Certificates of Insurance
A
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\IDRKERS' COMPE.~ ~AfI ) [ 1; \ \([
ADMl.\mERf D fI ( [~
PRODUCER 6.' 6
THE JOHN~),C i
POBOX c~],
MARATHON Sf f
RANCE A(;ENCY
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EX-
TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ATTENTION CERTIFICATE HOLDER: If you have any questions,
please contact SALL Y KARL at 1-800-226-3224,
2601 Cattlemen Road, Sarasota, FL 34232
FL 33052 2346
COMPANIES AFFORDING COVERAGE
INSURED
COASTAL E:L E :(
RT 5 BOX 7E,~
BIG PINE K;E'I
G SERVICE INC
Company Letter A FCCI/SELF INSURERS FUND
1... :33043 9514
Company Letter B:
[II]!i
THIS IS TO CERTIFY 1''' II JLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAIED ABOVE FOR THE POLICY PERIOD INDICATED.
NOT WITHSTANDING A'I', ~!:QUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH fESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PE. ;rr,lll, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, EXCWSIONS, AND CONDI.
TIONS OF SUCH POLtl(: IE'
.-. -- . '........--
CO
LTR
TYPE IN IINSU i ~'~J.,4 : :1:
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDDIYY) DATE (MM/DDIYY)
ALL LIMITS IN THOUSANDS
GENERAL LIABILIT'"
COMMERCIAL GENE: ::;1 . 1,~~~3ILITY
CLAIMS MADE [:~ ~: IX URRENCE
OWNER'S & CONTRJ1,CD I : 1:1orEcrlvE
GENERAL AGGREGATE
PRODU~COMAOPSAGGREGATE
PERSONAL & ADVERTISING INJURY
EACH OCCURRENCE
FIRE DAMAGE (ANY ONE FIRE)
MEDICAL EXPENSE (ANY ONE PERSON)
AUTOMOBILE LIABILI'1r "
ANY AUlO
ALL OWNED AUlOS
SCHEDULED AUlOS
HIRED AUlOS
NON-QWNED AUlOS
GARAGE LIABILITY
CSL
$
BODILY
INJURY
~E~~ON) $
BODILY
INJURY
fJ6:DENT) $
PROPERTY
DAMAGE
EXCESS LIABILITY
OTHER THAN UMBillE: II) IFORM
EACH
OCCURRENCE
WORKERS' COMPEN!",! :l:'1'i ON
AND
EMPLOYERS' LIAlt;III"" I "rill"
718-10262-001-001 01/01/91 12/31/91
OTHER
DESCRIPTION OF OPERATIO~:, r LOf"..ATIONS /VEHiClES I RESTRICfIONSI SPECIAL ITEMS SA:
DATE
INITIAL
. .
MONROE COUNT,t' 1':!'III'C;INEERIN"C; DEPT
ATT BOARD OF '::iI,)l.lllr1fTY COMMISSIONERS
PO BOX 1029
kEY WEST, FL :::5:30~ltO 1 029
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO SEND
1 0 DAYS WRITTEN ~ICE 10 THE CERTIFICATE HOLDER NAMED 10 THE lEFT.
BUT FAIWRE TO MAIL S~H NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
KIND UPON TH OM"ANY~ ITS AGENTS OR REPRESENTATIVE.
I ED REPRESE J\TI ~
AtDttlllte
ISSUE DATE (MM/DD/YY)
PRODUCER
REGAN INSURANCE AGENCY, INC.
90144 OVERSEAS HIGHWAY
TAVERNIER, FLORIDA 33070
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
f~T~~~NY A
HARTFORD INSURANCE COMPANY
INSURED
f~T~~~NY B
COASTAL ELECTRIC SERVICE, INC.
RT. 1, BOX 693J
BIG PINE KEY, FLORIDA 33043
E~T~~~NY C
f~T~~~NY D
f~T~~~NY E
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
A AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
21 UECKQ9343
GENERAL AGGREGATE $
PRODUCTS-COMP/OP AGG. $
PERSONAL & ADV. INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED. EXPENSE (Anyone person) $
CLAIMS MADE
OCCUR.
OWNER'S & CONTRACTOR'S PROTo
EMPLOYERS' LIABILITY
7/3/91 7/3/92 COMBINED SINGLE $ 500,000
LIMIT
BODIL Y INJURY $
(Per person)
BODIL Y INJURY $
(Per accident)
PROPERTY DAMAGE $
EACH OCCURRENCE $
AGGREGATE $
STATUTORY LIMITS
EACH ACCIDENT $
DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS
DATE
ELECTRICAL WIRING
MONROE COUNTY RISK MANAGEMENT
WING II - ROOM 207
PUBLIC SERVICE BUILDING
5100 JR. COLLEGE ROAD
KEY WEST, FLORIDA 33040
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 UP THE COMPANY, I AGENTS OR REPRESENTATIVES.
t;,.".,~
/Spp
@*CO".iCO..O.A,..'ON....1990
AtDttlllt~
PRODUCER
REGAN INSURANCE AGCY
90141 OVERSEAS HWY
TAVERNIER FL 33070
INSURED
COASTAL ELECTRIC SERV
INC
RT 1 E:OX 693J
BIG PINE KEY FL 33013
ISSUE DATE (MM/DD/YY)
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
~~T~~~NY A
OHIO CASUALTY INS CO
~~T~~~NY B
R~":elved
_F~isk grof & Lo C
II ;; olA! SS ontrol
DATE r;. . v 1 k
... I / .' ~
!!r'~~AL ...J\ r I l } { ~\.\
:,~.~ . 12 .--
\ '. -
,; ,L
~~T~~~NY C
~~T~~~NY 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
LTR
TYPE OF INSURANCE
POLICY NUMBER
A GENERAL LIABILITY B R 0 5 0 2 7 6 3 9 2-
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE. X OCCUR.
OWNER'S & CONTRACTOR'S PROTo
POLICY EFFECTIVE POLICY EXPIRATION
DA TE (MM/DD/YY) DA TE (MM/DD/YY)
LIMITS
7/03/91
7 /03/92 GENERAL AGGREGATE $ 500, 000
PRODUCTS-COMP/OP AGG. $ 500 , 000
PERSONAL & ADV. INJURY $ 500 , 000
EACH OCCURRENCE $ 500 , 000
FIRE DAMAGE (Anyone fire) $ 50 , 000
MED. EXPENSE (Anyone person) $ 5 , 0 0 0
AUTOMOBILE LIABILITY COMBINED SINGLE
LIMIT $
ANY AUTO
ALL OWNED AUTOS BODIL Y INJURY
(Per person) $
SCHEDULED AUTOS
HIRED AUTOS BODIL Y INJURY
(Per accident) $
NON-OWNED AUTOS
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
STATUTORY LIMITS
WORKER'S COMPENSATION
EACH ACCIDENT $
AND
DISEASE-POLICY LIMIT $
EMPLOYERS' LIABILITY DISEASE-EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS
ELECTRICAL WIRING
INDEMNITY & HOLD HARMLESS THE COUNTY OFFICIALS EMPLOYEES AND ALL AGENTS
MONROE COUNTY PUBLIC WORKS
ATT STAN ~'OWITZ
E:QX 1029
KEY WEST FL 33011
__lli.$....!(1t.Q~
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ---.!.9DAYS 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 CO~r1NY, ITS AGENTS OR REPRESENTATIVES.
B
,I
@ACOROCORPORATION 1990