Certificates of Insurance
ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYYI
05/07/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Wachovia Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1000 S. Pine Island Road, #225 , .ALTliRlHE ~OVERAGE AFFORDED BY THE POLICIES BELOW.
Plantation, FL 33324 i RECEIV m
954-475-3600 ; ~. -- .- SAF ORDING COVERAGE NAIC#
INSURED E.G. Braswell Construction, Inc. : INSURER Han ord Ins Co of the SE 0
,,\1 , 4 l~iilER Harl ord Casualty Ins Co
i i'ili-\i I
EG Braswell Leasing Corp. , INSURER Twir City Fire Ins. Co.
5565 Second Avenue i """"
Key West, FL 33040 I '- _..- -;-.;-'~;:--- 2 ~ ~~
"Iii,:,'k:~_ IJ... I. URER E:
,:>'" '~'~::.~~':':'~.._-----
-'-"-----
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.
Il~:; ~~~ TYPE OF INSURANCE POLICY NUMBER PnOl"~~~:~f~R~ Pg~$l/~>2"/~reN LIMITS
A 2!NERAL LIABILITY 21UUNUT1323 05/04/07 05/04/08 EACH OCCURRENCE $1 000 000
X COMMERCIAL GENERAL L1ABILllY DAMAGE TO RENTED $300 000
1 CLAIMS MADE [Xl OCCUR MED EXP (Anyone person) $10000
PERSONAL & ADV INJURY $1 000 000
X OCP GENERAL AGGREGATE $2 000 000
~'LAGG~Eri1E LIMIT APnS PER: PRODUCTS - COMPtOP AGG $2 000 000
POLICY X ~~RT LOC
C ~TOMOBILE LIABILITY 21UENUU0650 05/04/07 05/04108 COMBINED SINGLE LIMIT
2L ANY AUTO (Eaaccldenl) $1,000,000
---
- ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
-
~ HIRED AUTOS BODILY INJURY
~ NON-OWNED AUTOS (Peraccldent) $
I- PROPERlY DAMAGE $
(Peraccldenl)
RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
B OESSIUMBRELLA LIABILITY 21RHUUT0920 05/04/07 05/04/08 EACH OCCURRENCE $2 000 000
OCCUR 0 CLAIMS MADE AGGREGATE $2 000 000
$
~ DEDUCTIBLE .\ ,.(\ G\ ..,n. I
X RETENTION $10000 $
WORKERS COMPENSATION AND J,q~ \1 /~... .\...hu I WC STATU- IOJi;"
EMPLOYERS' LIABILITY '. -.'-
ANY PROPRIETOR/PARTNERlEXECUTIVE .. 5- 5~() __ E.l. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.l. DISEASE. EA EMPLOYEE S
If~s,describeunder -..J
S ECIAL PROVISIONS below - " E.L. DISEASE. POLICY LIMIT $
OTHER ,'".
i
DESCRIPTION OF OPERAT!ONS I LOCATIONS !VEHICl ~S I EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS
Terrorism Includeu
Certificate holder is listed as addltlo', .1 Insured with respects to
General Liability and Auto Liability
-
Cllenl#' 227284
EGBRACO
COVERAGES
Monroe County BOCC
1100 Simonton Street
Key West, FL 33040
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -3Q.... DAYS WRlnEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILtTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
f{)~ K J,{
DMI03
@ ACORD CORPORATION 1988
CERTIFICATE HOLDER
ACORD 25 (2001/08) 1 of 2
#Ml197833
ACORD,M CERTIFICATE OF LIABILITY INSURANCE 4672 I DA. TE (rewltOVVY'i)
5/16/2007
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Southern Eagle Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
41043rd Street West Suite N ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Bradenton, Fl 34209
INSURERS AFFORDING COVERAGE NAlC#
INSURED Insurer A: Southern Eagle Insurance Co.
Administrative Concepts Corp Reinsurer B: Uovds of London AA-1122000
406 43Id Street West Reinsurer C: Asoen Reinsurance AA-1120337
Brad.nton, FL 34209 Reinsurer 0: Max Re Bermuda AA-3190829
Reinsurer E: OdV!;;sev Re 23680
COVERAGES
THE POLICIES OF INSURANCe LISTED BELCMlHAVE BEEN ISSUED TOTHE INSURED HAMED ABOVE FOR lliE POLICY PERIOD INDICATED. NOTWITMSTANDING
ANY REQUIREMENT, TERM OR CONDrrlON OF ~y CONTRACT OR OTHER DOCUMENT WlTI-t RESPECT TO \MilCH THIS CERTIFICATE MAY BE ISSUEO OR
MAY PERTAIN, TliE NSURANCE AfFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL lHE TERMS, EXCLUSIONS AND CONDITICNS OF SUCH
~o~s. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY folJMBER POL C'( POLICY EXPIRATION LI.-TS
..,!!!NERAL LIABILITY EACH OCCURRENCE .
