Certificates of Insurance
ACORDN CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYY)
. AUG 9 02
DICK WARNER INSURANCE, INC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
2510 EAST OAKLAND PARK BLVD. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
FT. LAUDERDALE FL 33306 POLICIES BELOW.
PHONE: 954-565-5691
FAX: 954-565-5714 COMPANIES AFFORDING COVERAGE
INSURED COMPANY A: PREFERRED NATIONAL INSURANCE CO.
NATIONAL CLEANING SYSTEMS, INC. COMPANY B: GMAC INSURANCE COMPANY
P.O. BOX 9562
FORT LAUDERDALE, FL 33310 COMPANY C: NATIONAL UNION FIRE INS CO OF PA
COMPANY D: EVEREST NATIONAL INSURANCE CO
COMPANY E: WESTERN SURETY CO
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 ,HE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAle CLAIMS,
INSR TYPE OF INSURANCE POLICY NUMBER i POLICY EFFECTIVE POLICY EXPIRA nON LIMITS
LTR i DATE (MMlDD/YY) DATE (MMlDDIYY)
GENERAL LIABILITY 86446B JUN 26 02 JUN 26 03 EACH OCCURRENCE $ 1,000,000
~~MMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any One Fire) $ 100,000
. 1 CLAIMS MADE I~ OCCUR MED. EXP (Any One Person) $ 5,000
A =J PERSONAL & ADV INJURY $ 1,000,000
I GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMP/OP AGG. $ 2,000,000
-Xl POLICY Ii PROJECT I-I LOC i I i
AUTOMOBILE LIABILITY B8774683466 ! SEP 26 01 T SEP 26 02 COMBINED SINGLE LIMIT T
- , (Ea accident) 1$ 1,000,000
ANY AUTO
- i -~.~------------+-------_._--- ----
ALL OWNED AUTOS i i BODILY INJURY
- (Per person) $
B X SCHEDULED AUTOS APPro! ~ D ~ i'l K MANA~~T
-
X HIRED AUTOS BODILY INJURY
~ NON-OWNED AUTOS BY' ." ~ 11.1 (Per accident) $
OAT; ~<l J ~ 0,.':).
~ PROPERTY DAMAGE $
i i -
GARAGE LIABILITY WAIVER NfA ~ l t:\) AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
, AUTO ONLY: AGG $
EXCESS LIABILITY I BE7403351 JUN 26 02 JUN 26 03 EACH OCCURRENCE $ "',UUU,UUU
.1x1 OCCUR r--l CLAIMS MADE 'AGGREGATE =i= 1,000,000
r :-~ '-----J , ~--~-~~~ --.
, $
- R DEDUCTIBLE i.-..-...---.--. ---- -----~. --
I i$
10,000 I L I
RETENTION $ 1 i i $
WORKERS COMPENSATION AND I 2700007219-011 I JAN 1 02 I JAN 1 03 I I WC STATU- I I OTHER
EMPLOYERS' LIABILITY
0 E.L. EACH ACCIDENT $ 500,000
I E.L. DISEASE-EA EMPLOYEE $ 500,000
E.L. DISEASE-POLICY LIMIT $ 500,000
OTHER: rll","'L.' , . tsUND 68660478 OCT 20 01 OCT 20 02 $50,000
E I
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS COUNTY OF MONROE SHOWN AS ADDITIONAL INSURED.
* 30 DAY NOTICE OF CANCEL FOR WORKERS COMPENSATION POLICY.
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10
COUNTY OF MONROE DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
KEY WEST INTERNATIONAL AIRPORT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURER, IT,'S AGENTS OR REPRESENTATIVES.
3491 SOUTH ROOSEVELT BOULEVARD
KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE
Attention: -\7\N -
ACORD 25-5 (7197)
Certificate # 3892
Tad Webster
A279849