Certificates of Insurance
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATS (MlllllDlVYI
- 09/25/2001
P.ulDUCIIt THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Gregory Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3300 NW N River Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Miarni,FL 33142
305-638-2555 INSURERS AFFORDING COVERAGE
,_D Robbie's Safe Harbor Enterprises INSlRER A: First Specialty Insurance Co
Robbie's Shipping & Port Service INSURER B: CornmercialUnion Insurance Co
P.O. Box 2208 INSURER c:
Key West, FL 33045 INSURER 0:
,305-294-1123 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.
IN811l
L....
TV" 0' INIUIIANCI!
POLICY NUM_.
'OLlCY IFFEC'T1VE
DA.TE IMMlDD/VY
p:~!,;;y ~~~~N
UN""
GENERAL AGGREGATE
$2,000,000
$1,000,000
$ 2,500
$1,000,000
$ 50,000
$1,000,000
~ LIMLITY
I--
X COMMERCIAL GENERAl.. LIABILITY
= ~ CLAIMS MADE 0 OCCUR
EACH OCCURRENCE
FIRE DAMAGE (Ant OM ftre)
MED EXP (Af'r1 on. person)
MAR 72501-01
6/22/01
6/22/02
PERSONAl.. & M:N INJURY
-
GEm AGGREGATE LIMIT APPLES PER:
4 POUCY . n r:~ -h loe
PRODUCTS. COMPJOP AGG
~.... UMILITY
ANY AUTO
-
_ ALL OWNED AUTOS
SCHEDULED AUTOS
-
X HIREO AUTOS
-
~ NON-OWNED AUTOS
COa.eNED SINGLE LMT
(Ee IICc:lcNnI)
$1,000,000
BODQ. Y INJURY
(Per person)
MAR 72501-01
8/24/01
6/22/02
BOOK.. Y NJURY
(PN .cddenl)
lXens LlAalLrrv
m OCCLft 0 CLAIMS MADE
"n'v~"
mt2. ., @~~ ~~=:"~E
([.4!~o AUTO ONLY. EA ACCIOENT
I /'\ -1fVl _I--" ooA;R THAN EA ACC
If I AA N\ ll~'" tJicu>NLY AGG
U EACH OCCURRENCE
AGGREGATE
$
$
$2,000,000
$2,000,000
R........... LIAIIIL/TY
N<< AUTO
AP TI ~lXr~~GEMENT
~~TE' -- q );:r) 0'
/"
CZJH21113*
8/02/01
6/22/02
=l :::~E $
WORK.... Coa.IINSAT10N AND
.MPLOY.U'LIMLITY
I WCSTATIJ.. T 10TEH-R
I TORY LIMITS I
EJ.. EACH ACCIDENT $
E.L. DISEASE. EA EMPLOYEE $
Mar 72501 01
E.L DISEASE. POLICY LIMIT $
$1,000,000
fRp (,,-::0--., ~ -----_
- '. p" . ~ 'V' -- <"/
I SEP 2 B 1001 /
liabili ty lerY,sin;;.4/~':LadY !
I
General Liabil ty and progessi v~ - A\it'o:c~:_.--::_:J
D....
6/22/01
6/22/02
Marina operator
Legal Liability
DUCIIIP'110N 0' ONItATIONSlLOCATIONINBICLIIJIIXCLUIIONS ADDED IV 8D01tUMENTISPIICIAL ,1ll0VlllONS
Marina - Repairs, Storage - Warfingers Liability
*Excluding crew/employees Abosolutely excluding all
Caribe" and M/V "Miss Jody"
Excess Policy is following form over
Policy CA 04569489-1
CERTIFICATE HOLDER
I X I ADDrnDlW. INIU_; INIU"''' ~,,:
CANCELLATION
SHOULD ANY Of THI: DOVE Dlle....ED 'OLlCII. I. CANCIURD ..OB TH.: IX"ItA110N
DATE nuauOF, 'THIII.SUING INSURER. WILL ENDEAVOR TO MAIL
10
DAY' WIIm'84
Monroe County BOCC
3583 S. Roosevelt Boulevard
Key West, FL 33040
NonCE TO ~ CER'l1PtcATE HOLDER NAMID TO THE LE". IlIT FAlLUIU! TO DO 10 SHALL
I
ACORD 25-S (7/97)
"O~~LIQAT10N OR LIABILITY Of' ANV KWD UPON THE INSU1t8t. ITS AGaNTS 011.
