Certificates of Insurance
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
PRODUCER
JOHNSON & HIGGINS OF COLORADO, INC.
1225 17TH STREET, SUITE 2100
DENVER, CO 80202-5534
ATTN: PAULA DELEON APc: . "CMENT COMPANY
15114-00124 DFB DFB ' i I . 1~1 ' . A ZURICH INSURANCE COMPANY
/ - _ A A/J
INSURED .; ..... " BY--~ff li~ COMPANY
~B~~ ~ECUTIVE CENT~ORTH /.;L/"'/9? :::.~~ ~ AMERICAN GUARANTEE AND LIABILITY INSURANCE COo
800 FAIRWAY DRIVE . .- ------... - ....._, if COMPANY
SUITE 350 UIIt\'rp \. /' "cs C
DEERFIELD BEACH, FL 334411183';': . ... " COMPANY
I D
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 TYPE OF INSURANCIE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MM/DD/VY)
~NERAL LIABILITY GENERAL AGGREGATE $
A X COMMERCIAL GENERAL LIABILITY GL08378563 04/01/96 04/01/97 PRODUCTS - COMP/OP AGG $
LTID CLAIMS MADE ~J OCCUR PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
I---
~ $250,000 SIR FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
A ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
.-X ANY AUTO BAP8378516 (ADS) 04/01/96 04/01/97
ALL OWNED AUTOS TAP8378560 (TX) 04/01/96 04/01/97 BODILY INJURY
- (Per person) $
SCHEDULED AUTOS BAP8378561 fVA) 04/01/96 04/01/97
-
HIRED AUTOS MA8378562 (MA) 04/01/96 04/01/97 BODILY INJURY
>--- (Per accident) $
NON-OWNED AUTOS
>---
>--- PROPERTY DAMAGE $
'Y',
~RAGE LIABILITY r...l. \...t:'. ,'eo AUTO ONLY - EA ACCIDENT $
"1"1 ~~ r~" .' Q I (:l
ANY AUTO ,., L,- !ho. 7 ~o::;: .on Tn OTHER THAN AUTO ONLY:
- DATE --lib( -1:~ ,.
EACH ACCIDENT $
>--- ~ '----.--. -----,...
- l, r 'T' . ~ AGGREGATE $
- - ...-..- I. ~
EXCESS LIABILITY .. EACH OCCURRENCE $
~ UM~~E~ FORM 0 AGGREGATE $
i OT"i.:R .HAN UMBRELlA" ORM $
WORKERS COMPENSATION AND X I STATUTORY LIMITS
A EMPLOYERS' LIABILITY WC8378566 04/01/96 04/01/97 EACH ACCIDENT $
A THE PROPRIETOR! F~ INCL WC8378565 04/01/96 04/01/97 DISEASE - POLICY LIMIT $
PARTNERS/EXECUTIVE
B OFFICERS ARE: EXCL WC8378564 (CA) 04/01/96 04/01/97 DISEASE - EACH EMPLOYEE $
OTHER
2,000,000
2,000,000
750,000
750,000
750,000
1,000,000
1,000,000
1,000,000
1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/sPECIAL ITEMS (LIMITS MAY BE SUBJECT TO RETENTIONS)
PROJECT NO. 118009.DF.01 PROJECT MANAGER: KEN WILLIAMS/MIA
PROJECT DESCRIPTION: MONROE COUNTY WASTEWATER FACILITIES PLAN FOR THE MIDDLE FLORIDA KEYS. THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR AS RESPECTS AUTOMOBILE
LIABILITY AND AS PER BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
MONROE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE
ATTN RISK MANAGEMENT EXPIRATION DATE THEREOF. THE ISSUING COMPANY Will ENDEAVOR TO MAIL
5100 COLLEGE ROAD ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT,
KEY WEST FLORIDA 33040 BUT FAllUR~ MAil SUCH NOTICE SHAllIMP~ NO OBLIGATION OR LIABILITY
C C ' )4~ .i1~ jJ..L-~ _ _' OF ANY /I"" UPON THE....COMP~ ITS j;lNTS OR RE~NTAnVES.
