Certificates of Insurance
ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDDIYYYY)
07/11/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
USllnsurance Servlcs 01' FL-CL ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
PO Box 1398 ~'-_._+--- .'-- H~i~ER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
. .'___d.._ . AL ER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Lakeland, FL 33802-1398
800 277 .5185 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Maxum Indemnity Company 9999
Key Iron Works Inc INSURER B: FCCllnsurance Company 9999
5551 2nd Avenue INSU~ER c: National Casualty Company 9999
Stock Island "J INSU~ER 0:
".- :.::Y:"(
Key West, FL 33040 . ,. " INSU~ER E:
..
Client#' 126333
KEYIRONW
COVERAGES
---~--"~".... ~._,.lI
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 BYTHE 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.
IIRlll< I'<llll'l TYPE OF INSURANCE POLICY NUMBER PJ>;~~~:~f58,wlE Pg~lfJ/~:,b~~N LIMITS
LTR NSR
A ~NERAL LIABILITY GLP600073504 10/24/06 10/24/07 EACH OCCURRENCE $1 000 000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $50 000
l CLAIMS MADE, [Xl OCCUR MED EXP (Anyone person) $
X BI/PO Oed:l0000 PERSONAL & ADV INJURY $1 000 000
GENERAL AGGREGATE $2 000 000
~'~ AGG~EnEllIMIT APrlS PER: PRODUCTS+COM~OPAGG $2 000 000
POLICY ~r.9T LOC
C ~TOMOBILE LIABILITY CTOOl14007 12/13/06 12/13/07 COMBINED SINGLE LIMIT
ANY AUTO (Eaaccident) $1,000,000
-
- ALL OWNED AUTOS BODilY INJURY
$
~ SCHEDULED AUTOS (Per person)
"- HIRED AUTOS BODilY INJURY
$
"- NON-OWNED AUTOS : , f'r;:C::; ~~~ :; ,':( (Per accident)
r .
~, ''.',~~'" .. , PROPERTY DAMAGE $
'-' l __ . _ ~ (Per accident)
R",:,GE LIABILITY . _, I "'_ 'l T ,I AUTO ONLY - EA ACCIDENT $
C.. . .....-.. -+ -= '1 .-
ANY AUTO OTHER THAN EA ACC $
W.t~,Ji'-:~', II. 't:: /C"-_~ AUTO ONLY:
",' jA, __ . _.~ I ~'_' AGG $
D~SSIUMBRELL.A L1ABIUTY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
R ~EDUCTIBLE $
RETENTION $ $
B WORKERS COMPENSATION AND 001WC07A55528 07/07/07 07/07/08 X WC STATU. IOJ~'
EMPLOYERS' LIABILITY $100000
ANY PROPRIETOR/PARTNER/E:XECUTIVE E.L. EACH Ar.C-iOENl
OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $100.000
If yes, describe under $500 000
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS f LOCATIONS J VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is listed as additional insured on all policies,
CC h' Via. n(..Q....-....
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ----1.0.- DAYS WRITTEN
Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Key West, FL 33040 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
~~
ACORD 25 (2001/08) 1 of 2
#M1402286
JLHET
@ ACORD CORPORATION 1988