Certificates of Insurance
ACOPD~
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 D[h. POLlCY EFFECTIVE POUCYEXPlRATION
LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYY DATE MMlOOIYY
GENERAL LIABILITY
INSURERS AFFORDING COVERAGE
INSURER A USF&G
INSURER B Si al Administration
INSURER C. LlOYD'S UNDERWRX'I'l!:as
INSURER 0" Indemni ty Ins Co of
INSURER E: Travellers
J.
I
I
I
I
4AIC# ,
+- --:-_-J
. j-'-- ~--- l
.~.~I
CERTIFICATE OF LIABILITY INSURANCE
Ocean Insurance Mgmt, Inc.
600 N. Westshore Blvd., Suite
Tampa, Florida 33609
(813) 289-3200
INSURED Hendry Corporation
1650 Hemlock Street
Tampa, Florida 33605
(813) 831-1211
202
DATE (MM/DDfYYYY)
1/19/2007
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
D
XPI N01245971001
11/1/06
11/01/07
LIMITS
EACH OCCURRENCE $ 1,000,000
~---+._---------!
PREMISES Ea occurenc~__+~__~_f OO_~
MEDEXP(An:ronep:,rson) i $ __~900 ,J
PERSONAL&ADVINJUR'!:.,+ 1,000 fOOD
GENERAL AGGREGATE ~__ 2 I _~ 00 ! 00 oj
PRODUCTS -COMPfOPAG~. $ ~~qo f 0_00 ..!
,
r ANY AUTO
ALL OWNED AUTOS
~ SCHEDULEO AUTOS 102/19/06
E X HIRED AUTOS BA303T471606CAG 02/19/07
r-
~_'I NON-OWNED AUTOS
, X Comp & Coll
X CV-$500 De~
r==RAGE LIABILITY
ANY AUTO
EXCESSfUMBRELLA LIABILITY
--=1 OCCUR [] CLAIMS MADE L-~ ~D
I DEDUCTIBLE "
RETENTION $
I WORKI:RSCOMPJ:NSATIONAND 110/01/06
EMPLOYERS' LIABILITY D274W00208 10/01/07
ANY PROPRIETORIPARTNERlEXECUTNE
A OFFICERlMEMBER EXCLUDED? Includes USL&H
~~E~~~~~b6~r~IONS below
OTHER
COMBINED SINGLE LIMIT L1 000 000 I
(Eaaccldent) "
-----1
I. .
~P~?~~~i~~~~R~--r.-----
--,--- ---t-----
BODILY INJURY
(Per person)
PROPERTY DAMAGE
(Peraccident)
'.
AUTO ONLY - EAACCIDENT
OTHER THAN
AUTO ONLY
EAACC $ --_~==~
AGG $ I
EACH OCCURRENCE
AGGREGATE
$
$
--]
I
-----t: --
$
_n_______
-I
-----,---
'.
, X' WCST.^'TU_ ,.0 TH-1
TORY LIMITS ER__ ______
ELEACHACCIDENT . ~$ 1,000,000 i
E.L. DISEASE - EA EMPLOYE _0_, 000 , 000
E.L. DISEASE-POLICY LIMIT $ 1,000,0001
B Federal Act 28000 10/01/06 10/01/07
C Contin ent MEL J06-60280 10/01/06 10/01/07
DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate Holder is included as Additional Insured with respects
Dock Repairs to Higg's Beach Pier, Key West.
Incorporating USL&H
Limit - $10,000,000
Monroe County
1100 Simonton Street, Room 2-216
Key West, FL 33040
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED P~S BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WIRE~to MAIL~ 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 THE INSURER. ITS AGENTS OR
to Emerg~
FA:N'E:~ T
CERTIFICATE HOLDER
I
ACORD 25 (2001/118) ,
C(,.;~
TIV
---
@ACORDCORPORATION1988
ACORD~
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
2/22/2007
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
, ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
.. I INSURERS AFFORDING COVERAGE ':')nrOO Co.',,' NAIC#_ "J
~..E RA: ACE ,'.ndeInnity Ins Co of No ri~a.., .'2'r,
~R~R.B Travellers-.... flU :'; I)"~.'.:" . (!I.iK' 1
E:~:~::.:_._~. ".- -. .. ,----.:" ~.' 6 C'f.iK'J")--J
. . ','.',",." ~,~l '::.. -4l1~1
INSURERE: '.. ", ~
PRODUCER
Ocean Insurance :Mgmt, Ine.
