Certificates of Insurance
ACORQ'M
PRODUCER
Aon Risk Services, Inc of Florida
1001 Brickell Bay Drive
Suite 1100
Miami FL 33131
DA TE(MM/DDNY)
11/19/02
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
PHONE - (305) 372-9950
INSURED
Toppino's Inc
P. O. Box 787
Key West FL 330410000 USA
FAX - (305) 372-1455
COMPANY
A
St Paul Fire & Marine Insurance Co.
COMPANY
B
Royal Surplus Lines Insurance Company
COMPANY
C
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,
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MMillDNY) DATE (MMlDDNY)
A GENERAL LIABILITY KK05800163 02/02/02 02/02/03 GENERAL AGGREGATE $2,000,000
COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $2,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE o OCCUR PERSONAL & ADV INJURY $1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1,000,000
FIRE DAMAGE(Anv one fire) $100,000
MED EXP (Anv one person) $5,000
A AUTOMOBILE LIABILITY KK05800163 02/02/02 02/02/03 $1,000,000
COMBINED SINGLE LIMIT
X ANY AUTO BUSINESS AUTO COVERAGE
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS ( Per person)
HIRED AUTOS APP
NON.OWNED AUTOS BY
0'" PROPERTY DAMAGE
GARAGE LIABILITY W.... AUTO ONLY. EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY
EACH ACCIDENT
AGGREGAT
B EXCESS LIABILITY KHN0171198 02/02/02 02/02/03 EACH OCCURRENCE $3,000,000
X UMBRELLA FORM COMMERCIAL UMBRELLA COVE RAG AGGREGATE $3,000,000
OTHER THAN UMBRELLA FORM Retained Limit Amoun $10,000
WORKER'S COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR! INCL
PARTNERS/EXECUTIVE EL DISEASE.POLlCY LIMIT
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE
DESCRIPTION OF OPERA TIONSlLOCA TlONSNEHICLES/SPECIAL ITEMS
Re: Marathon Airprot Service Road Project, 9400 Overseas Highway Marathon, FL
Certificate Holder is named as an Additional Insured on all Liability Policies
CERTIFICATE HOLDER
Monroe County SOCC
Marathon Airport
9400 Overseas Highway
Marathon, FL 33050 USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
60 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES
AUTHORIZED REPRESENTATIVE
~-=
~
ACORD 25-8 1/95
Certificate No:
570004377255
Holder Identifier:
~ttachlJ1ent 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.
COMPANY
INSURED
Toppino's Inc
p, O. Box 787
Key West FL 330410000 USA
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
LTR POLICY DESCRIPTION DATE DATE
AUTOMOBILE LIABILITY
A KK05800163 02/02/02 02/02/03 Comprehensive $1,000
BUSINESS AUTO COVERAGE Deduct
Collision $1,000
Deductible
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Certificate No:
570004377255
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I ~YNrMMlP)
PR<am~JTANA & ASSOC INC 305-294-6261 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1704 N ROOSEVELT BLVD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
KEY WEST FL 33040 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: FCCI MUTUAL INSURANCE COMPAN
TOPPINO'S INC. INSURER B:
PO BOX 787 INSURER c:
KEY WEST, FL 33040 INSURER 0:
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: ~D~'~ POLICY NUMBER PJ>.k+~Y J~FECTI~E Pg~!fEY ~~~RDA T~ON LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE
OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER
POLICY PRO-i LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
AP
BY
DATE
WAIVER
GARAGE LIABILITY
ANY AUTO
EXCESS/UMBRELLA LIABILITY
OCCUR I nl CLAIMS MADE
DEDUCTIBLE
RETENTION
X WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
OTHER
45287
3/01/2002
3/01/2003
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
JOB- FLORIOA KEYS MARATHON AIRPORT SERVICE ROAD
CERTIFICATE HOLDER
CANCELLATION
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurence)
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea accident)
BODIL Y INJURY
(Per person)
BODIL Y INJURY
(Per accident)
PROPERTY DAMAGE
- (Per accident)
AUTO ONLY- EA ACCIDENT $
OTHER THAN EA ACC $
AUTO ONLY: AGG S
EACH OCCURRENCE $
AGGREGATE
WC STATU- OTH.
TORY LIMITS ER
EL EACH ACCIDENT
E,L, DISEASE. EA EMPLOYEE
E,L, DISEASE. POLICY LIMIT
1,000,000
1,000,000
1,000,000
MONROE COUNTY BOARD OF COMM
5100 COLLEGE RD
KEY WEST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CA~ELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL J..Q.... DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
ACORD 25 (2001/08)