Certificates of Insurance
~ Allstate
You"e In good hand.
CERTIFICATE OF INSURANCE
EFFECTIVE DATE
OF CERTIFICATE
02/02/08
ALLSTATE INDEMNITY COMPANY
HOME OFFICE - NORTH BROOK, IL 60062
hereby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
BLUEWATER MARINE SERVICE 049828888 BAP
DBA TOW BOAT US S DADE
14100 SW 256 STE 14
HOMESTEAD, FL 33032-6500
The person or organization designated below is described in the policy as:
MONROE CNTY RISK MAN
1100 SIMONTON STREET
KEY WEST, FL 33040-3110
POLICY PERIOD
02/02/08 TO 02/02/09
AT 12:01 A.M. STANDARD TIME
~ LIENHOLDER (Loss Payable Clause)
X ADDITIONAL INTERESTED PARTY
ADDITIONAL INSURED
CERTIFICATE HOLDER
Coverages designated are afforded as stated below:
LIABILITY: $500,000 EACH ACCIDENT
AS THEIR INTEREST MAY APPEAR
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To the person or organization stated above:
This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder
named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days, or
whatever longer period of time prescribed by state law.
Proof of such mailing is deemed sufficient proof of such notice.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy
referred to above.
BU1380
(05/06)
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CUSTOMER NUMBER, CA049828888
SCOTT GORHAM
125 NE 8 STREET
HOMESTEAD, FL 33030
A.I,P. (CA)
60 49 828888
1"11",11,11"..1"111"",11",.11",1111",11,,,11,,,,1,1.1
MONROE CNTY RISK MAN
1100 SIMONTON STREET
KEY WEST, FL 33040-3110
8U114R-3
REPRINT KEY, 3532447
NS FL
RUN DATE, 12-13-07
~
~AlIstate.
YOU',e.M good hands
POLICY NUMBER: 049828888 BAP
COMMERCIAL AUTO
CA 20 01 03 06
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LESSOR - ADDI110NAL INSURED AND ~E i
This endorsement modifies Insurance provIded under the following. DEe 26 2007 I
I
,
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
MONROE COUNTY
RISK MANAGEME:.T
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is
indicated below.
Named Insured:
BLUEWATER MARINE SERVICE
DBA TOW BOAT US S DADE
Endorsement Effective Date: FEBRUARY 02, 2008
Countersignature Of Authorized Representative
Name:
Title:
Signature:
Date:
CA 20 01 03 06
Copyright, ISO Properties, Inc., 2005
Page 1 of 3
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SCHEDULE
Insurance Company: ALLSTATE INDEMNITY COMPANY
Policy Number: 049828888 BAP I Effective Date: FEBRUARY 02, 2008
Expiration Date: FEBRUARY 02, 2009
Named Insured: BLUEWATER MARINE SERVICE DBA TOW BOAT US S DADE
"-
Address: 14100 SW ~lt"S1'E 14
HOMESTEAD, FL 33032-6500
Additional Insured (Lessor): MONROE CNTY RISK MAN
Address: 1100 SIMONTON STREET
KEY WEST, FL 33040-3110
Designation or Description of "Leased Autos": APPEAR
AS THEIR INTEREST MAY
Coverages Limit Of Insurance
Liability $ 500,000 Each" Accident"
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Comprehensive $ Deductible For Each Covered "Leased Auto"
Actual Cash Value Or Cost Of Repair Whichever Is Less. Minus
Collision $ Deductible For Each Covered "Leased Auto"
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Specified $ Deductible For Each Covered "Leased Auto"
Causes Of Loss
Information required to complete this Schedule, if not shown above. will be shown in the Declarations.
A. Coverage
1. Any "leased auto" designated or described
in the Schedule will be considered a covered
"auto" you own and not a covered "auto" you
hire or borrow.
a. You;
b, Any of your "employees" or agents; or
2. For a "leased auto" designated or described
in the Schedule, Who Is An Insured is
changed to include as an "insured" the les-
sor named in the Schedule. However, the
lessor is an "insured" only for "bodily injury"
or "property damage" resulting from the acts
or omissions by:
c. Any person, except the lessor or any
"employee" or agent of the lessor, oper-
ating a "leased auto" with the permis-
sion of any of the above.
3. The coverages provided under this en-
dorsement apply to any "leased auto" de-
scribed in the Schedule until the expiration
date shown in the Schedule, or when the
CA 20 01 03 06
Copyright. ISO Properties, Inc., 2005
Page 2 of 3
~ Allstate.
You're ,n good hand.
lessor or his or her agent takes possession
of the "leased auto", whichever occurs first.
B. Loss Payable Clause
1. We will pay, as interest may appear, you and
the lessor named in this endorsement for
"loss' to a "leased auto".
2. The insurance covers the interest of the les-
sor unless the "loss" results from fraudulent
acts or omissions on your part.
3.
If we make any payment to the lessor, we
will obtain his or her rights against any other
party.
C. Cancellation
1. If we cancel the policy, we will mail notice to
the lessor in accordance with the Cancella-
tion Common Policy Condition.
CA 20 01 03 06
2. If you cancel the policy, we will mail notice
to the lessor.
3. Cancellation ends this agreement.
D. The lessor is not liable for payment of your pre-
miums.
E. Additional Definition
As used in this endorsement:
"Leased auto" means an "auto" leased or rented
to you, including any substitute. replacement or
extra "auto" needed to meet seasonal or other
needs, under a leasing or rental agreement that
requires you to provide direct primary insurance
for the lessor.
Copyright, ISO Properties, Inc., 2005
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