Certificates of Insurance
~0 Allstate
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CERTIFICATE OF INSURANCE
EFFECTIVE DATE
OF CERTIFICATE
02/02/07
ALLSTATE INDEMNITY COMPANY
HOME OFFICE - NORTH BROOK, IL 60062
hereby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
BLUEWATER MARINE SERVICE 049828888 BAP
DBA TOW BOAT US S DADE
14100 SW 256 STE 14
HOMESTEAD, FL 33032-6500
The person or organization designated below is described in the policy as:
MONROE CNTY RISK MAN
1100 SIMONTON STREET
KEY WEST, FL 33040-3110
POLICY PERIOD
02/02/07 TO 02/02/08
AT 12:01 A.M. STANDARD TIME
~ LIENHOLDER (Loss Payable Clause)
X ADDITIONAL INTERESTED PARTY
ADDITIONAL INSURED
CERTIFICATE HOLDER
Coverages designated are afforded as stated below:
LIABILITY: $500,000 EACH ACCIDENT
AS THEIR INTEREST MAY APPEAR
" .. :Q'~000":tr
~~~~- (Lt~'~iIxU1lCK.x
To the person or organiz;otion stated above:
This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder
named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days
written notice at its last address known to the Company.
Proof of such mailing is deemed sufficient proof of such notice.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy
referred to above.
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BU114-2
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(~1)) Allstate
POLICY NUMBER: 049828888 BAP
COMMERCIAL AUTO
CA 20 01 03 06
THIS EN[IORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LESSOR - ADDITIONAL INSURE
This endorsement modifies insurance provided under the followin
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
DEe 1 8 2006
MONROE COUNlY
RISK MANAGEMENT
With respect to coverage provided by this endorsement, the provisions of the Coverage
modified by the endorsement.
orm apply unless
This endorsement changes the policy effective on the inception date of the policy uniess another date is
indicated below.
Named Insured:
BLUEWATER MARINE SERVICE
DBA TOW BOAT US S DADE
Endorsement E:ffective Date: FEBRUARY 02, 2007
Countersignature Of Authorized Representative
Name:
Title:
Signature:
Date:
CA 20 01 03 06
Copyright, ISO Properties, Inc., 2005
Page 1 of 3
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BU114-2
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lessor or his or her agent takes possession
ofthe "lleased auto", whichever occurs first.
B, Loss Payable Clause
1, We will pay, as interest may appear, you and
the lessor named in this endorsement for
"loss" to a "leased auto".
2, The insurance covers the interest of the les-
sor unless the "Ioss" results from fraudulent
acts or omissions on your part.
If we make any payment to the lessor, we
will obtain his or her rights against any other
party.
C. Cancellation
3,
1. If we cancel the policy, we will mail notice to
the lessor in accordance with the Cancella-
tion Common Policy Condition.
CA 20 01 03 06
2. If you cancel the policy, we will mail notice
to the lessor.
3. Cancellation ends this agreement.
D. The lessor is not liable for payment of your pre-
miums.
E. Additional Definition
As used in this endorsement:
"Leased auto" means an "auto" leased or rented
to you, including any substitute, replacement or
extra "auto" needed to meet seasonal or other
needs, under a leasing or rental agreement that
requires you to provide direct primary insurance
for the lessor.
Copyright, ISO Properties, Inc., 2005
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