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Certificates of Insurance .......................... ......................... ................................................... .......................... . .................... :iffi:.:j;:P1i\~'ii,,~!.i?.:.t~~._.:A:~i~i?: .~;eJ1:~:1{1Jrl~.ii?l'~:~Jr~...!t#rf..Il~~:a:Uil5lS1~':~~.. :::::::...:..,::::.:.:::.:.::.:.:.:::.:.:::::.:.:.:::::.:.:.:::.:.:::::::::.:.:::::::.:::.:::::.:::::::::::::::.:.:::::::::::~:::::::::::::::::::;:::::~:::::::::::::~:~:;:::::;:::::r::::~:::::::::::~:::::;:::::::::::::::::::;::;::::::::::;:::~:~::;::~:::::::::::::~;:::;::::;:::::' ..................................................................... ................................ . ............................. ............................. .......................................................... ............................. ............................. ............................. ............................ ..................... . ................... DATE (MMIDDIYY) ......................... .......................... ......................... .......................... .......................... .......................... .......................... .......................... . .................... .................. .......................... . ........................ ..................... ................... ................. ........ . ................... .................. ................... .................. ................... ................... ................... ................... .. ......... ..... .. .............................. .............................. .............................. .............................. .............................. ............................. ........................... ........................ ..................... 5/20/99 PRODUCER 305 822-7800 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. Collinsworth, Alter, Nielson, Fowler & Dowling, Inc. Post Office Box 931 5 Miami Lakes, FL 33014-9315 COMPANIES AFFORDING COVERAGE INSURED COMPANY A Michigan Mutual Insurance Co COMPANY Rovel Construction, Inc. 7380 S.W. 48th Street Miami F1 33155 B The FCCI Mutual 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 CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WIllCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICYEXP. LTR LIMITS DATE (MMIDDIYY) DATE (MMIDDIYY) GENERAL LIABILITY GENERAL AGGREGATE A COMM. GENERAL LIABILITY CPP1286583 5/13/99 5/13/00 PROD-COMP/OP AGG. CLAIMS MADE UU OCCUR PERS. & ADV. INJURY OWNER'S & CONTRACT'S PROT EACH OCCURRENCE 1000000 FIRE DAMAGE(One Fire) MED EXP(Any one person) 5000 AUTOMOBILE LIABILITY COMBINED SINGLE A ANY AUTO CA1286574 5/13/99 5/13/00 LIMIT 1000000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-oWNED AUTOS (Per accident) PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: / yl=C; EACH ACCIDENT ....; AGGREGATE EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTIIER THAN UMBRELLA FORM WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS' LIABILITY B 026944 1/01/99 1/01/00 EACH ACCIDENT 1000000 THE PROPRIETOR! INCL 1000000 PARTNERSIEXECUTIVE DISEASE-POLICY LIMIT OFFlCERS ARE: EXCL DISEASE-EACH EMPL. 1000000 OTHER DESCRIPrION OF OPERATIONSILOCATIONSlVEmCLES/SPECIAL ITEMS The Monroe County Board of County Commissioners shall be named as additional insured on the general liability and auto liability for operations being performed by the insured on the following project: Jackson Square Old Courthouse - Renovations and Additions .)t$ltbtleiiitB.b.tijd'i'fitf')m .. .............................. ................. ..... ......... ............ ................................ ................. ::'::'4iilNtiitEt\ci.6.ij::\'/\\j) .............. ....'. . ........ ......,. ..........,........,....,' 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 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHO D NT T Monroe County Board of County Commissioners 5100 College Road Key West, FL 330Ja^TE INIT/^l. ................... .................. ................... ................... ................... ................... ................... ................... .................. ................... ................... ................... ................... ................... .................. ................... .................. ................... ................... . . . . . . . . . . . . . . . . . . ................... ................................................................................................................................................... ................................................................................................................................................... ................................................................................................................................................... ................................................................................................................................................. ....1111111111111.1_11...... ................... .................. ................... .................. .................. .................. ............................................................................................................. ....................................................... .. .. DATE (MMIDD/YY) PRODUCER ... ..... ...... ..... ..... .... ..... ...... ...... ...... ..... ...... ...... ................................................................................................................. .............................................. .................... ....... ..................................... 5/13/99 305 822-7800 TIllS CERTIDCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIDCATE HOLDER. TIllS CERTIDCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Collinsworth, Alter, Nielson, Fowler & Dowling, Inc. Post Office Box 9315 Miami Lakes, FL 33014-9315 COMPANIES AFFORDING COVERAGE INSURED COMPANY A Michigan Mutual Insurance Co COMPANY Rovel Construction, Inc. 7380 S.W, 48th Street Miami FI 33155 B The FCCI Mutual COMPANY c COMPANY D TIllS 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 WIm RESPECT TO WHICH TIllS CERTIFlCATE MAYBE 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 MA Y HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF. DATE (MMIDD/YY) POLICY EXP. DATE (MMIDD/YY) LIMITS A GENERAL LIABILITY COMM. GENERAL LIABILITY CLAIMS MADE 0 OCCUR OWNER'S & CONTRACT'S PROT CPP1286583 5/13/99 5/13/00 GENERAL AGGREGATE PROD-COMP/OP AGG. PERS. & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE(Ooo Fire) MED EXP(Any ono penon) COMBINED SINGLE LIMIT 5000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCIIEDVLED AUTOS X IDRED AUTOS X NON-oWNED AUTOS CA1286574 5/1 3/99 5/13/00 1000000 BODILY INJURY (Per person) ANY AUTO BODILY INJURY (Per accident) PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY-EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY EACH OCCURRENCE AGGREGATE B STATUTORY LIMITS 1000000 1000000 1000000 026944 1/01/98 1/01/99 EACH ACCIDENT DISEASE-POLICY LIMIT DISEASE-EACH EMPL. THE PROPRIETOR! PARTNERSIEXECUTIVE OFFICERS ARE: INCL EXCL OTHER D SCRIPrlON OF OPERATIONSILOC IONSIVEIDCLES/SPECIAL ITEMS The Monroe County Board of County Commissioners shall be named as . additional insured on the general liability and auto liability for \ operations being performed by the insured on the following project: \. Jackson Square Old Courthouse - Renovations and Additions Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIDCATE HOLDER NAMED TO THE , BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AVTHO D NT D^TE Board of County Commlm~'Lers 5100 College Road Key West, FL 33040 DATE (MMiDDIYY) .:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.: 12/09/98 PRODUCER 305 822-7800 THIS CERTIFICATE IS ISSUED AS A MATTER OF I!