"'.INTJrn,.I. r... /)
A~7IT-::r~ ~
""Ii.......
~
Ii) ACOR1 CORPORATION 1988
PROGREDlVE@
COMMERCIAL VEHICLE INSURANCE
ADDITIONAL INSURED
The person or organization named below is a person insured with respect to such liability coverage as is afforded
by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and
then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be
excess insurance over any other valid and collectible insurance.
NAME OF PERSON OR ORGANIZATION:
MONROE CTY B.O.C.C
5100 COLLEGE RD
KEY WEST
FL 33040
LIMIT. OF LIABILITY
Bodily Injury
each person/
each accident
each accident
$1 ,000.000 each accident
Property Damage
Combined Liability
All other parts of this policy remain unchanged.
This endorsement changes Policy No.: 04569489-1
Issued to (Name of Insured): ROBBIE'S SAFEHARBOR
Endorsement Effective: 09/26/01
Expiration: 07/26/02
~~~MEN~
WAIVER NIAC-YE~~
~.~
(1wrYl
Form No. 1198 (4-97)
CVFL0415971607L119802
BRIDGEFIELD
EMPLOYERS INSURANCE
COMPANY
CERTIFICATE OF INSURANCE
RE:
ISSUED TO:
0830-17227
Monroe County BOCC
Risk Management
5100 College Road
Key West. FL 33040
This is to certify that Robbie's Safe Harbor Marine Enterprises. Inc.
P.O. Box 2208. Key West. FL 33045
being subject to the provisions of the Florida Workers' Compensation Act.
secured the payment of any workers' compensation benefits due by insuring their
risk with .the Bridgefield Employers Insurance Company.
POLICY NUMBER: 0830-17227
Statutory Limits--State of Florida
Employers Liability
$100.000 (Each Accident)
$100.000 (Disease-Each Employee)
$500.000 (Disease-Policy Limit)
EFFECTIVE DATE: April 1. 2001
EXPIRATION DATE: April 1. 2002
REMARKS:RE:Monroe County Beach Cleaning
This certificate is not a policy and of itself does not afford any insurance.
Nothing contained in this certificate shall be construed as extending coverage
not afforded by the policy shown above or as affording insurance to any
insured not named above.
The policy of insurance listed above has been issued to the named insured
for the policy period indicated. Notwithstanding any requirement. term or
condition of any contract or other document to which this certificate may
pertain. the insurance made available by the policy described in this
certificate is subject to only the terms. exclusions and conditions of such
policy. Paid claims may have reduced the limits shown.
If the policy described above is cancelled before the expiration date
indicated. the issuing company will attempt to mail ~.U- days' written notice
to the certificate holder named above. However. the issuing company. its
agents or representatives accept no obligation or liability of any kind for ,f) ftuI
failure to mail such notice. Ge~IEN1 c1f6' ~p
~ "
AP~~ .
a'( Ct '
OAiE. ~,(E.S- - ^ .arl\
~A\'JE.R NIA WVV'
- ~ fI-
;7
September 27. 2001
President
Bridgefield Employers Insurance Company
04110
/kr
Date
P.O. Drawer 988 · Lakeland, FL 33802-0988 · 1-800-282-7648 . (863) 665-6060 · Fax (863) 666-1958
www.summitholdings.com
ACORDN CERTIFICATE OF LIABILITY INSURANC~g~l I DATE (MM/DDIYY)
09/26/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Fullers, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1432 Kennedy Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Key West FL 33040 INSURERS AFFORDING COVERAGE
Phone: 305-294-6677 Fax:305-292-4641
INSURED INSURER A: Progressive Commercial Div
Robbie's Safe Harbor INSURER B:
Marine Enterprises INSURER C:
Robert Reckwerdt
PO Box 2208 INSURER D:
Key West FL 33045
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.
