Certificates of Insurance
- I
! ACORLt CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDIYY)
, 06/04/2003
PRODUCER 678-376-9300 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
NA TIONAIR INSURANCE AGENCIES, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO BOX 1326 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
LAWRENCEVILLE, GA 30046-1326 INSURERS AFFORDING COVERAGE
I
!INSURED INSURER A: HOUSTON CASUALTY COMPANY
I --,,-----_.._-
I
SUM AIR SERVICES, INC, INSURER B'
9850 OVERSEAS HIGHWAY INSURER C.
---------
MARATHON, FL 33050 INSURER D.
~-
I 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.
,INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER.
prOi LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
L~ ANY AUTO
EXCESS LIABILITY
J OCCUR D CLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTHER
A ,AIRPORT POLICY
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS. COM PlOP AGG $
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE i$
(Per accident)
AUTO ONLY. EA ACCIDENT
OTHER THAN
AUTO ONLY
EA ACC
AGG $
EACH OCCURRENCE
AGGREGATE
$
$
$
$
$
$
E.L DISEASE. EA EMPLOYEE $
E.L DISEASE. POLICY LIMIT
#013631-011
02/21/2003
02/21/2004 SEE BELOW
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
AIRPORT LIABILITY: $5,000,000 EACH OCCURRENCE
HANGARKEEPERS LIABILITY: $1,000,000 EACH OCURRENCE/EACH AIRCRAFT
DEDUCTIBLE: $50,000 EACH OCCURRENCE
ADDITIONAL INSURED; INSURER LETTER: X
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
OATE THEREOF, THE ISSUING tNSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRES NTATIVES,
AUTHO 0 EP ESENTATIV
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
ATTN: MARIA SLAVIK
1100 SIMONTON STREET, ROOM 268
KEY WEST, FL 33040
ACORD 25-S (7/97)
/
C.C.'~
ACFJRD:. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY)
! 06/04/2003
" PRODUCER 678-376-9300 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
I NATIONAIR INSURANCE AGENCIES, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO. BOX 1326 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
LAWRENCEVILLE, GA 30046-1326 INSURERS AFFORDING COVERAGE
.
i INSURED INSURER A: HOUSTON CASUALTY COMPANY
SUM AIR SERVICES, INC. INSURER B'
9850 OVERSEAS HIGHWAY INSURER C.
MARATHON, FL 33050 INSURER D:
I 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.
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GEN'L AGGREGATE LIMIT APPLIES PER.
prOT LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
EACH OCCURRENCE $
FIRE DAMAGE (Anyone lire) $
MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE ,$
PRODUCTS - COM PlOP AGG $
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
COMBINED SINGLE LIMIT
(Ea accident)
$
GARAGE LIABILITY
ANY AUTO
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
EACH OCCURRENCE
AGGREGATE
$
EA ACC $
$
$
$
AGG
AUTO ONLY - EA ACCIDENT
OTHER THAN
AUTO ONLY:
OCCUR
DEDUCTIBLE
RETENTION
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTH.
ER
E.L. DISEASE. EA EMPLOYEE $
E.L. DISEASE. POLICY LIMIT
OTHER
A AIRCRAFT POLICY
POLICY #013631-011
02/21/2003
02/21/2004 SEE BELOW
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
N418UE, 1987 BAE JETSTREAM 31 HULL VALUE: $580,000
N12076, 1984 AERO L-39 ALBATROSS HULL VALUE: $250,000
LIABILITY LIMITS: $1,000,000 WITH PASSENGER LIABILITY LIMITED TO $100,000 EACH PASSENGER
DEDUCTIBLES: $50,000 IN MOTION/$50,000 NOT IN MOTION
CERTIFICATE HOLDER
X ADDITIONAL INSURED; INSURER LETTER: X
CANCELLATION
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
ATTN MARIA SLAVIK
1100 SIMONTON STREET, ROOM 268
KEY WEST, FL 33040
ACORD 25-S (7/97)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
T A TIVES.
