Insurance
~ CERTIFICATE OF LIABILITY INSIJRANCE I DATEIMIIIDON'V"f"V1
11/30/2006
PRODUCE. (305)743-0494 FAX (305)743-0582 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLOE~..THIS ~~:l'~lf,ATE DOES NOT AMEND. EXTEND ~
P.O. Box 500280 ALTER T E COV G AFFORDED BY THE POUCIES BEL W.
Marathon, FL 33050-0280
INSURERS AFFORDING COVERAGE HAIC"
INSU.ED 0 and J Industries, Etc, Inc. INSURER A: Allstate Insurance Company 19232
DBA: D and J Raof;ng, Inc. INSURER I
PO Box 430674 INSURER C
Big Pine Key. Fl 33043-0674 ........ D
INSURER E
THE POLICIES OF INSURANCE LISTED BELOW Hl\VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N01\'\ITHSTANDlNO
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTMCT OR OTHER DOCUMENT WITH RESPECT TO VIIflCH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFfORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS. EXCLUSIONS AND CONDmONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INlURAHCE POUCV NUII8M
GENERAL LlAIIIUlY
COMMERCIAL OI~NCJW. LNLITY
ClAIM' MAl)! 0 OCCUR
UMlTS
.
.
MEa UP ~ one penon) I
PEAIONAL &AtN WJURV .
GENERAl AGGREGATE S
PRODUCTS. CQMPIOP AGO S
A
GEN'L AGGREGA.TI UMIT APPt.ES PER
POlICY '-8i LDC
AUlOIIOIIILE UABILITY
X ,." NJfO
ALL OVINED AUlOS
SCHEDUlED AU1ros
twIED AUTOS
NON-ow.!fD AUtoS
048628626 09/24 2006 09/24/2007
COMBINeD SINGlE LIMIT
,..-
.
1 000 0
IICClILY.......
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IIODR.YIWRY
c..........,
.
PROPER1'YOMIAGE
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QARAGE LLUIU1V
ANY AUTO
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AI1TO ONLY . EA ACCIDENT S
EAACe .
AGG .
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'IV i"',..
"",""TlWI
AU1l)ONlY;
UCI!S8IUM8ItlI.LA 1.ll\llUTY
OCCUR [J c.........-
eACH OCCURREHCE
_D"'"
0EDUC1IIlE
RETalT1QN I
WORKERS COMPENSAlIOtl AND
EMPLOYERB' UA8lUTY
""PR~
QFFlCERME....R EXCI.lJDEO"I
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SPECtM. PRCMSK)Ns..,
0l>t0ft
.
.
E.L. EACttACCfDENT S
E_ L. DtIEAIE . EA !fMIt.O .
E.L DtlEASE. POUCY LIMJT .
DHCIWTlON OF OPIRl.lIONS I ILOCA'ftONS/V!HICL!S I EXCLUStONS ADDI!O IV INDORSEMENT' SPlCIAL PROVISIONS
he following is listed as Additional Insured on the above policy.
Monroe Countll Board of County COllIII1ss1ooers
1100 Wh1 tehe;.d street
Key West, Fl 33040
IHOUt.D ANY OF THEAIOW DlICR8ID POLICIEI II! CANCeLLED IEFORI!' THE
EXPIRAtION DAY! THEReOF. TH! lSSUINQ INIURIR WlU IHOEAVOR 1'0 MAA.
~ MYSWItITTIN NQlIGR 10 1ttI! GI!R1IFtCATI HDl.D!R NAIlED 10 THE LEfT,
auT FAIl.UAI! 10 MAIL IUCH NO'T1CE IHM.L IMfJOIl! NO OItUQAl'JOH 0It LJAaaUlY
OF AIf'/ KIND UPON Tw. MIIRD.ITS OR REPREUNTA11VU.
AUntOfUZID~ATM
Lourdes Mont ne
ACORD 2li (2001101) FA:~: (305)285-0701
ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR sc I DATE (MMlDDIYYYY)
D&JIN-2 11/16/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Big Pine Key FL 33043
Phone: 305-872-2888 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Canal Indemnitv
INSURER 8:
D&J Industries, Etc. , Inc. INSURER C
Charo Ruiz
P.O. Box 523236 INSURER 0:
Marathon Shores FL 33052
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 CONDlT1QN 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
LTR NSR TYPE OF INSURA.NCE POLICY NUMBER PD~l;l~1ri~rJtf,w;E Pgk~CEYfijXrXb~J!,~N LIMITS
GENERAl. l.IABILlTY EACH OCCURRENCE '1,000,000
- 12/12/05 12/12/06
A X X COMMERCIAL GENERAL LIABILITY GL90257 PREMISES (Ea occurence) '50,000
I CLAIMS MADE [i] OCCUR MED EXP (Anyone person) , 5,000
- PERSONAL & ADV INJURY $1,000,000
- GENERAL AGGREGATE , 2,000,000
GEN'L AGGREGATE LIMIT APPlS PER PRODUCTS - COMPIOP AGG , 1,000,000
I n PRO-
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT ,
ANY AUTO (Eaaccident)
-
- All.. OWNED AUTOS BODILY INJURY
,
SCHEDULED AUTOS (Per person}
- ,.,~
HIRED AUTOS BODilY INJURY
- ,
NON-OWNED AUTOS m..~o. (Per accident)
l-
I- PROPERTY DAMAGE ,
-~-~ -'\ (Per accident)
GARAGE LIABILITY ~ .c.V} AUTO ONLY - EA ACCIDENT ,
R ANY AUTO OTHER THAN EA ACC ,
AUTO ONL V- AGG ,
EXCESSlUMBRELLA LIAmLlTY EACH OCCURRENCE $
P OCCUR D CLAIMS MADE AGGREGATE ,
,
R ~EDUCTIBLE ,
RETENTION , ,
WORKERS COMPENSATION AfllD IT6~/~I~WS I IUJ~-
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/E)(ECUTIVE EL. EACH ACCIDENT ,
OFFICERIMEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE ,
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT ,
OTHER
DESCRIPTION OF OPERATtONS I lOCATIONS f VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
roofing-all kinds The limits of coverage apply for all jobs & locations.
Certificate Holde~ is also Additional Insured.
CERTIFICATE HOLDER
CANCELLATION
MONRO-6
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON INSURER, ITS AGENTS OR
Monroe County BQCC
1100 Simon.ton Street
Key West F.L 33040
@ACORDCORPORATION1988
ACORD 25 (2001/08)