Certificates of Insurance
. Allstate@
You're in good hands.
)1m: Risk MQW~3er
ALLSTATE INSURANCE COMPANY
BUSINESS INSURANCE R999 ENDORSEMENTS
INSURED NAME: MARK REEDER
POLICY NUMBER : 649833125
INSURANCE TYPE: 11
REQUESTED DATE: 04-28-99 02:41 PM
BOUND EFF DATE: 04-28-99 02:41 PM
** R999 - ADDITIONAL INTERESTS/LOSS PAYEE **
ADD/
DEL TYPE
A A
NAMEl
NAME2
ADDRESS
CITY
VEHICLE
APPL. TO VEH# REASON FOR ADDITIONAL INTERESTS
001 ADD ADDITION INTEREST PARTY
COUNTY OF MONROE FLORIDA
ATTN RISK MANAGER
5100 COLLEGE ROAD
KEY WEST STATE: FL ZIP: 33040-4319
97 FORD F150 1FTDX1720VNB TYPE OF ADDL INSURED: AO
** R999 - SEND EVIDENCE OF INSURANCE **
TYPE : C
NAME1 : COUNTY OF MONROE FLORIDA
NAME2 : ATTN RISK MANAGER
ADDRESS: 5100 COLLEGE ROAD
CITY : KEY WEST STATE: FL ZIP: 33040-4319
REASONS FOR PUC/ICC :
PROPERTY OR COVERAGE: 97 FORD F150 1FTDX1720VNB97482
..lIIIBfoftfne Joe Toscano
FI iJlalli Senior Account Agent
243 N. University Drive
Pembroke Pines, FL 33024
Phone: (954) 989-4310
'-,v
DATB
\N\TIA
. .'.-0.
24..J.Jour a ::Da'J. Service
Paqe 1 or 1
, Allstate@
You're in good hands.
Print Key Output
Allstate- Joe Toscano
Senior Account Agent
243 N. University Drive
Pembroke Pines, FL 33024
Phone: (954) 989-4310
A0287526
Page 1
04/28/99 15:52:14
EA7272C671
S300002
Insured: MARK REEDER
Phone: ( 954 ) 981 - 1495
Ins. Line: AUTO-INDEM
Pol. No.: 649833125 05/18
**ITEM SUMMARY** Agent: 144512
Status: ACTIVE
Item: 0001 Yr: 1997
Make/Model: FORD F150
VIN: IFTDX1720VNB97482 Class: 01189
City: MIRAMAR State: FL
Terr: 034
Std Amt: OCN/PGS: 18125
Endr: 000 RCC: FL
RATING AGE: 3
OTHER ANTI-THEFT
ALB/ABF
AIP/LPC EXISTS
RR 30 DAYS @ $ 30
Effective Date: 05/18/1999
Item Selection:
(ENTER)CONTINUE {
LIMIT (000)
EXCL MED/TOW WRITTEN ANNUAL
Liab-BI: f OC> ,oco 938.00 938.00
Liab-PD: .00 .00
Unin-BI: /001000 102.00 102.00
Undr-BI: .00 .00
PIP 45.00 45.00
Camp 250 OED 166.00 166.00
Call 250 OED 196.00 196.00
Rental 25.00 25.00
} (Fl)HELP (F3)QUIT (F4)BACK SCREEN
Total Premium: 1472.00 1472.00
24.JJour a ::bay Service
A II mate'
CERTIFICATE OF INSURANCE
EFFECTIVE DATE
OF CERTIFICATE
04/23/99
ALLSTATE INDEMNITY COMPANY
HOME OFFICE - NORTHBROOK, IL 60062
hereby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
MARK REEDER 649833125 BAP
POLICY PERIOD
05/18/98 TO 05/18/99
AT 12:01 A.M. STANDARD TIME
PO BOX 221376
HOLLYWOOD, FL 33022
The person or organization designated below is described in the policy as:
MONROE COUNTY FLORIDA
5100 COLLEGE RD
KEY WEST, FL 33040
~ LIENHOLDER (Loss Payable Clause)
X ADDITIONAL INTERESTED PARTY
ADDITIONAL INSURED
CERTIFICATE HOLDER
Coverages designated are afforded as stated below:
1997 FORD F150
1 FTDX1720VNB97482
'~sn." );~'.'O' 'JQ3j"
":.[-_~~i~=
'.~Q: "'.'~" LfC'; -.------.
