Certificates of Insurance
A CORD_ CERTIFICATE OF LIABILITY INSURANC~gI~l I DATE (MM/DDIYY)
12/07/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Independent Insurance Center ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
704 South King St. Ste. 1 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 2303 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Leesburg VA 20177 INSURERS AFFORDING COVERAGE
Phone: 703-777-7774 Fax:703-777-7156
INSURED INSURER A: ITT Hartford--Reqional
INSURER B: Gulf Insurance Company
AScI Co~oration INSURER c:
Ms Carol Haque
1365 BeVerl! Road INSURER 0:
McLean VA 2 101-3632
I INSURER E:
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 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.
I~~~ TYPE OF INSURANCE POLICY NUMBER 1'0!.'f~ EFFI;t<T1fYE ~.Y.L!'iY}:2<P!MT}?N LIMITS
DATE MMIODIYY DATE'/MM/DDIYY
~NERAL LIABILITY EACH OCCURRENCE $ 2 ,000,000
B ~ COMMERCIAL GENERAL LIABILITY GU0691834 09/01/00 09/01/01 FIRE DAMAGE (Anyone fire) $ 50,000
~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000
-
$1,500 deductible $2,000,000 LIABILITY WITH PERSONAL & ADV INJURY $2,000.000
__per occurrence $10,000 DEDUCTIBLE GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000
I n PRO- nLOC
POLICY JECT
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
A ~ ANY AUTO 42UENDD0756 09/01/00 09/01/01 (Ea accident)
ALL OWNED AUTOS ~-- BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
~ HIRED AUTOS Ck~ BODILY INJURY
$
~ NON-OWNED AUTOS .r) (Per accident)
C~ <'.<'" r .
-- (z. / r "I }/lOl PROPERTY DAMAGE $
(Per accident)
~GE LIABILITY l~~ AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $1,000,000**
A o OCCUR D CLAIMS MADE 42XHUCZ9184 09/01/00 09/01/01 AGGREGATE $ 1,000,000
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I f5R~Tt.~Yi-s1 IUJ~-
ER
A EMPLOYERS' LIABILITY 42WB1D4985 09/01/00 09/01/01 $ 500,000
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYE $ 500 , 000
E.L. DISEASE - POLICY LIMIT $ 500,000
OTHER
B Professional Liab GU0691834 09/01/90 09/01/01 Each Clm / $2,000,000
Ded $10 000
DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Certificate Holder is named as Additional Insured on the General Liability
only. * *UMBRELLA IS EXCESS OVER AUTO .AND WORKER'S COMPENSATION ONLY* *
CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlO~
Monroe County Board of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
County Commissioners -
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn: Carol A. Cobb
5100 College Road, Room 506 IMPOSE NO OBLlGATI\ OR j'iBILlTY OF A~ KIND UPON THE INSURER,ITS AGENTS OR
Key West FL 33040 REPRESENTATIVES.
I Lvnn B. J ~R UNJA a
Moox.eJ'"\I .v---. Jl
ACORD 25-S (7/97) \../ , II @ACORDCORPORATION1988
COVERAGES