Certificates of Insurance
'Ace.I...
CERTIFICATE OF INSURANCE
ls;.j2rI9S", uu "
I'RODUCUl
THIS CERTIFICATE IS ISSUED AS A MAHER 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.
JlAU.ft DSURABCE AGENCY
BOX 378
NEWTORVILLE, MASSACHUSE'ITS 02160
COMPANIES AFFORDING COVERAGE
~~~~~NY A Royal Globe Insurance Company
te1e 617-965-1777 fax 617-964-1888
~~T~~~NY B
INSURED
[W
Toxikon Corporation
300 Wildwood Avenue
Woburn, Ka. 01801
APPRO\'FD Rv RISK MP,lf\(;WENT
" ~~
"--;f' ~7 V>>--c.L:: / ~
DATE .5- -- '5- ~ .>S-
GAIC-
C~CL Ccv::56
~~T~~~NY C
----
~~;-;'~~NY D
COVERAGES
f~T~~~NY E
WAIVER:
~/A --/ YES
THIS IS TO CERTIFY THAT 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,
CO
LTR
TYPE OF INSURANCE
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISES/OPERA TlONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTs/COMPLETED OPER.
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS ( Priv, Pass, )
ALL OWNED AUTOS ( Other Than)
PflV. Pass.
HII~ED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATlONS/LOCATlONSIVEHICL
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDDIYY) DATE (MMIDD/YY)
LIMITS
* PSPl155190094
6/1/94
BODIL Y INJURY OCC,
BODIL Y INJURY AGG,
PROPERTY DAMAGE OCC,
PROPERTY DAMAGE AGG,
BI & PO COMBINED OCC
BI & PO COMBINED AGG,
PERSONAL INJURY AGG,
6/1/95
$
*
Certificate ho1de
named as additina
listed be ow is
named Ins red ATIMA
$
BODILY INJURY
(Per person)
~e/
BODIL Y INJURY
(Per accident)
PROPERTY DAMAGE
~~1d?U".~
--- .
4.~#<'A<d7tC,
lz!{A/v0,c-e-(
~Z~fF~~L/
~~~
Y=/?~7--
BODILY INJURY &
PROPERTY DAMAGE
COMBINED
EACH OCCURRENCE
AGGREGA TE
$
ST A TUTORY LIMITS
EACH ACCIDENT
DISEASE-POLICY LIMIT
DISEASE-EACH EMPLOYEE $
CERTIFICATE HOLDER CANCELLATION
Monroe County Board of County C~issi
Couty of Monroe
5100 College Road
Key West, Fla. 33040
'. : . .
BAUTZ DlSURAJlCE AGENCY
BOX 378
NEWTONVILLE, MASSACHUSETTS 02160
CERTIFICATE OF INSURANCE '" > ,
ISSUE DA IE :vlr,i
PRODln<ER
___4/27/95
THIS CERTlFICA TE IS ISSUED AS A MAHER OF INFORMATION ONL Y AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATf
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
tele 617-965-1777 fax 617-964-1888
--"~_._-----.__.._-,----
f~T~~~lNY A
INSURED
.- - ._-------~---._---~,--
f~T~~~NY B
APPROVED BY RISK MAN~GEltlENJ
r / 42
--~-~ >.L--_ , ,) ,
BY 7t C':) }J/.A-jcA /C
c/^~ /~
C/t-~OL Cc ,j'6
Toxikon Corporation
300 Wildwood Avenue
Woburn, Ma. 01801
f~T~~~NY C
f~I~~~NY D
DATE
S -:.5 ~ --7=5'-
f~T~~~lNY E
. ~"'7nr:---- N / A ~Yr'\_____
fHIS IS TO CERTIFY THA T THE POLICIES OF INSURANCE LISTED BELOW HAVE l1FEN ISSUED TO THE INSURED NAMED ABOVE FO;=J THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTnACT on OTHEl1 DOCUMENT WITH RESPECT TO WHICH THIS
CFn IIf'/CATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOFHlFIJ flY I HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUS/ONS AND CONDITIONS OF SUCH POLICIES,
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMiDD/YYI DATE (MMIDD/YY)
LIMITS
GENERAL LIABILITY
.1
CUMPflEHENSIVE FORM
PSP1l55l90094 6/1/94
Royal Globe Ins. COllI any
6/1/95
automat"
BODILY INJURY OCC ~$
._----~---~. ---~-_.~-~-_.-
BODIL Y INJURY AGG, $
- ----.-------.
R GE OCC $
- -
PROPERTY DAMAGE AGG $
PREMISES/OPERA TIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPER
CON THACTUAL
INDEPENDENT CONTRACTOflS
BHOAD FORM PROPERTY DAMAGE
PFHSONAL INJURY
AUTOMOBILE LIABILITY
BI & PD COMBINED OCC
BI & PD COMBINED AGG
~oo,ooo_
$
PERSONAL INJURY AGG
ANY AU TO
AI L OWNED AU 10S (Priv Pass, )
M L OWNED AUraS ( ~:i~erp:~=n)
HIHEO AUTOS
NON-OWNED AUTOS
('^flAGE LIABilITY
I
I $
;
,
I
i
! $
EXCESS LIABILITY
UMBHELLA FOHM
OTHER THAN UMBRELLA FORM
-_._~-~-----+
ODIL Y INJURY & '
ROPEHTY DAMAGE
OMBINEO
EACH OCCURRENCE
AGGREGA TE
WORKER'S COMPENSATION
ST A TUTORY LIMITS
AND
EACH ACCIDENT
EMPLOYERS' LIABILITY
DISEASE--,.POLlCY LIMIT
~f8fessional Liabili y Investors Insuranc
DISEASE-- EACH EMPLOYEE $
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
Professional Liab. Limit
Monroe County Board of County Commissi
Monroe County
5100 College Road
Key West, Fla. 33040
, J;\.~.tlll.~
.--.--"--
CERTIFICATE OF INSURANCE
---_._--._---~--._._--~--
PRODUCER
BARATZ IBSURANCE AGEBCY
BOX 378
BEVroBVILLE. MA. 02160
te1e 617-965-1777
INSURED
Toxikon COrp.
225 Wildwood Avenue
Woburn. Ita. 01801
DATE (MMiDD/YY)
3/24/95
[J~~;!~:f!~~~~~ i~E:f;i'~r~~
! COMPANIES AFFORDING COVERAGE
I COMPANY
--Received A APPRQliED BYB1SILMANAGEMENL__
R' ~ t/ ~ DR-Ii:
D^ T;~ M8~~~ ;/~~9'ntr i J:::::" - -~c;:; '-;;:p;? L ,.. ,... ..._ C A?ex c 0.<$6
I C ' 'li- -.:) - 5..s- w/
INITIAL - G____________ 17(//0 -6 / L
if- I -COMPANY, 'rr ~ Cu>t,.I~ y
-----__L__~____,___ -, WIAT~~H~_
.._...1_____________
COVERAGES
THIS IS TO CERTIFY THAT 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
co I TYPE OF INSURANCE -+ POLICY NUMBER I POLICY EFFECTIVE I POLICY EXPIRATION I
un , l D""_"",,+D'" _"I , u,,",
-! ~j~:;:~~:;,~:- I -;i~;~~~~:~~:~~f -~/~~94!6/1/95-11..:. .~, ~~:~~~~:oo, :
: M~?~~~~~N(5hLLAPSE HAZARD I I - ~RO;;ERTY DAM-AGE AGG__ $
PRODUCTs/COMPLETED OPER I I' '. BI & PD COMBINED OCC $
CONTRACTUAL I IBI & PD COMBINED AGG ' $ 1,000,000.