· · ~ ~ IT ../ - - r_,O AUTHORIZED ttlJESEN~A~ j. r , - _ f J
'i~li6J..~U~:fmr:::fmr:i:irt::rmmm:r:ffm:i:fmmmr:ffi:::ffffffffi:itt:fmt:::::f:t:i:::fffffmt:::imfmIttt:fittt::~~itiiiimf::r!:i:fff:~i':!:!r:!~me.___a.:~!
r:' ~' ,:l
~~~~I~II~~~~IIIIW~~~~
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
JOHNSON & HIGGINS OF COLORADO, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1225 17TH STREET SUITE 2100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
DENVER, CO 80202-5,534 0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
\ ti
() COMPANIES AFFORDING COVERAGE
ATTN: PAULA DELEON
15114-00124 DFB [)FB
COMPANY
A ZURICH INSURANCE COMPANY
INSURED
CH2M H1LL, INC.
HILLSBORO EXECUTI'/E CENTER NORTH
800 FAIRWAY DRIVE 1"<.(
SUITE 350 o-~
DEERFIELD BEACH, FIL 33441-1831
COMPANY
B
AMERICAN GUARANTEE AND LIABILITY INSURANCE CO.
I COMPANY
C
COMPANY
D
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 COND~TIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANC:E POUCY NUMBER POUCY EFFECnVE POUCY EXPIRAnON UMITS
LTR DATE (MM/DDIVV) DATE (MMIDD/VY)
GENERAL UABIUTY GENERAL AGGREGATE $ 2,000,000
A X COMMERCIAL GENERAl. UABIUTY GL08378563 04/01/96 05/01/97 PRODUCTS - COMP/OP AGG $ 2,000,000
CLAIMS MADE [J~ OCCUR PERSONAL & ADV INJURY $ 750,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 750,000
X $250,000 SIR FIRE DAMAGE (Anyone fire) $ 750,000
MED EXP (Anyone person) $
~ AUTOMOBILE UABIUTY 1,000,000
COMBINED SINGLE UMIT $
X ANY AUTO BAP8378516 (AOS) 04/01/96 05/01/97
ALL OWNED AUTOS TAP8378560 (TX) 04/01/96 05/01/97 BODILY INJURY
(Per person) $
SCHEDULED AUTOS BAP8378561 0JA) 04/01/96 05/01/97
HIRED AUTOS MA8378562 (MA) 04/01/96 05/01/97 BODILY INJURY
(Per accident) $
NON-OWNED AUTOS
PROPERTY DAMAGE $
GARAGE UABIUTY UTO ONLY - EA ACCIDENT $
ANY AUTO pv OTHE THAN AUTO ONLY:
( EACH ACCIDENT $
DATE AGGREGATE $
EXCESS UABIUTY $
UMBREUA FORM V/!i'VfR: N/~ ~S AGGREGATE $
OTHER THAN UMBRELLA. FORM $
WORKERS COMPENUnON AND X STATUTORY UMITS
A EMPLOYERS' UABIUTY WC8378568 04/01/96 05/01/97 1,000,000
EACH ACCIDENT $
A THE PROPRIETOR/ X INCI.. WC8378565 04/01/96 05/01/97 DISEASE - POUCY UMIT $ 1,000,000
PARTNE~ECUTIVE
B OFFICERS ARE: EXCL WC8378564 CA 04/01/96 05/01/97 DISEASE - EACH EMPLOYEE $ 1,000,000
OTHER
DESCRlflnON OF OPERAnONSlLOC:ATIONSlVEHICLESlSPECIAL ITEIIS (UIIITS MAY BE SUBJECT TO RETENnONS)
PROJECT NO. 118009.DF.01. PROJECT MANAGER: KEN WILLIAMS/MIA
PROJECT DESCRIPTION: MONROE COUNTY WASTEWATER FACILITIES PLAN FOR THE MIDDLE FLORIDA KEYS. THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS, ITS EMPLIOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR AS RESPECTS AUTOMOBILE
LIABILITY AND AS PER BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
::~lI.ii~.tif!::iii:!ii:i{mt:::::it!{:::i:tfi{{ii:ttt:{:;:t:{::::::{:!:ii!{ii:ttttiittttttt:{{{:i:ttf]f....li11lMt{{{:tttttti{i:ii{ittm{{{{{:;::::{::::{m=:::::::::tt::::::::::!!:m=:::::::::::::}i::{:(t::i:::m=::::::i::i::::::::::
MONROE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
A TIN RISK MANAGEMENT EXPIRAnON DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
5100 COLLEGE ROAD ~ DA ~ NOncE TO THE CE"1'1..ATE HOLDER NAMED TO.-THE LEFT,
KEY WEST FLORIDA 33040 .: riJluT FA! ~IIAIL SUCH N CE H . I ~ ~ OBU 'O,oR IlJABIUTY
OF . PON E II V, I R ES~TATlVES.
