Certificates of Insurance
A.~..III.~
......."..- .
CERTIFICATE OF INSURANCE
CSffE.A ISSUE DATE (MM/DDIYYI
CUR.RI-l 08/28/95
THIS CERTIFICATE IS ISSUED AS A MAHER OF INFORMA TION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
PRODUCER
Kornreich Insurance Services
(Florida), Inc.
222 Lakeview Avenue, Suite 390
West Palm Beach FL 33401
COMPANIES AFFORDING COVERAGE
407-833-0044
Robert G. Currie & Associates
Currie Schneider Assoc., Inc.
134 N.E. First Avenue
Delray Beach, FL 33444
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
Gulf Underwriters Ins. Co,
INSURED
APPROVED BY PIS'; W""SF~'r"lT
BY- ~-r~ ~At-<
DATE 7~o -;7--:5
~/
'J'I"/FR: N/~ / YES
.r;J,.<? /(;
C~-"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 SUBJEC1. TO ALL THE Tj:RMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. or aeI:ense COSl:S
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DDIYY)
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE
OCCUR.
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGG.
PERSONAL & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED. EXPENSE (Anyone person) $
OWNER'S & CONTRACTOR'S PROTo
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
COMBINED SINGLE
LIMIT
Receiver'
Risk Mg""
8 - 5' ~ q 5~
/~
-!tfol
BODILY INJURY
(Per person)
DAT'
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
WORKER'S COMPENSATION
AND
EACH ACCIDENT
DISEASE- POLICY LIMIT
DISEASE- EACH EMPLOYEE
EMPLOYERS' LIABILITY
OTHER
A Archiects
Professional Liab
GU 575 6341
08/24/95
08/24/96
Max Aggr $1,000,000
Ded $15,000
each wrongful act
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
For Professional Liability coverage, the aggregate limit is the total
insurance available for all covered claims reported within the policy
period. Retro Date - 08/21/87
Monroe County Florida
Risk Management
Attn: Kay Miller
5100 College Road
Key West, FL 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 SUCI-:I OTICE SHALL 1M SE NO OBLIGATION OR
LIABILITY OF ANY KIND UPO HE OMPANY, ITS ENTS OR REPRE~'f'ATIVES.
AUTHORIZED REPRESENTATIV.
(~
PRODUCER
. ...".,.............,..........".........................................,................................,.......".................... ......--....--...................................---...._--....._-...._---....
:-:-:-:-'"":':':':':-:-:-:-:-:';':-'-:':';<':-:-:-:-:-:-:';':-:';-:-:::-:..-:-:-:-:':-'';-:-:-:':':-:';',':-:-:-:-:-.".<-:-:':-:-.-:-:-:<';':':';';';';';,:,:-:-:-:-:-:-:-:-:-:-:.:-:-:-:-:.:-:-:-:-:-:-:-:-:-:-:.:-:-:-:-:-:-:-:.:-:-:-:-;.:-;.:-:-:-:-::::.':::" .,.--..-:.;....-:.:.:-:-:-;.;.:.:-:-:-:-:.:.:-:-:-:-:-:.:-:-:-:-:-:.:.:-:':-:-:':-:';':';';':-:'::':'::-:-::-:'::':-::-:':::':-:::'.",.,',',.,....
AtDt.lllt. .../G'ERI"IElm~I'E.lDE......IRlSElR~IIC:.E. ...............................................<...............<.....................CSR...U............................ DATE lMMlDDlYY1
<<ru<UaOJiPfi< 05/14/96
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERnFlCATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUClES BELOW.
COMPANIES AFFORDING COVERAGE
Scu
The P1astridge Agency, Inc.
820 H. Federal Hwy.
De1ray Beach FL 33483
Thomas B. Lynch
407-276-5221
IN8URm
Robert G. Currie & Assoc.,Inc.
& Currie Schneider Associates,
An, P.A.
& Robert G. Currie Partnership
134 H.B. 1st Ave.
Delray Beach FL 33483
COMPANY
A
Ohio Casualty Insurance Co.