INDEPENDENT CONTRACTORS I i PERSONAL INJURY AGG ' $
I ~__
Arbe11a Mutual In .c~~------t----l I BODI~~NJURY
I (Per person)
4QF516662 3/3/95 3/3/96 ,.._
3QF518177 6/26/94 6/26/95 i BODILYINJURY
I (Per accident)
4QF510028 1/29/95 1/29/96 1____
4QF514119 I 9/11/94 9/11/95 i PROPERTY DAMAGE
4QF408917 , 12/29/94 12/29/95 i BODILViNJUFlY&-
4QF510027 1 1/28/95 1/28/96 I ~~~~~~~ DAMAGE
ROY~l G10b~-~n~ri'-=co.--1 f~. ::::,,~,",,-: 2.000.000-.
fPI.A363842 ----- --~/I-/-~_----6-H:-I95 I ~ $
f i STATUTORY LIMITS
Liberty Mutual Insl. Co. i'ACHACCIDENT $
#WC1312489856-o12 _JI 8/0 /94-95/ ' DISEASE - POLICY LIMIT $
DISEASE - EACH EMPLOYEE $
----......--..-...--.-- ._-------. ------
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (Private PasS)
ALL OWNEO AUTOS
(Other __ Pr1vIIlIt p~,)
HIREO AUTOS
NON-OWNED AUTOS
I GARAGE LIABILITY
!
,
--._-'-j- , -.. ---------
: EXCESS LIABILITY
i X i UMBRELLA FORM
I . OTHER THAN UMBRELLA FORM
._,..._-_._----.~----
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETORI J -J INCL
~~~I~~~~S~~~_~~T~~~_ _~~c~_
OTHER
- --- - --'---~-' ...~_._.__ - .'0'_
DESCRIPTION OF OPERATIONS/LOCATlONSIVEHICLES/SPECI
CERTIFICATE HOLDER
County of Monroe
5100 College Road
Key West Florida 33040
I
ACORD 25-H (3113)
CC,' F/Lt!'!Y
$ 1,000,000.
$ 1,000,000.
$
100,000.
$
CANCELLATlON---
EFT,
, ':J!~
D CORPORA~N ,...1
TOXKDN
May I, 1995
Received 225 Wildwood Ave., WOburn, MA 01801
Risk Mgmt. & Loss Control Telephone: (617) 933-6903
-/ / ...-- Fax: (617) 933-9196
DATE .5 V -7)--
INITIAL J:::>
County of Monroe
Ms. Kay Miller, Risk Management
5100 College Road
Key West, H 33040
RE: Certificate of Insurance
Dear Ms. Miller;
In response to your letter dated April 20, 1995, enclosed please find certificates of
insurance, waiver and letter from our insurance carrier.
I hope the enclosed fulfills the requirements you outlined.
If you have any questions, or if I can be of further assistance, please contact me.
Thank you for your attention.
Sincerely,
-~ ~-'\ ,'-~
1--.... (>- (t<... i ( I ~ e,\.(~\?~1..~'
Robin Gagerges
Accounting Department
(617) 937-0860
Environmental Sciences and Toxicology
RECEIVED ~:AY 1 0 i995
TIIXKDN
225 Wildwood Ave., WOburn, MA 01801
Telephone: (617) 933-6903
Fax: (617) 933-9196
May 9, 1995
Carol Cobb
Environmental Management
Room 506
5100 College Road
Key West, Florida 33040
Dear Ms. Cobb:
As per your request, this letter is being sent to certify that Mr.
John Yaremchuk, Laboratory Manager for Toxikon-WPB, may sign
contracts legally binding Toxikon in the state of Florida.
If you have any other questions, please feel to contract me
directly.
Sincerely,
I~~ ;-,~/1
La an S. Desai,"-- D.Sc.
Pr sident and Owner
cc. Y. Yaremchuk
Environmental Sciences and Toxicology
A.~.tlll."
CERTIFICATE OF INSURANCE
PRODUCER
ISSUE DATE (MM/DD!YYI
Baratz / .ridge Ins. Agency
P.O. ISox 378
Revtonville, Ma. 02160
X 6 26 95
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.
COMPANIES AFFORDING COVERAGE
Tele (617) 965-1777
Fax (617) 964-1888
Receive
Risk Mgmr. & La _
DATE ~/~/9 f'-'E~;~~N~ ~
INSURED
, ..t~#~~NYB
Royal Globe Ins.
Anelh llutual Ins.
Toxilton Corp.
225 Wildwood Avenue
Woburn, llassachusetts 01801
Royal Globe Ins.
f~T~~~NY C
f~T~~NY D
Liberty Mutual Ins.
----------------------------
1860 OLD OKEECHOBEE ROAD
WEST PALM BEACH, FL 33409
f~T~~~NY E
Investors Insurance C~any
COVERAGES
THIS IS TO CERTIFY THAT 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,
CO
LTR
TYPE OF INSURANCE
GENERAL LIABILITY
]C[ COMPREHENSIVE FORM
A PREMISES/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPER,
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY
]C[ ANY AUTO
B ALL OWNED AUTOS ( Priv, Pass, )
ALL OWNED AUTOS ( ~:i~erp:~:n )
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
c]C[
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
D
AND
EMPLOYERS' LIABILITY
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DD/YY)
BODILY INJURY OCC,
BODILY INJURY AGG
PROPERTY DAMAGE OCC,
PROPERTY DAMAGE AGG
BI & PD COMBINED OCC,
BI & PO COMBINED AGG,
PERSONAL INJURY AGG,
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
BODILY INJURY &
PROPERTY DAMAGE
COMBINED
EACH OCCURRENCE
AGGREGATE
STATUTORY LIMITS
EACH ACCIDENT
DISEASE-POLICY LIMIT S
DISEASE-EACH EMPLOYEE $
LIMITS
S
$
$
sl,OOO,OOO.
$
s
SI,OOO,OOO.
sl,OOO,OOO.
$100,000.
s
$
OTHER
E Professional Liabili y luvestors Ins. Liait
D_~!i.c(.I3l[,I!Q.N Gf.OQP-~RTAYTI01:!!i!I>'OKcATMAIONNsAIVJ;,HEICMLENT ' ,
MUNKU~ CIIUN Kl~ G IS ADDITIONAL INSURED FOR GENERAL LIABILITY ONLY; LEGAL
REQUIREMENTS PROHIBIT TOXIKON FROM NAMING MONROE COUNTY RISK MANAGEMENT AS ADDITIONAL INSURED
Royal Globe Ins.
#PSPl15 190094
APPROVED BY
6/1/95
6/1/96
.BY
ole Ie.
CL~;c.
DATE
WAfVFR:
Arbella Mutul
4QF516662
4QF518177
4QF510028
4QF514119
4QF408917
F510027
ce Co.
3/3/95
6/26/95
1/29/95
9/11/94
12/29/94
1 28 95
3/3/96
6/26/96
1/29/96
9/11/95
12/29/95
1
PlA363842
6/1/95
6/1/96
VC1312489856-o12
1/8/94
8/8/95
MONROE COUNTY RISK MANAGEMENT
5100 COLLEGE ROAD
KEY WEST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL _~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER MED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHA 1M SE NO L1GATIO OR
L1AB TY OF ANY KIND UPON THE COMPANY, IT A S OR REPR T VE
. ...