o REPRESENTATIVE
JAN,21,20054:39PM
NO, 7141
P 2
CERTIFICATE OF INSURANCE
CERTIFICATE DATE: 01/21/2005 CERTIFICATE NUMBER: 4612 _ REVISED
CERTIFICATE HOLDER: POLICYHOLDER:
Paradise Jet Support Center William Daughenbaugh
Attn: Bi1J'bara Ward 670 Henry DeCinque Blvd,
9850 Oversells Highway Woodbine, NJ 08270-2662
Marathon, FL 33050
This is to certify thai !he followlns poJicy(a), subjQCt to the leln1s, clmditiOllS, limitlliQ1ls and cndorscnlenrs contained therein, and during their effective period, have
been issued by Inn company(s) indicoll;d below. In the event of Illllterial change or canCellalilm of said PQlicy(s), the company will endeavor to notify the certiticate
holdeI', but uilure to do 811 shall impose no liability or obligalion of any kind upon the undersigned or the el1mpany(s) involved,
Policy Type: AIRCRAFT
Insurance Company; V.S, Specialty Insurance Company
Policy Number: RW0012889703
Policy Period: Ju1y 6, 2004 to July 6, 2005
Aitcraft:
Aircraft Liability - Combined Single Limit Bodily Injury
and Property Damage Including passengers
1987 Schweizer 300, N7506L
$1,000,000 Each Occurrence
THE FOREGOJNG EVlDENCf, OF COVERAGE IS NOT veRBATIM OF POUCYCONDmONS, UM/TATIONS on LANGUAGE; THE POUCY(S)
RePRESENTED BY THIS CERTIFICATE AM Nor AMENDED IN ANY WAY UNLESS SO STATED ON mls CERTIFTCATE.
ADDITIONAL AGREEMENTS:
Ad.ditional Insured
Paradise Jet Support Center and Monroe County Board of County Commissioners are included
as Additional Insureds, as their interest may appelU', for Liability Coverages, but solely wirh
respectto operations of the Named Insured, subject to all policy terms and conditions.
B~I~K MANf;QEME1'P
AP~B~ ___
BY-.~.- -~,--~ - I b~r2----
.~ fY U~_.__
DA1 c:'--
NI A ..J....- YES--
WAIVF:..R
%' ~~- .(
, ~:~~iVE~Q~
JAN 2 r, 2005
ONROE cCU:,VATTOW'
Qt>~'-\', \
,- \J ~ ~~ '1\<. L-
NOTlell OF CANCEL-LATIO..!!: IN IRE EVENT OF MA TERII\L CHANOE OR CANCEtLA nON OF SAID POLICY(S), THE COMrl\NY(S) SHALL ~DEA VOR
TO GIVE 10 DAYS WRlTJl:N NonCE TO THE CER.TIflCATl; HOLDER WITH THE EXCEPTION OF A 10 DAY NOTICE FOR NON-PA VMENT 01' PREMI'{JM.
. J Professional Insurance Management
onlin!!nt AirpDrt. Wicllita, KS 67Z77
AX 1..J16-942-1260. Horn!! page piml,toll1
iHR
(H ,,\
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNY)
TM 02/24/2006
PRODUCER Serial # 102494 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
SOUTHEAST INSURANCE BROKERAGE COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2 ALHAMBRA PLAZA SUITE 1200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
CORAL GABLES, FLORIDA 33134
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: XL SPECIALTY
SUM AIR SERVICES, INC. / PARADISE JET SUPPORT / INSURER B: ZENITH INSURANCE
COLLINS AVIATION, INC. INSURER C:
9850 OVERSEAS HIGHWAY
I MARATHON, FL. 33050 INSURER D:
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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
IN8R ~~'k~ TYPE OF INSURANCE POLICY NUMBER Pgk!fl /~r.tt<<&~~ Pgk!fl/~~b~~N LIMITS
LTR
~NERAL LIABILITY EACH OCCURRENCE $ *5,000,000
X COMMERCIAL GENERAL LIABILITY ~~~~fr,Hq~aE~cTlu~nce\ $
A I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
X AVIATION LIABILITY PERSONAL & ADV INJURY $
NAF3029487 09/20/05 09/20/06 GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ 1,000,000
hH PRO. n
POLICY JECT LOC
~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000
~ ANY AUTO (Ea accident)
A ALL OWNED AUTOS NAF3029487 09/20/05 09/20/06 BODILY INJURY
"- $
SCHEDULED AUTOS (Per person)
-
- HIRED AUTOS BODILY INJURY
$
- NON.OWNED AUTOS (Per accident)
MOBILE EQUIPMENT PROPERTY DAMAGE
(Per accident) $
-A~
~RAGE LIABILITY '11 I n'lu'l ~ ~I RIS " " AUTO ONLY, EA ACCIDENT $
\ '1"
Lw,.....l1L 'it. II j '-..
