Certificates of Insurance
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]111_I_nll~!!LTER='~=::::"
ONLY AND CONFERS NO RIGHTS UPON THE CERTlRCATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
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PRODUCER
Moscker Insurance Agency Inc.
7 Riggs Avenue
Severna Park
MD 21146
INSURED
National Roofing Co 100 d/b/a
National Roofing South FL 100
528 South East 32nd Street
A Lauderdale FL 33316
COMPANY
A
CNA Insurance Co.
C 2 2 1999
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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
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [!] OCCUR
OWNER'S & CONTRACTOR'S PROT
X PER PFOJECT ACGlEGATE
A AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
X FLORIDA PIP $10,000 LIMI
GARAGE LIABILITY
ANY AUTO
A EXCESS LIABILITY
X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYCRS' LIABILITY
A THE PROPRIETOR!
PARTNERSfEXECUTIVE
OFFICERS ARE:
OTHER
A Installat ion Floater
Leased/Rented Equipment
INCL
EXCL
COMPANY
B
COMPANY
C
COMPANY
D
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DDNY)
05/01/99
POLICY EXPIRATION
DATE (MM/DDNY)
05/01/00
C128887721
C1028887749
05/01/99
05/01/00
r1>,lt. _-
VtS
C1028887735
05/01/99
05/01/00
WCC128891297
05/01/99
05/01/00
C128887721
05/01/99
05/01/00
DESCRIPTION OF OPERATIONSfLOCATI01/SNfHICLESI&PECIAL ITEMS
Job: slamorada Library Roof Repal r
Monroe County BOOC is named as additional insured on al I pol icies except
Workers Compensat ion,
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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,
AUlHORIZED fJPRESEIfrATlVE ~
- ~bt1lt(L J+
. . . ..,~ ' ACORD CORlIDRATlON 1988 H
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Board of County Commissioner of Monroe County, FL
5100 College Road
Key West
Fl
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33040
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LIMITS
GENERAL AGGREGATE $
PRODUCTS. COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
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
$
$
$
Anyone Loss
Deduct ible
Broad Form Coverage
2,000,000
2,000,000
1,000,000
1,000,000
50,000
5,000
500,000
10,000,000
10,000,000
100,000
500,000
100,000
250,000
1,000