April 22. 199.1
IS11'rinLin!:
MONROE COUNTY, FLORIDA
......t;.
Rcqucst For Waivcr
of
InSUI"anCC RClJuil'cmcnts
...
lL is requesled lhallhe insurance requiremenls, as specified in lhe Counly's Schedule of Insurance
Requirements, be waived or modified on the following contract.
Conlraclor:
Toxikon r.orrorrition
Conlracl for:
Monrop r.ollnty, I=lorida
Address of Conlractor:
2?5 Wildwood AvpnllP
Woburn MA 01801
Phone:
1-617-933-6903
Scope of Work:
Sampling well and Analyzing water from
all County Landfills
Signalure of Conlraclor:
There will be no activity or work force
Vehicles
'~
Reason for Waiver:
Personne
Risk Manilgemenl
Nol Approved
~1J J7J~
6-......0.......~
Dalc
Counly Adminislralor appe<ll:
Approved:
Nol Approvcd:
Dale:
Ooard of Counly Commissioncrs :lppC:ll:
Approved:
NOl Approvcd:
Meeling Dille:
"-
.t
,# WAIVER
~.. ..
BARATZ I BRIDGE INSURANCE
TEL: (617) 965-1666
(617) 965-1777
FAX: (617) 964-1888
P. O. BOX 378
NEWTONVILLE, MASSACHUSETTS 02160
April 27, 1995
Monroe County Board of County Commissioners
Monroe County
5100 College Road
Key West, Fla. 33040
Re: Toxikon Corporation
To Whom It May Concern:
Please be advised that we are unable to add Monroe County
Board of County Commissioners, Monroe County, 5100 College Road,
Key West, Fla. 33040 as additional named insured with regard to
autombi1e or workers compensation coverage since there is no
financial interest to same.
We are following legal requirements by this denial.
Thank you.
GAB/mn
COMPLETE PERSONALIZED INSURANCE PROTECTION OF ALL KINDS FOR FAMILY, HOME, AND BUSINESS
At~t.ltI. '
CERTIFICATE OF INSURANCE C j.
~ ~DfYY\
PRODUCER
BARATZ INSURANCE AGENCY
P.O. BOX 378
Newtonvi11e, Ma. 02160
te1e 617-965-1777
fax 617-964-1888
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.
COMPANIES AFFORDING COVERAGE
Royal Globe Insurance Company
~an)'
INSURED
Toxikon Corporation DATE
15 Wiggins Avenue
Bedford, Ma. 01730 WAIVER:
Liberty Mutual Insurance ~an)'
THIS IS TO CERTIFY THAT THE POLlCI
INDICATED, NOTWITHSTANDING ANY
CERTIFICATE MAY BE ISSUED OR MA
EXCLUSIONS AND CONDITIONS OF S
CO
LTR
TYPE OF INSURANCE
LIMITS
GENERAL LIABILITY
I COMPREHENSIVE FORM
PREMISES/OPERA TIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPER,
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY
B ANY AUTO
I ALL OWNED AUTOS ( Priv, Pass, )
ALL OWNED AUTOS ( ~:i~erp:~~n )
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
PSP1155190094
Notation:
only
of t
BODIL Y INJURY AGG,
PROPERTY DAMAGE OCC
t'ROPERTY DAMAGE AGG,
BI & PO COMBINED OCC,
BI & PD COMBINED AGG,
PERSONAL INJURY AGG,
$
Q
5QF510027
5QF017840
5QF514119
4QF508917
6/01/95
BODIL Y INJURY
1/28/96 (Per person) 1,000,000.
9/07/96 BODIL Y INJURY
9/17/96 (Per accident)
12/20/95 1$
PROPERTY DAMAGE
BODIL Y INJURY &
PROPERTY DAMAGE
COMBINED
EACH OCCURRENCE
6/01/96 AGGREGATE
1/28/95
9/07/95
9/17/95
12/20/94
PLA362662
OTHER THAN UMBRELLA FORM
AND
WCl-312-489856-o15
8/08/95
8/08/96
STATUTORY LIMITS
EACH ACCIDENT
DISEASE--POLICY LIMIT I $
DISEASE~EACH EMPLOYEE I s
c
WORKER'S COMPENSATION
EMPLOYERS' LIABILITY
OTHER
Professional Liab. 102611
5/01/95
5/01/96
Liait $1,000,000.
ecelvea
lvigmr. & Loss Control
---/3-
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
To WhOll It May Concern
Monroe County Risk Management
5100 College Road
Key West, FL 33040
-=.....:.=~'_.-.
PRODUCER
.. .. .........................
'j""""'A"......C"",....O'.....'.-'R'..'.""""I1'_...""'\'ii'
:.:.:.: : :.:.:.:.
....... - .........
....... . ...........
;:;:::: . TM ::::;::::::..:
... .........
........ .., . .....,.-.,.........
........................................................................-.-........................,.,......'.........._........'.......
.......................................................................
1111111111,1.11111:':::::
......... ....................................
. . . . . . . . . . . . . . . . . . . . . .
Baratz/Bridge Insurance Agency
P.O. BOX 378
liewtonville Ma. 02160
Tele' (617)965-1666 I (617)965-1777
INSURED
Toxikon Corporation
15 Wiggins Avenue
Bedford Massachusetts 01730
--
--,.
- _._~~~-~ -,- --. --., -"-' -
5/7/97
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.
COMPANIES AFFORDING COVERAGE
COMPANY
A Fitchburg Mutual
MA/Lexington & Re is - FL
COMPANY . /'
B Arbella Mutual vr
COMPANY
C Eastern Casualty MA/AIG - FL
COMPANY
o Evanstan Insurance
INDICATED, NOl"Wl'tHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EX9!;:USIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I
i
i
,
,
4-... ",'c
eo
LTR
TYPE OF INSURANCE
POLICY NUMBER
GENERAL L1A81L1TY
A COMMERCIAL GENERAl LIABILITY Fitchburg Mutual Ins.
CL.4IMS MADE D OCCUR Policy' 491-2HB300149
OWNER'S & CONTRACTOR'S PROT
Lexington & Regis
Policy' 879-1629
AUTOMOBILE/,.IABlUTY
B ANY AUTO Arbella Mutual
ALL OWNE'D AUTOS Policy' 7QF017840
SCHEDULED AUTOS 7QF510027
HIRED AUTOS 6QF178841
NON-OWNED AUTOS 6QFl41119
7QF508917
6QF525439
GARAGE LIABILITY QF7 552
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM 491-2BBJOO149
OTHER THAl'l UMBRELLA FORM
PfAND-' 1" -_ ~-
C EMPLOYERS' LIABILITY 168290 -MA
THE PROPRIETOR! INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL 7045528A - FL
OTHER
D Professional Liabi ity II06211
DESCRIPTION OF OPERATlONSlLOCATlONSNEHICI!
