Certificates of Insurance
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...............-.............-.............
..................h..
..................
02/16/99
.....................
.h................
........................
.........................
........................
........................
....................
DATE (MMIDDIYY)
PRODUCER
305 822-7800
TIllS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UlON THE CERTIFlCATE HOLDER. TIllS CEll.TIFlCATE
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 F1 33155
B
The FCCI Mutual
COMPANY
c
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISrED BELOW HAVE BEEN ISSUED TO THE INSVtiJ) NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWlTHST ANDING ANY REQUIREMENT. TERM OR CONDmON OF ANY CONTRACT OR 0THEIt DOCUMENT WITH RESPECT TO WHICH TIllS
CERTIFICATE MAYBE ISSUED OR MAY PiJtTAIN, 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 EFF. POLICY EXP.
DATE (MMIDDIYY) DATE (MMIDDIYY)
LIMITS
A
GENERAL LIABILITY
COMM. GENERAL LIABILITY
CLAIMS MADE [1L] OCCUR
OWNER'S & CONTRACT'S PROT
CPP1286583
5/13/98
5/13/99
GENERAL AGGREGATE
PROD-COMP/OP AGG.
PERS. & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE(Oae FIre)
MED EXP(Any.... penonl
COMBINED SINGLE
LIMIT
o
5000
AurOMOBILE LIABILITY
A ANY AurO
ALL OWNED AurOS
SCHEDULED AurOS
X HIRED AurOS
X NON-oWNED AurOS
CA1286574
5/13/98
5/13/99
1000000
BODILY INJURY
(Per penoo)
BODILY INJURY
(Per _oil
PROPERTY DAMAGE
ANY AurO
Auro ONLY-EA ACCIDENT
OTHER THAN AurO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
GARAGE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
026944
1/01/98
1/01/99
srATIlTORY LIMITS
EACH ACCIDENT
DISEASE.POLICY LIMIT
D1SEASE-EACH EMPL.
B
THE PROPRlETORl
PARTNERSlEXECUTIVE
omCERS ARE:
INCL
DCL
OTHER
,Y
DESCRlPfION OF OPERATIONSlLOCATIONSIVEHICLES/SPECIAL ITEMS
The Monroe County Board of County Commissioners shall be named as
additional insured on the general liability and auto liability for
Project: TENANT IMPROVEMENTS FOR THE NATIONAL WEATHER SERVICE KEY WEST
INTERNATIONAL AIRPORT PROJECT.WPI No.6826662
DATE --&::-t q-q9
WAIVER:
'" ,: / v,,,
t'i~ .~ _ l,~,")
INITIAL
::):::eiN~ii6N').r\.. "... :",,::::!:::\\::::::::l::{\::t::{:..ii:::::::::::::::::::::::::': ........................,.."."",i??:':;::
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITIEN NOTICE TO THE CEll.TIFlCATE HOLDER NAMED TO THE
LEFT, Bur FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KlND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORI
...........,....;............................................................................".............."."
ctttO.1dAj$ll6Lbu:...,.,.,....rrt.,.,r. .'.
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...............................
............................
........................
Monroe County
Board of County Commissioners
5100 College Road
Key West, FL 33040
AcoRi):zS;;S j~:
--0-"-.'"
A CORl)TM INSURANCE BINDER I DATE
02/17/1999
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM.
PRODUCER I PHONE COMPANY I BINDER #
iAic No Ext\: 305-822-7800
COLLINSWORTH,ALTER,NIELSON Great American Ins POLlIMP9810139
EFFE TIVE DATf'PIRATlOf'!