- pM~ERCLAL GENERAL LIABILITY ~~~JYE~~~~OOI .
- CLAIMS MADE 0 OCCUR MED EXP IArlvorw lI81'5Qn) .
- PERSONAL & ADV IN..lJRY .
- GENERAL AGGREGATE .
~'L AGG:E~~!rLt.1IT APnS1PER PRODUCTS COMPiOP AGG .
POliCY ~ lOC
~UTOMOSlLE LIABIUTY COMBINED SINGLE LIMIT .
- ANY AUTO fit \c, ,,( (Eaaocidantl
- AlL O'v\-NED AUTOS I SODll Y INJURY
SCHEDULED AUTOS I , (Peq)llr;lon) .
- (.../'
HIRED AUTOS
- <:' :::>17-0 l SODll Y INJURY .
- NON-OW\lED AUTOS C (POKarodantl
- , ~ PROPERTY DAMAGE ,
tperacddant)
~RA.E LlAllIlIlY I , AUTO ONLY EAACCIDENT .
ANY AUTO EA^"C .
OTHER THAN
MJTO ONLY AGG .
:=]CESSlUMBRELLA LIABLrTY E.tICH OCCURRENCE .
OCCUR D ClAIMS MADE AGGREGATE .
.
==i DEDUCTIBLE .
RETENTION . .
A WORKERS COIllPENSAllON AND x 11"~,fr~r,~~ I IOJ~-
EMPt.OVERS" UABlLITV WC0272682-QO 1/1/2007 111/2008 1 n~";';'-
ANY f'ROPRIETORIPARTNER/EXECU11VE EL EACH ACCIDENT .
OFRCER~BER EXCWOED? EL DISEASE - EAEMPlOYEE $ 1 000 000
~CI::S~~VJ~~NSbelOW E.L_ DISEASE - POLICY LIMIT $ 1,000,000
Be 01Hl!ft ~e ~ that sout~ Eagle Ins,uran~ Company has reinsured its liabilities in excess of $250,000 under the policies of
Workers Compensation Insurance listed above with underwriters listed A- or better at the time of placement of such reinsurance. Such reinsurance are
DE Excess Coverage slbject to their own terms, conditions and limits. This is for informational purposes and nothing herein shall create any right
under such reinsurances.
DE8CRtPTlON Of OPERATIONS j LOCATIO" IVEl4Cl.ES I EXa...u&IQN8 AOOEO BY ENDORSBIENr I SPECIAL PRC\n8lONS Effective: 7/23/2002 1969
Coverage is extended to the leased employees of alternate employer (Florida Operations Only):
E.G. Braswell Construction Inc
DISCLAIME.R: This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer.
and the certificate holder, nor does it affinnativelv or negativelv amend. extend or alter the coveraae afforded by the policies listed thereon.
CERTIFICATE HOLDER
MONROE COUNTY
ATTN: BUILDING OEPT
2798 OVERSEAS HIGHWAY STE 330
MARATHON FL
33050
CANCELLATION
IHOlLD AN'( OF TtE ABOVE DE8CRlBm POLloa; BE CANCELLED BEFORE THE EXPIRATION
DATE n-EREOF, TtE ISSUNG INSUIER Wl.L Ef'C)EAYOR TO MAIL -a2- DAYS WRITTEN
NOnce TO TJ.IE CERTFICATE HOLDER NAMED TO TH&: lEFT, BUT FAIL.... TO 00 80 SHALL
IMPOSE NO OBUOATlOH OR UABlLITY OF ANY KIN) UPON TIE 1N8t.RER, ITS AGENTS OR
REPRBlENTAT1VaI.
AlITHORlZED N9"RE8ENTATI'IIE
\
"""-'- M, \
.., ACORD CORPORATION 1988
ACORD 25 (2001/08)
ACORD,. CERTIFICATE OF LIABILITY INSURANCE 26135 I DATE (MMIDDlYYYY)
12/29/2007
PRODUCER RECEIVEr IACATE IS ISSUED AS A MATTER OF INFORMATION
Rick Concepts Corporation I ONLY -A'.'b CONFERS NO RIGHTS UPON THE CERTlACATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
410 43rd Street West Suite N ~ ER T E COVERAGE AFFORDED BY THE POLICIES BELOW.