~()fe55iot}q )
l, C{ 61 ~ A~ 0Itl0
BY
JSbLlCV EFFECTIVE POLICY EXPIRA'rioH
DATE (MM/DDNY) DATE (MMlDDIYY)
LIMITS
GENERAL AGGREGATE $I ,000 000
6/13/96 6/13/97 PRODUCTS - COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone lire) $ 50 000
7/1/96 7/1/97 MED EXP (Anyone person) $ 5 000
COMBINED SINGLE LIMIT $
1/28/98 BODILY INJURY SI ,000,000
1/28/98 (Per person)
9/7/97 BODILY INJURY SI,OOO,OOO
7/17/97 (Per accident)
2/20/96 PROPERTY DAMAGE 3500,000
0/9/97
2/28/98 AUTO ONLY - EA ACCIDENT S
OTHER THAN AUTO ONLY:
EACH ACCIDENT S
AGGREGATE $
EACH OCCURRENCE 51
6/13196 6/13/97 *'~J) AGGREGATE ~
$
.,~
8/8196 8/8/97 EL EACH ACCIDENT
EL DISEASE - POLICY LIMIT
EL DISEASE - EA EMPLOYEE
5/1/97 5/1/98 Lim.it - $1.000.000
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30
o THE CERTIFICATE HOLDER NAMED TO THE LEFT,
S AGENTS OR REPRESENTATIVES,
" ":n1":IJI:a.I::m.IlfAII1I::mI::::
A.~.tlll.,
CERTIFICATE OF INSURANCE C
ISSUE DATE IMMiDD/yvl
PRODUCER
7/1/96
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.
BARATZ / BRIDGE INSURANCE AGENCY
P.O. BOX 378
NEWTONVILLE, MASSACHUSETTS 02160
Tele (617) 965-1777
Fax (617) 964-1888
INSURED
COMPANIES AFFORDING COVERAGE
~~T~~~NY B
~~T~~~NY A FITCHBURG - MA. / LEXINGTON & n:GISl:') - FLA.
TOXIKON CORPORATION
15 WIGGINS AVENUE
BEDFORD, MASSACHUSETTS 01730
~~T~~~NY C
~~T~~~NY D
ARBELLA MUTUAL INS.
LIBERTY MUTUAL - MA. / AGe INS. CO.
EVANSTON INS.
APPROVED BY RISK MMU,GH~FNT
~
THIS IS TO CERTIFY THAT 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 on OTHE~llCi\ffiJME~T~T~P~~ TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DE'SCRISEb I-i~REINll U T TOALL-THE-'FERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,
~
CO
LTR
A
TYPE OF INSURANCE
COMPREHENSIVE FORM
PREMISES/OPERA TlONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPER,
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY
ANY AUTO
B ALL OWNED AUTOS ( Pnv, Pass, )
ALL OWNED AUTOS ( ~:i~erp:~:n )
HIRED AUTOS
NON-OWNED AUTOS
GARAGE L1ABIL ITY
A
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
I
cl
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
D
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMiDDiYYI DATE rMMIDDiYY)
LIMITS
Massachusetts
491-2BID00149
6/13/96
Florida :
879-1629
i:";--'
IJjs77~n
.,c :;--
c:-.
.L/
6QF017840
6QF510027
6QF017841
6QF508917
1/28/96
1/28/96
9/7/95
12/20/95
I 491-2B1p00149
6/13/96
WC131248956015 - Ma. 8/8/95
7046628A - Fla. 6/1/96
DESCRIPTION OF OPERA TlONS/LOCA TIONSIVEHICLES/SPECIAL ITEMS
County Of Monroe
Monroe County Risk Management
5100 College Rd.
Key West FL. 33040
6/13/97
BODIL Y INJURy OCC
BODILY INJURY AGG
PROPERTY DAMAGE OCC S
PROPERTY DAMAGE AGG,
7/1/97
BI & PD COMBINED OCC $ 1 000 000.
BI & PD COMBINED AGG
PERSONAL INJURY AGG,
1/28/97
1/28/97
9/7 /96
12/20/96
BODILY INJURy
(Per person)
1,000,000.
BODILY INJURY
(Per accident)
1,000,000.
500,000.
PROPERTY DAMAGE
$
6/13/97
BODILY INJURY &
PROPERTY DAMAGE
COMBINELJ
EACH OCCURRENCE
AGGREGA TE
8/8/96
6/1/97
, ACORQ.
CERTIFICATE OF LIABILITY INSURANCE
RECEIVED
APR - 6 1998
PRODUCER
Bridge Insurance Agency
Box 378
Newtonville, MA. 02160
DATE (MM/DDIYY)
4 1 98
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.
INSURERS AFFORDING COVERAGE
INSURED
Toxikon Corp.
15 Wiggins Avenue
Bedford, MA. 01730
INSURER A: Fitchbur MA. / Lexin ton
.. INSURERB:Zenith Ins. - FL. / Eastern
INSURER C: Arbella Mutual Ins.
.y'" INSURER D: Evanston Ins.
INSURER E:
FL.
-MA
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD II\JDICATED, 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.
IN;~ TYPE OF INSURANCE POLICY NUMBER P~L+~Y ~FF~gTI~E
I GENERAL LIABILITY
A ~X COMMERCIAL GENERAL LIABILITY 2B400149
CLAIMS MADE [J OCCUR
I 879-1629 - FL.
~
'----.J _
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO-
JE T
LIMITS
MA.
6/13/97
6/13/98
EACH OCCURRENCE ' $ 1,000,000.
FIRE DAMAGE (Anyone fire) I $ 50,000.
MED EXP (Anyone person) $ 5,000.
PERSONAL & ADV INJURY $ 1,000,000.
GENERAL AGGREGATE $ 1,000,000.
1 PRODUCTS - COMP/OP AGG I $ 1,000,000.
7/1/97
7/1/98
LOC
AUTOMOBILE LIABILITY
I ANY AUTO
c------,
C ~ ALL OWNED AUTOS
~, X : SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
~
4 Vehicles
Policy #Q3N061496
2/28/98
I 2/28/99
I
COMBINED SINGLE LIMIT I $
(Ea accident)
--t-----
. BODILY INJURY 1 000 000
I (Per person) $".
'--------+-----
GARAGE LIABILITY
ANY AUTO
BODILY INJURY 1 000 000
(Per aCCident)~----,-__,_ .
PROPERTY DAMAGE I
(Per accident) $ 500,000.
AUTO ONLY - EA ACCIDENT I $
EAACC . $
OTHER THAN
AUTO ONLY:
~ESS LIABILITY
!__~ OCCUR D CLAIMS MADE
EACH OCCURRENCE
AGG $
r---
, AGGREGATE
r--
DEDUCTIBLE
RETENTION $
! WORKERS COMPENSATION AND
B I EMPLOYERS' LIABILITY
$
---.__._~_.._._-
$
$
OTHER
nl Professional Liabi ity
#106211
I OTH-
ER
8/8/97 18/8/98 $ 100,000.
1/1/98 1/1/99 : EL, DISEASE - EA EMPLOYE $ 500,000.
I
E,L. DISEASE - POLICY LIMIT $ 100 000.
5/1/97 5/1/98 Limit - $1,000,000.
168290 - MA.
7045528A - FL.
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
X ADDITIONAL INSURED; INSURER LETTER:
CANCELLATION
County of Monroe
Monroe County Risk Management
5100 College Rd.
Key West FL. 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN
ACORD 25-S (7/97)
INITIAL
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Io/'~_OSE NO BLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
4,.... "
TI~.
REPR
DATE
@ACORD CORPORATION 1988
I
ACORQ. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY)
2/23/98
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bridge Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Box 378 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Newtonville, HA. 02160 INSURERS AFFORDING COVERAGE
Tel (617) 965-1777 / 1666
INSURED INSURER A: Fitchburg Mutual - HA / Lexington & Regis
Toxikon Corp. INSURER B:Arbella Mutual
15 Wiggins Avenue INSURER c:Eastern Casualty - HA / Zenith - FL
,
Bedford, HA. 01730 INSURER D:Evanston Ins.