ANY AUTO OTHER THAN EA ACC $
''''''y,., I ~ _... - ". .-~'~__N_ AUTO ONLY: AGG $
:==JESS/UMBRELLA LIABILITY -------(;A.:@ ll-<.)~ EACH OCCURRENCE $
OCCUR D CLAIMS MADE V\lJ\j'.if':R MiA '\ --~ ~.~.- ...
AGGREGATE $
, "".
~ $
~ DEDUCTIBLE 6lt;< l $
RETENTION $ $
WORKER'S COMPENSATION AND C C " 'f..- IVLJ X I WC STATU" I 10TH-
TORY LIMITS ER
EMPLOYERS' LIABILITY v 02/25/06 02/25/07 100,000
B ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? Z065664402 EL DISEASE. EA EMPLOYEE $ 500,000
If yes, describe under 100,000
SPECIAL PROVISIONS below EL DISEASE. POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
COVERAGE INCLUDES: PRODUCTS & COMPLETED OPERATIONS AND HANGARKEEPERS - LIMIT $1,000,000
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
ADDITIONAL INSURED: DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL~DAYS WRITTEN
MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF \\NY KIND UPON THE INSURER, ITS AGENTS OR
P,O. BOX 1026 ATTN: MARIA SLAVIK REPRESENTATIVES, ;
KEY WEST, FL. 33041-1026 AUTHORIZED REPRESENTATIVE 13469 "--'-'/. /.
l
1/1' I; / 1, j /. .-
I I
ACORD 25 (2001/08) /. .
~C~~
@ACORO CORPORATION 1988
DATE {MM/DDIYY}
03/01/2004
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
XL SPECIALTY
ACORDTM
PRODUCER Serial #
SOUTHEAST INSURANCE BROKERAGE COMPANY
2 ALHAMBRA PLAZA SUITE 1200
CORAL GABLES, FLORIDA 33134
101385
I COM:NY
I, COMPANY
I, COM:ANY
I C
I COMPANY
o
ZENITH INSURANCE
INSURED
SUM AIR SERVICES, INC. / PARADISE JET SUPPORT
9850 OVERSEAS HIGHWAY
MARATHON, FL. 33050
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 B Y 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.
I I POLICY EFFECTIVE I POLICY EXPIRATION 1
TYPE OF INSURANCE POLICY NUMBER DATE (MMlDD1YY) , DATE (MMlDDIYY)
LIMITS
CO
LTR
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
PERSONAL & ADV INJURY ,$
09/20/04 , EACH OCCURRENCE $
I FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
I COMBINED SINGLE LIMIT $
09/20/04
BODILY INJURY $
(Per person)
'BODILY INJURY " $
I (Per accident) 1
I PROPERTY DAMAGE $
AUTO ONLY- EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
$
$
$
OTH-
ER
02/25/05 , EL EACH ACCIDENT $
I EL DISEASE - POLICY LIMIT $
EL DISEASE - EA EMPLOYEE $
GENERAL LIABILITY
A
1
COMMERCIAL GENERAL LIABILITY i
CLAIMS MADE n OCCUR
; OWNER'S & CONTRACTOR'S PROT
NAF3017201
09/20/03
A
AUTOMOBILE LIABILITY
X I ANY AUTO
ALL OWNED AUTOS
, , SCHEDULED AUTOS
~ HIRED AUTOS
NON-OWNED AUTOS
. .. MOBILE EQUIPMENT
1
GARAGE LIABILITY
h ANY AUTO
'I. ----------1
NAF3017201
09/20/03
l EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
I, WORKER'S COMPENSATION AND
EMPLOYERS' LIABILITY I
B ;~;:~:=E~~TIVE illNCL I Z065664401
OFFICERS ARE: I)( EXCL
OTHER
1,000,000
*5,000,000
5,000,000
100,000
500,000
100,000
DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlSPECIAL ITEMS
COVERAGE INCLUDES: PRODUCTS & COMPLETED OPERATIONS AND HANGARKEEPERS - LIMIT $1 ,000,000
* PREMISES LIMIT ONLY
AIRCRAFT POLlCY- NAR3017200 -N3800G, N6569G, N21277, N24485 & N71CF LIMIT: $1,000,000/$100,00 PER SEAT 9/20/03-04
ADDITIONAL INSURED:
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
ATTN: MARIA SLAVIK
SIMONTON ST, ROOM 269
KEY WEST,FL. 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 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, AGENTS OR R~ESENTATlVES.
