Certificates of Insurance
ItCORQM CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
the Porter Allen Company ~~
513 southard st (:~r~
Key West fla 33040 ~f~~~
.
~ INSURERS AFFORDING COVERAGE
'~"~:d Barn A~tors inc - - - . " .{ .ti:r:i: Scot"sdiile 1DS ~- ---1'.--"-'--
POBox 707 INS~___ - - -
Key West fla 33040 _INSUREF1~__-=-=--=~-=-_-=-_-__--=+__=---=-
INSURER E:
DATE (MMlDDIYYYY)
9-12-02
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.
NAIC#
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 ADD' --'----;--. POLICY NUMBER POLicy EFFECTIVE I POLICY EXPIRATION
LTR R DA E M DDIYY DATE MMlDD Y
~ENERAL LIABILITY I I
X ...~-f: COMMERCIAL GENERAL LIABILITY . cps 0473165 10-5-0110-5-02
-U CLAIMS MADE D OCCUR
~!~"G~:G'" UM" ,,~'" '"
l POLICY P~OT LOC
AUTOMOBILE LIABILITY
c~
~ __' ANY AUTO
Ij ALL OWNED AUTOS
.~,. SCHEDULED AUTOS
. HIRED AUTOS
C NON-OWNED AUTOS
! I
EACH OCCURRENCE $ ,
DAMAGETORENTED---- 100, 000--
. P_REMISES (Eao"curence)~5000 '_
i MED EXP (Anyone person) I $ ,
I;~RSONA~ & ADV ~~JURY -~-.;ooo-;ooo-n
rENE-R;LAGGR;GATE- I $r;-oon-;-o-oo--
PR;~~CTS _ COMP/OP AG~I~ 1 ,-oo-o-~
- --- --------1----------
, COMBINED SINGLE LIMIT
~accident) _ __
$
i' GARAGE LIABILITY
i .~ ANY AUTO
APPRO
BY
DATE
WAIV
BODILY INJURY
i (Per person)
1---- --------
! BODILY INJURY
l~pe~ accide~
$
ENT
I PROPERTY DAMAGE
! (Per accident)
$
~AUTO ONLY - EA I\CCIDENT $____ __
I OTHERTHANEAAC;c;_ $ __
AUTO ONLY: AGG $
EXCESs/UMBRELLA LIABILITY
i OCCUR D CLAIMS MADE
EACH OCCURRENCE -----1 ~__
1 AGGREGATE, _ ! $
i --- ---- - ---
+: -
j - --- --
1$
WCSTATU- 'OTH-
n' JOR'CUMITS1_", ,,~ _______
, E.L. EACH ACCIDENT I $
r---------------- ----- ----____
'1O:~:gIS_EASE - EA EMPLOYE~~
E.L. DISEASE - POLICY LIMIT $
~--- ---- ---
,
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
I OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Theater
CERTIFICATE HOLDER
CANCELLATION
Addtional insured
Monroe County BOCC
1100 Simonton st
Key West fla 33040
and Monroe County Touri
Development
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED B~RE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL\~ DAYS WRITTEN
~OTICE 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
REPRESENTATIVES.
AUTHORIZED REPRESEN AT
@ACORD CORPORATION 1988
ACORD 25 (2001/08)
ACORDm
CERTIFICATE OF LIABILITY INSURANCE
I
PRODUCER
INSURED
RED Barn Actors
po box 707
key w~st fla 33040
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: DD' POLICY NUMBER ---IP~1"I~Y ~FFE8>>~E 1 Pgk!fJ ~XPlr~~N 1-- -- --- --;:;IT-;--- ---
GENERAL LIABILITY ~~~~~g~~~~~~ $___
Ll, 'j~:'::;'':'D':;: I I:;~:;:;;:::~~:: .. , :....=-=--
I L"ERSONAL&ADVINJU~ L~____
~E~'L AGGRE:~E LIMIT AP~L1ES PE: ' ~~:~~~;~;~::;;~GG - -;- -- - __
. l POLICY PROT I LOC
AUTOMOBILE LIABILITY
~
~ _-' ANY AUTO
LI ALLOWNEDAUTOS
l-~ SCHEDULED AUTOS
1_, HIRED AUTOS
I .J NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
WAIVER
EXCESs/UMBRELLA LIABILITY
J OCCUR CJ CLAIMS MADE
I_~ DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
I EMPLOYERS' LIABILITY
A ,~~~I~~~MR~~~~~~~~I~6~~iECUTIVE
If yes, describe under
SPECIAL PROVISIONS below
OTHER
13-25-02
2831935500
3-25-03
I
I
DESCRIPTION OF OPERATIONS / LOCATIONS/VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
COMBINED SINGLE LIMIT i, $
(Ea accident)
I BODILY INJURY I $
Iwerpers~ -- __1_ - --
BODILY INJURY
(Per accident) $
PROPERTY DAMAGE
(Per accident)
$
AUTO ONLY - EA ACCIDENT
$
I
i OTHER THAN
, AUTO ONLY:
EA ACC $
--";:~~$
Monroe County BOCC
1100 Simonton st
key west fla 33040
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
REPRESENTATIVES.
AUTHORIZED REPRESEN T
ACORD 25 (2001/08)
@ACORDCORPORATION1988
.,
MOR0. liVIDIR4C.E OF PROPERTY
1 R I y s s•, DATE(M ADD/YYI
i 9-12-02
• THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE
RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY.
PRODUCER
__._. P1pNEo,Etll: 1.505- Y4254Z _ COMPANY
juC,X
the Porter Allen company LLoyds of London
513 southard st
Key West fla 33040
CODE: LI' SUB CODE:
AGENCY
CUSTOMER ID*:
INSURED LOAN NUMBER POLICY NUMBER
Red Barn Actors inc & Deal Builders inc & EE£ECDVE DATE LE%%RATION DATE CONTINUED UNTIL
Key West Womens Club ,Monroe County Tourist 7-15-02 7-15-03 TERMINATED IF CHECKED
dev , Monroe County BOCC THIS REDUCES PRIOR EVIDENCE DATED:
P 0 Box 707 Key West fla 33040
PROPERTY INFORMATION
LDCATIOWDESCRIPTRNI
Construction of Building which will be used for office and Dressing rooms
2 story frame
COVERAGERFORMAnON
COVERAGE/PERILSTORMS AMOUNT OE INSURANCE DEDUCTIBLE
Special perils replacment cost x wind 469,000 1000
Y ��E Tr MAW' T
1110-
WAIVER NIA YES--�
REMARKS(Including Special Conditions)
CANCELLATION
THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE
POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 10 DAYS
WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT
INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW.
ADDITIONAL INTEREST
NAME AND ADDRESS MORTGAGEE X ADDITIONAL INSURED
LOSS PAYEE _.. __.
Monroe CountyBOCC LO INP
1100 Simonton st
Key West fla 33040 AUTHORIZE RE NTATIVE
ACORD 47.(3/93) S ACORD CORPORATION 1993