Certificates of Insurance
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CERTIFICATE OF INSURANCE
ISSUE DATE (MM/DD/YY)
HARVEY L. BROWN AGENCY,
64 N.E. 5TH AVENUE
DELRAY BEACH, FL
(407) 276-0369
05/31/95
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND I
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE.
I DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
! jJQ.I,.ICJE~Llill.Q-"-'y'.~ .
Received . I
33483 Risk Mgmt. & Lass (oou'Oj COMPANIES AFFORDING COVERAGE I
I
DATE t. /.;2./9 S"" COMPANY A I
,. l.ETTER AETNA CASUALTY t. SURETY INSURANCE COMPANY j
P~-'--"'fr~~Y-B '
FWCJUA, INC. APPROVED BY RISK MANAGfMENT o~ 'e
pv~ ~(}~~CL~/C
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\l'I"'FR: N/A /' YES
PRODUCER
INC.
iNITIAL
, INSURED
CURRIE, ROBERT G. t. ASSOCIATES, INC. t.
CURRIE, SCHNEIDER ASSOCIATES, AlA, p.A.
100 N.E. 5TH AVENUE
DELRAY BEACH, FL 33483
~~T~~NY C
~~~~NY D
f'HE
~~~~NY E
COVERAGES
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
X COMMERCIAL GENERAL liABiliTY
CLAIMS MADE X OCCUR. 023 ACM 24263491
OWNER'S & CONTRACTOR'S PROTo
03/05/95
03/05196
GENERAL AGGREGATE
PRODUCTS-COM PlOP AGG.
PERSONAL & ADV. INJURY
EACH OCCURRENCE
$ 1,000,000.
$ 1,000,000.
$ 500,000.
$ 500,000.
50,000.
A
FIRE DAMAGE (Anyone fire) $
MED. EXPENSE (Anyone person) $
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
COMBINED SINGLE
liMIT
$
500,000.
X HIRED AUTOS
X
023 FJ 0024263491TCA
03/05/95
03/05/96
BODILY INJURY
(Per person)
$
A
NON-OWNED AUTOS
BODILY INJURY
(Per accident)
$
I
,
!
'--l
I
GARAGE liABiliTY
I ~._----_._--
I EXCESS LIABILITY
! UMBRELLA FORM
i . OTHER THAN UMBRELLA FORM
i'''~~''''-~'~~~---' '-.--...,..-----.-.,-~.-........."..".-,_,~"~__._________
PROPERTY DAMAGE
$
EACH OCCURRENCE
AGGREGATE
$
$
i
I
X STATUTORY liMITS
02/1 2/96 EACH ACCIDENT $ 100,000.
DISEASE-POliCY liMIT $ 500,000.
.. ...._..~ ...____.___.__..__.._._...m"'._..._._.______""___...?~S~~~~::::-_~~C.~~~~~!:_~..... 1 00 , 000 ._ ...
:
,
IB
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
WC9-359-680438-015
02/12/95
OTHER
,
I, "',' _., _ .. .'" '",' '" .. c' .' ,_ _ -'.c. ''''. . "._". '" . ".. . . ~
! 'D~S~RI;TI~~' ~~ O;~RA ~~~~/~~~~ TIONS/V~~"~~;;;;;~;;:~;-~'~
iMONROE COUNTY, MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE ADDlfIONAL INSUREDS ON POLICY
! "A" ABOVE (NOT "B"). MAILING ADDRESS IS SHOWN BELOW
!. .-....---., ._-"._""...._~...........,.._-- '''- '-~_...._,_._--_..__.., "- -- .."..-"..............._...._.. ......' .."...._ c. ..,. "'''..., '.'_ ...._,~.."...... ._ .,.,__......
; CERTIFICATE HOLDER CANCELLATION
MONROE COUNTY
5100 COLLEGE ROAD
KEY WEST, FL 33040
ATTN: RISK MANAGEMENT
c...c.' I3ILL 13//.56
F/L.oF
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, I;lUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KI O"UPON THE COMPANY, ITSAllENTS OR REPRESENTATIVES.