Bradenton, FL 34209
JAN 7?n1 llJISL RERS FFORDING COVERAGE NAlC#
INSURED Insu erA outhem Eagle Insurance Co.
Administrative Concepts Corp Rei urer ~ Uoyds of London AA-1122000
406 43rd Street West MONROE COUNTY Reinsure~ Aspen Reinsurance AA-1120337
Bradenton, FL 34209 RISK MANAGEMEN R.~insurer L Max Re Bermuda AA-3190829
.K.~lnsurer Odyssey Re 23680
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO \l\lHtcH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BYTI-iE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI-iE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
1~-lR ~~~~ POLICY t-UMBER POLICY EFFECTIVE Pg~!W EXPIRATION LIMITS
GENERAL L.IABILlTY
r--
EACH OCCURRENCE $
~~~~~l?E~~~~~nce $
MED EXP (Anyone person) ~ I
PERSONAL & ADV INJJRY $
GENERAL AGGREGATE $
PRODUCTS - COMPtOP AGG $
COMMERCIAL GENERAL LIABILITY
II-_~ CLAIMSM)\DE 0 OCCUR
r--
~'L AGGRE~E,L1MIT AP~S PER
~ POLICY I I P~?T ~LOC
~UTOMOBILe LIABILITY
_ ANY AUTO
ALL OWNED AUTOS
-
~
r-
r-
SCHEDULED AUTOS
HIRED AUTOS
NON-OV\.NED AUTOS
~ ,( i
~ \0, '\/
\)~ k~ c7J 'J ~<._
I ~ 7---().2) --
... 'A
COMBINED SINGLE LIMIT
(EeacCldent)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Pereccident)
A
GARAGE LIABILITY
R ANY AU"'O
hESstUMBRELLA LIABILITY
~ OCCUR [] CLAIMS MADE
h DEDUCTIBLE
I~ ~ETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY FROPRIETORIPARTNERJEXECUnVE
OFFICERIMEMBER EXQUDED?
~~tS1S~~\>~~1~~~s beltNY
OTHER
Workers Compensation
Excess Coverage
AUTO ONL y. EAACCIDENT
I
EAACC $
.
$
I
.
I
.
AGG
OTHER THAA
AUTO ONLY
EACH OCCURRENCE
AGGREGATE
BC
DE
X I\M:ST~II~~' IOJr
E L_ EACH ACCIDENT $ 1 000 000
E.L. DISEASE - EA EMPLOYE $ 1,000,000
EL DISEASE - POLICY L1Mll $ 1,000,000
:'ease not~ that vouthern Eagle In~uran~e .....ompany has rernsun:'d its lia llities in excess of ~2S0,OOO under the .pOllcies OT
Insurance listed above with underwrtters listed A- or better at the time of placement of such reinsurance. Such reinsurance are
subject to their own terms, conditions and limits. This is for informational purposes and nothing herein shall create any right
under such reinsurances.
WC0272682-00
1/1/2008
1/1/2009
DESCRIPTION OF OPERATIONS I LOCATIONS 'VEHICLES I EXCLUSIONS AOOED BY ENDORSEMENT I SPECIAL PROVISIONS
Coverage is extended to the leased employees of alternate employer (Florida Operations Only):
E.G. Braswell Construction Inc
Effective: 7/23/2002 021969
CERTIFICATE HOLDER
DISCLAIMER: This Certificate of Insurance 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.
CANCELLATION
ACORD 25 (2001/08)
/. .
cc.~
jAN
f)"t IV 1!.Jv.t--
g 200B
SHOLLD ANY OF TI--E ABOVE DESCRlBBJ POLICIES BE CANCELLEO BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO Tl-E LEFT, BUT FAILURE TO 00 SO SHALL
IMPose NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INS~R, rrs AGENTS OR
REPRESENTATIVES.
ALn'HORJZEQ REPRESENTATIVE ~ ~, ~
\ )-.-.J..J... \~
@ACORD CORPORA TlON 1988
MONROE COUNTY BOCe
A TIN: ANN RIGER
1100 SIMONTON ST
KEY WEST. FL 33040
"~Or.'02 r: :"~inty
i'~: ~':.:"):i'leni
~.
