Injury 1 (Each Person) .......... $ C] Owned I I I 1 (Each Accident) ........ $ C] Hired I I I I Property Damage 1 [ ] Non -Owned I I I I (Each Accident) ........ $ Combined Single Limit .... $ 1 I EXCESS LIABILITY I I Each Occurrence .......... $ 1 Prod/Comp Ops/Disease 1 C ] Umbrella Form I I I Aggregate* ............. $ STATUTORY LIMITS [ ] Workers' I BODILY INJURY/ACCIDENT Compensation 1 I Bodily Injury by Disease and I I I EACH EMPLOYEE .......... $ [ ] Employers' I I 1 Bodily Injury by Disease Liability I 1 I POLICY LIMIT ........... $ Effective Date of Certificate: 08-07-2008 Date Certificate Issued: 07-29-2009 DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES/RESTRICTIONS/SPECIAL ITEMS MONROE COUNTY BOARD OF COMMISSIONERS IS LISTED AS ADDITIONA I RED !l' Authorized Representative: JOH R, JR A061657 Countersigned at: 520 W Newberry Road Gainesville, FL 32607 CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effect cer i.lR te. This Certificate of Insurance does not amend, extend, or otherwise alter t'M ditions o Insurance coverage contained in any policy numbered and described belc6q. i CERTIFICATE HOLDER: AI u 3 0 117iDINS RED: MONROE COUNTY RISK MANAGEMEN ANDS SON OUTDOOR 1100 SIMONTON STREET — ---- -- ADVE FISING INC imPOE COUi`4TY 9 A LEA DR KEY WEST, FL 33040 `Icuf-,f EST, FL 33040-6206 POLICY NUMBER I POLICY I POLICY I LIMITS OF LIABILIiTY TYPE OF INSURANCE & ISSUING CO. JEFF. DATE JEXP. DATE I (*LIMITS AT INCEPTION) LIABILITY 77-PR-492060-3001 08-07-10 08-07-11 1 [XI Liability and NAATIONWIDE Any One Occurrence........ $ 1,000,000 Medical Expense MUTUAL FIRE [XI Personal and INSURANCE CO. Any One Person/Org ....... $ 1,000,000 Advertising Injury) [X] Medical Expenses ANY ONE PERSON ........... $ 5,000 [X] Fire Legal Any One Fire or Explosion $ 100,000 Liability General Aggregate'* ....... $ 1,000,000 � Prod/Comp Ops Aggregate'* . $ � [ ] Other Liability AUTOMOBILE LIABILITY 77-BA-492060-0001 08-07-10 08-OV-11 [X] BUSINESS AUTO NATIONWIDE Bodily Injury MUTUAL FIRE (Each Person) .......... $ [ ] Owned INSURANCE CO. (Each Accident) ........ $ [X] Hired Property Damage [X] Non -Owned (Each Accident) ........ $ Combined Single Limit .... $ 1,000,000 EXCESS LIABILITY Each Occurrence .......... $ Prod/Comp Ops/Disease [ ] Umbrella Form Aggregate* ............. $ STATUTORY LIMITS [ ] Workers' BODILY INJURY/ACC'IDENT ... $ Compensation Bodily Injury by Disease and EACH EMPLOYEE .......... $ [ ] Employers' Bodily Injury by Disease Liability POLICY LIMIT ........... $ C DESCRIPTION OF OPERATIONSILOCAU M, VEHICLES/RESTRICTIONS/SPECI'AL ITEMS 0 0" / � Effective Date of Certificate: 08-07-2010 Date Certificate Issued: 08- -2010 Authorized Representative: Countersi, a JOHN M. DARR, JR'A061657 5200-B W Newberry Road Gainesville, FL 32607