AUTHORIZED REPRESENTATIVE 13459
ACORDT"
CERTIFICA Tr- OF LIABILITY INSURA" .~E
I
PRODUCER
Serial #
SOUTHEAST INSURANCE BROKERAGE COMPANY
2 ALHAMBRA PLAZA SUITE 1200
CORAL GABLES, FLORIDA 33134
101020
INSURED
INSURERS AFFORDING COVERAGE
INSURER A: XL SPECIALTY
INSURER B: ZENITH INSURANCE
NAIC#
SUM AIR SERVICES, INC. / PARADISE JET SUPPORT /
COLLINS AVIATION, INC.
9850 OVERSEAS HIGHWAY
I MARATHON, FL. 33050
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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
I~'~ ~'k~ TYPE OF INSURANCE POLICY NUMBER Pgk'fl,~rXlb<&RJ<,~ Pgk!fEY,~rXb~WlN
GENERAL LIABILITY
I--
X
INSURER C:
INSURER D:
INSURER E:
LIMITS
NAF3017201
09/20/04
EACH OCCURRENCE $
~~~~*~~qraE~~~nce\ $
MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
09/20/05 GENERAL AGGREGATE $
PRODUCTS. COMP/OP AGG $
COMBINED SINGLE LIMIT $
(Ea accident)
09/20/05 BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
*5,000,000
A
COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE D OCCUR
X AVIATION LIABILITY
NAF3017201
09/20/04
A
GEN'L AGGREGATE LIMIT APPLIES PER:
II POLICY n m?,= n LOC
~TOMOBILE LIABILITY
~ ANY AUTO
ALL OWNED AUTOS
I--
I-- SCHEDULED AUTOS
I-- HIRED AUTOS
I-- NON-DWNED AUTOS
MOBILE EQUIPMENT
1,000,000
5,000,000
nRAGE LIABILITY
11 ANY AUTO
~ ,e. ,^ '",,-a It::"HT
rH" '....\rJ\ l~ \... "0 II.' 'tJJ~
B:.=-.-.\\\ '- ~~ ~Dc; -
U 1"\ I.... ........." \[.
WAIVER ;~ir'",,'_"~;~ES
Cy< x' . J .,?
'f'~, ..,n
-tI,d)-'\U 'X 17c5~lmlYs I
02!25f06
PROPERTY DAMAGE
(Per accident)
AUTO ONLY - EA ACCIDENT
~ESS/UMBRELLA LIABILITY
~ OCCUR D CLAIMS MADE
EACH OCCURRENCE
EA ACC $
AGG $
$
$
$
$
$
FETH"
ER
OTHER THAN
AUTO ONLY:
AGGREGATE
RDEDUCTIBLE
RETENTION $
WORKER'S COMPENSATION AND
EMPLDYERS' LIABILITY
B ~~~16~~~R~~1~~~~~m6~~;ECUTIVE
If yes, describe under
SPECIAL PROVISIONS below
OTHER
02/25/05
EL EACH ACCIDENT $
EL DISEASE. EA EMPLOYEE $
EL DISEASE" POLICY LIMIT $
100,000
500,000
100,000
2065664402
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
COVERAGE INCLUDES: PRODUCTS & COMPLETED OPERATIONS AND HANGARKEEPERS - LIMIT $1,000,000
C 0 f-> ~" ~~--"'-,^"c..~
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
ADDITIONAL INSURED:
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS ATTN: MARIA SLAVIK
SIMONTON ST, #269
KEY WEST, FL. 33040
I
ACORD 25 (2001/08)
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLlGAT. ION OR LIABILITY OF ANY KINQIOI10N THE INSURERAS AGENTS OR
REPRESENTATIVES / / J
AUTHORIZED REPRESENTATIVE 13469 7 m~iY~
, I @ACeR['''eO~PORATION 1988