... -.----. .-..,... --.-.... ~'_. ,..+;L..-:. .._..... .....,. .........-.-.--........,
AO_""'""j:t~~ 0<.. t>~:~;'~;;::'ORATION "'0
. . ~",. ~ -" ~.. .. ~.'.
ACORD 25-S (7/90)
.. ............---...........-..---.----.-..--..-..-....-_....__.._.._--.--.-----.---.-.-......-.-...........
.- ....-..--. ........"."."..
A CORDTM ~ER.....IF=I~AtEClFI..IABII..I'.tfINSI..JFmNmEC$RA1{ DATE IMM/DD/VY)
,...,.,.""""""""""",ROBER,,,,,4 04/23/97
PRODUCER THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Plastridge Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
P. O. Drawer 730 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Delray Beach FL 33447 COMPANIES AFFORDING COVERAGE
Thomas E. Lynch COMPANY
A Ohio Casualty Insurance Co.
Phone No. 561-276-5221 Fax No. 561-276-5244
INSURED COMPANY
Robert G. Currie & Assoc. , Inc. '1'}- B ABC Corporation
& Currie Schneider Associates, \
AlA, P.A. COMPANY ~
& Robert G. Currie Partnership C
134 N.E. 1st Ave. COMPANY
Delray Beach FL 33483 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 POUCY NUMBER POUCY EFFECnVE POUCY EXPIRATION UMITS
LTR DATE (MMIDD/VY) DATE lMMIDD/VY1
GENERAL UABIUTY GENERAL AGGREGATE . 1000000
I---
A ~ COMMERCIAL GENERAL LIABILITY BLW9752144073 03/05/97 03/05/98 PRODUCTS - COMP/OP AGG . 1000000
~ ~ CLAIMS MADE [!] OCCUR PERSONAL & ADV INJURY . 500000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE . 500000
I---
~ FIRE DAMAGE (Anyone fire) . 50000
MED EXP (Anyone per...n) . 5000
AUTOMOBILE UABIUTY
I--- COMBINED SINGLE LIMIT . 500000
A ANY AUTO BLW9752144073 03/05/97 03/05/98
~
ALL OWNED AUTOS BODILY INJURY
I--- .
SCHEDULED AUTOS (Per per...n)
I---
~ HIRED AUTOS BODILY INJURY
.
~ NON-OWNED AUTOS (Per accident)
RV ~nD.Bu~ ~EMtNT
lA?> PROPERTY DAMAGE .
GARAGE UABlUTY y.-;t~-'1 8 (j)h1f1 AUTO ONLY - EA ACCIDENT .
I--- 07,
ANY AUTO DATE OTHER THAN AUTO ONLY: ".,...'.', "...
~ ....' ",.
J EACH ACCIDENT .
WAIVER: N/A VJ<: (( C7Y1 rJ rf]c,ffl(j AGGREGATE .
EXCESS UABILlTY ~ () EACH OCCURRENCE .
R UMBRELLA FORM AGGREGATE .
OTHER THAN UMBRELLA FORM .
WORKERS COMPENSATION AND :x I)NC STATU- I IOTH- > > "".
EMPLOYERS' UABIUTY TORY LIMITS ER
EL EACH ACCIDENT . 100000
B THE PROPRIETOR! MINCL B0217901 02/12/97 02/12/98 EL DISEASE - POLICY LIMIT . 500000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE . 100000
OTHER
DESCRlPnON OF OPERAnONS/LOCAnONSNEHCLES/SPECIAL ITEMS
ArChirect
Addit onal Insured: Monroe County Board of Commissioners
,.",,', ""'" > > ".".., >,."" > ",..",' .'.'.""..." > > ....,......,...i... "'.""""...",., >
"......""...",..,."
MONRO - 4 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
EXPlRAnON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Monroe County Board of ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGAnON OR UABlUTY
5100 College Road OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
Key West FL 33040 ,r;~.X ~'m_.~ ~
TholDasE.r.:yn./ ............... .'. ...... . ~ ...... .mtd~
--. cC-'- , "...""",.,., "'.'.~ACO()RP()~'988
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