(0
l'/iJk..
I
/~
F;:C'
:p.y
ACORo'M CERTIFICATE OF LIABILITY INSURANCE 26135 I OA TE (MMJDDNYYY)
12/20/2007
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Risk Concepts Corpclration ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
410 43rd Street West Suite N ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Bradenton, FL 34200
INSURERS AFFORDING COVERAGE NAIC#
INSURED Insurer A: Southern Eagle Insurance Co.
Administrative Concepts Corp Reinsurer B: L10yds of London AA-1122000
406 43rd Street West Reinsurer C: Aspen Reinsurance AA-1120337
Bradenton, FL 34200 Reinsurer D: Max Re Bermuda AA-3190829
I Rein.suc.er E: Odyssey Re 23680
COVERAGES
THE POLICIES OF rNSUI~ANCE LISTED BElO\NHAVE BEEN ISSUED lOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDrTlON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI-IIGH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSiURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL lHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGA.TE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. --
I,N~ ~~ POLICY I'LIMBER POLl1"~~~ Pg~!f.:Y,ijX.f,l.,~.J!5!N LIMITS
~NERAL LIABILITY EACH OCCURRENCE I
f- 3MMERCIJl.J.- GENERAL LIABILITY ~~~i1~J9E~~~~~nce I
f- CLAIMS 1w1~E 0 OCCUI~ MED EXP (Anyone person) $
- PERSONAL & ~V IN.JJR" I
f- -- Or-it 10- :-le-rlv GENERAL AGGREGATE I ---
n'L AGG:En~ LIMIT APFlS PER PRODUCTS - COMP/OP AGG -'
POLICY :~?T LOC . .
r'!TOMOBILE lIABILITY COMBINED SINGLE LIMIT $
_ ANY AUTO fir (EaEloodent)
_ ALL OV"MED -"UTOS BODILY INJURY I
t SCHEDUlEO"UOOS (Per person)
HIRED AUTOS BODILY INJURY
$
NON-O'v\.NED ,'\UTOS (Per accident)
, il
- < PROPERT Y DJl.MAGE I
(PerllcCldenl)
iRAGE l..BllIlY \~10 Ut~ AUTO ONLY - EAACCIDENT I
ANY AUTO OTHER THAN EAACC I
--':<-4{ AUTO ONLY AGG, $
DESSlUMBRELU~ LIABILITY .~ EACH OCCURRENCE ,
OCCUR [=:] Cl.AIMS MADE X AGGREGATE I
$
R DEDUCTIBLE $
RETENT ION $ $
WORKERS COMPENSATION AND xJ 'ACSTATU~:d j3TH!
A EMPLOYERS' LIABILITY WC0272682-00 1/1/2007 1/1/2008 __ _10RU_IM1TS_ ____ ,.EI:S..____ -- -- . --.-.-
ANY PROPRIETORIPARTNERIEXECUTlVE EL EACH ACCIDENT I 1 000 000
OFFI CERIMEMBER EXQUDED? EL DISEASE - EA EMPLOYEE $ 1 _000.000
If yes, describe wnder 1_000,000
SPECIAL PROVISIONS bel,;rw E.L. DISEASE POLICY LIMIT $
BC OTHER lease note that tiouthem Eagle Insurance l,.;ompany has reinsured its Iiabi ities in excess of $250,000 under me policies of
Workers Compensation insurance listed above with underwriters listed A- or better at the time of placement of such reinsurance. Such reinsurance are
DE Excess Coverage subject to their own tenns, conditions and limits. This is for informational purposes and nothing herein shall create any right
under such reinsurances.
DESCRIPTION OF OPERATIONS i' LOCATIONS I VEHICLES J EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS Effective: 7/23/2002 1969
Coverage is extended to the leased employees of alternate employer (Florida Operations Only):
E.G. Braswell Construction Inc c:..C " 1=; V\..cw\ ~
DISCLAIMER: This Certificate of Insurance 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.