INSR TYPE OF INSURANCE POLICY NUMBER b~'rlfrM'i.fJb~cmyE P~l-+~1~rJ~N LIMITS
LTR
GENERAL LIABILITY EACH OCCURRENCE $
f--
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
I
PERSONAL & ADV INJURY $
--
GENERAL AGGREGATE $
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COM PlOP AGG $
I nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $ 1000000
A ANY AUTO 04569489-1 07/26/01 07/26/02 (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
f-- $
~ SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
r-- (Per accident) $
X NON-OWNED AUTOS
f--
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
..A .- AUTO ONLY: AGG $
EXCESS LIABILITY APPR~i' 'r'\ v'fhuJ EACH OCCURRENCE $
o OCCUR D CLAIMS MADE -
BV_.~ \ ~ \-'01 AGGREGATE $
- $
q DEDUCTIBLE DATE /. $
N/A i--- YES- -
RETENTION $ "..~ $
WORKERS COMPENSATION AND on... &&CJI. A II > I TORY LIMITS I IU~~-
ER
EMPLOYERS' LIABILITY .~
E.L. EACH ACCIDENT $
.. ~ ./~ E.L DISEASE - EA EMPLOYEF $
..I' ' EL DISEASE - POLICY LIMIT $
OTHER CiA vi'
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION
MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
Monroe County BOCC -
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Risk Management IMPOSE NO OBLIGATION OR L1AB11 OF ANYJD U77E INSURER, ITS AGENTS OR
5100 College Road
Key West FL 33040 REPRESENTATIVES. ~
Norman Fuller IA fyWffv(A
ACORD 25-8 (7/97) , (/1 @ACORDCORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-5 (7197)
PROGRE.1JIVE@
COMMERCIAL VEHICLE INSURANCE
ADDITIONAL INSURED
The person or organization named below is a person insured with respect to such liability coverage as is afforded
by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and
then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be
excess insurance over any other valid and collectible insurance.
NAME OF PERSON OR ORGANIZATION:
MONROE CTY B.O.C.C
5100 COLLEGE RD
KEY WEST
FL 33040
LIMIT OF LIABILITY
Bodily Injury
each person/
each accident
each accident
$1 ,000,000 each accident
Property Damage
Combined Liability
All other parts of this policy remain unchanged.
This endorsement changes Policy No.: 04569489-1
Issued to (Name of Insured): ROBBIE'S SAFEHARBOR
Endorsement Effective: 10/09/01
Expiration: 07/26/02
~Nt)
r>-~~. ,.
s'<
Ur>-1E. ~I(>..____
~r>-\'JE.? . ~
~l{vQe
eL' ~.,
~'
Form No. 1198 (4-97)
CVFL0415971607L119802
PROGREDIIIE@
COMMERCIAL VEHICLE INSURANCE
ADDITIONAL INSURED
The person or organization named below is a person insured with respect to such liability coverage as is afforded
by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and
then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be
excess insurance over any other valid and collectible insurance.
NAME OF PERSON OR ORGANIZATION:
MONROE CTY B.O.C.C
5100 COLLEGE RD
KEY WEST
FL 33040
LIMIT OF LIABILITY
Bodily Injury
each person/
each accident
each accident
$1 .000.000 each accident
Property Damage
Combined Liability
All other parts of this policy remain unchanged.
This endorsement changes Policy No.: 04569489-1
Issued to (Name of Insured): ROBBIE'S SAFEHARBOR
Endorsement Effective: 03/29/02
Expiration: 07/28/02
APPROVED BY RISK MANAGEMENT
BY C{, lA)~ ~~~-
DATE ,+1, d I 0 2.-... .
I {
WAIVER: NIA ~r.s
~. ~ ~O-c
~~.. P
!-CI..-L/, - ~
Form No. 1198 (4-97)
CVFL0415971607L119802
PROGREmVE@
CDMMERCIAL VEHICLE INSURANCE
ADDITIONAL INSURED
The person or organization named below is a person insured with respect to such liability coverage as is afforded
by the policy but this insurance applies to said insured only as a parson liable for the conduct of another insured and
then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be
excess insurance over any other valid and collectible insurance.
NAME OF PERSON OR ORGANIZATION:
MONROE CTY B.O.C.C
5100 COLLEGE RD
KEY WEST
FL 33040
LIMIT OF LIABILITY
Bodily Injury
each person/
each accident
each accident
$1 ,000,000 each accident
Property Damage
Combined Liability
:~~7~ENT
DATE :tr
WAIVER N/A~ YES
All other parts of this policy remain unchanged.
This endorsement changes Policy No.: 04569489-2
Issued to (Name of Insured): ROBBIE'S SAFEHARBOR
Endorsement Effective: 10/18/02
Expiration: 07/26/03
Co-rr 16 :
.
:;,~~
I, /Cf/o~
~.'~~:_,. ,...J ~ ...\oa-
-----, date
..." ~ -"
iitiWill
Form No. 1198 (4-97)
CVFL0415971607L119802
ACORD CERTIFICATE OF LIABILITY INSURANCE 1 DATEIMMIllll/VV'IYl
,. 03/17/2003
PROOlICER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Gregory Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3300 NW N River Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Miami,FL 33142
305-638-2555 INSURERS AFFORDING COVERAGE NAIC.