\'FORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Collinsworth, Alter, Nielson, Fowler & Dowling, Inc. Post Office Box 9315 Miami Lakes, FL 33014-9315 COMPANIES AFFORDING COVERAGE INSURED COMPANY A Michigan Mutual Insurance Co COMPANY Rovel Construction, Inc. 7380 S.W. 48th Street Miami FI 33155 B The FCCI Mutual COMPANY c COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEWW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSrANDING 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 EFF. POLICY EXP. LTR LIMITS DATE (MMiDD/YY) DATE (MMiDDIYY) GENERAL LIABILITY GENERAL AGGREGATE A COMM. GENERAL LIABILITY CPP1286583 5/13/98 5/13/99 PRO~OMP/OP AGG. CLAIMS MADE UUOCCUR PERS. & ADV. INJURY OW1ll"ER'S & CONTRACT'S PROT EACH OCCURRENCE F1RE DAMAGE(One Fire) MED EXP(Any one person) 5000 AUTOMOBILE LIABILITY COMBINED SINGLE A ANY AUTO CA1286574 5/1 3/98 5/1 3/99 LIMIT 1000000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON.()WNED AUTOS (Per accident) "V PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS' LIABILITY B 026944 1/01/99 1/01/00 EACH ACCIDENT 1000000 THE PROPRIETOR! INCL 1000000 PARTNERSIEXECUTIVE DISEASE-POLICY LIMIT OFFICERS ARE: EXCL DISEASE-EACH EMPL. 1000000 OTHER DESCRIPTION OF OPERA TIONSILOCATIONSlVEffiCLES/SPECIAL ITEMS The Monroe County Board of County Commissioners shall be named as additional insured on the general liability and auto liability for operations being performed by the insured on the following project: Jackson Square Old Courthouse - Renovations and Additions ?~b.i.]!l6.i.imt('} ...... :.;.;:::;::::::::::::::::::::::::::::::::::::::::::::::::::: . ..... . ............ ....................... ............ . (,,','~(,~~','~'~((~(}}~~e.~~'nQN\ ::::::;:::::::::::::. ...........,'....................... . ...................................... .................................... . ...................................... .................................................................. Board of County Commissioners 5100 College Road 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 CERTIFlCA TE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. D NT Monroe County DATE \\\aji'tit~s/ 31.j.. .............................. ......................................................'.' ..... ............... ................. ................. ................. ................. ...::.:,~:~:rq:I,':~,.:~\\.N~..iR:~~~i:.:~i:.:.l'~. ::::::::IiQ~Q?'(.......E\I5i~'i}JtA1L::51Cf::::lJj~d;I~"JNtlJm!\IkJW:::::::>' .................................................... ................................................... ................................................ . .............................................. .............................................. ............................................ ..................................... .................................. .............................. ....................... . DATE (MM/DD/YY) ....................................... ............................. . ..................... ................... ........ ......................... ................ . 11/19/98 .... ...... .... . . . . . . . . . . . . . . . . . . . . . . ....................... .................. ........ ......... ........ ...... .............................. ..................... .................. ...................... . .................... ................ . PRODUCER 305 822-7800 TIllS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RlGIITS UPON THE CERTIDCATE HOLDER. TIllS CERTIDCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Collinsworth, Alter, Nielson, Fowler & Dowling, Inc. Post Office Box 9315 Miami Lakes, FL 33014-9315 COMPANIES AFFORDING COVERAGE INSURED COMPANY A Michigan Mutual Insurance Co COMPANY B The FCCI Mutual Rovel Construction, Inc. 7380 S.W. 48th Street Miami FI 33155 COMPANY c COMPANY D TIllS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITIIST ANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WlllCH TIllS CERTIDCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICIES. LIMITS SHOWN MA Y HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER LTR GENERAL LIABILITY A COMM. GENERAL LIABILITY CPP1286583 CLAIMS MADE !lU OCCUR OWNER'S & CONTRACT'S PROT AUTOMOBILE LIABILITY A ANY AUTO CA1286574 ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON.QWNED AUTOS GARAGE LIABILITY " ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRElLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY B 026944 THE PROPRIETOR! INCL PARTNERSIEXECUTIVE OFFlCERS ARE: EXCL OTHER POLICY EFF. DATE (MM/DDIYY) POLICY EXP. DATE (MM/DD/YY) LIMITS 5/13/98 5/13/99 GENERAL AGGREGATE PROD-COMP/OP AGG. PERS. & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE(One Fire) MED EXP(Any one person) 5000 5/13/98 5/13/99 COMBINED SINGLE LIMIT 1000000 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE AUTO ONLY-EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE STATUTORY LIMITS EACH ACCIDENT DISEASE-POLICY LIMIT DISEASE-EACH EMPL. DESCRIPTION OF OPERATIONSILOCATIONSlVEmCLES/SPECIAL ITEMS The Monroe County Board of County Commissioners shall be named as additional insured on the general liability and auto liability for operations being performed by the insured on the following project: Jackson Square Old Courthouse - Renovations and Additions jj$.tiitlb.~i..jftlQmi'ijt(, ................... .................................... :'\:::b.iNawt\ti6N;: ........ ...... ...................... ...................... .. ...................... ............................................................. ........................... ........................ . ................... Stock Island 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 CERTIDCATE 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. AUTHO D NT T Monroe County \&ooitittts.;.s:.:..:.' , O^TE 55QW3 12-15-1998 DECLARATIONS PAGE MATCH 02692 STATE FARM A INSURANCE 12 11 10 *** *C* *0* *p* *Y* *** STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY 7401 CYPRESS GARDENS BOULEVARD WINTER HAVEN FL 33888 ~f(Q(I~~R~ POLlCYNUMBER 633 9481-B17-59D - 8 02692 59-2641-551Q MONROE CTY BD OF COMMISSIONERS 100 COLLEGE ROAD STOCK ISLAND KEY WEST FL 33040 ..!j POLICY PERIOll> E C 11 1998 TO F E B 1 7 1999 5 ."..--.---------') CONSTRUCTION C DEL BODY STYLE 4RUNNER SPORT .J INSURE : ROVEL YEAR 1999 TOYOTA COVERAGES (AS DEFINED IN POLICY) SYMBOL-PREMIUM-COVERAGE NAME-LIMITS OF LIABILITY NAMED DESCRIBED VEHICLE DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE.- VEHICLE IDENTIFICATION NUMBER WG JT3GN87R7X0102350 CLASS 1H3H300 A $143.91 P10 $28.33 C $8.29 D500 $103.27 G500 $96.26 H $.62 R1 $2.57 U3 $18.57 BOD!LY INJURY/PROPERTY DAMAGE LIABILITY LIMIT OF LIABILITY-COVERAGE A 1,000,000 EACH ACCIDENT NO-FAULT (SEE POLICY SCHEDULE FOR LIMITS.) ME~ A~ ~L O~A~~~~IE I TY-C OV~~~~Ep~RSON ';~r{lrn' /h:"~rp,A"'r 5,000 L'Y_!~_ $500 DEDUCTIBLE COMPREHENSIVE L'l.f'.-iE_l-(/-Q,G__ $500 DEDUCTIBLE COLLISION ' ~ YL- EMERGENCY ROAD SERVICE CAR RENTAL AND TRAVEL EXPENSES \"~'!.TR,'.'./ LfM1 NONSTACKING UNINSURED MOTOR VEHICLE - ~~, .