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,
I~~~ TYPE OF INSURANCE POLICY NUMBER Pci>k'CY J.~F~CJj~E
~ENE~RAL LIABILITY . Fitchburg Mutual Ins
A, co. MMERCIAL GENERAL LIABILITY. 1491-2B300149
~ CLAIMS MADE D OCCUR
Contents Limit - $3, 00,000.
Lexington & Regis . 7/1/97
~'~AGGREGATE LIMIT APPLIES PER: 1879-1629
: POLICY PRO,: LOC
AUTOMOBILE LIABILITY
FI
B
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
8QF017840 11/28/98
8QF510027 1/28/98
8QF178841 9/7/97
8QF141119 7/17/97
8QF508917 10/9/97
8QF5254~~q(1'JFO BY q!S~ ).\~!.Z8/98
II
, GARAGE LIABILITY
ANY AUTO
IW
[WE
A
EXCESS LIABILITY
OCCUR D CLAIMS MADE
491-2M~~14~/A
~Fft3ffJl
:---,
h DEDUCTIBLE
RETENTION
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
HA
168290
7045528A
8/8/97
1/1/98
C
FL
OTHER
D Professional Liabil-ty 11067211
5/1/97
DESCRIPTION OF OPERATlONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
7/1/98
1/28/99
1/28/99
9/7/98
7/17/98
10/9/98
2/28/99
6/13/98
8/8/98
1/1/99
5/1/98
LIMITS
EACH OCCURRENCE $ 1,000,000.
: FIRE DAMAGE (Anyone fire) $ 50,000.
MED EXP (Anyone person) ! $ 5,000.
PERSONAL & ADV INJURY '$ 1,000,000.
GENERAL AGGREGATE . $ 1,000,000.
PRODUCTS - COMP/OP AGG $ 1,000,000.
, COMB!NED SINGLE LIMIT
(Ea accident)
!
I $
I' BODILY INJURY
(Per person)
f-----.--.-~._...___.__.____
$ 1,000,000.
BOD!L Y INJURY
(Per accident) $ 1, 000 ,000 .
-----_._.~_.,_.__.~
1$500,000.
ONLY - EA ACCIDENT $
EAACC , $
AGG $
i $ 1,000,000.
$ 2 000 000.
$
$
$
OTH-
ER
$ 100 000.
Limit - $1,000,000.
CERTIFICATE HOLDER IS ALSO NOTATED AS ADDITIONAL INSURED WITH RESPECTS
TO LIABILITY COVERAGE.
CERTIFICATE HOLDER
ADDITIONAL INSURED; INSURER LETTER:
CANCELLATION
MONROE COUNTY BOCC
5100 COLLEGE ROAD
KEY WEST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
s
ACORD 2S-S (7/97)
@)ACORD CORPORATION 1988
ACORQM CERTIFICATE OF LIABILITY INSURANCE 11oJI~"ftlfrvY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bridge Ins. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Box 378 AD~~~VED ~MEN ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Nevtonvil1e" Ma. 02160 BY "X1\ . INSURERS AFFORDING COVERAGE
-- tD,q ') I, Fitchburg - HA. I Regis - FL. ---
INSURED y1 Ie).,. INSURER A:
DATE ----
W'.IVE~ ~Y1'S INSURER B: Arbella Mutual Ins.
Toxikon Corp. -~
IN~IIRER c: Eastern Casualty - KA. f Zenith - FL.
15 Wiggins Ave OJ?J: ' INSURER D: TnA
Bedfor~. Ma.. 01730 INSURER E:
COVERAGES (!{ '. ~'.0 { 'JI, AAV (~1/...,
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEb 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,
IINSR --- TYPE OF INSURANCE POLICY NUMBER Pgi+i~:~~gg>>~lE Pgi!f:I~~t~~N LIMITS
LTR
GENERAL LIABILITY 1 EACH OCCURRENCE $ 1.000.000.
-"- 50..000.
A X COMMERCIAL GENERAL LIABILITY MA. ' FIRE DAMAGE (Anyone fire) $
f- ~ CLAIMS MADE D OCCUR i 5.000.
491-2B300149 6/13/97 6/13/98 MED EXP (Anyone person) $
f---
PERSONAL & ADV INJURY $ 1,000.000.
-- 1,000.000.
GENERAL AGGREGATE $
1-
GEN'L AGGREGATE LIMIT APPLIES PER: FL. PRODUCTS - COMP/OP AGG $
n POLICY n ~WT n LOC 879-1629 7/1/97 7/1/98
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
-- QF017840 9/7/97 9/7/98 (Ea accident) I $
ANY AUTO
- QltS18177 6/26/97 6/26/98 1.000,000.
ALL OWNED AUTOS BODILY INJURY
B'x- QF508917 12/20/96 12/20/97 (Per person) $
SCHEDULED AUTOS
f--
HIRED AUTOS QF099001 lOH/97 10/7/98 BODILY INJURY l,poO.OOO.
---
NON-OWNED AUTOS QF099002 10/6/97 10/6/98 (Per accident)
-
-- PROPERTY DAMAGE 500.000.
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=l ANY AUTO OTHER THAN EA ACC $
i AUTO ONLY: AGG $
EXCESS LIABILITY 16/13/97 EACH OCCURRENCE $ 1.000.000.
A 0 OCCUR D CLAIMS MADE 491-2.8300149 6/13/98 AGGREGATE $ 2.000.000.
$
F1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I WC STATU- I jOTH-
HAl 168290 8/8/97 8/8/98 TORY LIMITS ER
EMPLOYERS' LIABILITY $ 100.000.
EL. EACH ACCIDENT
C FLI 704552BA 1/1/97 1/1/98 EL. DISEASE - EA EMPLOYEE $ 500,000.
E.L. DISEASE - POLICY LIMIT $ Inn nnn
OTHER
D Professional Liab. 1106211 5/1/97 5/1/9& Limit - $1.000;000.
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 1"-
Certificate Holder i s also notated as additional Insured with respects to
Liability coverage.
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER; CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Monroe County BOCC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
5100 College Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Ll:FT, BUT FAILURE TO DO SO SHALL
Key Hest, Florida 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UIlON THE INSURER, ITS AGENTS OR
: .. REP~~TlVES.
'I~~.. :) &~/
I .A.o or
-
ACORD 25-S (7/97) --.-.~~ '~....!~ ... @ ACORD CORPORATION 1988
pt.
---~ ...-.-- ...~:-c-..,.. ......,......,~ -', ;,;;- 'sc. ~~.~-.- -~_.. - _. ~ _.-~-,
ACORQM
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDNY)
6/10/98
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES OT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED Y THE POLICIES BELOW.
i
-v,~~;;.nT(:~:.G"=RSZ:R:l:::;.:E_-kE.'. GI.S., ~. .~.fL.
INSUR.'O.F1. B ARBELLA "U'IUAl. il{SiJRANCE _ CO .__ __ ___
INSURERC EASTERN CA.sUALTY _=_MA.,_' ZE1HTIL-1I.,,- .
~SU~R D:..E.VANS'l'OlL.lNSURAtiCE CO L__ ____ _
INSURER E:
PRODUCER
BRIDGE INSURANCE AGENCY
P.O. BOX 378
NEWTONVILLE. ~;ASSACHUSETTS
02160
INSURED
l'OXIKON CORP.