(J;)~ /J
()1;~' ~/\Y'.,v
Ce'. ~JQ
\~GVVlW lt2wu1J()
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
written notice at its last address known to the Company.
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.
BU1380-1
PAGE 1 OF 1
I IIIII
BU114-2
YOU'RE IN GOOD HANDS WITH ALLSTATE@
fllIsfaflf
I IIII
BU114-2
CUSTOMER NUMBER: CA649833125
A.LP. leA)
MONROE COUNTY FLORIDA
5100 COLLEGE RD
KEY WEST, FL 33040
DATE_
INITIAL
I I
RUN DATE: 04-28-99
60 49 833125 01 01 0020
o
M
N
g!
III
III
>
w
:0::
I-
Z
1-4
Ill::
ll.
W
Ill::
(~~pq
YOU'RE IN GOOD HANDS WITH ALLSTATE@
AUsfatec
CERTIFICATE OF INSURANCE
EFFECTIVE DATE
OF CERTIFICATE
05/18/99
ALLSTATE INDEMNITY COMPANY
HOME OFFICE - NORTHBROOK, IL 60062
hereby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
MARK REEDER 649833125 BAP
POLICY PERIOD
05/18/99 TO 05/18/00
AT 12:01 A.M. STANDARD TIME
PO BOX 221376
HOLLYWOOD, FL 33022
The person or organization designated below is described in the policy as:
MONROE COUNTY FLORIDA
5100 COLLEGE RD
KEY WEST, FL 33040
~ LIENHOLDER (Loss Payable Clause)
X ADDITIONAL INTERESTED PARTY
ADDITIONAL INSURED
CERTIFICATE HOLDER
Coverages designated are afforded as stated below:
1997 FORD F150
1 FTDX 1720VN B97 482
eJt ~~
(C, J.C~
{1cmw ~
~. (I'-~r'\. ,.... . (.,q
. r. '..' . .
""'"
1..v --.- .. _ --,. ---
c;,'~ ) .Q -09
[1,~,TE ~ r ------
W!'\lER:
. ';: ..-/ y,c:
iI!....- ..,
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
written notice at its last address known to the Company.
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.
BU1380-1
PAGE 1 OF 1
II
II
BU114-2
YOU'RE IN GOOD HANDS WITH ALLST A TE@
.A I I state ,
II
BU114-2
CUSTOMER NUMBER: CA649833125
A. I. P. (CA)
MONROE COUNTY FLORIDA
5100 COLLEGE RD
KEY WEST, FL 33040
DATE
p",\"",l.i>.l,
I I
RUN DATE: 04-28-99
60 49 833125 02 01 0010
III
III
N
CO
a-
~
>
w
~
tz
I-t
Ill:
~
w
Ill:
YOU'RE IN GOOD HANDS WITH ALLST A TE@
RMS
CER TIFICA TE OF INSURANCE EI=FE:TIVE DATE
0: CERTIFICATE
ALLSTATE INSURANCE COMPANY Home Office, Northbrook, NOV 18, 1998
Illinois, hereby certifies that the following insurance is in force:
POLICYHOLDER
POLICY NUMBER
SHARON M AND MARK D JR
REEDER 0 61 123098 05/18
7833 W PLNTATION BLV
MIRAMAR FL 33023
The person or organization designated below is described in the policy as:
MONROE COUNTY FL
5100 COLLEGE ROAD
KEY WEST FL 33040-4319
POLICY PERIOD
At
12:01 A.M.
Standard
Time
NOV 18, 1998
WITH NO FIXED DATE
OF EXPIRATION
~ LIENHOLDER
(Loss Payable Clause)
X ADDITIONAL
INTERESTED PARTY
AGENT FLOVD R COCHRANE
PHONE 954 989-4310
Coverages designated below are afforded for each described vehicle:
98 WDSTR 2FMDA5147WBB89181
COMPREHENSIVE
,.~~
. .. ~ ~---". n.-.
(..~IIf1''''-o{
::A~~
BI 100,000 EA.PERS.-300,000 EA.OCC.
PD 50,000 EA. OCC.
COLLISION-$200 DED.