P. O. BOX 9315 DATE TIME TIME
~ AM ~ 12:01 AM
MIAMI LAKES FL 33014 02/16/1999 12:01 PM 05/16/1999 NOON
I SUB CODE: I THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY
CODE: PER EXPIRING POLICY #:
AGENCY tin. DESCRIPTION OF OPERATlONSNEHICLES/PROPERTY (Including Location)
INSURED Interior work to be performed at Key West Airport,
ROVEL CONSTRUCTION, INC. Key West (Monroe County), Florida
7380 S.W. 48th Street
Miami FL 33155
I
COVERAGES
LIMITS
TYPE OF INSURANCE COVERAGE/FORMS DEDUCTIBLE COINS % AMOUNT
PROPERTY CAUSES OF LOSS
- D BROAD D SPEC
BASIC
-
-
GENERAL LIABILITY EACH OCCURRENCE $
-
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $
I ClAIMS MADE D OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
-
GENERAL AGGREGATE $
-
RETRO DATE FOR CLAIMS MADE: PRODUCTS - COMP/OP AGG $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
-
ANY AUTO BODILY INJURY (Per person) $
~
ALL OWNED AUTOS BODILY INJURY (Per accident) $
r--
SCHEDULED AUTOS PROPERTY DAMAGE $
I--
HIRED AUTOS MEDICAL PAYMENTS $
f--
NON-OWNED AUTOS PERSONAL INJURY PROT $
I--
UNINSURED MOTORIST $
f--
$
AUTO PHYSICAL DAMAGE DEDUCTIBLE ~ ALL VEHICLES U SCHEDULED VEHICLES ACTUAL CASH VALUE
R COWSION: STATED AMOUNT $
OTHER THAN COL: OTHER
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
I--
ANY AUTO OTHER THAN AUTO ONLY:
f--
EACH ACCIDENT $
-, ~
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
R UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF. INSURED RETENTION $
WC STATUTORY LIMITS
WORKER'S COMPENSATION E.L EACH ACCIDENT $
AND
EMPLOYER'S LIABILITY E.L DISEASE - EA EMPLOYEE $
E.L DISEASE - POLICY LIMIT $
SPECIAL Builders Risk: Li.it $163,000 Special FEES $
CONDITIONS/ Ded. $1,000 except $10,000 Wind & Hail TAXES $
OTHER
COVERAGES
ESTIMATED TOTAL PREMIUM $
NAME & ADDRESS
MORTGAGEE
LOSS PAYEE
LOAN #
ADDITIONAL INSURED
AU
ACORD 75-S (1/98)
NOTE: IMPORTANT STATE INFORM
. . . . . . . . , . . . . . . . . .
..................
..................
..................
DATE (MMIDD/YY)
",L~...._
1 2/09/98
PRODUCER
305822-7800
TIllS CERTIFlCA TE IS ISSUED AS A MATTER OF INFOR1\fATION ONLY .....1\ID
CONFERS NO RIGHTS UPON THE CERTIDCATE HOLDER. TIllS CERTIF1CATE
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 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 WITH RESPECT TO WHICH TIllS
CERTIF1CATE 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 EFF.
DATE (MMIDD/YY)
POLICY EXP.
DATE (MMIDD/YY)
LIMITS
A
GENERAL LIABILITY
COMM. GENERAL LIABILITY
CLAIMS MADE ~ OCCUR
OWNER'S & CONTRACT'S PROT
CPP1286583
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
A
AurOMOBILE LIABILITY
ANY AurO
ALL OWNED AurOS
SCHEDULED AurOS
X HIRED AurOS
X NON.QWNED AurOS
CA1286574
5/13/98
5/13/99
COMBINED SINGLE
LIMIT
1000000
BODILY INJURY
(Per person)
vY
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
W4IVER:
ill.;: . ~ _ YES
AurO ONLY-EA ACCIDENT
OTHER THAN AurO ONLY:
EACH ACCIDENT
AGGREGATE
GARAGE LIABILITY
ANY AurO
DATE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
EACH OCCURRENCE
AGGREGATE
B
026944
1/01/99
1/01/00
STATUTORY LIMITS
EACH ACCIDENT
DISEASE-POLICY LIMIT
DISEASE-EACH EMPL.
1000000
1000000
1000000
THE PROPRIETOR!
PARTNERSIEXECurIVE
OFFICERS ARE:
INCL
EXCL
OTHER
_....____~..~__""'.'"~..e
MONf~OE CijUflf"'y' ,
I'~C.~,:!STRI.~CT!'...'~~~ ':':",~/:rrr;
1
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/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:
ARFF Building at Key West International Airport
i
: TIMf;: '_._.__
; RECEIVED 8'1":
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.................
... .................................
........... .......
..........................
.............................................
,.................,.
...................
,.................,
..................
Monroe County
DAn
Board of County CommisWdN-
5100 College Road
Key West. FL 33040
......................................................
.............................................
. ...................................
..........................
. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
............................
.........................
.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.;.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:....
.....................................................
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.........................................................................................................
.....................................................
....................................................
.........................................................................................................