15 WIGGINS AVENUE
.BEllFORn, ,....ASSA(''HUSETTS 01730
COVERAGES
THEPOL!CIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO 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 ---.- --;-poLicy EFFEctIVE~-POLlCY EXPIRATloKf'-- -----------.------- ----.- .----.-
T TYPE OF INSURANCE POLICY NUMBER DATE MM/DDNY DATE MM/DDNY LIMITS
491--2B300149 - MA.
CLAIMS MADE
OCCUR
879-1269 -- FL.
17/1/97
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
8QF017840
8QF510027
! 7GF178841
lGFl41 119
8QIt'525439
1/28/98
1/28/98
9/7/97
12/20/97
12/28/98
rl'"(WOVfD BY RIS~ M,~ ~GEM:. 'f
, I
GARAGE LIABILITY
ANY AUTO
o
DATE
W4/VER:
491-ZP0020661
ill.;:'
I
. -+-- YES
16/13/98
DEDUCTIBLE
RETENTION
$
WC96986005 MA.
205-04381--97 -., FL.
8/8/9"1
1/1/98
Professional Liab. I EO'-.7oo470
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/EXCLUSIONS
5/1/98
I
6/13/99
7/1/98
1/28/99
1/28/99
9/7/98
12/20/98
2/28/99
6/13/99
8/8/98
1/1/99
5/1/99
EACH OCCURRENCE . ~J r 000 ,000.
~RE. DAMAGE (~ny one!!~.LUD ,000 "_
c!-'1f::D EXP (Any o~e pers~_ : $ 'i, 000 ._
~. PERSONAL & ADV INJu~_.i ~..l. 000 _ 000"
GENERAL AGGREGATE r $
~. . - --
PRODUCTS - COM PlOP AGGI...!..l ~{LJ)
~OMBINED SINGLE LIMIT ~. $ 1 000. 000.
(Ea accident) .,
. . .-- ._--.
BODILY INJURY 1
I (Per person) '_ ~! $ 1.000,000.
: BODILY INJURY
I (Per accident) $ 500,000"
I PROPERTY DAMAGE 'I $
, (Per accident) ,
AUTO ONLY. EA ACCIDENT $
OTHER THAN EA ACC $
AUTO ONLY: AGG I $
K..ACH OCCURRENCE ~. $_ 2, .000.000"
rGGREGAT~--:-_t;-? .000.000"
, 1$_-
$
Li.it -1$1,000,000.
CERTIFICATE HOLDER IS ALS)
vJI T H RES P E C T S T 0
LIAB[LITY COVERAGE,
INSURED
80 '
NEWTON
~mT E AS NE ' 'LE."~
985-1888 or 985'17" {IIiJ
BARATZINSURANCE/BRIDGEINSURANCE
"SERVICE IS THE DIFFERENCE"
CERTIFICATE HOLDER
ADDITIONAL INSURED; If_
ODITIONAL
MONROE COUNTY BOee
5100 COLLEGE ROAn
KEY WEST, FL 33040
lo
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
E TO THE CERTIFICATE HOLDER NAMED TO THE L~FT, BUT FAILURE TO DO SO SHALL
OBLIGATION OR LIABILITY OF ANY KIND UPf)N THE INSURER. ITS AGENTS OR
REpRESENT V
PR
OATE
INITIAL
ACORD 25-S (7/97)
@ ACORD CORPORATION 1988
. AC:)RDTM CERTIFICATE OF LIIABILITY INSURANCE I DATE (MMlDIlJVY)
7/20/98
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAnON
Bridge Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 600378 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Bewtouville. MA. 02460 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Fitchburg Mutual Ins.
Toximn Corporation .'. i INSURER B: Regis & Lexington Ins.
'lj
15 Wiggins Ave. INSURERC: Arbella Mutua1 Ins.
Bedford. MA. 0111130 INSURER 0: Eastern Casua1ty & ~th Ins.
I INSURER E: Evanston Ins.
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 DEE:CRIBED 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 POLICY EFFECTIVE POLICY EXPIRATION LIMITS
EACH OCCURRENCE $ 1.000.000.
COMMERCIAL GENERAL LIABILITY 4912B300149 / HiL. 6/13/98 7/29/98 FIRE DAMAGE (Anyone fire) $ 50.000.
CLAIMS MADE 0 OCCUR MED EXP (Any one peraon) $ 1 000.
879-1629 / FL. 7/1/98 7/1/99 PERSONAL & ADV INJURY S 1 000 000.
GENERAL AGGFEGATE $ 1 000 000.
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMPIOP AGG $
PRO- LOC
AUTOMOBILE LIABILITY 2/28/98 2/28/99 COMBINED SINGLE LIMIT
Q3H061496-OO $
C ~Y AUTO lEa accident)
ALL OWNED AUTOS Any & All Owned Autos
& All Non Owned Auto BODILY INJURY $500.000.
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident) sl.ooo.oo0.
PROPERTY DAMAGE $500.000.
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO W~IVER: 1'4.;' ER THAN EA ACC S
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $2 000 000.
OCCUR o CLAIMS MADE AGGREGATE s2 000 000.
A 491-2B300149 6/13/98 7/29/98
$
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND 168290 / MA. 8/8/98 8/8/99 X
EMPLOYERS' LIABILITY
D sl00 000.
7045528 / FL. 1/1/98 1/1/99 E,L. DISEASE. EA EMPLOYE s5oo.ooo.
E,L. DISEASE. POliCY LIMIT $100.000.
OTHER
K Professional Liabil ty 1106211 5/1/98 5/1/99 Limit - $1.000.000.
ACORD 25-S (7/91)
OAft
tNmAL
CANCELLATION
DESCRIPTION Of' OPI!RAnONSlLOCATIONSNEHICLESlEXCLUSlONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Certificate hol,der is also nOtated as additiona
insured with respects to liability coverage.
CERnFICATE HOLDER
ADDITIONAL INSURED; INSURER LETT!R:
MONROE COUNTY BOCC
5100 COLLEGE ROAD
KEY WEST, FL 33040
Ii ACORD CORPORAnON 1988
, .
TllXKDN
July 23, 1998
Maria del Rio
Monroe County Risk Management
5100 College Road
Key West, FL 33040
RE: CERTIFICATE OF INSURANCE
Dear Maria,
Here is the updated Certificate of Insurance you requested.
Please call me if you should need further information.
Best Regards,
~~'~~
Jaime L. Downing
AIR Administrator
(781)275-3330/Ext. 110
15 Wiggins Avenue · Bedford, Massachusetts 01730
(781) 275-3330
150-9001 Certified
Celebrating 20 Years of
Excellence
ACORQ.
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMlDDIYY)
1/14/99
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
BRIDGE INSURANCE AGENCY
P.O. BOX 600378
NEWTONVILLE, MASSACHUSETTS
02460
INSURERS AFFORDING COVERAGE
INSURED
.;t 'd-- 1
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
TOXIKON CORP.
15 WIGGINS AVENUE
BEDFOpn, MASSACHUSETTS
01730
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,
IN:~ TYPE OF INSURANCE POLICY NUMBER POLICY ri~FECTI~E LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
A COMMERCIAL GENERAL LIABILITY I i FIRE DAMAGE (Anyone fire) $
CLAIMS MADE D OCCUR 879 - 1629 - FL. 7/1/98 7/1/99
MED EXP (Anyone person) $
B
871 1992 ~.A 7/29/98 7/29/99 PERSONAL & ADV INJURY $ "
_. -
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
PRO- LOC
T
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
$
ANY AUTO (Ea accident)
~--
C ALL OWNED AUTOS Q3N061496-00 2/28/98 2/28/00 BODILY INJURY 1$ .