INSURED Robb~e's Safe Harbor Enterpr~ses Scotsdale Insurance CO
INSURER A
Robbie's Shipping & Port Service One Beacon Insurance
INSURER B.
P.O. Box 2208 INSURER c.
Key West, FL 33045 INSURER 0:
,305-294-1123 INSURER E:
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 UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
- =. POUCY NUMBER =M~ ~~
.- ~
~ERAL UAILITV EACH OCCURRENCE ,~,UUU,UUU
x DAMAGE TO RENTED ,:lU,UUU
- 5MERCIAl GENERAL LIABILITY PREMISES IE. oecu_l
- CLAiMSMAOE ~ OCCUR MEDEXP(Anyono_i ,.<:,:lUU
A CLS0860620 06/22/02 06/22/03 ,1,000,000
- PERSONAl. &1>DV INJURY
"-- GENERAL AGGREGATE ,2,000,000
A'L AGGREGATE LIMIT APPLIES n I PRODUCTB - COMPIOP AGO ,1,000,000
X POLICY.(1 ~~ LOC
~UA8LITY COMBINED SINGLE LIMIT ,1,000,000
- NNNJTO (Eo_
- ALLOWNEDNJTOS
IlOllIL YINJURY
SCHEDULED AUTOS (POI_I ,
-
A x CLS0860620 6/22/02 6/22/03
HIRED AUTOS
- BOOIL YINJURY
X ,
- NON-OWNEDAUTOS (Por_l
- PROPERTY DAMAGE
(Pero<:_1 ,
GARAGE LIABILITY AUTO ONLY. EAACCIOENT ,
~ NNAUTO OTHER THAN EAACC ,
AUTOONL Y: AGO ,
EXCUIAIMBRELLA UAaJTY EACH OCCURRENCE ,.<:,UUU,OOO
~- OCCUR 0 CLAlMSMADE AGGREGATE ,.<:,UUU,UUU
CZJH21113* 6/22/02 6/22/03
B ,
R DEDUCTIBLE ,
RETENTION , "- I'"\. ri r:= $
WORKERaCOMPEN8ATIONAND AI r ~.'\t. IJ , \b/ I T~~T~~S I IO~
EMPLOYERS' LIA8IUTY BY \\~ -. !t ~ ?Jirrrl
ANY f'ROP'RETORIPARTNEMXECUTM E.l. EACH ACCIDENT $
0Ff1CElWEMBEA EXQ.lJOE()'J ~ .~ (' \~~
tfv-, deecribeunder DATE ; l.. C , -~ E.L DISEASE - EA EMPLOYEE ,
SPECIAL PROVISIONS bek>>w ./ I E.L DISEASE - POLICY LIMIT ,
OTHER Nt A --=::h YES ,LtJi
WAIVER
C r . \ ~--
1\..-'/,\ A
DESCRIPTION OF OPERATIONII LOCATIONS lVEtCLES' EXCLUIIONSADDED BY ENDORSEMENT ISPECIAL PRCMStONS evvvn- 'Ilfi-{/
Marina -Repairs, Storage-War fingers Liability
*Excluding crew/employees Absolutely excluding all Liability arising M/V .. Lad
y Caribe" and M/V "Miss Jody"
Excess policy is following Form over General Liability and Progressive auto L C'f \ t. ~ '. ~. \ "'0\. '('\ c:.. ~
Policy CA 04569489-1 Certificate Holder is Additional Insured
COVERAGES
CERTIFICATE HOLDER
CANCELLATION
Monroe County Board Of County
Commissioners
1100 Simpton Street
Key West, FL
SHOULD AI('( Of THE MOVE DEICRI8EO POU:IUi lIE CANCELLED "FORI THE EXPIRATION
30
DATE THEREOF, THE IIIUING _URER WILL. ENDEAWR TO MAIL
DAft WMTIN
NOncE TO THE CERTIFICATE HOLDER NAMED TO THE LEn. BUT PALURE TO DO 10 ........
IMPOaE NO OBUQATION OR ~ OF ANV KIND UPON THE INIUAER. ITI AOENTI OR
ACORD25(2001108)
..-
ACORD LIABILITY INSURANCE I DATE(1IIIIIlIII'IV'N)
CERTIFICATE OF 09/03/2003
~
PRClOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Gregory Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3300 NW N River Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Miami, FL 33142
305-638-2555 INSURERS AFFORDING COVERAGE NAIC.