COMPANY
B
Assoc Business & Commerce SIF
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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF IN8URANCE POUCY NUMBER POUCY EFFECnVE POUCY EXPIRAnON UMIT8
LTR DATE lMMlDDIYY) DATE CMMIDD/VYI
GENERAL UA8IUTY GENERAL AGGREGATE . 1000000
A COMMERCiAl GENERAL UABlUTY BLW9752144073 03/05/96 03/05/97 PRODUCTS - COMPIOP AGG . 1000000
CLAIMS MADE [iJ OCCUR PERSONAl&. ADV INJURY . 500000
OWNER'S&. CONTRACTOR'S PROT EACH OCCURRENCE . 500000
FIRE DAMAGE (Anyone fir.) . 50000
MED EXP (Anyone peroon) . 5000
AUTOMOBILE UA8IUTY .500000
BLW9752144073 03/05/96 03/05/97 COMBINED SINGLE UMIT
A ANY AUTO
AlL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per peroonJ
X HIRED AUTOS BODILY INJURY
X NON-QWNED AUTOS (Per 8CCldent)
o/l!.lC-
c~K- PROPERTY DAMAGE
GARAGE UA8IUTY "HF AUTO ONLY - EA ACCIDENT .
ANY AUTO ~ OTHER THAN AUTO ONLY:
".' "'FR: N/A YES EACH ACCIDENT .
AGGREGATE .
EXCElIa UA8IUTY EACH OCCURRENCE .
UMBRELLA FORM AGGREGATE .
OTHER THAN UMBRELLA FORM
B WORKERS COMPEN8AnON AND X STATUTORY UMITS
EMPlOYERS' UA8IUTY .100000
EACH ACCIDENT
THE PROPRIETOR! X INCL B0217901 02/12/96 02/12/97 DISEASE - POUCY UMIT . 500000
PARTNERSIEXECUTIVE
OFACERS ARE: EXCL DISEASE - EACH EMPLOYEE .100000
OTHER
DDCRlPTION OF oPIIUmON8/LOCAnON8IVEHICLE8/8PECIAlITEM8
Architect
Additional Insured:
lZecel n:d
HlSk L\,fgn'.lt. 6~ LdSS Centred
Monroe ~ounty, Monroe County Board of County
comm:1IJf oners
(Liab:1 ty only)
Di\TF -
)NITiA-l-==~.~1~~-'._---'-=
MOHRO- 4
8HOUlD ANY OF THE ABOVE DDCRI8m POUClES BE CANCELLED BIFORE THE
EXPIRAnON DATE THEREOF, THE I88I.1NG COMPANY WILL ENDEAVOR TO MAIL
~ DAY8 WRITTEN NoncE TO THE CERTIFICATE HOLDER NAMm TO THE LIFT.
BUT FAILURE TO MAIL 8UCH NonCE 8HALL IMP08E NO OBUGAnON OR UA8IUTY
Monroe County Risk Management
5100 College Road
Key West FL 33040
A.c::Q1:c~~~.f~J..... ...........ca....: .......~.i4?.tati:i6../.....
r/~
OF ANY KIND UPON THE COMPANY. I 8 AGENTS OR REPRE8ENTATIVE8.
AUTHORlZm REPRE8ENTAnVE
fId) L:::~.-WJ-
. ..............).i~A~()g..~()tre()Mtl()tll1i~!....
!l1.~~E.~)'1:lc::11
At~t.III..
CERTIFICATE OF INSURANCE.
..-.-,- ...".......,...-....
..C$ftAlld>i<. DATE CMM/DDIYYI
~OI3J!:R~... 05/08/96
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
The Plastridge Agency, Inc.
820 N. Federal Hwy.
Delray Beach FL 33483
Thomas E. Lynch
407-276-5221
INSURED
Robert G. Currie & Assoc.,Inc.
& Currie Schneider Associates,
AlA, P.A.
