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Certificate of Insurance ACURDTM DATE(MMlDDfYY) 12/1 0/01 THIS CERTIFICATE IS ISSUED AS A ATTER F INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA TE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER Aon Risk Services, Inc of Florida 1001 Brickell Bay Drive Suite 1100 Miami FL 33131 PHONE -(305) 372-9950 I FAX - (305) 372-1455 COMPANY A St Paul Fire & Marine Insurance Co. Toppino's Inc p, 0, Box 787 Key West FL 330410000 USA COMPANY B COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PQICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDfTlON OF ANY CONTRACT OR OTHER DOCUMENT \/\nTH RESPECT TO \/\/HICH 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 SHOV\n'll MAY HAVE BEEN REDUCED BY PAID CLAIMS, CO LlR TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMlDDIYY) DATE (MMlDDIYY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR OWNER'S & CONTRACTOR'S PROT KK05800118 COMMERCIAL GENERAL LIABILITY 02/02/01 02/02/02 GENERAL AGGREGATE PRODUCTS - COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE $2,000,000 $2,000,000 $1,000,000 $1,000,000 $300,000 $10,000 $1,000,000 FIRE DAMAGE(Any one fire) MED EXP (Anyone person) KK05800118 BUSINESS AUTO COVERAGE 02/02/01 02/02/02 COMBINED SINGLE LIMIT BODILY INJURY ( Per person) Hired Car Liability Non-Owned Liability APPROVED BY RISK MANAGE lAENT 1\ ..~~ BY ,v~ BODILY INJURY (Per accident) PROPERTY DAMAGE W^I\IP~: NIA / Vf"S AUTO ONLY - EA ACCIDENT OTH ER THAN AUTO ONLY: KK05800118 COMMERCIAL UMBRELLA COVERAGE 02/02/01 02/02/02 EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE OTHER THAN UMBRELLA FORM Retained Limit Amoun 5,000,000 $5,000,000 $10,000 THE PROPRIETOR/ PARTNERS/EXEC UTIVE OFFICERS ARE: INCL EXCL EL DISEASE-EA EMPLOYE WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERA TIONSlLOCA TIONSNEHICLESlSPECIAL ITEMS Rre: Florida Keys Marathon Airport, Taxi lanes/Connectors, FBO and Sheriff Apron and T-Hangar Development FDOT Nos, 41077919401 and 41078019401 Contract Nos, C500004059,04, C500003897,09; C600004059,05 and Monroe County Board of Commissioners clo Purchasing Dept.Public Service Building, Room 002 5100 College Road, Stock Island Key West FL 33040 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL E''''I)~''OR TO MAIL 60 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, il' 'T .^I~' 'filii TO "^IL i"~t.I ~IQTICii iM^L~ 1t1PQiii ~IO OilL'C^TIO~1 QR LI^iiILITY o. ^NY KIN(;l "PQN Tt.lii ~Q~1P^~IY, IT" ^CiiNn QR RiiPRliiii~IT^TI"lii AUTHORIZED REPRESENTATIVE (. ~:. ..~-~:t-:.~'- Attachment to ACORD Certificate for Toppino's Inc The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy, INSURED Toppino's Inc p, 0, Box 787 Key West FL 330410000 USA COMPANY COMPANY COMPANY COMPANY COMPANY ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY co TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS L11I. POLICY DESCRIPTION DAlE DAlE AUTOMOBILE LIABILITY A KK05800118 02/02/01 02/02/02 Collision $1,000 BUSINESS AUTO COVERAGE Deductible Comprehensive $1,000 Deduct DESCRIPTION OF OPERA TlONSIlOCA TlONSNEHICLESlSPECIAL ITEMS C500004059,12 The Monroe County Board of County Commissioners, its employees and officials are included as Additional Insureds, e~cept for Workers' Compensation Certificate No: 570001277959 ACORD Serial # A 1280 M/DDNY) 9/2003 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 ST, PAUL FIRE & MARINE INSURANCE CO, PRODUCER AON RISK SERVICES, INC, OF FLORIDA 1001 BRICKELL BAY DRIVE, SUITE 1100 MIAMI, FL 33131 COMPANY A INSURED TOPPINO'S, INC, P,O, BOX 787 KEY WEST, FL 33041 COMPANY B ROYAL SURPLUS LINES INSURANCE COMPANY COMPANY C COMPANY o CO LTR THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOlWlTHSTANDING 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, .~~.~ OF INSURAN;~-I---- POLICY NUMBER Pg~~i~:~~~g~)E P~;~~;~~g:J;;,gN GENERAL LIABILITY KC05800014 02/02/03 02/02/04 A !Xl COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ~. ~ -] CLAIMS MADE [K] OCCUR i.... .OWN.. E. R'.S & CONTRACTO. R'S PROT ~ ~<3~~EGATE/PER L~ATION LIMITS GENERAL AGGREGATE $ 2,000,000 I PROD;:IC~S.:-~c;;;,p;OP AGG $ 2,000,000 ----.--- --------- j PERSONAL & ADV INJURY $ 1,000,000 ~ACH OCCURRENC~---l!- 1,000,000 I FIRE DAMAGE (An-y~e~r; 1$ --100,000 ~_._---_.- .-........- _d. I MED EXP (Anyone person) $ 5,000 1 AUTOMOBILE LIABILITY A [KJ ANY AUTO H ALL OWNED AUTOS : ! SCHEDULED AUTOS . X i HIRED AUTOS ~ X NON-OWNED AUTOS KC05800014 BUSINESS AUTO COVERAGE 02/02/03 02102104 COMBINED SINGLE LIMIT i$ I 1,000,000 BODILY INJURY (Per person) I 1$ ~ ---'_._._-,..,-----------~---~ : I GARAGE LIABILITY ANY AUTO APP BY DATE WAIVER BODILY INJURY (Per accident) -+------------- I 1$ $ o ONLY - EA ACCIDENT 1 $ 1---- EXCESS LIABILITY B X I UMBRELLA FORM ! OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY K2HN020246 ! COMMERCIAL UMBRELLA COVERAGE 02/02/03 02102104 ! EACH OCCURRENCE r--------. 'AGGREGATE ._--~-~ !RETAINED LIMIT AMNT. $ 3,000,000 3,000,000 10,000 EXCL , I WCSTATU- I 10TH. I I I TORY LIMITS .-..L....LE.R.t--.--_._-~ I EL EACH ACCIDENT i $ !'.L- DISEA~:!OLlCY~IMIT -p----- EL DISEASE - EA EMPLOYEE I $ THE PROPRIETOR! PARTNERSlEXECUTIVE OFFICERS ARE: r--J I INCL OTHER DESCRIPTION OF OPERA TIONSlLOCA TIONSNEHICLESlSPECIAL ITEMS RE: MARATHON AIRPORT TAXI LANES, PROJECT 01-13, BOARD OF COUNTY COMMISSIONERS MONROE COUNTY NAMED AS ADDITIONAL INSUREDS BOARD OF COUNTY COMMISSIONERS MONROE COUNTY 1500 COLLEGE ROAD ATTN: MARIA DEL RIO 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 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR L1ABIUTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE OF INDEPENDENT INSURANCE AGENCY