CERTIFICATE HOLDER
CANCELLATION
MONROE COUNTY BOGC
ATTN: ANN RIGER
1100 SIMONTON ST
KEY WEST. FL 33040
SHOLLO ANY OF TIE ABOVE OESCRlBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUNG INSURER WilL ENDEAVOR TO MAIL ~ DAYS WRnTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BlJT FAILURE TO 00 so SHALL
IMPOSE NO OBLJGA TION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AlJTHORlZEO REPRESENTATIVE ~ -:'\, ...1..-
\ ) "'""-'-.M . \~
@ ACORD CORPORATION 1988
ACORD 25 (2001/08)
ACORD.M CERTIFICATE OF LIABILITY INSURANCE 10002378 I DATE (MMlDDIYYVY)
=008
PROD.JCER, THIS CERl1ACATE IS ISSUED AS A MATTER OF INFORMATION
Risk Concepts Corporation ONLY ANC CONFiRS NO RIGHTS UPON llii CiRTIACATi
410 43rd Sln>el West Suite N , HOLDiR. THIS CEIHlACATE DOES NOT AMEND, EXTEND OR
Bradenlon. FL 342011 ALTiR THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Phon.: 1-877-746-2209 .il f)') INSURERS AFFORDING COVERAGi NAlCII
INS"""" ~" Insurer A:. Soulhem Eagle Insurance Co.
Administrative ConcBlPls Corp Reinsurer B: L10yds of London AA-1122000
406 43rd Slreel Wesl flY Reinsurer C; Aspen Reinsurance AA-1120337
8radsnlDn, F"L 342091 Reinsurer 0: Max Re Bermuda AA.3190829
I ~n.suter E: OdllSsev Re 23660
COVERAGI'S
'011' POLICIl'S OF INSURANCl' L1STl'D BHCIJ\IHAIIl' Bl'I'N ISSUl'D TOTHl' INSURl'D NAME~/OR THl' POLICY PERIOD INDICATl'D.Namm1STANDING
NtJV REQUIREMENT, TERM OR CONDrTlON OF ANY CONTRACT OR OTHER DOCUMENT WnH RESPECT TO WHICH THIS CE:RTIFICATE UA,Y 8E ISSUED OR.
MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SU aJEC-r TO ALL THE TERMS, EXCLUSIONS AND CONOITJCWS OF SUCH
I";~;S. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
L pOWCV .M.JMBER ~U~ EFFB:'TIVE OL,ICY EXPlRATfCl LIMITS
~NERAl. lJABIL,IT'f t r~ .L. EACH OCCuA:A:ENCE: ,
COMt.AEl:lCIAL GeNe:~AL LI,o.aILITV G "rj- ..u> 13. / I ~~~~9~~~~"QO\ .
I CLAlMS M.ADE 0 OCCUR ') . MEDE)(P{An,,~ "'"' ,
,
i PE~SONAL & /Il)v INJJRl' ,
~ CE:NEI'<Al. ACCIfECATE I
~~AGG~n5' LIMIT nIPER. PRODUCTS- COMP/OP AGe. .
POLICY p~ LOC
~OMOBlI-E U,ABI:LlTY COMSttNI;,D$INGl..!;I..IMIT ,
- AN)' AUTO (Eeerodent)
- ALL O~ED AI.JTOS ,Oni 11 Q eODll'( IfII..A)Ry
,
- 5CHE:OVLE:D ,<:I,UTOS ~'s {P"!l" "11"'1:1I"I)
- l-lIRID AUTOS 80nll Y IN.JlIRY
I> .
NON-OWllED ~\UTOS (Pereooden!)
- ~~6-( D&
- P"lO~RTY DAMAGE
(PeraoO:d<<lO ,
- ] 'i-
RRAGE LIABIlITY ALlTO ONLY-EAACCIDENT ,
ANY AUTO I:.AA(;t: I
OTHER TI-lAN
Al.JTOOIllL,Y A<lG ,
EXCESSlUMBRB...LJI. I.IABILITY EACH OCCUFl:R:ENCE .
tJ' OCCUR [J ClAIMS MADE A.GGReGA'T'E ,
.
R DeOUCtI6lE'. ,
ReTENT ION , ,
WORKERS COMPENSATION AND X I w: STATU. IO.T,t1-
A ;MPLOVERS" LtAWlY WG0272682-00 1/1/2008 1/112009
ANY PROPRIETORIPARTNERiEXECUTI ve: e,L e;:ACH ACCIDENT , 1 000 000
OF=FICSliMEMBfR EXa.UClED? E;:.L.DISE.A.SE-EAEMPLO~ , 1 000.000
II yes. C1eso1b9U1'lder , 1,000.000
e:l'"'ECIAL pnOVISIONSb"'ctW =:.L. OISEASE _ POLICY LIMIT
Be OTHeR Please note that ::iouthem EaglB Inliurance Company has reinsured Its lIablll'l es In e~ ,un er thepollctes of
Workers Compe,rlIsBtion insurance listed sbove with underNriters listed A- or better ,t the time of plac:en'lent of SUCh reif'l$lJrance. Such reinsurance are
DE E;lrces& Cov&taglEII SUbject to their own tenns, conditions and limits. This;s for information31 plXJ>Oses .nd nothing herein shaJl erea.~ any right
under sucl1 reinsul"9nceS.