& Robert G. Currie Partnership
134 N.E. 1st Ave.
Delray Beach FL 33483
COMPANY
A
Ohio Casualty Insurance Co.
i
I
I
~
,
COMPANY
B
Assoc Business & Commerce SIF
COMPANY
C
COMPANY
D
r~ ; ,,;-,- ,~\1c;~n'lt ::\," t.{,j,\S ;~J);;'crui.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 1lI!IIffSfJRED NAMEO.AllQ.Y.!LE9.RTIi!LPOLlCY 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
POUCY NUMBER
POUCY EFFECTIVE POUCY EXPIRATION
DATE (MM/DDIYYI DATE (MM/DDIYYI
UMITS
GENERAL UABIUTY
A X COMMERCIAL GENERAL LIABILITY BLW9752144073
CLAIMS MADE ~ OCCUR
OWNER'S & CONTRACTOR'S PROT
03/05/95
GENERAL AGGREGATE * 1000000
03/05/96 PRODUCTS. COMPIOP AGG *1000000
PERSONAL & ADV INJURY * 500000
EACH OCCURRENCE * 500000
FIRE DAMAGE (Anyone fire) 50000
MED EXP (Anyone per.on! 5000
03/05/97 COMBINED SINGLE LIMIT *500000
BODILY INJURY
(Per per.on)
BODILY INJURY
(Per accident!
A
AUTOMOBILE UABIUTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-QWNED AUTOS
BLW9752144073
03/05/95
APPROVED BY RISK MANAG MfNT
GARAGE UABIUTY
ANY AUTO
PROPERTY DAMAGE
\ ',"'FO,
~' ..
,/
~'r r
AUTO ONLY - EA ACCIDENT *
OTHER THAN AUTO ONLY:
EACH ACCIDENT *
AGGREGATE
EXCESS UABlUTY
UMBRElLA FORM
OTHER THAN UMBRElLA FORM
WORKERS COMPENSATION AND
EMPLOYERS'UABlUTY
EACH OCCURRENCE
AGGREGATE
.
.
.
B
X STATUTORY UMITS
THE PROPRlETOIV
PARTNERSIEXECUTIVE
OFFICERS ARE:
OTHER
X INCL
EXCL
EACH ACC!DENT
~ 100000
.500000
* 100000
B0217901
02/12/96
02/12/97
DISEASE. POLICY LIMIT
DISEASE. EACH EMPlOYEE
DESCIVPTlON OF OPERATlONS/LOCATlONSNEtlCLES/SPECIAL ITEMS
Architect
Additional Insured:
Monroe County, Monroe County Board of County
Commi~sioners
(Liability only)
MONRO - 4
SHOULD ANY OF THE ABOVE DESCIVBED POUCIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WIVTTEN NOTICE TO THE CERTlACATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUOATION OR UABlUTY
Monroe County Risk Management
5100 College Road
Key West FL 33040
OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUTHOIVZED REPRESENTATIVE
~k
AC;9I:lP..~Iii"..(~'~I.. ........($4-....;........ ..)l2,.~.,t.db.....<..
F/?5
..!.i1()JIlasli:~1')"1'l9~
.............................................................~.A~Qijij~QI'\PQ~tI9"'..1~i3..
ACORD..
CERTIFICATE OF LIABILITY INSURANC~dREi~6 DA;;~;;~';~
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
Poe & Brown, Inc.
5900 N. Andrews Ave. #900
P.O. Box 5727
Ft. Lauderdale FL 33310-5727
Ed Arango
Phon. No. 9-54-776-2222 FuND. 954-776-444fi
INSURED
.....rt CUrrie a Aa.oc.i.~,.