.:::::::::::::::;:::;:::::::::::::::::::::::::::::::::::::::::::::::;:::;:::::;:::;:;:::::::::::::;::::::
........................................................................................................
....................................................
.;:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.:.:.........
......................................
...................................
.................................
............................
DATE (MMIDDIYY)
............... ...
.....................
.....................
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....... .......
:111181111111:111:1111_111:
5/20/99
PRODUCER
305 822-7800
TillS CERTIF1CATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIF1CATE HOLDER. TillS CERTIF1CATE
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
Rove1 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 IIA VE 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 TIllS
CERTIF1CATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED IlEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY IIA VE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP.
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 [X] OCCUR PERS. & ADV. INJURY
OWNER'S & CONTRACT'S PROT EACH OCCURRENCE
FIRE DAMAGE(One Fire)
MED EXP(Any one penon) 5000
AUTOMOhILE LIABILny COMBINED SINGLE
A ANY AUTO CA1286574 5/13/99 5/13/00 LIMIT 1000000
ALL OWNED AUTOS BODILY INJURY
SCIlEDULED AUTOS (Per penon)
X HIRED AUTOS ,~ BODILY INJURY
X NON-oWNED AUTOS n~ (Per accident)
PROPERTY DAMAGE
C.
GARAGE LIABILITY \' 1,'. rnC~ AUTO ONLY-EA ACCIDENT
ANY AUTO \/cr:".___ OTIIER THAN AUTO ONLY:
V:r \\TP: ,""
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
TIlE PROPRIETOR! INCL 1000000
PARTNERSIEXECUTIVE DISEASE-POLICY LIMIT
OFFICERS ARE: EXCL DISEASE-EACH EMPL. 1000000
OTIIER
DESCRIPTION OF OPERATIONSILOCATIONSlVEillCLES/SPECIAL ITEMS
The Monroe County Board of County Commissioners shall be named as
additional insured on the general liability and auto liability for
Project: TENANT IMPROVEMENTS FOR THE NATIONAL WEATHER SERVICE KEY WEST
INTERNATIONAL AIRPORT PROJECT.wPI No.6826662
...........................................................
~~d'A1jta6tUi1'tt)~:ii
...
.:.:-:.:.:.:.:.;.:.:.:.;.:.::::::::::::::::::;:::::;:::;:;:::;:::;:::::;::::::::::::::;:::::............
::::e&iUm_n6.it:\~\\:f:}?
....
........ ..... ......... .........................
..................... ...................................
....................................... ......................................................
..................
... . ..............
. . . . . . .. . . . . . . . . . . . . . . . . . . .
..........................
........................
......................
.................
DATE
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 CERTIF1CATE HOLDER NAMED TO THE
LEFr, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORI D
Monroe County
Board of County Commissioners
5100 College Road
Key West. FL 33040
~ACoRit:ts;.S.::. .
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:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:
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::::::;;::;;::;::::::::::::::;::::::::;:::::;:::;::;:::;:::::;::::::::::::::::::::::::::::::::::::::::::::::::::;::::::::::::::::::::::::::::;:;;::;;:::::;;:::::::;::::::::::::::::::;;::::;:::::::;:;;:::;:;:;;;;;:;:::::::::::::::::::::::::::::::::;:::::;:;::;;:;:;;::;:;:::;:;:::::;:::::;:::::;;;:;:;:::;:;:::::::::;:::;:;:;:;:;:;:::::;::
imi)B)goo;:m;-o:;:I)mi:=moo:::;illtO:ljX:;B;:)i:.O::::[lO::i::.oof::::?I::o::::'::IjH:)::-(Oo:o:::1IlI/\::::o::m:o::::BTo:oi
... ..... ..... . ... ... .. ... . ...... ... ... .. ... .. . ...... ... . .... .... ...... .... ...
:.:-:::...:...:...::..........;....:::....:::....:.....:.;::.:.....:::::..:...:::...:::.......:::.....:.;::.....:.:...::;:;:;::-:.:.:...:::.......::::::::;::.....:.....:::::-.::.....:...::;.:...:...:::.....:.:.....:...:::.....:.....;:;::...;:;::...:...:::.....:.....::
DATE (MMIDD/YY)
:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.:.:.:.:-:::.::
....... ..
.........................
..................................................
........................
......................