-<.: \C,": LIMITS OF LIABILITY-U3 ~ EACH PERSON, EACH ACCIDEN; -, m.t 25,000 50,000 Cc: I'~ $401.82 TOTAL PREMIUM FOR POLICY PERIOD DEC 11 1998 TO FEB 17 1999 $1094.90 CURRENT 6 MONTH PREMIUM FOR AUG 17 1998 TO FEB 17 1999 ------------------------------------------------------------------------------ FOR QUESTIONS, PROBLEMS OR TO OBTAIN INFORMATION ABOUT COVERAGE CALL: (305) 386-7170 ------------------------------------------------------------------------------ EXCEPTIONS AND ENDORSEMENTS FINANCFD- UNION PLANTERS BANK. 5801 SUNSET DR~ SOUTH MIAMI FL 33143-5219. 01 6028E.5 LAUDERDALE 02 6028E. 5 ROAD STOCK 6038NN 6038NN.1 6289E ADDITIONAL INSURED-BROWARD COUNTY, 115 S ANDREW AVE, FORT FL 33301-1818. ADDITIONAL INSURED-MONROE CTY BD OF COMMISSIONERS, 100 COLLEGE ISLAND, KEY WEST FL 33040. AMENDATORY ENDORSEMENT: CHANGES - DEFINED WORDS; INSURED'S DUTIES; COVERAGES; CONDITIONS. AMENDATORY ENDORSEMENT: CHANGES - DEFINED WORDS; INSURED'S DUTIES; COVERAGES; CONDITIONS. SINGLE LIMIT OF LIABILITY~ ------------------------------------------------------------------------------ NAMED INSURED- ROVEL CON$TRUCTION INC 7380 SW 48TH ST MIAMI FL 33155-5523 THIS IS YOUR DECLARATIONS PAGE. PLEASE ATTACH IT TO YOUR AUTO POLICY BOOKLET. BY YOUR POLICY CONSISTS OF THIS PAGE, ANY ENDORSEMENTS, AND THE POLICY BOOKLET, FOR c' REPLACED POLICY 6339481-59C COUNTERS '~J~/l.~- - - - 2641-600 PLEASE KEEP TOGETHER MUTL VOL 155-4976 STAn FARM A 7401 CYPRESS GARDENS BOULEVARD WINTER HAVEN FL INSURANCE li; _ 12 11 10 *** *C* *0* *P* *Y* *** HMOCI)GQSO 00845 59-2641-551Q MONROE CTY BD OF COMMISSIONERS 100 COLLEGE ROAD STOCK ISLAND KEY WEST FL 33040 POLICY NUMBER 633 9481-B 17- 59E POLICY PERIOIf E B 25 1999 TO A U G 1 7 1 999 __ ...- NAMED INSURED: ROVEL CONSTRUCTION INC DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE. _ _ DESCRIBED YEAR MAKE MODEL VEHICLE 1999 TOYOTA 4 RUNNER COVERAGES (AS DEFINED IN POLICY) SYMBOL-PREMIUM-COVERAGE NAME-LIMITS OF LIABILITY BODY STYLE VEHICLE IDENTIFICATION NUMBER SPORT WG JT3GN87R7X0102350 CLASS 1H3H300 A $356.13 P10 $68.25 C $20.08 D500 $244.92 G500 $271.61 H $1.63 R1 $7.07 U3 $40.92 BODILY INJURY/PROPERTY DAMAGF LIABtL!TY LIMIT OF LIABILITY-COVERAGE A 1,000,000 EACH ACCIDENT ~ NO-FAULT (SEE POLICY SCHEDULE FOR LIMITS.) ~. MEDICAL PAYMENTS _ LIMIT OF LIABILITY-COV~~~~Ep~RSON .,. (1\'.'F~'~~' J:'~i ,..",!,n.~ /(' U:.wt 5,000 l'':" ~_!Jj- . L ,. $500 DEDUCTIBLE COMPREHENSIVE ., -- - {~- -----J/Xf~ $500 DEDUCTIBLE COLLISION ['q ';:;:< Cq EMERGENCY ROAD SERVICE . '--"-d -4-j--____ CAR RENTAL AND TRAVEL EXPENSES, ' NONSTACKING UNINSURED MOTOR VEHICLE""i~",: I',;: ,~ 'TS LIMITS OF LIABILITY-U3 ' .___ EACH PERSON, EACH ACCIDENT 25,000 50,000 $1010.61 TOTAL PREMIUM FOR POLICY PERIOD FEB 25 1999 TO AUG 17 1999 $1057.11 CURRENT 6 MONTH PREMIUM FOR FEB 17 1999 TO AUG 17 1999 FOR QUESTIONS, PROBLEMS OR TO OBTAIN INFORMATION ABOUT COVERAGE CALL: (305) 386-7170 ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ EXCEPTIONS AND ENDORSEMENTS FINANCED- UNION PLANTERS BANK, POBOX 601728 16051 WEST DIXIE HIGHWAY, N MIAMI BEACH FL 33160-1728. 01 6028E.5 ADDITIONAL INSURED-BROWARD COUNTY, 115 S ANDREW AVE, FORT LAUDERDALE FL 33301-1818. 02 6028E.5 ADDITIONAL INSURED-MONROE CTY BD OF COMMISSIONERS, 100 COLLEGE ROAD STOCK ISLAND, KEY WEST FL 33040. 6038NN.1 AMENDATORY ENDORSEMENT: CHANGES - DEFINED WORDS; INSURED'S DUTIES; COVERAGES; CONDITIONS. 6289E SINGLE LIMIT OF LIABILITY. NAMED INSURED- ROVEL CONSTRUCTION INC 7380 SW 48TH ST MIAMI FL 33155-5523 ------------------------------------------------------------------------------ DATE INITIAL C OU N T E R S I G NED _ _ _ _ _ _ _ ...... _ _ _ _ _ THIS IS YOUR DECLARATIONS PA E. PLEASE ATTACH IT TO YOUR AUTO POLICY BOOKLET. BY - _ _ _ _ _ _ _ _ _ _ _ -'""7 _ _2641-600 YOUR POLICY CONSISTS OF THIS PAGE, ANY ENDORSEMENTS, AND THE POLICY BOOKLET, FORM 9810 . 6 PLEASE KEEP TOGETHER REPLACED POLICY 6339481-59D MUTL VOL 155-4976