~,v
n~Tt -1a.=~~
".. /vc:s
\,lJ~,l\frR: N,':'........ - \ ~. --
See reverse side for provisions concerning Loss Payable Clause and Additional Interested Party
Endorsements.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the cover-
age afforded by the policy referred to above.
D~INTFn IN U.S,A.
.....-.,........-.-.-.,.,.,.,.,.,.,.,.,...,..-.-.-.-.,.,-,.,.,._.,.,'.',.............. ;.;';:::::::;:;:;:::;:;:::;:;:::::::;:;:;:;:;:;:;:;:;:;:;:;::::;::;:;:;:;:;:;:;:;:;:;:;:::;:;:;:;:;:;:::;:;:::;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:::;::;::;:;:;:;:;:;:;::;::;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:::;:;:;:;:;:;:;:;:;:::;:;:;:::;:::;:::;:;:;:;:;:::;:;:;:;:;:::;:;:;:;:;:::;:::;:; ::":::::;:;:;:::;:;:;:;:;:::;:;:;:;:;:;:;:;:;:::;:;:;:;:;::;:
A.~..ltl.. ................. ~EliIBII~IjIlII7I_IIIIIII_~~\............ Q&~t.~.....ii.... ISSUOE D7ATE/2 7(MM/1D9D9/YY)
...... ....................-..................,.....,....,..',.,.....,.....,................:-:-:-:-:-:.:.:-:-:-..:':->:.:','.<<<.:,,<<<<,>>,;><<>>>:-.,,>,.'.
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
COMPANY A SCOTTSDALE INSURANCE CO.
LETTER
COMPANY B
LETTER
M S International COMPANY C
.0. Box 221376 3D~ LETTER
ollywood, FL 33022 COMPANY D
LETTER
COMPANY E
INSURANCE GROUP
936555
FL 33093-6555
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOlWlTHSTANDING 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 POllI.iIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
WORKER'S COMPENSAnON
AND
EMPLOYERS' UABIUTY
POUCY EFFEcnVE POUCY EXPIRAnON
UMITS
ATE (MMIDD/YY) DATE (MM/DD/YY)
7/27/99 07/27/00 GENERAL AGGREGATE $ 2 000
PRODUCTS-COMPIOP AGG. $ 2 000
PERSONAL & ADV. INJURY $ 1 000
EACH OCCURRENCE $ 1 000
FIRE DAMAGE (Anyone fire) $ 100
MED.EXP. (Anyone person) $ 1
COMBINED SINGLE
UMIT $
BODILY INJURY
(Per person) $
BODILY INJURY
(per accident) $
PROPERTY DAMAGE
$
EACH OCCURRENCE $
AGGREGATE $
TYPE OF INSURANCE
POUCY NUMBER
CLS0536134A
MMERCIAL GENERAL UABILlTY
LAIMS MADE [iJOCCUR.
OWNER'S & CONTRACTOR'S PROT.
AUTOMOBILE UABIUTY
AUTO
OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE UABIL1TY
EXCESS UABIUTY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH ACCIDENT $
DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
OTHER
DESCRIPnON OF OPERAnONS/LOCAnONSNEHICLES/SPECIAL ITEMS
IS NAMED AS ADD'L INSURED W/RESPECTS LIABILITY
INSPECTION
COUNTY ~T~b
ATT: MARIA DEL R
5100 COLLEGE RD
ROOM 203
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...1.O..- 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 U N THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
PRODUCER
:;::::;:::::;.::;::-:;::::::::::::::;:;:::;:::::::::::::::;.:.;.::;::::.:::::::;::::::::;::::::::.;.::::::::::::::::::::;:;::::;:::;::::;:::::::::::;:::::::;::;::;::::;;:::;::::::;:::;:::::::;;:::::;:::;::::::::::::::::::::;::::::;::::::::::::;:;::::::::;::::::::::::;:::::::::::::::::::::::::::;:;::::;::::>::.::;:;:;:::;:::;:;:::;::::::;:;" :;:;:;:;:;:;:;:;:;:;:::;:;:::;:;:;:;:;:;:;:;:;:;:;:::;:;:;:;::::::: .;.;.;.:.;.:-:.:-..;.:.:-:.;.:-:.;.;.:.....:-:-:..-:.....:-:.:.:.;.;.;.:.:.....