5/1 3/99
PRODUCER
305 822-7800
TInS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTillCATE HOLDER. TInS CERTillCATE
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 FI 33155
B
The FCCI Mutual
COMPANY
c
COMPANY
D
TInS 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 TInS
CERTillCATE 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
LTR
GENERAL LIABILITY
A COMM. GENERAL LIABILITY CPP1286583
CLAIMS MADE [X] OCCUR
OWNER'S & CONTRACT'S PROT
AUTOMOBILE LIABILITY
A ANY AUTO CA1286574
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-oWNED AUTOS
y
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
B 026944
POLICY EFF.
DATE (MMIDD/YY)
POLICY EXP.
DATE (MMIDD/YY)
LIMITS
5/13/99
5/1 3/00
GENERAL AGGREGATE
PROD-COMP/OP AGG.
PERS. & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE(Ooe Fire)
5000
MEn EXPCAny one person)
5/13/99
5/1 3/00
COMBINED SINGLE
LIMIT
1000000
BODILY INJURY
(Per person)
THE PROPRIETOR!
PARTNERSIEXECUTIVE
OFFICERS ARE:
OTHER
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
AUTO ONLY-EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
STATUTORY LIMITS
1/01/98
EACH ACCIDENT
DISEASE-POLICY LIMIT
DISEASE-EACH EMPL.
INCL
EXCL
'\
---...",,---
---......-.
",-....
.DESCRIPI'ION OF OPERATIONS ATIONSlVEmCLES/SPECIAL ITEMS
The Monroe Coun oard of County Commissioners shall be named as
additional insured on the general liability and auto liability for
Project: TENANT IMPROVEMENTS FOR THE NATIONAL WEATHER SERVICE KEY WEST/
INTERNATIONAL AIRPORT PROJECT.wPI No,6826662 -
Monroe County
DATE
Board of County ComnfNfJIl\El.rs
5100 College Road
Key West, FL 33040
7401 CVPRFSS GARDFNS ROUI FVARD WINTFR HAVFN FL 33888
flATE FARM
A
INSURANC~
'2
"
'0
9
***
*C*
*0*
*p*
*y*
***
~~~fi
POLICY NUMBER 633 8488-A 17-59F
00939 59-2641-551B
MONROE CTY BD OF COMMISSIONERS
100 COLLEGE ROAD
STOCK ISLAND
KEY WEST FL 33040
6
POLICY PERIODJ AN 17 2000 TO J UL 17 2000 5
DO NOT PAY PREMIUMS SHOWN ON THIS PAGE.
SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE. --
BODY STYLE VEHICLE IDENTIFICATION NUMBER
SPORT WG 1FMZU32E7WUC47275
CLASS
1H3H300
DESCRIBED YEAR MAKE MODEL
VEHICLE
1998 FORD EXPLORER
COVERAGES (AS DEFINED IN POLICY)
SYMBOL-PREMiUM-COVERAGE NAME-LIMITS OF LIABILITY
------------------------------------------------------------------------------
BODILY INJURY/PROPERTY DAMAGE LIABILITY
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 ,~-' ,'i f'~".' '!' ,"1:
5,000 v ---
$500 DEDUCTIBLE COMPREHENSIVE v ",...a3'oO
:~~2G~~g~C~~~~ES~~ij~~~ION ['nE ---7:;' ,--
CAR RENT AL AND TRAVEL EXPENS E S. ,cr
NONST ACK ING UNINSURED MOTOR VEHI CLE\"~'\T?: ,,;,,' -- - 1,_-
LIMITS OF LIABILITY-U3
EACH PERSON, EACH ACCIDENT
25,000 50,000
$836.55 TOTAL PREMIUM FOR POLICY PERIOD JAN 17 2000 TO JUL 17 2000
A $392.75
P10 $74.00
C $19.20
0500 $128.25
G500 $165.75
H $1.60
R1 $7.40
U3 $47.60
FOR QUESTIONS, PROBLEMS OR TO OBTAIN INFORMATION ABOUT COVERAGE
CALL: (305) 386-7170
------------------------------------------------------------------------------
EXCEPTIONS AND ENDORSEMENTS
FINANCED- BARNETT BANK, INSURANCE DEPT PO BOX 2759, JACKSONVILLE FL
32203-2759.
