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Certificates of Insurance . ISSUE DATE 7i/DD/",/) CERTIFICATE OF INSURANCE 523214 23 99 D PRODUCER Group, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION K & K Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1712 Magnavox Way HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2338 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Wayne, In 46801 COMPANIES AFFORDING COVERAGE INSURED COMPANY A AGRICULTURAL INSURANCE COMPAN ARLEN COMMUNICATIONS LETTER 15 STILLWRIGHT WAY COMPANY B KEY LARGO, FL 33037 LETTER COMPANY C LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IN- DICATED, 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 CONDI- TIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS (in thousands) LTR DATE (MMIDD/YY) DATE (MMIDD/YY) General Liability 12:01AM 12:01AM General Aggregate $ 2000 A ~ Commercial General Liability PAC0399527700 7/15/99 7/15/00 Products-Camp lOps Aggregate $ 2000 D Claims Made I!J Occur. Personal & Advertising Injury $ lUOO DOwner's & Contractors Pro!. ''1 Each Occurrence $ lUOO I!J $250 PD DEDUC Fire Damage (Anyone fire) $ lUU Medical Expense (Anyone person) $ .') Participant Legal Liability $ N/A Automobile Liability Combined I 0, K. oy~:0~~{~ '~~-~'I{{~C Ln Single I D Any auto Limit $ D All owned autos 1\1 IV"_ Bodily D Scheduled autos DATE1/-t.2 ~99 Injury $ (per person) D Hired autos Bodily D Non-owned autos Injury $ __ YES V- (per accident) D Garage Liability W.~'VER: ;\!, :" Property D . ,./\ Damage $ Excess Liability ~ .t'lv np .v 10, "llO()L- Each D Occurrence Aggregate D Other than Umbrella form $ $ Workers' Compensation Statutory and $ Each Accident Employers' Liability $ Disease-Policy Limit $ Disease-Each Employee AD&D $ Participant Primary Medical $ Accident Excess Medical $ Weeklv Indemnity $ X DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION ADDITIONAL INSURED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE MONROE COUNTY BOARD OF CANCELLED BEFORE THE EXPIRATION DATE THEP:t8F, THE COMMISIONERS/MONROE COUNTY FLORIDA ISSUING COMPANY WILL ENDEAVOR TO MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO ~~ OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTj'OR REPRESENTATIVES. DATE AUTHORI~~~~A~IVE /Zh zl 7 INITIAL ~ ~ J ---- SL 39 1-92 ISSUE DATE (MMIDD/YY) CERTIFICATE OF INSURANCE 719588 D 7/13/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION K & K Insurance Group, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1712 Magnavox Way HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2338 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Wayne, In 46801 COMPANIES AFFORDING COVERAGE INSURED COMPANY A T I G INSURANCE COMPANY RICK SWENTEK LETTER D/B/A ARLEN COMMUNICATIONS INC COMPANY B 15 STILLWRIGHT WAY LETTER KEY LARGO, FL 33037 COMPANY C LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IN- DICATED, 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 CONDI- TIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS (in thousands) LTR DATE (MMIDD/YY) DATE (MMIDD/YY) General Liability 12:01AM 12:01AM General Aggregate $ ?nnn A [:xJ Commercial General Liability SSP3804190400 7/15/01 7/15/02 Products-Camp lOps Aggregate $ 2000 D Claims Made [Z] Occur. Personal & Advertising Injury $ 1000 DOwner's & Contractors Pro!. Each Occurrence $ 1000 D Fire Damage (Anyone fire) $ 300 Medical Expense (Anyone person) $ 5 .' Participant Legal Liability $ N/A Automobile Liability c~(M 1/~ Combined D Any auto Single $ Limit D All owned autos r~ Dt- Bodily D Scheduled autos rn__, -'1 ( Injury $ (per person) D Hired autos .,t"''-n. .. ..",..- -' Bodily D Non-owned autos "0."" Injury $ \.;, (-~.,',,- ---------.- (per accident) D Garage Liability (J() A L ~ Property D .....-. Damage $ Excess Liability U~,'-XP~ (7 Each D /? 