A........... )C..>lill.... ."'1. .~I..m/......?!.I>G<~I.'S....... )11..... <~,.k.G..<)I.......}Js..... ..o...........$............~............tJi........l......'........................ ;} IUUE DATE (MMIDDIYY)
.:.:-:.;.;,:-:-:.;.: ,'; : -:< ?~I< :17:". .../1/: ;.:-:-: ..:118\:-:- ;1.,. .', .:~I:~:- -: .;.,-:':-:-:...:.;....-:.;.:-:-:-:-;.;.;.;.:-.-:-:. ...........,..... .....
,.,...,.,.,...,.,.,.,........,...................,.,.......,.,.....,.,.............,.,.................,.....,.,.........,......................".,........,....................................................................................................................................................................... 03/30/99
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
INSURANCE GROUP
936555
FL 33093-6555
COMPANY A SCOTTSDALE INSURANCE CO.
LETTER
COMPANY B
LETTER
M S International COMPANY C
.0. Box 221376 LETTER
ollywood, FL 33022 COMPANY D
LETTER
COMPANY E
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOlWlTHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAI~ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLl~IES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
POUCY NUMBER
POUCY EFFECTIVE POUCY EXPIRATION
ATE (MM/DDIYY) DATE (MM/DDIYY)
UMITl!I
CLS0536134
7/27/98
7 1 2 7 1 9 9 GENERAL AGGREGATE
PRODUCTS-COMP/OP AGG.
PERSONAL & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone lire)
MED.EXP. (Anyone person)
COMBINED SINGLE
UMIT
BODILY INJURY
OMMERCIAL GENERAL UASIUTY
LAlMS MADE [iJOCCUR.
OWNER'S & CONTRACTOR'S PROT.
AUTOMOBILE UABIUTY
Y AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE UASILITY
$
r
"Y-
O^TE
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
Wid V ER:
WORKER'S COMPENSATION
AND
EMPUOYERl!I'~UTY
EACH ACCIDENT $
DISEASE-POUCY UMIT $
DISEASE-EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATlONSIlOCATlON8IVEHICLES/SPECIAL ITEMS
ERTIFICATE HOLDER IS NAMED AS ADD'L INSURED W/RESPECTS LIABILITY
COUNTY OF MONROE
ATTN: NOREEN
5100 COLLEGE RD
ROOM 203
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..l..O- 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.
AUTHORIZED REPRESE
~<.R
...dti99Ip9QRPOM119"(1IQ
...
Client#: 7065 RMSINTER
.ACDJID,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYY)
07/28/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Cypress Insurance Group PR/CL ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 936555 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
6280 W. Atlantic Blvd
Margate, FL 33063-6555 , INSURERS AFFORDING COVERAGE
_._______.____~~_._.._________L-.--..-------. . --~--
INSURED, : INSURER A: Scot tsdale Insurance Company
R M S Internatlonal '--;;..SURERB:--------------
501 Oldsmar Lane --- - _.-.._----~.-
INSURER c:
Key Largo, FL 33037 - ---
INSURER D:
1 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.
---_.~-~~
I~f~ TYPE OF INSURANCE POLICY NUMBER Pgk!fJ ~~5%J.:.~E DATE MMlDDIYY
07/27/00 07/27/01
LIMITS
<,Y
EACH OCCURRENCE ~ 0 0 , 0 0 0
~E DAMAGE (Anyone fire) $1 0 0 , 0 0 0 __
I MED EXP (Anyone person)_ $1 0 0 0
i PERSONAL & ADV INJURY i $1, 0 0 0 , 0 0 0
GENERAL AGGREGATE $2 000 000
PRODUCTS . COMP/OP AGG $2 0 0 0 0 0 0
A : GENERAL LIABILITY
.':~ X COM M ERCIAL GENER., .AL L1AB ILlTY
r---t-J CLAIMS MADE ~ OCCUR
CLS0536134
GEN'L AGGREGATE L1M IT APPLIES PER:
PRO-
ECT
AUTOMOBILE LIABILITY
LOC
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
:\H___-.Z: I-au
COMBINED SINGLE LIMIT
(Ea accident)
$
"I'~ /" vr"
,..,....~,.,)
u1l~
BODILY INJURY
(Per person)
1$
--~
$
I
i BODILY INJURY
i (Per ~ccident).__
I PROPERTY DAMAGE
, (Per accident)
$
11.'.; ITli\l. .---.".-.---...-
I AUTO ONLY . E~ ACCIDENT _ $
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EACH OCCURRENCE $
AGGREGATE $
$
$
$
GARAGE LIABILITY
-,
ANY AUTO
EXCESS LIABILITY
~ OCCUR D CLAIMS MADE
I
r---
f--I DEDUCTIBLE
I RETENTION $
: WORKERS COMPENSATION AND
I EMPLOYERS' LIABILITY
D/,T~------'.' -". ....
