Certificates of Insurance
ACORDN
~. i.......i............FR.1'I.F=I.t3Atrz.....()r=......I...I.~SI.t.l.ry....If\.J.~.t..J...r\J.t3E:csfrRR... DATE(MM/DDIYY)
V...... < >\..1. .....<<< ... d ..'Pi<<<\..IP,A;V'CQ01 04/26/00
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOM
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
Co.
PRODUCER
George H. Friedlander
PO Box 2466
1566 Xanawha Blvd. B.
Charleston WV 25311
FRIBDLANDBR COMPANY
Phone No. 304 -357 -4520 Fax No.3 04 -345 - 8724
INSURED
COMPANY
A
St. Paul Fire & Marine
pavex corporation
2501 N.W. 48th st.
Pompano Beach FL 33073
I COMPANY
l.~!"'" B
c,y
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)
LIMITS
AUTOMOBILE LIABILITY
A X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-oWNED AUTOS
I
h
~~RAGE LIABILITY
L-1 ANY AUTO
H
~ESS LIABILITY
A ' X I UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
XX01200830
04/01/00
GENERAL AGGREGATE $2,000,000
04/01/01 PRODUCTS - COMP/OP AGG $2,000,000
PERSONAL & ADV INJURY $1,000,000
I EACH OCCURRENCE $1,000,000
FIRE DAMAGE (Anyone fire) $ 50,000
MED EXP (Anyone person) $ 5,000
04/01/01 COMBINED SINGLE LIMIT $1,000,000
I GENERAL LIABILITY
A H5~... X~ COMMERCIAL GENERAL LIABILITY
.., .. CLAIMS MADE ~ OCCUR
I OWNER'S & CONTRACTOR'S PROT
XX01200830
04/01/00
I
Limits evidenced her~in are those rovided
on behalf of the namtd insured, Li its
afforded on behalf 0 Additional In ured
are lesser of policy I mits, or those limits
.. I ".
BODILY INJURY
(Per person)
:$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
i$
I
XG01202155
04/01/00 I
04/01/01
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
conditions governir.g Isuch work to
performed by the Na ad Insured.
A THE PROPRIETOR!
PARTNERSlEXECUTIVE
OFFICERS ARE:
OTHER
X INCL WVX12 0 114 0
EXCL'
04/01/00
$1,000,000
04/01/01 EL DISEASE - POLICY LIMIT $ 1,000,000
EL DISEASE - EA EMPLOYEE I $ 1, 0 0 0 , 0 0 0
$
$
$ 5,000,000
$5,000,000
$
!.E;,SJ;I3lPTI91l OE OPERATIONSIlOCA TIONSNEHICLESlWECIAL ITEMS
UU~ wP~ PROJECT NO. 6816783 & 6826784, RESURFACING TAXIWAYS AND APRON, KEY WEST
NTERNATIONAL AIRPORT, MONROE COUNTY, FL. MONROE COUNTY BOARD OF COMMISSIONERS
TS EMPLOYEES AND OFFICIALS ARE ADDITIONAL INSUREDS WITH RESPECTS TO WORK PER- '
ONROE COUNTY BOARD OF COUNTY BLANO 01
OMMISSIONERS
100 COLLEGE ROAD, CROSSWING ROOM 002
EY WEST, FL 33040
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
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
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