Certificate of Insurance
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYY)
07/23/2001
PRODUCER (904)448-9777 FAX (904)448-9788 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Insurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2700 University Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
West Building B INSURERS AFFORDING COVERAGE
Jacksonville, FL 32217
INSURED Sunset Moving & Storage-Jax INSURER A: American Equity Insurance
III U S Hwy 1 INSURER B: Empire Fire & Marine
Rockland Key, FL 33040 INSURER c: Lloyds of London
INSURER 0:
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,
INSR TYPE OF INSURANCE POLICY NUMBER P~}+~~~~68,wIE Pg~!fll~~~mN LIMITS
LTR
GENERAL LIABILITY ACC068593/00 11/26/2000 11/26/2001 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 50,000
I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 1,000
A PERSONAL & ADV INJURY $ 1,000,000
- 2,000,00(J
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,00(J
I ,nPRO- n
POLICY JECT LOC
~OMOBILE LIABILITY ~L220444 11/26/2000 11/26/2001 COMBINED SINGLE LIMIT
lEa accident) $
ANY AUTO 1,000,000
-
ALL OWNED AUTOS BODILY INJURY
X $
SCHEDULED AUTOS (Per person)
B -
HIRED AUTOS BODILY INJURY
- ~iY 1'~~rn~n(1) $
NON-OWNED AUTOS "'l~P'" (Per accident)
-
- i:) PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY DATE .2 JItJ I I)f AUTO ONLY - EA ACCIDENT $
~ ANY AUTO -' EA ACC $
/v~, OTHER THAN
W."VFR: ;<..... AUTO ONLY: AGG $
.'
EXCESS LIABILITY EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE $
$
==l DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND T TORY LIMITS T IOJ~-
EMPLOYERS' LIABILITY
EL. EACH ACCIDENT $
EL DISEASE - EA EMPLOYEE $
EL. DISEASE - POLICY LIMIT $
~THE:h 120006207740420 11/22/2000 11/22/2001 $100,000
are ouse Legal
C Motor Truck Cargo $15,000 Anyone truck
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
~dditional insured: Monroe County Board of County Commissioners
CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Monroe County Board of EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
County Commissioners ...J.!!.- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Attn: Risk ManagementAd BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
5100 College Rd. OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
Key West, FL 33040 AUTHORIZED REPRESENTATIVE (jJJJ?I.~~
Donald Poaa/KATHY
ACORD 25-5 (7/97)
@ACORDCORPORATION 1988