Certificate of Insurance
Client#: 28807 BEEBR
. A'CORa.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDlVY)
03/29/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Advanced Insurance Underwriters ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Ravenswood Office Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
5201 Ravenswood Rd., Ste 107
Ft. Lauderdale, FL 33312 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Great American Ins. Company
Bee Brothers Development, Inc. INSURERB: Bridgefield Employers Ins. Co.
8362 Pines Blvd. #258 INSURERC: Travelers Casualty & Surety Co.
Pembroke Pines, FL 33024 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. 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 CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR TYPE OF INSURANCE POLICY NUMBER ~.fEY ~~~~~ P~rl ~X~~~ LIMITS
LTR
A GENERAL LIABILITY 02GLOOO053862 05/01/01 05/01/02 EACH OCCURRENCE 51 000,000
-
X COMM ERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $50 000
I CLAIMS MADE [K] OCCUR MED EXP (Anyone person) $5 000
X PD Ded:1,000 PERSONAL & ADV INJURY $1 000.000
GENERAL AGGREGATE $2 000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS . COMPIOP AGG $2 000.000
Xl POLICY - n' ~rRr '(=f LOC
A ~TOMOBILE LIABILITY 02CAOOO021712 05/01/01 05/01/02 COMBINED SINGLE LIMIT
X ANY AUTO ~) Y (Ea accidenl) 51,000,000
-
ALL OWNED AUTOS BOOIL Y INJURY
- $
SCHEDULED AUTOS ~~~ (Par person)
- y
X HIRED AUTOS ~~
- BOOIL Y INJURY $
X NON-OWNED AUTOS ~ uY IX""- ~ (Per accident)
- PROPERTY DAMAGE $
(Par accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=1' ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
~-OCCUR D CLAIMS MADE AGGREGATE $
$
==i DEDUCTIBLE $
RETENTION $ $
B WORKERS COMPENSATION AND 83028390 01/01/02 01/01/03 X I,WC STATU- I IOJ~-
TORY LIMIT'::
EMPLOYERS' LIABILITY $500,000
E,L. EACH ACCIDENT
E.L. DISEASE. EA EMPLOYEE $500,000
E.L. DISEASE - POLICY LIMIT $500,000
C OTHER Equipment QT660355X8989TIL01 11/01/01 11/01/02 $1,843,553 - $1,000 De
Floater
DESCRIPTION OF OPERAllONSJLOCAllONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
The Monroe County Board of County Commissioners, its employees and
officials are included as IIAdditional Insuredll on all policies except for
Workers Compensation.
Re: Animal Shelter Sewer Collection System & Drainage, Stock Island,
Monroe County, Florida
CERTIFICATE HOLDER I I ADD mONAL INSURED ;INSURER LETTER: CANCELLATION
Monroe County Board of County SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlotll
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3...0.- DAYSWRlTTEN
Commissioners N011CETOTHE CER11FICATE HOLDERNAMED TOTHE LEFT, BUTFAlLURE ~)f)OSOSl-I"\LL I
500 Whitehead Street IM7~G~~YKlND UPON THE INSURER,ITS AGENTS Of<
Key West, FL 33040 REP ENTAllVES /
lJrdfHOR '~ "/
I (~ ~
ACORD 25-S (7/97) 1 0 f 2
#S133958/M127916
YHD @ ACORD CORPORATION 1988
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.
ACORD 25-S (7/97) 2 of 2 #S13395S/M127916