01 6028E.5 ADDITIONAL INSURED-CITY OF FORT LAUDERDALE, 100 N ANDREWS AVE,
FORT LAUDERDALE FL 33301-1016.
02 6028E.5 ADDITIONAL INSURED-MONROE CTY BD OF COMMISSIONERS, 100 COLLEGE
ROAD STOCK ISLAND, KEY WEST FL 33040.
6289E SINGLE LIMIT OF LIABILITY.
RESIDENCE-7320 SW 100 CT, MIAMI FL 33173.
------------------------------------------------------------------------------
NAMED INSUR
CTION INC 7380 SW 48TH ST MIAMI FL 33155-5523
FEB 2 4 2000
COUNTERSIGNED_ _ _ _.::.w _ _ _ _ _ - -
BY _ _ _ _ _ 2641-600
YOUR POLICY CONSISTS OF THIS PAGE, ANY ENDORSEMENTS, AND THE POLICY BOOKLET, FORM 9810. 7 PLEASE KEEP TOGETHER
REPLACED POLICY 6338488-59E NEW POLICY FORM
MUTL VOL
155-4976
STATE FARM
A
7401 CYPRFSS GARDENS BOULEVARD WINTER HAVEN Fl 33888
IN5URANC~,-
12
11
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POLICY NUMBER 633 9481-B 17- 59 F
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1r1r1r
00937 59-2641-551B
MONROE CTY BD OF COMMISSIONERS
100 COLLEGE ROAD
STOCK ISLAND
KEY WEST FL 33040
6
POLlCYPERIOCfEB 17 2000TOAUG 1720005
NAMED INSURED: ROVEl CONSTRUCTION INC
DESCRiBED YEAR MAKE MODEL BODY STYLE VEHICLE IDENTIFICATION NUMBER
VEHiCLE
1999 TOYOTA 4 RUNNER SPORT WG JT3GN87R7X0102350
COVERAGES (AS DEFINED IN POLICY)
SYMBOL-PREMIUM-COVERAGE NAME-LIMITS OF LIABiLITY
DO NOT PAY PREMIUMS SHOWN ON THIS PAGE.
SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE. _ _ .
CLASS
1H3H300
A $392.75
P10 $74.00
C $19.20
D500 $214.00
G500 $254.25
H $1.60
R1 $7.40
U3 $47.60
BODILY INJURY/PROPERTY DAMAGE LIABILITY
LIMIT OF LIABILITY-COVERAGE A 1,000,000 EACH ACCIDENT
NO-FAULT (SEE POLICY SCHEDULE FOR LIMITS.)
MEDICAL PAYMENTS
LIMIT OF LIABILITY-COVERAGE C
EACH PERSON
5,000
$500 DEDUCTIBLE COMPREHENSIVE
$500 DEDUCTIBLE COLLISION
EMERGENCY ROAD SERVICE
CAR RENTAL AND TRAVEL EXPENSES
NONSTACKING UNINSURED MOTOR VEHICLE
LIMITS OF LIABILITY-U3\".,,'rp. ,';,_,,_
EACH PERSON, ~AC~'ACtIDENT
25,000 50,000
$1010.80 TOTAL PREMIUM FOR POLICY PERIOD FEB 17 2000 TO AUG 17 2000
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------------------------------------------------------------------------------
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-CITY OF FORT LAUDERDALE, 100 N ANDREWS AVE,
FORT LAUDERDALE FL 33301-1016.
02 6028E.5 ADDITIONAL INSURED-MONROE CTY BD OF COMMISSIONERS, 100 COLLEGE
ROAD STOCK ISLAND, KEY WEST FL 33040.
6289E SINGLE LIMIT OF LIABILITY.
------------------------------------------------------------------------------
NAMED INSURED- ROVEL CONSTRUCTION INC 7380 SW 48TH ST MIAMI FL 33155-5523
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THIS IS YOUR CO U N T E R S I G NED _ _ _ _ _ _ _ _ _ _ _ _ _
PLEASE ATTACH iT TO s:P94~Y B BY 2641- 600
YOUR POLICY CONSISTS OF T , ANY ENDORSEMENTS, AND THE POLICY BOOKLET, FORM 9810. 7 PLEASE KEEP TOGETHER
REPLACED POLICY 6339481-59E NEW POLICY FORM
MUTL VOL
MONROE COUNTY I
CONS- . '~TION M~~I' ":::~E;.JTI
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155-4976