Certificates of Insurance
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PRODUCER
MARSH USA INC.
1255 23RD STREET, NW SUITE 400
WASHINGTON, DC 20037
DATE (MM/DDIYY)
11/09/99
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
36590-PBG ALL99
COMPANY
A CONTINENTAL CASUALTY COMPANY
INSURED
THE PEPSI BOTTLING GROUP, INC.
1 PEPSI WAY
SOMERS, NEW YORK 10589
COMPANY
B TRANSCONTINENTAL INSURANCE COMPANY
COMPANY
C VALLEY FORGE INSURANCE COMPANY
THIS 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DDIYY)
B WORKERS COMPENSATION AND
C EMPLOYERS' LIABILITY
A THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
D OTHER WC189173556 (LA, MI,
WORKERS COMPENSATION NC, SC)
A & EMPLOYERS LIABILITY WC189173492 (AZ, OR,
(SEE ATTACHED XS We) VA, & WI)
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIA
RE: KEY LARGO PARKS
WC189173475 (.AJO)
WC189173539 (MN)
WC189173511 (CA)
EACH ACCIDENT $ 1,000,000
DISEASE - POLICY LIMIT $ 1,000,000
DISEASE - EACH EMPLOYEE $ 1,000,000
X STATUTORY LIMITS
EACH ACCIDENT $1,000,000
DIS. POL. LIMIT $1 ,000,000
DIS. EACH EMPL. $1,000,000
EMS (LIMITS MAY HAV~E PAID CLAIM AND MAY HAVE DEDUCTIBLES OR RETENTIONS)
~ ~~"'~\
04/07/99
04/07/99
04/07/99
01/01/00
01/01/00
01/01/00
LIMITS
GENERAL AGGREGATE $ 2,000,000
PRODUCTS - COMP/OP AGG $ 2,000,000
PERSONAL & ADV INJURY $ 1,000,000
EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 100,000
MED EXP (Anyone person) $ 5,000
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
X STATUTORY LIMITS
A GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ~ OCCUR
OWNER'S & CONTRACTOR'S PROT
GL189173587
04/07/99
01/01/00
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
INCL
04/07/99
01/01/00
.-.,.--"
04/07/99
P~I.~!PATg.H9@Ir;F,;l?i>..........................
MONROE COUNTY
ENGINEERING DEPT.
5100 COLLEGE ROAD
KEY WEST, FL 33040 \)hTE
ATTN: JOHN PROSSER lNlTIAL
FAX: (305)295-4321
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
KIND .UPON THE ·
PRESENTATIVE