INSURED RobbJ.e's Safe Harbor EnterprJ.ses Scotsdale Insurance Co
INSURER"
Robbie's Shipping & Port Service One Beacon Insurance
INSURER B.
P.O. Box 2208 INSURER C.
Key West, FL 33045 INSURER 0:
1305-294-1123 INSURER E
COVERAGES
THE POUClES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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
POUClES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIDCLAIMS.
- =. POLICY NUMBER =~ '::::~ LMTa
eft
GlNIUW. LIA8ILlT'Y EACH OCCURRENCE .J.,UUU,UUU
--x' =~~=_' .::lU,UOU
COMMERCIAL GENERAL LIABILITY
~ I ClAIMSMAOE ~ OCCUR
MEOEXP(Anyone_1 .2,:lUO
A CLS0905887 07/15/03 07/15/04 .1,UUU,UUU
- PERSONAL & NJV INJURY
- GENERAL AGGREGATE .2,uuu,uuu
GEN1. AGGREGATE LIMIT APPLIES PER PROCUCTS. COMPIOP AGG .1,000,000
Xl POUCY n ~Z n LOC
~UUUTY COMBlNEO SINGLE UMIT .1,000,000
NfYI>IJTO (ElI_
-
- ALL OWNEO I>IJTOS
BOeHL YINJURV
SCHEDULEO AUTOS (Per~) S
A --x- CLS0905887 7/15/03 7/15/04
HIRED I>IJTOS
--x- BODILY INJURY s
- NON-DWNEDAUTOS {P"-I
- PROPERTY DAMAGE
IP"-l S
~NfY= AUTO ONL V - EAACCIDENT .
OTHER THAN EAACC .
AUTOONLV. - .
EXCUIIIUllaRELLA UA8ILJ1Y EACH OCCURRENCE S:l,UUU,uUU
~. OCCUR D CLAlMSMAOE C5J22052* AGGREGATE .:l,UUU,UOO'
7/15/03 7/15/04
B .
~ DEDUCTIBLE
S
RETENTION S
.
WOIUCI!R8C011PINIATIONAND I T~~!~~ T 10:-
EMPLOYERS. UUIIJTY AP~~~~ RIS ~ ~
Nl't PRCI'AlE'TOM'AA1'NEA.EXECUTM ANAGEMENT E.L EACH ACCIDENT S
~"""'"""'" BY I ( .", 6, ~ J
Ityoo.-- E.L DISEASE - EA EMPLOYEE .
SPEcw.PROVISIONS _ /7_ '" E.L DISEASE. POUCY UIMT .
011I1A lJATF 1'-'1 II -.. ~"U ~A~ - UJ
N/A+ ./
WAIVER YES
f'/ . '9".. I
DUCRIP110N OFONMTIONa/LOCA1IDN8/V'IICLIII UCLUllM)NSADOEDBY ENDORII!MI!NT 'SPECIAL. PRCMIIONI ~, JA/
Marina -Repairs, Storage-Warfingers Liability
*Excluding crew/employees Absolutely excluding all Liability arising M/V " Lad
y Caribe" and M/V "Miss Jody"
Excess policy is following Form over General Liability and Progressive auto
Policy CA 04569489-1 Certificate Holder is Additional Insured
CERnFICATE HOLDER
CANCELLATION
Monroe County Board Of County
Commissioners
1100 Simpton Street
Key West, FL
SHOULD Ntf OF ,.... MOVE DUC-.o JIOUCID .. CANCaLlD 1IPOIII11II1XNIA11DN
30
_ DAft ~
NOTICE TO THE CER'nFICATE HOLDER NAMaD TO THE LEn, BUT FaURE TO DO Mt IHAU.
DATI! THERl!Of, THE UUING 1N8UR!R WILL E__ TO __
ACORD25(2001/08)
ORPORATION 1..
!to
c.e..: ~
I ACDRD.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
2/18/2005
PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Gregory Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3300 NW N River Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Miami,FL 33142 !
I
305-638-2555 INSURERS AFFORDING COVERAGE NAIC# i
INSURED Robbie's Safe Harbor Enterprises i INSURER A: Essex Insurance Company I
i --------<
Robbie's Shipping & Port Service i INSURER B: I ~
P.O. Box 2208
Key West, FL 33045
305-294-1123
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.