I
::~:_::"'::::::::{:::tttt:::::::::::::::::tttttt}i{:::tlttt!t:i{mm::t:::::lt:::::::/t:rit:::::::::lit:::}:/i/::::i::::::::::::::}:ti:::::::/{ml::::/{::~:::::::::::1:'tli{itlttltt:ttliiii:::::::::::::::::jKi9QI"OijijjeO.'tiiNalf,/
., ! . ' " ...., . .... ...-
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
PRODUCER
JOHNSON & HIGGINS C)F COLORADO, INC.
1225 17TH STREET, SUITE 2100
DENVER, CO 80202-55:34
ATTN: PAULA DELEON
15114-00124 DFB DFB
COMPANY
A ZURICH INSURANCE COMPANY
INSURED
CH2M Hill, INC.
HllLSBORO EXECUTIVE CENTER NORTH
800 FAIRWAY DRIVE
SUITE 350
DEERFIElD BEACH, Fl 33441-1831
f) ( .1((
(/' -f ,
COMPANY
B
AMERICAN GUARANTEE AND LIABILITY INSURANCE CO.
COMPANY
C
j
COMPANY
I D
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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE . POLICY EXPIRATION LIMITS
LTR DATE (MM/DD/YV) DATE (MM/DD/YV)
GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000
'---
A X COMMERCIAL GENERAL LIABILITY GL08378563 05/01/97 05/01/98 PRODUCTS - COMP/OP AGG $ 2,000,000
____ ~ CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 750,000
OWNER'S & CONTRACTOH'S PROT EACH OCCURRENCE $ 750,000
-
X $250,000 SIR FIRE DAMAGE (Anyone fire) $ 750,000
-
MED EXP (Anyone person) $
A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
i----
X ANY AUTO BAP8378516 (AOS) 05/01/97 05/01/98
~
ALL OWNED AUTOS TAP8378560 (TX) 05/01/97 05/01/98 BODILY INJURY
r----- (Per person) $
SCHEDULED AUTOS BAP8378561 (VA) 05/01/97 05/01/98
r-----
HIRED AUTOS MA8378562 (MA) 05/01/97 05/01/98 BODILY INJURY
i---- (Per accident) $
NON-OWNED AUTOS
I---
r----- PROPERTY DAMAGE $
GARAGE LIABILITY AP~{1Y Rtjr/lfENT AUTO ONLY - EA ACCIDENT $
r----- ~~ OTHER THAN AUTO ONLY:
ANY AUTO
r----- BY . ~ -::j,
() r' .... . ... -~ EACH ACCIDENT $
r----- v
t:::_ (l U J tL. ac,: p;mfl AGGREGATE $
DATE '. -...... I I u() 1 ""
EXCESS LIABILITY , EACH OCCURRENCE $
R UMBRELLA FORM V AGGREGATE $
~VA'VFR: N/A / YfS
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION ANI) XJ STATUTORY LIMITS .:<
EMPLOYERS'LlABILlTY
A WC8378566 05/01/97 05/01/98 EACH ACCIDENT $ 1,000,000
A THE PROPRIETOR! pllNCL WC8378~65 05/01/97 05/01/98 DISEASE - POLICY LIMIT $ 1,000,000
PARTNERS/EXECUTIVE
B OFFICERS ARE: EXCL WC8378564 (CA) 05/01/97 05/01/98 DISEASE - EACH EMPLOYEE $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCA1nONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO RETENTIONS)
PROJECT NO. 118009.DF.01 PROJECT MANAGER: KEN WILLIAMS/KWF
PROJECT DESCRIPTION: MONROE COUNTY WASTEWATER FACILITIES PLAN FOR THE MIDDLE FLORIDA KEYS. THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS, ITS EMPLOY'EES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR AS RESPECTS AUTOMOBILE
LIABILITY AND AS PER BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
MONROE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
A TTN RISK MANAGEMENT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
5100 COLLEGE RtJAD ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
KEY WEST FLORIDA 33040 . {. .. . . BUT FAILU~TO MAIL SUCH NOTICE SHALL IMP~SE NO OBLIGATION OR LIABILITY
~(/) r)ry OF ANY IK,ND UPON THE COMPAIIY. ITS !AGENTS OR REP~ENTATlVES.
