Certificates of Insurance
PRODUCER
3
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.
ACORDrM CERTIFICATE OF LIABILITY INSURANCE
Service Insurance Agency, Inc.
POBOX 100099
1615 SE 47TH TERRACE
INSURERS AFFORDING COVERAGE
INSURED
RL James Painting & Water-
proofing Inc dba RL James Inc
6301 Arc Way
Fort Myers, FL 33912
INSURER A:
INSURER B.
INSURER C:
INSURER 0:
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,
II"~.!' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
A ~ERAL LIABILITY CON33466849 06/01/2000 06/01/2001 EACH OCCURRENCE $ .~~~~~~
v COMMERCIAL GENERAL LIABILITY FIRE DAMAGE IAny one firel $ 1nnnnn
l CLAIMS MADE GJ OCCUR MED EXP (Anyone person) $ 0:"""
- PERSONAL I\< ADV INJURY $ .nnnnnn
GENERAL AGGREGATE $ ~~~~~~~
-
~'L AGGREFl LIMIT Ar~ PER PRODUCTS - COMP/OP AGG $ ~~~~~~~
POLICY ~~9.i- LOC
B ~TOMOBILE LIABILITY CON33467375 06/01/2000 06/01/2001 COMBINED SINGLE LIMIT $
ANY AUTO lEa accident) -------
-
- ALL OWNED AUTOS BODILY INJURY
$
Lx- SCHEDULED AUTOS (Per person)
Lx- HIRED AUTOS BODILY INJURY
$
Lx- NON-OWNED AUTOS IPer accident!
,;;"',.;""rT' p.'('!1.< ;')"., ~.~"
.'l. . .~
e-- ... q""" ' 1 . .. PROPERTY DAMAGE $
~, IPer accident!
RAGE LIABILITY L1V I I 1 . ^' 1'). \ IIV! L/ AUTO ONLY. EAACCIDENT $
, 1,J~\I(
ANY AUTO ~i OTHER THAN EA ACC $
{!HE -
AUTO ONLY: AGG $
EXCESS LIABILITY i,t..~ '\Jrp: ."L- ee; EACH OCCURRENCE $
t~l OCCUR CI CLAIMS MADE ?i, ;..
AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
C WORKERS COMPENSATION AND 0830-26519 01/01/2001 01/01/2002 I :xc;,~T ~y.~;, I TOJ~-
EMPLOYERS' LIABILITY
E.l. EACH ACCIDENT $
I E.L. DISEASE - EA EMPLOYEE $
I
E.l. DISEASE - POLICY LIMIT $
OTHER
~F:(;F:IVED
---
DESCRIPTION OF OPERATIONS/LOCATlONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS r~ (UUI
BY: ~ A -
Certificate Holder is listed as additional Insured in respect to Genera.L a..u "'UI;;'" ity
Insurance.
- -or-. T ~ ,..... T 1"\ t'(~ 'I ')
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION J:"'- " . . '
SHOULD ANY OF THE ABOVE DESCRI ED pfllE6 BeC~C~OO tEFORE HE EXPIRATION
Monroe County BOCC DATE THEREOF, THE ISSUING INSUR R WILL EN~~'tm lp _ PAYS WRITTEN
3583 S. Roosevelt Blvd NOTICE TO THE CERTIFICATE HOLDER ~: TO L F , F DO SO SHALL
Key West, FL 33040 IMPOSE NO OBLIGATION OR lIABllIT u..uN THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
I ~c. ~~ UD
ACORD 25-S (7/97)
@ACORD CORPORATION 1988