DESCRIPTION Of OPeRA'TlONB, L.,OCATlONS I vauc..es (ex:c"U910NS .A~~ fIV eNDORSEMEtiT' !ilPEClA,1. PFGJVISIONS Effec1Jve: 7/23/2002 021969
Coverage is extended tc) the le$3'ed employees of altemete employer (Florida Operations Only):
E.G. Braswell Construetlon Inc
DISClAIMER: This Celrtificate of Insurance does not constitute a contract between the iSSUing insurer(s). authorized representative or producer,
and the certificate holder, nor dos& it affinnatively or neg-.tively amend, axtBl1d or altar the cbverage afforded by the pollcles l!sred thereon.
CI'RTIFlCATE HOLDER CANCELLATION
~c.. ~ t=,\'\..o."I\ ~ SUOlLDANV OFM ABOVEDESCRI8ED POLICES BE CANCBJ.EDBEFORE'1liEEXPl/'tATlON
Monroe County OATE TH~", TMI!! IUl.ANG INSuftel\ WIL.L ENDEAVOFt TO MAIl.. ~ DAVS WRJTTEN
N011CE TO THE ct;RT1FICATE HOLDER N.AIllEO TO 'floE! L.Er:T, BUT FAI1.~ TO DO so ~LL
302 Fleming St IMPOse NO OBI.JQAllON Oft I.IMlLITY OF AN'( KINO UPON THE IN&~~ I't$ AGSNrS OR.
I\EPRESENTATlVES.
Key West, FL 33040 AUTliORJZ~ REiPRHJ;NT4TTYE. ~ ,I '0\ -.
, Fsx# (305) 295--4321 l"""",- ..J"..t I
ACORD 2ll (2001/0ll)
$ ACORD CORPORATION 1188
ACORD,.. CERTIFICATE OF LIABILITY INSURANCE 10002380 I O,lTE IMMIDM"'I"VY}
2122/2008
Il'It,OWCER, THIS CERTI'FlCATE IS ISSUED AS A MATTER OF INFORMAnON
Risk Concepts Corporar,ion ON~Y AND CONFERS NO RIGHTS UPON THE CERnFICATE
410 43rd Street West Suite N HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Bred....lOn, FL 34209 ALTER THe COVERAGE AFFORDED BY THE PO~IClES BE~OW.
Phone: 1-877.746-2209 2:: INSURERS AFFORDING COVERAGE NAlC #
--- In,iurer A: Southern Ea"gle Insurance Go.
INSURCD
Administrative Concepts Corp ~ ReInsurer B: Lloyd, of I.ondon AA-1122000
406 43rd Slreet West R.einsurer C: Aspen Rejnsurance AA-1120337
Bredenlan, F~ 34209 Reinsurer 0: Max Re Bermuda AA-3190629
~~ln~U(8f E~ Odyssey Re 23B80
COVERAGES
lHE POLICIES OF INSURANCE LISTED BELCNV HAVE BEEN ISSU EO TO THE INSURED NAMED ABOVE FOft T>1E POLICYPERJOD INDICATED. N01W1lHSTANDING
ANY REClJIREMENT, TIi~M OR CONDrTlON OF ~y CClNTRACT OR OTHER DOCUMENT WITH: IRESPECT TO WHICH 7HIS CERTIFICATE tlAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED 8YTI1E POLICIES OESCRISEO He~EIN IS SU6JECT 'rO ALL T1-lETERMS, EXCLUSIONSANO CONDITIONS OF SUCH
PO~ICIES. AOOREGATE IlIMITS SHOINN MAYHAVE BEEN REDUCED BYPAID CLAI",S.
I~~~~ POUCYNJMBER ~ LICY EX,PlRATlON L.IMITS
~NEIW. LIASLlT'I' EACH OCCUi:iRl:NCl; .
COMMERCIAL 3ENERAL LIABiliTY <1'7 14J.r "u. ^. <'_ ~ PW:EMlSES o~~oa' .
I CLAIMS MACE D OCCUR ) MED EXP {AllyQl'lll person\ .
f-- PERSONAL & AO'V IN...vRY .