600 N. Westshore Blvd., Suite 202
Tampa, Florida 33609
813 289 3200
INSURED
Hendry Corporation
P.O. Box 75036
Tampa, FL 33675
(813) 831-,1211
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OFt 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
I POUCIES AGGREGATE UMITSSHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
:lriiifR:"oO'L - --~--._-- POLICY EFFECTIVE POLICYEXPIRATION
. LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MMIDDNY DATE MM/DD/YY
GENERAL LIABILITY
~_-_-_C~MM. ERCIAL GENEFtA L. L,IA BILlTY
I CLAIMS MADE i OCCUR
Ix SRLL _-- _ XPIN01245971001
i-----, - - :'
LIMITS
EACH OCCURRENCE
1 ,.000 ,00Jl..
50,000
,~ s.~(),oO I
, ..!..Jl.9 0 , 000 _I
, 2,000,000
, 1,0.9..<>,000 I
P.REMISES Ea occurence
A
I 11/01/06 ! 11/01/07
MED E~~(!,ny o~~~~~L
PERSONAL & ADV INJURY
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER
X POLICY :;~8T LOC
AUTOMOBILE LIABILITY
t I ANY AUTO
I ALL OWNED AUTOS
i-~ SCHEDULED AUTOS
f~-i HIRED AUTOS
LK ~~;;N~A~T~~l
! X CV $500 ded
GARAGE LIABILITY
; PRODUCTS. COMP/OP AGG
COMBINED SINGLE LIMIT
(Eaaccident)
,$1,000,000
BA9669C872
2/19/07
2/19/08
~Bp~~~~~~~)URy._~_._t- .____
BODILY INJURY
(Peraccidenl) $
l.____ ----+-....._.
I PROPERTY DAMAGE
{Peraccidenl}
!,
AUTO ONLY - EAACCIDENT
,
EA ACC $
ANY AUTO
EXCESS/UMBRELLA LIABILITY
OCCUR C: CI_AIMSMADE
OTHER THAN
AUTO ONLY
I 1__-=1 DEDUCTIBLE
HI I RETENTION $
, WORKERSCOMPENSATION.A.ND
I I EMPLOYERS' LIABILITY
I ANY PROPRIETOR/PARTNER/EXECUTI'JE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
OTHER I
A Hull & Machinery HUN0124596A001 11/01/06 11/01/07
A Protection & Ind HUN0124596AOOl 11/01/0611/01/07
, DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
~]-Ol
'1---
AGG, $
EACH OCCURRENCE ~-=tl. ._n_
AGGREGATE $
-~-~---"----'-
,
-.---. ---m.------r- -...---- --l
, !
I
,
WCSTATU- TH-
~JORYLlMI"@~L ER+--___ I
~:.'::: EACHACCIDENT_~ ___no _,'._'1
i E.L DISEASE - EA EMPLOYE' $-- .
--.-.-
EL DISEASE - POLICY LIMIT $
As per schedule
$1,000,000 AOA/OCC/CSL
Certificate Holder is included as Additional Insured
Dock Repairs to Higg's Beach Pier, Key West.
Cc: ;:-;'nt::t.nC'L
with respects to Emergency
I
I
I CERTIFICAT::::::R County
1100 Simonton Street,
Key West, In 33040
Room 2-216
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIONI
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MA1L~ DAYS WRITTEN I
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
HE INSURER, ITS AGENTS OR
.::;>
ACORD 25 (2001/08)
@ACORDCORPORATION1988
~..~or r~'1~.C ')....;i1~
Fe . ~'f,,:~f
IMPORTANT
H.B )(j;
-, ..... L.