SCHEDULED AUTOS ! (Per person) t-i ,000 , OOC .
rl HIRED AUTOS I
BODILY INJURY
~' NON-OWNED AUTOS .D&~ (Per accident) $ 1,000,000.
PROPERTY DAMAGE
v (Per accident) 500,000,
<>
-@~ -9. J AUTO ONLY - EA ACCIDENT $
ANY AUTO c,q
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EACH OCCURRENCE $ ~ n (1
OCCUR 871-'1992 7/29/98 7/29/99 AGGREGATE $ ~ "\!"""'\ "C
A Coverage 2ppl~_es ":0 , P -: ~tr..c~ =-:- .cIicies ~ $
B .' ...
DEDUCTIBLE I $
RETENTION $ $
WORKERS COMPENSATION AND WC STATU-
TORY LIMITS
EMPLOYERS' LIABILITY WC969860C5 -. l'f .A 8/8/98 8/8/99
~ EL. EACH ACCIDENT
4381 ' - FL l/l /99 1/1100
OTHER
E PROFESSIONA~ LIABIT J:TY - #106211 5/1/98 S/l/99 !..in:it - $1,QOG.OOC
DESCRIPTION OF OPERATIONSIlOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER IS ALSO NOTATED AS ADDITIONAL INSURED WITH
RESPECTS TO LIABILITY COVERAGE.
CERTIFICATE HOLDER
ADDITIONAL INSURED; INSURER LETTER:
CANCELLATION
MONROE COUNTY BOCC
5100 COLLEGE ROAD
KEY WEST, FL 33040
DATE
INITIAL
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL3~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25-S (7/97)
@ACORD CORPORATION 1988
-- _.~~~~~~~~~-~~~~o~~.~~o~o~~~~~-crc c-.~==~~=._~_.~=~-~..,
ACORD,. CERTIFICATE OF LIABILITY INSURANCE 0;/~(~i~';~9 .
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION --.
Baratz / Bridge Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 600378 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
- .~
Newtonville, MA 02460 INSURERS AFFORDING COVERAGE
(617) 965-1777
INSURED Toxikon Corporation INSURER A: Reqis & Lexinqton Ins. II
?--1 INSURER B: Eastern Casualty & Zenith Ins.
15 Wiggins Avenue INSURER C: Arbella Mutual Ins. II
Bedford, MA 01730 ) Evanstan Ins. :!
INSURER D:
1781-275-3330 -, INSURER E: =-~~ =------==--- =--~--==-==----= -=-----=--=---- - j
---
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,
~~ TYPE OF INSURANCE POLICY NUMBER ~~!tiYM~~~
$lOO,OOO.
E.L. DISEASE - EA EMPLOYEE $ 5 0 0 , 0 0 0 .
EL. DISEASE - POLICY LIMIT $ 100 , 000 .
- -- ~-~~-~~~.l
-:- ? 1, 0 OQ, 9 0 O~~.~~~J
OVtrfJl~
vy ('ro~
DATE J--~'q1 (CO,'
-WI,!\I[!L-~;~H'(' . YES~GJ.8...
CELLATION
- ---- -- - . ... - ..... _. . ,., I
n, _ "._._.. .un ._ _. ___ _._ . "_..__ .__._
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE HEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
~ '" - "m~n..... ~ '" _ "". ~,.~ "'oo~.~' !
:1
IMPOSE NO OB ATlON OR UAS OF ANY KIND UPON THE INSURER, ITS AGENTS OR '.
GENERAL UASILlTY
X COMMERCIAL GENERAL LIABILITY
X CLAIMS MADE D OCCUR
A X Broad Form
x Contractual
MA - RM-120108
FL - RL-105550
07-29-99
07-01-99
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
07-29-98
07-01-98
PRODUCTS - COMP/OP AGG $
LOC
AUTOMOBILE LIABILITY
ANY AUTO
X ALL OWNED AUTOS
SCHEDULED AUTOS
C HIRED AUTOS
NON-OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
233379400000
Florida Excluded
02-28-99
02-28-00
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
GARAGE UABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
n/a
OTHER THAN
AUTO ONLY:
EXCESS UASILlTY
X OCCUR D CLAIMS MADE
EACH OCCURRENCE
AGGREGATE
UMO-1012227
07-29-98 07-29-99
A
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' UASILlTY
08-08-99
01-01-00
X
Eastern WC96986005
Zenith 4381
08-08-98
01-01-99
B
o OTHER
Professional
Liabilit
E0800521
05-01-99
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
X ADDITIONAL INIMi8l
INITIAL
County of Monroe Board 0
County Commissioners
Attn: Risk Management
5100 College Road
Key West FL. 33040
ACORD 25-8 (7/97)
LIMITS
$1,000,000.
$50,000.
$5,000.
$1,000,000.
$2,000,000.
$
$
1,000,000.
$
1,000,000.
I
:500 ,OQO. =..~
EA ACC $
AGG $
__ .-,_.__ ____ n__ ..=_n
$1,000,000.
$2,000,000.
$
$
- - 1
--- -- - -- -Iii
I
@ACORDCORPORATION 1988
,-- -- . T l;~I~~~l
A~ORDTM CERTIFICATE OF LIABILITY INSURANCE
--
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1
Baratz / Bridge Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE '
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ORj
P.O. Box 600378 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Newtonville, MA 02460 INSURERS AFFORDING COVERAGE
(617) 965-1777 1
INSURED Toxikon Corporation INSURER A: Reqis & Eastern Casualty Ins.
INSURER B: Eastern Casualty & Zenith Ins. I
15 Wiggins Avenue INSURER c: Arbella Mutual Ins.
Bedford, MA 01730 INSURER D: Evanstan Ins.
1781-275-3330 INSURER E: --~
COVERAGES
THE POlK:lES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERiOD INOlOATED. NOTWITHSTANDINGo~ I
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE 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 ~i\frM~~E Pg~ri~~~~~ ~~~~-~--~~-~,
LTR - -
GENERAL LIABILITY EACH OCCURRENCE $1,000,000."
- $50,000.
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire)
X I CLAIMS MADE D OCCUR MED EXP (Anyone person) $5,000.
A X Broad Form MA - CPPX123094 07-29-99 07-29-00 PERSONAL & ADV INJURY sl, 000, 000. I
- 07-01-00 $2,000,000.1
~ Contractual FL - RL-105550 07-01-99 GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1,000,000.
!Xl POLIC~ -.-- ..~~ ~..~~~~..~.....~ _.._~
, ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
f---
X ALL OWNED AUTOS BODILY INJURY I
f--- $ ,
SCHEDULED AUTOS (Per person) 1,000,000.
-
C HIRED AUTOS 233379400000 02-28-99 02-28-00 BODILY INJURY ,
- $
NON-OWNED AUTOS Florida Excluded (Per accident) 1,000,000.
- 'I
- PROPERTY DAMAGE $
(Per accident) 500,000. ....~
RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO n/a EA ACC $ ,
OTHER THAN
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $1,000,000.'
tKJ.. OCCUR D CLAIMS MADE AGGREGATE $2,000,000.
