Certificates of Insurance
ACORDN
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;(:)EIlliI~Bll.Jlm'i<IRslIR.. Ne~SF(sw> DATE (MMlDDNY)
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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
PRODUCER
Edison Insurance Agency, Inc.
3835 Pa~ Beach Boulevard #A
Fort Myers FL 33916
Sherry C. Scott
Phone No. 941-693-0400 Fax No. 941-693-2522
INSURED
COMPANY
A
Connecticut Indemnity Company
COMPANY
B
Sugarloaf Key Vol. Fire Dept.
MM 17 US 1
Sugarloaf FL 33044
/
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 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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMlDDIYY) DATE (MM/DDIYY)
LIMITS
THE PROPRIETOR!
PARTNERs/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
. ~ T
"
GENERAL AGGREGATE $ 500000
OS/29/98 OS/29/99 PRODUCTS - COMPIOP AGG $ 500000
PERSONAL & ADV INJURY $ 500000
EACH OCCURRENCE $ 500000
FIRE DAMAGE (Anyone fire) $ 50000
MED EXP (Anyone person) $ 5000
OS/29/98 OS/29/99 COMBINED SINGLE LIMIT $ 500000
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
$
EL DISEASE - POLICY LIMIT $
EL DISEASE - EA EMPLOYEE $
GENERAL LIABILITY
A X COMMERCIAL GENERAL LIABILITY BINDER # 52 8 5
X CLAIMS MADE 0 OCCUR
OWNER'S & CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
A X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON.OWNED AUTOS
BINDER #5285
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlSPECIAL ITEMS
Fire Department
1996 Chevy Tahoe lGNEC13R5TJ383095, Monroe County are listed as additional
insured in respects to General Liab~lity & Chevy Tahoe,
DAn
MONRO 0 5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
000 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.
.~;:~~;~~~~:t.g:.
Monroe County Fire Rescue
Monroe ct. Board ot" cty. Com
5100 College Road~~
Keywest FL 33040
~9()t<<:I~~$.(1J~6)...........,.,'.......'.....
CERTIFICA 1 ~ OF LIABILITY INSURJ. .,~~CE~~~Al~J. DA;~7~/~~";~
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
ACORDN
PRODUCER
Edison Insurance Agency, Inc.
3835 Palm Beach Boulevard #A
Fort Myers FL 339J.6
Sherry C. Scott
Phone No, 94J.-693-0400 Fax No, 94J.-693-2522
INSURED
COMPANY
A
COMPANY
B
Connecticut Indemnity Company
Sugarloaf Key Vol. Fire Dept.
MM J.7 US 1
Sugarloaf FL 33044
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,
COMPANY
C
COMPANY
D
: GENERAL AGGREGATE $ 500000
OS/29/99 OS/29/00 PRODUCTS - COMP/OP AGG $ 500000
PERSONAL & ADV INJURY $ 500000
EACH OCCURRENCE $ 500000
FIRE DAMAGE (Anyone fire) $ 50000
MED EXP (Anyone person) $ 5000
OS/29/99 OS/29/00 COMBINED SINGLE LIMIT $ 500000
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE I $
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE
AGGREGATE
_ .11&~TdWTS
EL EACH ACCIDENT $
EL DISEASE - POLICY LIMIT i $
EL DISEASE - EA EMPLOYEE '$
CO
LTR:
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DDIYY)
TYPE OF INSURANCE
POLICY NUMBER
'I GENERAL LIABILITY
A ~l ~-]~:~I;~:::EDI:~~:
~=jO~NER'S & CONTRACTOR'S PROT
I-~ ----
ESP201403
A
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
ESP201403
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
, WORKERS COMPENSATION AND
EMPLOYERS' LlABILlT{
I THE PROPRIETOR! INCL
PARTNERS/EXECUTIVE
i OFFICERS ARE: EXCL
OTHER
LIMITS
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Fire Department
J.996 Chevy Tahoe 1GNEC13R5TJ383095( Monroe County are listed as additional
insured in respects to General Liab1lity & Chevy Tahoe,
CERTIFICATE HOLDER
DATE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
o 0 0 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,
:U~:::.~~RE::::~~
......ACORD.CORPORATlON..t9BB
INITIAL
Monroe Ct Board of Cty.
5100 College Road
Keywest FL 33040
ACORD 25-S (1/95)