Certificates of Insurance
AtDetlllt.
ISSUE DATE (MM/DD/YY)
7/18/91
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
~~ODUCER
THE PORTER ALLEN COMPANY
513 SOUTHARD STREET
KEY WEST, FLA. 33040
305-294-2542
f~T~~~NY A
CIGNA INSURANCE COMPANY
INSURED
f~T~~~NY B
CHICKLETS ON THE BEACH, INC.
HIGGS BEACH REYNOLVS STREET
KEY WEST, FLA. 33040
f~T~~~NY C
f~T~~~NY D
COU_I_$
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.
f~T~~~NY E
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
A X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR.
OWNER'S & CONTRACTOR'S PROTo
RWPVl 43 07 88 6
7/11/91
7/11/92
GENERAL AGGREGATE
PRODUCTS-COM PlOP AGG.
PERSONAL & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
$ 300,000
$ 300,000
$ 300,000
$ 300,000
$ 50,000
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
MED. EXPENSE (Anyone person) $
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
COMBINED SINGLE $
LIMIT
BODIL Y INJURY $
(Per person)
BODIL Y INJURY $
(Per accident)
PROPERTY DAMAGE $
EACH OCCURRENCE $
AGGREGATE $
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY LIMITS
EACH ACCIDENT $
DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
OTHER
Recei vt-d
Risk Mgmt. & Loss Contro~
DATE
INmAL
DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS
MONROE COUNTY RISK MANAGEMENT
WING II, ROOM 207, P.S.B.
5100 JUNIOR COLLEGE ROAV
KEY WEST, FLA. 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ~ DAYS WRITT OTICE TO T E CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE IL SUC ICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF A NO PON ANY, ITS AGENTS OR REPRESENTATIVES.