CPPX123094 07-29-99 07-29-00 $
A R DEDUCTIBLE $
RETENTION $ $ I
I X I WCSTAm T IOTH- '~"~"~~--"-"i
WORKERS COMPENSATION AND TORY LIMiT'" ER
EMPLOYERS' LIABILITY Eastern WC96986005 08-08-99 08-08-00 E,L. EACH ACCIDENT slOO,OOO.
B Zenith 4381 01-01-99 01-01-00 EL. DISEASE - EA EMPLOYEE $500,000.
E,L. DISEASE - POLICY LIMIT slOO, 000 ~, i
..-
D OTHER retro date 5/1/93 Ii
I Professional I
Liabilitv E0800521 05-01-99 05-01-00 Limit - $l,OOg,OQO. I
-- -i
"""._OFOF...,"'.....,.n_"""""''''''''~......._~'::IYI .'" . .. . .:' ;;: .. o.@J;
ii
1
coY . i
CERTIFICATE HOLDER
~ITIONAL INSURED; INSURER LE~R:
:::~c~.~i~ cZ ~ .
i .r .. 'f .. '--:;;r~ _ -- _" "-~,.._~~~~~~~~~_~_....1
CANCELLATiON" ~ '" -
SHOULD AllY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
L1TY OF ANY KIND UP()N THE INSURER, ITS AGENTS OR
l~~
Monroe County BOCC
& County Of Monroe
5100 College Road
Key West FL. 33040
@ACORDCORPORATION 1988
I
I'
..I
uj
....J
-~-
ACORD 2S-S (7/97)
ACORQ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY)
02/23/2001
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Baratz / Bridge Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 600378 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Newtonville, MA 02460 INSURERS AFFORDING COVERAGE
(617) 965-1777
INSURED Toxikon Corporation INSURER A: REGIS INS. / LEXINGTON INS.
INSURER B: EASTERN CASUALTY
15 Wiggins Avenue INSURER c: EASTERN CASUALTY & ZENITH INS.
Bedford, MA 01730 INSURER D: ARBELLA MUTUAL INS.
1617-275-3330 INSURER E: EVANSTAN INS.
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.
I~~~ TYPE OF INSURANCE POLICY NUMBER b~~IfYM'ij,~~CTIVE LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000.
X COMMERCIAL GENERAL LIABiLITY FIRE DAMAGE (Anyone fire) $50,000.
CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $5,000.
A CPPX12309 MA. 7/29/00 7/29/01 PERSONAL & AOV INJURY $1,000,000.
RL-105550 FL. 7/1/00 7/1/01 GENERAL AGGREGATE $2,000,000.
PRODUCTS - COMP/OP AGG $1,000,000.
LOC
COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
X ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person) 500,000.
D HIRED AUTOS 02369400000 6/27/00 6/27/01 BODILY INJURY
$
X NON-OWNED AUTOS (Per accident) 1,000,000.
X florida PROPERTY DAMAGE
$
excluded (Per accident) 500,000.
GARAGE LIABILITY " UTO ONLY - EA ACCIDENT $
,-, ~ ,-
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY $1,000,000.
X OCCUR o CLAIMS MADE \~,II q .r-Q. I'" $2,000,000.
CPPX12309 7/29/00 7/29/01 $
B DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY WC96986005 - MA 8/8/00 8/8/01
C 4381 1/1/01 1/1/02
OTHER
E PROFESSIONAL E0800521 5/1/00 5/1/01 Limit - $1,000,000.
Retro Date 5 1/93
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
THE FOLLOWING PARTIES SHALL BE NAMED AS CERTIFICATE HOLDER AND ADDITIONAL
NAMED INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS /
MONROE COUNTY RISK MANAGEMENT
5100 COLLEGE ROAD
KEY WEST FLORIDA 33040
CERTIFICATE HOLDER X ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
SEE ABOVE
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
N OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25-S (7/97)
o ACORD CORPORATION 1988
ACORD". CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
8/14/2002
PRODUCER
BRIDGE INSURANCE ASSOCIATES
P.O. BOX 600378
NEWTONVILLE, MA. 02460
617-965-1777
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.
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'L POLICY EFFECTIVE
LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DD
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ~ OCCUR
COMBINED SINGLE LIMIT
ANY AUTO (Ea accident)
ALL OWNED AUTOS BODILY INJURY $1,000,000.
SCHEDULED AUTOS (Per person)
D HIRED AUTOS 02MMWS0035 02-28-02 02-28-03 $1,000,000.
NON-OWNED AUTOS
$500,000.
GARAGE LIABILITY $
ANY AUTO EA ACC $
AGG $
EXCESS/UMBRELLA LIABILITY $ ,
OCCUR CI CLAIMS MADE $ ,
3578-71-21 12-01-01 $
A DEDUCTIBLE 07-01122001 07-01-02 $
RETENTION $ $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY 50004510120 10-19-01 10-19-02
E mY PROPRIETORlPARlNERlEXECUTIVE FL 0830-28324 01-01-02 01-01-03
OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EAEMPLOYE
If yes, describe under
SPECIAL PROVISIONS below EL. DISEASE - POLICY LIMIT
OTHER
C PROFESSIONAL EO-811349 05-01-02 05-01-03 LIMIT - $1,000,000.
LIABILITY
INSURED
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
15 WIGGINS AVENUE
BEDFORD, MA 01730
A
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
3578-71-21
07-01122001
12-01-01
07-01-02
12-01-02
07-01-03
FL
LOG
NAIC#
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
./
{!C : ~4"~
Certificate Holder is listed as Additional Insured
CERTIFICATE HOLDER
CANCELLATION
Monroe County Board of
County Commissioners
County of Monroe
5100 College Road
Key West FLorida 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LI ITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD25 (2001/08)
@ ACORD CORPORATION 1988
ACORDTM
CERTIFICATE OF LIABILITY INSURANCE D3i~M7//2'()()l3
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.
ASSOCIATES
PRODUCER
BRIDGE INSURANCE
P.O. BOX 600378
NEWTONVILLE, MA.
617-965-1777
02460
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
15 WIGGINS AVENUE
BEDFORD, MA 01730
INSURER A:
INSURER B:
INSURER C:
INSURER D:
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 DD'L POLICY EFFECTIVE
LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DD
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ~ OCCUR
3578-71-21
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
B ~16:~~~:'~C~U~~~ECUTlVE
If yes, describe under
SPECIAL PROVISIONS below
OTHER
C PROFESSIONAL
50004510120
12-01-02 12-01-03 PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT $
(Ea accident)
BODILY INJURY $1,000,000
(Per person)
2-28-03 2-28-04 $1,000,000
BODILY INJURY
(Per accident)
PROPERTY DAMAGE $500,000.
(Per accident}
AUTO ONLY - EA ACCIDENT
A A
LOC
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
D
02MMWS0035
GARAGE LIABILITY
ANY AUTO
OTHER THAN
AUTO ONLY
EA ACC
AGG
EXCESS/UMBRELLA LIABILITY
OCCUR [] CLAIMS MADE
3578-71-21
EACH OCCURRENCE
AGGREGATE
A
12/1/02 12/1/03
L.[M
EL. DISEASE - EA EMPLOYE
EL. DISEASE - POLICY LIMIT
EO-811349
LIMIT - $1,000,000.00
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED
CERTIFICATE HOLDER
CANCELLATION
COUNTY OF MONROE
1100 Simonton Street
Key West Florida 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR 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
REPRESENT VES
AUTHORI D SENTATIVE
@ACORD CORPORATION 1988
ACORD 25 (2001/08)