I- /~ c.ENEl=lAl AGG-~EGATE .
n'L AGG~EnEllIMIT APn PER PRODUCTS" COMP/OP AGG I
POliCY Pf'p.; LOe
~lJTDMOeILE l.U\Blur( COM6lNEOSWI;;LE LIMIT I
ANY AUTO (Ee; &OCident)
-
- ALL OIlllNED AUTOS BOOIL V INJUE:?Y
.
SCHe:OULF;::OAUTOS (~oeraord
-
- I-lIREOAUTOS AOtJll..., INJURy
(Perecoclel1t) ,
NON-OWjED .AUTOS
- )\ \(}
-( -, PROPERTY DAMAGE. .
(P..r~<:l9nll
==rOE LIA9LITY . V I " ..L., AUTO ONLY-EAACCIDENT I
,ANy AUTO O~t\C ~..(~- otHER THAN ~ACc.. I
IoUTO ONL. Y ""G I
'1 ~ '"-
~EssruMIlREJ.LA, LlABI\..1TY EACH OCCURRENCE .
OCCU~ [~ ClAIMS MADE. AGG~l:GATE .
I.
=i ~DUCTIElLE .
RETENTION . .
A WORt<ER5 CO~U.T10N ANtI 11'/2009 x I "~JT~'!;!~ I I OJ;;'.
~PLOYm.S' UABlLl1Y WC0272682-00 11112008 . 1 000 000
Am ~OPR1ETOR/PARTNE,RIEXEOJT1VE E,L. EACt-\ ACCiDeNT
OFFICE.RfMEM8liiR e:XCLUDg)? E,L. D1SEASE-~eMF>L.OYE. . 1,000,000
~:~I~s~~"~~~'!!"N~ I "" EO.L. DISt:A-I::E _ POLl:'V LIM IT . 1,000.000
Be OT><ER Please note that ~outhem Eagle Insurance t,;OmlKulY nas relnsurea liS ISDlllt as In exceu or ~250.0uu unt1er tnepollCles. 0
Workers Compen.-tion inSUlBnce listed above 'oVith underMiters listed A- or bettef at ItIe Urne of placement of such reinsurance. SUCh reinsurance are
DE Excess Coverage 8lJbjecT: to their own lsrrns, condilions and limits. This is for tnfoonaoonal purposes and oothing herein Shall Cfeate any right
under such reinsurances.
oE&CFIIPTlON OF O~1I0NS I LOCATlONS I ViHICLES , EXa..usrOI'olS AroeIJ 5Y ENDOR:SeMlBNT' SPECIAL PI\OVlSJPNS Effective: 7/2312002 021969
CoVBrage is extended b, the leased employees of alternate employer (Florida Operations Only):
E.G. Braswell Cons'!ruction Inc Freeman Justice Center
DISCLAIMER: This Certificate of Insurance does not constitute a contract betw.en the issuing insurer(s), authorized representative or producer,
and the certificate holdElr, nor does it affirmatively or n9gatively amend, extend or alter d1e ~verage afforded by the policies listed thereon.
CERTIFICATE HOLDER CANCJ:~LATI[)N
c.. C..:. ~,~ l\.L- SHOlLDANV OF M A80VI: CESCRJBEI:) POLICIES BE CANCEUED BEFORE T1iE EXPIRAllON
Monroe County CA.Te:' Tt1l:~f, "l1Hf: taaUI\ll3IINSURER; WILL EHoeAVOR TO MAIL ~ ClA-VC WRITTPI
NOTICE 10 1'l-E CEIU1FICA1E HOlD&R NAM&O TO TlE LEFT, BUT FAIUJFllE TO 00 50 Sl-(ALL
1100 Simonton Sl IMPOSE NO oauq....T10N OR L1AAIUT'r' OF AMY KIIIIJ UPON THE INel.AER, ITS AGSNnI OR,
RiP.......,.."""".
Key West, FL 33040 ALn"""'.EO...."i"'ENT.T1V1!~, '0 , l
Fax # (305) 295-4321 \ .()A..r-- ..J.....t . l", ....
ACORD 2' (2001/0e)
IilACOFlDCORPORAll0N lese
ACORD," CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIODfYYYY)
05/07/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Wachovla Insurance Services n~, v~ S NO RIGHTS UPON THE CERTIFICATE
1000 S. Pine Island Road, #225 REC I:" 12l~' THIS C~~ nFICATE DOES NOT AMEND, EXTEND OR
HE COVE GE AFFORDED BY THE POLICIES BELOW.