,,,..j
h--
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 issuin~1 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.
ACORD25(2001f08)
CERTIFICATE OF LIABILITY INSURANCE 3 29 2007
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIoN
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ACORD,.
PRODUCER
Ocean Insurance Mgmt, Inc.
600 N. Westshore Blvd., Suite
Tampa, Florida 33609
813 289 3200
INSURED Hendry Corporation
P. O. Box 75036
Tampa, FL 33675
202
INSURERS AFFORDING COVERAGE
NAIC#
Indemnity Ins Co of North America
Travellers Indemnity Ins Co of Ct.
---I
. ~
..._---j
,.._ INSURER A
RECEIV:!\N~URER B
~~NSURER,C
I INSURER D
US Fidelity & Guaranty Company
Siqnal Administration
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I SUED TO THE INSURED NAMI;D ABa E FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONT ivlTH R SPEeT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DE IS SUBJECT T ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE B EN REDUCED .T
: DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORif'ARTNERIEXECUTIVE
C OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
OTHER
D Federal Act 28000 10/01/06 10/01/07
D Contingent MEL J06-60280 10/01/06 10/01/07
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
lNSR DD'L
LTR NSRD
TYPE OF INSURANCE
GENERAL LIABILITY
POLICY NUMBER
A
~'JC. ' COMMERCIAL GENERA.L L.'A. B.llITY
u C~_I CLAIMS MADE ~I OCCUR
-~_I-SRLLu. .... ! XPIN01245971001
_ ... F
i GEN'L AGGREGATE LIMIT APPLIES PER tJ I'
r--- PRO,
'X POLICY JECT
~OMOBILE LIABILITY
LX ANY AUTO
ALL OWNED AUTOS
LOC
TIME:
RECEIVED
B
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
X Comp & Coll
x ACV 500 ded
GARAGE LIABILITY
ANY AUTO
m,
I
. BA9669C872-07
! EXCESS/UMBRELLA LIABILITY
"--I OCCUR [] CLAIMS MADE
D274W00208
POLICY EFFECTIVE POLICY EXPIRATION
DATE MMlDDIYY DATE MM/DDIYY
LIMITS
EACH OCCURRENCE $ 1 090,000 i
PREfvllSES Ea Qccurence $ 50,000
MEDEXP(Anyoneperson) $ 1 000 000
PERSONAL & ADV INJURY $ 1 000 000
GENERAL AGGREGATE $ 2 I 000 , 000 I
I PRODUCTS-COMP/OPAGG $ 1,000,000
11/01/06 11/01/07
lI'Rl~roe Counly
Rilles Dey
~ e/er-
COMBINED SINGLE LIMIT :$ 1,000,000
(Eaaccidenl)
'f: BODILY INJURY :,
(Per person)
2/19/07 2/19/08 BODILY INJURY I
:$
(Peraccident) I
,
PROPERTY DAMAGE I,
(Peraccident)
I AUTOONLY-EA~~CIDENT $
, OTHER THAN EAACC $
I AUTO ONLY AGG $
EACH OCCURRENCE $
AGGREGATE
10/01/06
,
,
,
OJ~ I
i, .1 000 000
I
E.L.DlSEASE-EAEMPLOYE $ 1 000 000
E.L. DISEASE-POLICY LIMIT $ 1 000 000
10/01/07
Incorporating USL&H
Limit -$10,000,000
Certificate Holder is included as Additional Insured with respect to
Emergency Dock Repairs to Higg's Beach Pier, Key West. This
Certificate cancels &/or supercedes prior Certificate issued January 19, 2007.
CERTIFICATE HOLDER
Monroe County
1100 Simonton Street -Rm 2-216
Key West, FL 33040 MONROECOUNlY
FAcrunES DEVELOPMENT
~-'
CL:~
AP
ACORD 25(2001108)
TIME:
RECEIVED BY:
,
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL~ DAYS WRITTEN
NOT~TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IM~SE' NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Pi ESENTATIVES.
~IZED R~SENTAT
,
('
@ACORDCORPORATION1988