INSR DD'L I POLICY EFFECTIVE
LTR NSRD TYPE OF INSURAN E POLICY NUMBER DATE MM/DDIYY
GENERAL LIABILITY
f1 '''''.,,'~ Gm'" u,,"~
, ! CLAIMS MADE ~I OCCUR
f-I 19CA84921
GEN'L AGGREGATE LIMIT APPLIES PER: I
X POLICY ~~8;: LOC
AUTOMOBILE LIABILITY
i INSURER C
!INSURER 0:
INSURER E:
-
I
----j
I
10/20/04 110/20/05
LIMITS
$ 2,000,000 I
$ 50,000
MEDEXP(Anyoneperson) $ n/a
,'pER~NAL .&ADV INJU~-+~_QQLO 0 9._
GENERAL AGGREGATE $ 2,000,000.
PRODUCTS - COMP/OP AGG $ 2, 000 , 000
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
I ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
Illyes, describe under
SPECIAL PROVISiONS below
OTHER
WAiVi::"B
COMBINED SINGLE LIMIT $
(Ea accident)
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
(Per accident)
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
AUTOONLY: AGG $
EACH OCCURRENCE $
AGGREGATE $
$
1$
$
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
I I
f--
GARAGE LIABILITY
ANY AUTO
EXCESS/UMBRELLA LIABILITY
I OCCUR CI CLAIMS MADE
$
E.L DISEASE - EA EMPLOYE $
E.L DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
n
~~
Marina -Repairs, Storage-Warfingers Liability
*Excluding crew/employees Absolutely excluding all Liability arising
from the M/V "Miss Jody" INCLUDING BEACH CLEANING
Certificate Holder is Additional Insured.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATiON
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER: ITS AGENTS OR
Monroe County Board of County
Commisioners
1100 Simpson Street
Key wes;., F,L
! ICc.....~
ACORD 25 (2001108)
TION 1988
I I
ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY)
4/22/2005
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Gregory Marine Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2051 NW 11th Street Suite 130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Miami, FL 33125 i
305-541-5585 INSURERS AFFORDING COVERAGE NAIC# ~
INSURED Robbie's Safe Harbor Enterprises INSURER A Essex Insurance Comnanv j
Robbie's Shipping & Port Service INSURER B: .-<
P.O. Box 2208 INSURER C: 1
1
Key West, FL 33045 INSURER 0: i
1305-294-1123 INSURER E: I
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~~: ::r;~ TYPE OF INSURANCE POLICY NUMBER b'1YPM~b5CTIVE LIMITS
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE Cil OCCUR
9CA4891-0
$ 2 000 000
$ 50 000
$ n aj
10/20/04 10/20/05 PERSONAL & ADV INJURY $ 2 000 000 '
GENERAL AGGREGATE $ 3 000 000
PRODUCTS - COMP/OP AGG $ 2 000 000
LOC
GARAGE LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT $ Included
(Ea accident)
BODILY INJURY $
(Per person)
9CA4891-0 10/20/04 10/20/05 BODILY INJURY
(Per accident) $
PROPERTY DAMAGE I
$ I
(Per accident) I
AUTO ONLY - EA ACCIDENT $ I
A EAACC $ ---j
OTHER THAN I
---j
AUTO ONLY: AGG $
EACH OCCURRENCE $
'f. $ i
\/v t\ I \/ ~,~ P \/ r: " $ 1
tl $
$
applied for TBA TBA $ 100 000
E.L DISEASE - EA EMPLOYE $ 500 000
E.L DISEASE - POLICY LIMIT $ 100 000,
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
A x X HIRED AUTOS
X NON-OWNED AUTOS
EXCESS/UMBRElLA LIABILITY
I OCCUR [] CLAIMS MADE
'B
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORlPARTNERlEXECUTIVE
OFFICERiMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Marina-Repairs, Storage-Warfingers Liability Including Beach Cleaning
Excluding crew/employees Absolutely excluding all Liability arising
from the M/V "Miss Jody"
CERTIFICATE HOLDER
Monroe County Board of County
Commissioners - Additional Insure
1100 Simonton Street
Key West, Florida 33040
CANCELLATION
,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED B?f8RE THE EXPIRATION I
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL_ DAYS WRITTEN I
I
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL I
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR I
PRESENTATIVE .
AUT ORIZED REP SE AT E
ACORD25(200 8) .
C-C.-~~