Certificates of Insurance
ACORD CERTIFICA TE OF LIABILITY INSURANCE DATE (MM/DDIYY)
TM 04/15/2002
PRO&UCER (908) 689 -1092 FAX (908)689-5718 MA I ":'" vr IIUN
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Brown & Brown of New Jersey HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2~1 Route 31 North ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Washington, NJ 07882 INSURERS AFFORDING COVERAGE
JoAnne Gianopulos
INSURED Art i fi cia 1 Reefs of the Keys, Inc. INSURER A: Greenwich Insurance Company
c/o 103 Wills Street INSURER B:
Rancocas, NJ 08073 INSURER C:
INSURER D:
I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING
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, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'LTR TYPE OF INSURANCE POLICY NUMBER "'~kf~ (MM/DDIYY) -CATE (MM/DDIYY) LIMITS
GENERAL LIABILITY PECOO0795 08/01/2001 08/01/2002 EACH OCCURRENCE $ 1,000,000
'-- FIRE DAMAGE (Anyone fire) $
X COMMERCIAL GENERAL LIABILITY 100,000
i CLAIMS MADE fXl OCCUR - MED EXP (Anyone person) $ 5,000
A PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
h 'nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY APPrn .f~r1l.< eMfN'f COMBINED SINGLE LIMIT
- (Ea accident) $
ANY AUTO
- ) -
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS BY -0- "U _ __ () #-
- -
HIRED AUTOS T
- DATE ~ :c BODILY INJURY $
NON-OWNED AUTOS VE - - (Per accident)
- WAIVER N/A~
PROPERTY DAMAGE
- (Per accident) $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSAT!ON AND I TORY LIMITS I IUE~-
EI\IIPLnYER~' L1ABll.ITY l:..L. l:,<\l,;H 1\CLJuEI..li
~
EL DISEASE - EA EMPLOYEE $
E.L DISEASE - POLICY LIMIT $
OTHER PECOO0795 08/01/2001 08/01/2002 $1,000,000 each occurrence
Professional liability
A ollution liability Claims Made Basis
DESCRIPTION OF OPERATlONSIlOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
~onroe County BOCC is included as an Additional insured with respect to the artificial reefs project
il/k/a General Hoyt S. Vandenberg.
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER CANCELLA TION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Monroe County BOCC ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Attn: Wayne Robertson BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
1100 Simonton Street OF ANY KIND UPON THE COMPANY, ITS ,AGENTS OR REPRESENTATIVES.
Key West, FL 33040 AUTHORr:J)();;':VE , \:I::JAt1 /X{')./lUJ JK;>
",O-:i {muI FAX: (05)295-4364 , / - -nlOO
,
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.
25-5 I fI':U)