. WC STATU-
TORY LIMITS
E.L EACH ACCIDENT
OTH-
ER
1$
E.L DISEASE - EA EMPLOYEE! $
E.L DISEASE - POLICY LIMIT i $
, OTHER
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
MONROE COUNTY BOCC IS NAMED AS ADD'L INSURED W/RESPECTS LIABILITY
GENERATOR REPAIR & INSPECTION
FAX: 305-295-4364
CERTIFICATE HOLDER
1 ADDmONALINSURED;INSURERLETTER:
CANCELLATION
County Of Monroe Att: Maria Del
Rio
5100 College Rd Room 203
Key West, FL 33040
SH OULD ANY OFTH E ABOVE DESCRIBE D POLICIES BE CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL l...O......--- DAYS WRITTEN
NOTICE TOTH E CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DOSOSHALL
1M POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REP ESENTATIVE
. c..Q.
JS
@ ACORD CORPORATION 1988
ACORD 25-S (7/97) 1 0 f 2
#M7210
Client#: 7065 RMSINTER
ACDBDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYY)
03/14/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Cypress Insurance Group PR/CL ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 936555 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
6280 w. Atlantic Blvd ~
Margate, FL 33063-6555 INSURERS AFFORDING COVERAGE
-~ -~ _u_ ---. -- ------- --_...--- -_..._--_._--~-_.~ .---_...~._-
INSURED INSURER A: Scottsdale _IIl~uran~~ ComPCi!lY ______ ~
R M S International -~ -- ----..-'---- -
INSURER B:
501 Oldsmar Lane - ----.---"---- ---- - ~- -- - - "---_..----.---_....-
i INSURER c:
Key Largo, FL 33037 I~NSURER ~ ------- -~--~- ------
------.-- ._-_._----_.._._--~-_._--
I ' 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
'~f~ TYPE OF INSURANCE POLICY NUMBER Pgk'fJ ~~6gmE IP~~~rt~lc~~~r;.r- ~ __n --- UM;';;- ------~---
,07/27/01 07/27/02
I
I
A
GENERAL LIABILITY
CLS0536134
EACH OCCURRENCE I $1 0 0 0 L 0 0 0
-FIRE DAMAGE (Anyone fire) ~ 0 , 0 00. ---
, ~ED EXP(Anyon~~rsonLl~.Q~O_=-
~PERSONAL & ADV INJURY t!1-~ 0 , 0 0 0
, GENERAL AGGREGATE I ~ 0 0 0 ~O 0
I;~~~~~s -C~MP/O~ AGG 1 $2 , 0 ~~ QQO
I
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE
X OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
- PRO.
POLICY JECT
LOC
CLAIMS MADE
BY
DATE
WAIVER oi'~
COMBINED SINGLE LIMIT : $
(Ea accident) I ~_~________ ~~_~
BODILY INJURY I $
~~:~~)"-r ==-
I PROPERTY DAMAGE I $
! (Per accident)
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
, GARAGE LIABILITY
,----1 ANY AUTO
AUTO ONLY. EA ACCIDENT I $
I
EAACC 1$
OTHER THAN
AUTO ONLY:
AGG 1$
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
r---
$
$
$
$
$
I ,WC STATU. OTH-,
~_JlORY ~M1IS--,_~ER.L__ _______~
I E.L. EACH ACCIDE~~
E.L. DISEASE: EA EMf'LOYEE L__ .
E.L DISEASE. POLICY LIMIT I $
EXCESS LIABILITY
, OCCUR
, EACH OCCURRENCE
AGGREGATE
~
OTHER
DESCRIPTION OF OPERATIONSlLOCATlONSlVEHICLESJEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Monroe County Board of County Commissioners is named
additional insured with respects liability
CERTIFICATE HOLDER
. ADDITIONALINSURED;INSURERLETTER:
CANCELLATION
Monroe County Board of
Commissioners, Attn: Maria Del
1100 Simonton Street
Key West, FL 33040
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRAllON
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAILlO-_DAYSWRlTTEN
NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DOSO SHALL
1M POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REP ESENTATIVE
. c..O..
