Loading...
Certificates of Insurance A Fa1]~~111 \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