Plantation, FL 33324 r------ ,~-., -" .-,,-
954-475-3600 INSURERS AF ORDI G COVERAGE NAIC #
INSURED , MAY "N~R,jljill,tiar1 ord C sualty Insurance Company 29424
E.G. Braswell Construction, Inc. INSURER B:
EG Braswell Leasing Corp. I J~..J
'- --",.---.-
5640 Laurel Avenue r\I~r;~; ;( ~jj~"
Key West, FL 33040 R!~l~ M ,,0 '".
"( 13m
Cllenl#' 227284 EGBRACO
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO 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.
~ POLICY EFFECTIVE POLICY EXPIRA ION
LT TYPE OF INSURANCE POLICY NUMBER LIMITS
A ~NERAL. L.IABILITY 21 UENUU0650 05/04/08 05/04/09 EACH OCCURRENCE '1 000 000
X. pMMERCIAL GENERAL. LIABILITY DAMAGE TO RENTED .300 000
- CLAIMS MADE [XI OCCUR MED EXP (Anyone person) .10000
- PERSONAl & ADV INJURY '1 000 000
x. OCP GENERAL AGGREGATE .2 000 000
~'L AGG~~E LIMIT APASIPER: PRODUCTS. COMPfOP AGG .2 000 000
POLICY X ~f2T LOC
A ~TOMOBIL.E L.lABllITY 21 UENUU0650 05/04/08 05/04/09 COMBINED SINGL.E LIMIT
~ ANY AUTO (Eaaccidenl) '1,000,000
f- AlL. OWNED AUTOS BODIL. Y INJURY
.
f-- SCHEDUL.ED AUTOS (Per person)
~ HIRED AUTOS BODIL. Y INJURY
.
.K.. NON.QWNED AUTOS {Per accident)
- PROPERTY DAMAGE .
{Per accident)
~GE LlASILITY AUTO ONL. Y - EA ACCIDENT .
ANY AUTO OTHER THAN EA ACC .
AUTO ONLY: AGG .
A :J~SSlUMBREL.L.A L.1AB1L.1TY 21 RHUUT0920 05/04/08 05/04/09 EACH OCCURRENCE .2 000 000
OCCUR D CLAIMS MADE AGGREGATE .2 000 000
CO, ,~Q .
~ DEDUCTIBL.E "ct\ .
X RETENTION .10000 .
WORKERS COMPENSATION AND \I \ <:;rr '?;D~ I T'!t~~STATU~ I !O~-
EMPlOYERS' UABIUTY t E.L. EACH ACCIDENT .
ANY PROPRIETORlPARTNERlEXECUTIVE -
OFFICER/MEMBER EXClUDED? E.L. DISEASE - EA EMPLOYEE $
~~~~I~~~~';:~16~S below E.L. DISEASE. POLICY L.IMIT .
OTHER
Monroe County
f.=aclUties Devetoomenf
DESCRIPTION OF OPERATIONS / L.OCATlONS (VEHICL.ES I EXCL.USIONS ADDED BY ENDORSEMENT / SPECIAL. PROVISIONS
Terrorism Included JUN 04 200B
Re: Freeman Justice Center
Certificate holder Is listed as additional Insured with respects to flME: JJt==
General Liability & Auto Liability Only RECEiVED BY:.__ _
Terrorism Included
CERTIFICATE HOLDER
CANCELLATION
SHOUL.D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELL.SD BEFORE THE EXPIRATION
Monroe County BOCC DATE THEREOF, THE ISSUING INSURER WlL.L ENDEAVOR TO MAIL. .....3Q..... DAYS WRITTEN
500 Whitehead Street NOTICE TO THE CERnFlCATE HOLDER NAMED TO THE LEFT, BUT FAlL.URE TO DO SO SHALL.
Key West, FL 33040 IMPOSE NO OBL.IGATION OR lIABIL.ITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE R.
J{)~ KJl.fl_ . of.
ACORD 25 (2DOYD8) 1 of 2
CG:~
#M1354223
DMI03
@ ACORD CORPORA nON 1988
IMPORTANT
If the certificate holder is an ADDiTIONAL INSURED, the pollcy(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 polley, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
hoider 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.
Monroe County
facfl/tfes Development
JUN 04 2D02
j'IME:_.:::ftI::
RECEiVED ~Y:
ACORO 25-S (2001108) 2 of 2
#M1354223