7' <J 1 ' Q Occurrence Aggregate D Other than Umbrella form 7 $ $ Workers' Compensation LV~ k (Y16l5l<L Statutory and ,0" $ Each Accident Employers' Liability '\../ - $ Disease-Policy Limit $ Disease-Each Employee AD&D $ Participant Primary Medical $ Accident Excess Medical $ Weeklv Indemnity $ X DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / RESTRICTIONS / SPECIAL ITEMS RE: PAY PHONE OPERATIONS OF THE NAMED INSURED CERTIFICATE HOLDER IS AN ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS MONROE COUNTY BROAD OF COUNTY WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE COMMISSIONERS/MONROE COUNTY LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO FLORIDA OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 'uo><o'"" "V;'~'/ ? ~1~ .. . ft""c,~--.-.<.- C"'~d- SL 39 1-92 ISSUE DATE (MM/DD/YY) CERTIFICATE OF INSURANCE 625593 8/28/00 D PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION K & K Insurance Group, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1712 Magnavox Way HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2338 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Wayne, In 46801 COMPANIES AFFORDING COVERAGE INSURED COMPANY AAGRICULTURAL INSURANCE COMPAN"'i ARLEN COMMUNICATIONS LETTER 15 STILLWRIGHT WAY COMPANY B KEY LARGO, FL 33037 LETTER COMPANY C LETTER COVERAGES THIS IS 10 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 10 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IN- DICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 10 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 10 All THE TERMS, EXCLUSIONS AND CONDI- TIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS (in thousands) LTR DATE (MMIDD/YY) DATE (MM/DD/YY) General Liability 12:01AM 12:01AM General Aggregate $ 2000 A ~ Commercial General Liability PAC0562888900 7/15/00 7/15/01 Products-Camp lOps Aggregate $ 2000 D Claims Made ~ Occur. Personal & Advertising Injury $ 1000 DOwner's & Contractors Prot. Each Occurrence $ 1000 I!J $ 250 PD DEDUC~ Fire Damage (Anyone fire) $ 100 Medical Expense (Anyone person) $ 5 Participant Legal Liability $ N/A Automobile liability R\~u~ Combined D Any auto ~ Singie $ Limit D All owned autos .. Bodily D Scheduled autos fCI-- Injury $ D Hired autos c,Y_ L-.~., Fl J (per person) ----... Bodily D Non-owned autos Injury NliE ~-- - (per accident) $ D Garage Liability Q '~.., ~-,- vcc::,____ Property D \~'~..l,\' t . 1<;'>"- Damage $ Excess Liability ~'iU ,/I L'.1 Each D ~t Occurrence Aggregate D Other than Umbrella form (, . ~ .-l ' 0 $ $ "- Statutory Workers' Compensation ~OHf) tit~ la $ Each Accident and Employers' Liability ""'" ...... $ Disease-Policy Limit $ Disease Each Employee AD&D $ Participant Primarv Medical $ Accident Excess Medical $ Weekly Indemnity $ X DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / RESTRICTIONS / SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION ADDITIONAL INSURED: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE MONROE COUNTY BOARD OF CANCELLED BEFORE THE EXPIRATION DATE THE~8F. THE COMMISSIONERS/MONROE COUNTY ISSUING COMPANY WILL ENDEAVOR TO MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE FLORDIA LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~ 'i'$~ · ~ -"h. ..JIll ,.--". j ~ SL 39 1-92 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PRODUCER AlC No Ext:( 3 05) 451- 4 788 COMPANY RAY HAMPSON & ASSOCIATES INSURANCE AGENCY PROGRESSIVE INSURANCE COS 102481 OVERSEAS HWY KEY LARGO FL 33037 POBOX 31260 CODE: PF72 563 SUB-CODE: TAMPA FL 33631 ~3:r8~ER ID .: AARLCAO -1 INSURED LOAN NUMBER POUCY NUMBER EFFECTIVE DATE 43960390 EXPlRAnON DATE CONnNUED UNTIL TERMINATED IF CHECKED ARLEN COMMUNICATIONS INC 15 STILLWRIGHT WAY KEY LARGO FL 33037 07/27/99 07/27/00 T1tIS REPLACES PRIOR EVIDENCE DATED: . .... .MtO.P.&R:TY................_..........a...MA......mo........N...................... . . . . . . . . . . . . . . . . . ......... ~::.:::.:.:.:.:.:.:.:.:::.:.:.:.:.:.:::/.:.::~:~.:.:.:.:.:.:::.::..:.:.:.:.:.:.:.:.:.:.~.>~.:::.;.:::.:.:.~:~:~:fr~:~:~ LOCAnOH/DESCRIP110N ...................... ..................... ...................... . . . . . . . . . . . . . . . . . . . . . . ................... ............. .. ........ ............. .................................................................... ..................................................................... ..................................................................... ..................................................................... . ....................................... ....... ..................... . ......... .............. .... ..... ...... ................... ............................