'-1~ ~7" ( AUTHORIZEV PRES~.j ~ i
jj~t*ieiu~jjjt:fmjjjj:jj:j:;~{{jjj:jfj:.{jffttmffMlfffft{:f;jtmf:j:j:~jjj:jffjj:m:j:jff:jf:jfj{j:j:j:{mf::{nj~iii~:{jj)~j~?\j~jmm{j:j:jffjj:jIf?m{jif~~f\;~~~b:~_a.jj
'-
~~~~~~...............................................,...........................~~~~~~~..:~:::::::::r::::::::::II::::::::::::I:::::::::::::::~I:::::::::::::::.:~::::::::::t:::::t:I::::::::::E"::::::::::r~.:~:::::::::tl::::::::::~t::::~::::t::::~I:::::::::::~::::~~~~::::~III.:;:::::::::~~~~::::::~~~:::::t:::~:II:::::::::::~I:::::::::::~~~~~~ttt~tr~tttttt~~tttt~~tttttt?t)=*:~~~~~f::t~B~~~I::':::'::~/I:::.:t~I:::::::::~~""""""".............................................................~:~~~:
.... ......1.1. .... . .m .. .. "1 ....1 . :~.=~!. .. ....... ......1.... .li:i=1 '" ...... .............................................................z..~~=~..~:::I....... "f.. DATE (MM/DD/VY) .....
l~~_~.~~~lL~~~~~~~J ~6m7 .
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
VAN GILDER INSURAN(;E CORPORATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 BROADWAY SUITE 1000 HOLDER. THIS CERTifiCATE DOES NOT AMEND, EXTEND OR
DENVER, COLORADO 80203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
15114-00005 DFB3M [)FB
COMPANY
A SECURITY INSURANCE CO OF HARTFORD
INSURED
CH2M HILL, INC.
HILLSBORO EXECUTIVE CENTER NORTH
800 FAIRWAY DRIVE
SUITE 350
DEERFIELD BEACH, FL 33441-1831 COMPANY
I D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOlWlTHSTANDING 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.
COMPANY
B
COMPANY
C
/'
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
lTR DATE (MM/DD/VY) DATE (MM/DD/VY)
~NERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL UABILlTY PRODUCTS - COMP/OP AGG $
t:JIQ CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
f----
- FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
~TOMOBILE LIABILITY ~Dao ~GEl,1ENT COMBINED SINGLE LIMIT $
ANY AUTO
-
ALL OWNED AUTOS BODILY INJURY
- BY'. jJ $
SCHEDULED AUTOS (Per person)
~ ,t:y4-Ql
HIRED AUTOS BODILY INJURY
~ DATE $
NON-OWNED AUTOS , (Per accident)
~ /
f--- WAIVER: N/A YES - PROPERTY DAMAGE $
~RAGE LIABILITY GlJ8 " ~ AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY: hi ill
f--- ~C'. fj~~~wt~
f--- EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY ~ EACH OCCURRENCE $
~ UMBREUA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND I STATUTORY LIMiTS ... .... ....
EMPLOYERS'LlABILlTY
EACH ACCIDENT $
THE PROPRIETOR/ R INCL DISEASE - POLICY LIMIT $
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE $
A OTHER
PROFESSIONAL SPL700726 05/01/97 05/01/98 $3.000.000 EACH CLAIM AN
LIABILITY* IN THE AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO RETENTIONS)
PROJECT NO. 118009.DF.01 PROJECT MANAGER: KEN WILLIAMS/KWF
PROJECT DESCRIPTION: MONROE COUNTY WASTEWATER FACILITIES PLAN FOR THE MIDDLE FLORIDA KEYS.
*FOR PROFESSIONAL LIABILITY COVERAGE, THE AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY
PERIOD FOR ALL OPERATIONS OF THE INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE.
MONROE COUNTY' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
ATTN RISK MANAGEMENT EXPIRATION DATE THEREOF. ~lHE ISSUING COMPANY WIU ENDEAVOR TO MAIL
5100 COLLEGE ROAD \ ~ DAYS WRITT~ICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
KEY WEST FLORIDA 33040 . \ /) 1ry:Il.-BuT FAILURE TO;MAIL ~CH NOTICE SHALL IMPOSE NO OBLlGAnON OR LIABILITY
V o'(h\.../I....rr OF ~Ii UPoj(/! THE COMPANY, I~N1S OR REPRESENTAnvES.
- y AUTHORIZED,r!1...~E. .TIVE. C... .. ~ 7 ~.. -AIIb__~ -
-- /) -A> ,/~.r ~-
~ {? . ,<,,/~ ,!..~,/ =c-~ (.-