JS
@ ACORD CORPORATION 1988
ACORD 25-S (7/97) 1 0 f 2
#M17011
Client#: 7065
RMSINTER
ACOBDTM
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMlDDIYY)
07/27/01
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.
I
PRODUCER
Cypress Insurance Group PR/CL
P.O. Box 936555
6280 W. Atlantic Blvd
Margate, FL 33063-6555
INSURERS AFFORDING COVERAGE
INSURED
R M S International
501 Oldsmar Lane
Key Largo, FL 33037
--- ~I~~~RERA S~ott~_dale - in.~suranceCO_mpaIl.Y
I INSURER B:
1--------------.-------------- --
INSURER C:
I~NSURER~~-------------- --
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.
l~f~ ;"PE OF ~NSUR~NCE -- ---- PO~ICY NU~~~ --- pgk!fln~6~~~E iP'6~~J tX~~t~~N i-------- -L~MITS
A GENERAL LIABILITY CLS 0 5 36134 07/27/01 07/27/02! EACH_OCCURRENCE__j~_Q..Q_Q.l OQ 0
.1(:_ c0-;' M ERCIAL GENE';.AL!; lAB ILlTY I FIRE DAMAGE (Anyone fire)d_~_Q ~ 0 OQ_
.J _CLAIMSMADE__-~__OC~~: i-~:~S::A~A:YA~::J::~i: ~_~~OOO
____________ GENERA~AGGRE_GATE__.i $2LQilQLQ_9 Q.
PRODUCTS -C()MP/OP AGG $:2~_Q ~Q 00_
LOC
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
PROPERTY DAMAGE
(Per accident)
i $
I
GARAGE LIABILITY
----I
-J ANY AUTO
i i
L!XCESS LIABILITY
!::J OCCUR D CLAIMS MADE
D~TE
I AUTO ONLY - EA ACCIDENT ~.!__
i OTHER THAN ~-"~L - ---- - -- - .
, AUTO ONLY:
\');-,f\-TQ:
EACH OCCURRENCE
AGGREGATE
AGG '$
$
I --J DEDUCTIBLE
I RETENTION $
Dtt)-
CC',
1$
--i----
$
OTHER
\_-~
,E.L DISEASE - EA EMPLO'1'~_______
E.L DISEASE - POLICY LIMIT I $
I
DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
MONROE COUNTY BOCC IS NAMED AS ADD'L INSURED W/RESPECTS LIABILITY
GENERATOR REPAIR & INSPECTION
FAX: 305-295-4364
CERTIFICATE HOLDER
ADD ITlONAL INSURED; INSURER LETTER:
CANCELLATION
County Of Monroe Att: Maria Del
Rio
5100 College Rd Room 203
Key West, FL 33040
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAILlQ__DAYSWRITTEN
NOTlCETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAlLURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
. c..fJ..
CC
@ ACORD CORPORATION 1988
ACORD 25-S (7/97) 1 0 f 2
#M17011
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 (7/97) 2 of 2 #M1 7 0 11
~AlIstate.
You're in good hands.
CERTIFICATE OF INSURANCE
EFFECTIVE DATE
OF CERTIFICATE
05/18/02
ALLSTATE INSURANCE COMPANY
HOME OFFICE - NORTHBROOK, IL 60062
hereby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
MARK REEDER 649833125 BAP
POLICY PERIOD
05/18/02 TO 05/18/03
AT 12:01 A.M. STANDARD TIME
501 OLDSMAR
KEY LARGO, FL 33037-2735
The person or organization designated below is described in the policy as:
MONROE CTY BD OF COM
5100 COLLEGE RD
KEY WEST, FL 33040-4319
~ LIENHOLDER (Loss Payable Clause)
ADDITIONAL INTERESTED PARTY
ADDITIONAL INSURED
X CERTIFICATE HOLDER
Coverages designated are afforded as stated below:
AS THEIR INTEREST MAY APPEAR
~:~8~~
WAIVER N/A -?- YES
1~
o:1S' 'tfk
Cc '
~
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
written notice at its last address known to the Company.
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.
PAGE 1 OF 1
BU13So-1
II
BU114A