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ........................ .................... ...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . ..................................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . ...................................................... .......................................... .... ........................... . . . . . . . . . . . . . .. . . . . .................. ................... .................. .................................... . ...................................... .................................... . ............................. .................. .................. .................. .................. .................. 89 FORD #199202 ::PII...':;:_IM1fl.IH\\\::::::\::::::\\::::::::::::\:::m:m:::m:m:m:m::\\\\\:::::m:m:m:L:.:::;:;:;:;:;:::;.;;;:;;::::::::::::::::.:. .......................... ......................... .................. ..... ....................... ............................................ ........................................... ... ..................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... ... ........................... ....................................................... . ............................................... .................... .......,............ ................... .... ............. ..................... ..................... . ..................... ...................... .................... . ..................... . . ................... COVERAQElPERILSJFORMS AMOUNT OF INSURANCE DEDUCTIBLE COMBINED SINGLE LIMITS BODILY INJURY/PROPERTY DAMAGE 1,000,000 0 " \~it,'\'ER: ^ :: /y~S_ I~.' ....,- tW'I. . C2db- ..," p ~ CJ-- ' l.~~~~:~4ITi~~~)\\~~~~~~:m::(~~m:m~ ...................................... ...................................... .........,............................ . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . . .... .. .......... ..................................... ...................................... . ............................... .... ........ ........................................ ................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... ...... . .......................... .......................... .... . .... .......................... ..................... .......................... ..................... .......................... . . . . . . . . . . . . . . . . . ................. ................... :.:.:.:.:.:.:.:.:.:.:.:.:-:.;.:-:.;.:-:.;.:.:.:.:-:.:.:.'.:.:.....:................. ... ............... ADDITIONAL INSURED - MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE RD KEY WEST FL 33040 ~:PI""'U;ltl.nJ::::;::m:::m:m::\\::::\::\::::\::\\:::::::: .. ~r:;:;?????????::: ..... ':"::::':.. .' : .:.:.:.: . :.:.~:;:.::.:::::r::::::::.::;:::.:::;:\)t;::::;::::?){f::~:::::(::::::::r::;:::::::::;:t::~:::)}::::::::;:;:})::;::~:::{::::::{::;::;;;:;:;.;:.;.;.::::::........ ::. ... ... 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 1 n DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE P I V. OR AS REQUIRED BY LAW. 'A.,~.!!m~~::~rn.st..:::.::. ;'::~';'" :::::;:::;::.: :;6A1i;: ~.:.;:;::.:;.,-; .::: NAME AND ADDRESS INITIAL MONROE COUNTY BD OF 5100 COLLEGE RD KEY WEST FL 33040 ltJti/JJ ~ tJ3 AU1ll0RIZE E ENT E ~ _rJ:lf_rilBWiB@0jjjiiiiiiiiiiiiTiii""i+8RL'SlrLmiiiJj;:Liif#f=~%i;ii1&iK!~ THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PRODUCER AIC N Ext:( 3 05) 451-4788 COMPANY RAY HAMPSON & ASSOCIATES INSURANCE AGENCY PROGRESSIVE INSURANCE COS 102481 OVERSEAS HWY KEY LARGO FL 33037 POBOX 31260 CODE: PF72563 SUB-CODE: TAMPA FL 33631 ~9:r8~ER ID': AARLCAO-1 INSURED LOAN NUMBER POUCY NUMBER EFFECTIVE DATE 43960390 EXPIRAll0N DATE CONllNUED UNTIL TERMINATED IF CHECKED ARLEN COMMUNICATIONS INC 15 STILLWRIGHT WAY KEY LARGO FL 33037 07/27/99 07/27/00 THIS REPLACES PRIOR EVIDENCE DATED: . ... ........ .._...........PS......Rft...........JNfQ..........R...U......;n....QN..................... . .. . ........ . . . ....... ~::.:::.:.:.:.:.:.:::.:::.:.:.:.:.:.:::.::~.:.::~:~.:.:.:.:.:.:::.::..:.:.:.:.:.:.:.:.:.:.~.:.~.:::.;.:.:.:.:.r~:~:~:~:~:: LOCA11ONIDESCRF110N . ............... ......................... ......................... ......................... ......................... ......................... . . . . . . . . . . . . . . . . . . . . . ................... ....:.:.:.:.:.:-:.:.:.:-:.:.:.:.:-:.:. .......:...:.:.:.:.:-:.;.:-:.:-:...:.:.:...;.... ;:;:::::;::::=:::;:::::::;:::::::;:;:;:::;:::::::.:.: ...... .. ..................... .................... 89 FORD #199202 ]~QVdMiIJH..~'tiIMitib.N((((:)):))))))) .....................,.............................................................. .................................................................................. . ................... .. . ..................... :::::::::::::::::::::::::::::::::::::::::::::;:::::;:::::;:::::::::;:::;:;:::;:::::;::::::::::: ..... ... ... .. . . . . . . . . . . . . . . .. .................. ....... ......... .................... ................... . . . . . . . . . . . . . . . . . ::::~~trrrrf~~~r~ ...... ..................... ..................... .................. COVERAGElPERILSIFORMS AMOUNT OF INSURANCE DEDUCTIBLE COMBINED SINGLE LIMITS BODILY INJURY/PROPERTY DAMAGE 1,000,000 0 \jY W'. l\lER: !'=I~~~:P:~~~.~l:::::!!!!!!::!:!::r':r:rr .. ....................... . . . . . . . . . . . . . . . . . . . . . . . . ........................ ....................... ........................ ....................... ........................ .. ...................... ...................... ................... ....................... ..... ............ .................. .. ....... .......... ...... .. .......... . ........................................................... ....................................................... .................................................... ............................................ .................. ....... ... . . . . . . . . . . . . . . . . . . . . . . . . . . . ...................... . . . . . . . . . . . . . . . . . . . . . . . . ......................... ........................ ............... .. ADDITIONAL INSURED - MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE RD KEY WEST FL 33040 :111110:::1111)):::..:.:::::.:::::..:.:::::::.:::. . ... ..........::.::.::::.::?::::::::::::::::::::::':::':':.:.:.:....:.:....:.....:.:.:.:.:.:.:.:.:..:.'..,.,....:.:.:.::::::::.:.:..::::::.::::.:.:.::',:"/::,,,:,}.!!::))!)):!)?:.....:.... .......... ... ...::.:..::::.".,.,:::::::: 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 1 0 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. 1.".Iti~M.~:..i)""':::::')':!"::"::::::: :::::::::::::::::;::::.i:i.::.,.,.,.,.,.,..,:::,':,,/?:'::::::::::::::. ......... ...... ... ... .::::?:::::,::'.),),)')\:,:::::: ................ ..... ..... ........:.::::.:.::.::::: .......... NAME AND ADDRESS MORTGAGEE X ADDITIONAL INSURED LOSS PAYEE LOAN , MONROE COUNTY BD OF COMM 5100 COLLEGE RD .- j?()OI'Y! Ol 03 KEY WEST FL 33040 , ..'ttt:/ ,1f2tYL--- '- f dd dd d d~P1.d ~.~.:_~_::_:2:::.:.:./.:..:.:::.:.:.:.:.,.:.:.::,:,:}: 2 GO (A) :::::::r(:::::t:::;:::.::::.... ............. ::::::::::::::::::::::::::::::::::))!,:!):)!::::))/\liiji::ijQijibiifli.,ti'MW AUTHORIZED REPRES A .........................................1............. 'ACQRtK2tt _3'\",,):': . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ....... PROGRE.I.IIVE@ COMMERCIAL VEHICLE INSURANCE ADDITIONAL INSURED The person or organization named below is a person insured with respect to such liability coverage as is afforded by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be excess insurance over any other valid and collectible insurance. NAME OF PERSON OR ORGANIZATION: MONROE COUNTY BOARD 5100 COLLEGE RD KEY WEST FL 33040 LIMIT OF LIABILITY Bodily Injury Property Damage Combined Liability each person/ each accident each accident $1 ,000. 000 each accident All other parts of this policy remain unchanged. This endorsement changes Policy No.: 04396039-0 Issued to (Name of Insured): RICHARD SWENTEK Endorsement Effective: 07/26/99 Expiration: 07/26/00 Form No. 1198 (4-97) CVFL0415971607L119801