Currie Schneider Assoc, Inc
134 N.E. 1st Avenue
Delray Beach, FL 33444
COMPANY
A
i COMPANY
B
COMPANY
C
COMPANY
0
Gulf Underwriters Ins/Benchmk
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, NOlWITHSTANDING 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
LTR
GENERAL LIABILITY
-
COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE 0 OCCUR
OWNER'S & CONTRACTOR'S PROT
f--
f--
AUTOMOBILE LIABILITY
-
ANY AUTO
'--
ALL OWNED AUTOS
-
SCHEDULED AUTOS
-
HIRED AUTOS
f--
NON-OWNED AUTOS
-
-i
GARAGE LIABILITY
--
ANY AUTO
-
--
EXCESS LIABILITY
R UMBRELLA FORM I
OTHER THAN UMBRELLA FORM ,
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR! RINCL
PARTNERSlEXECUTIVE
OFFICERS ARE: EXCL
OTHER
A Professional Liab
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MMIDD1YY)
LIMITS
PERSONAL & ADV INJURY
GE~ERALAGGREGATE $
PRODUCTS - COMP/OP AGG $
$
$
$
$
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
1.",1 t
APpRrwrn ~y RI"\( ~~~'J^r.n,~n,JT
BY.~. ~.4~ 'j?~~
~,,_., ",-,_Q7
N'''' ~ YES
P~I'~
,~
COMBINED SINGLE LIMIT $
BODILY INJURY 1$
(Per person)
BODILY INJURY 1$
(Per accident)
PROPERTY DAMAGE 1$
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
;'.:(':."
'u!~~
,
1
1$
IOTH-
! ER
$
EL DISEASE - POLICY LIMIT $
EL DISEASE - EA EMPLOYEE $
I m:R~~~~Vis I
EL EACH ACCIDENT
','.":'iER:
GU5756341
08/24/96
08/24/97
Per Occ.
Aggregate
$1,000,000
$1,000,000
DESCRIPTION OF OPERATlONSlLOCA TlONSlVEHICLESlSPECIAL ITEMS
Retroactive Date: 8/21/1987, Claims Made Policy. Certificate Holder is named
as Add'l Insured.
CERTIFICATE HOLDER
CANCELLATION
MONRO 0 2
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 UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REP:~ESEN :ATI~. E
Ed Arango ~~
~ @ACORD CORPORATION 1988
Monroe County
Risk Management & Loss Control
5100 College Road
Key West FL 33040
CL : II--Al~ /It VTN/.< C()/t/6T /\If t:: r
ACORD 2505 (1/95) p/~ )
ACORD~
CERTIFICATE OFLIABILITYINSURANC~d~Ei~6 DA;~7~:;';~
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
Poe & Brown, Inc.
5900 N. Andrews Ave. #900
P.O. Box 5727
Ft. Lauderdale FL 33310-5727
Fax No. 954 -776 -4446
~(10'
COMPANY
A
/
/
1../"
Ed Arango
Phone No. 954 - 7 7 6 - 2 2 2 2
INSURED
Robert Currie & Associates
Currie Schneider Assoc, Inc
134 N.E. 1st Avenue
Delray Beach, FL 33444
Gulf Underwriters Ins/Benchmk
" ""'" ,'T
COMPANY t\~"~/U '~4' 44 o,eIC
B QV ~A.LA ///.</ ~~ CLH7f:.K....
~ -c;l.;J ~:7c'
[WE.
COMPANY
C
COMPANY
D ;\ ," i"R:
~:'A ~\'rs_
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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDNY) DATE (MMIDDNY)
GENERAL LIABILITY GENERAL AGGREGATE $
-
COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $
I CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
r-
FIRE DAMAGE (Anyone fire) $
-
MED EXP (Anyone person) $
AUTOMOBILE LIABILITY
- COMBINED SINGLE LIMIT $
ANY AUTO
-
ALL OWNED AUTOS {- 1~" BODILY INJURY
- (Per person) $
SCHEDULED AUTOS 1/1::['
-
HIRED AUTOS BODILY INJURY
- (Per accident) $
NON-OWNED AUTOS
-
r--- / '_d.. PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
r--
ANY AUTO OTHER THAN AUTO ONLY:
-
EACH ACCIDENT $
-
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
~ UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND I WC STATU- I IOTH-
TORY LIMITS ER
EMPLOYERS'LIABILIlY EL EACH ACCIDENT $
THE PROPRIETOR! R'NCL EL DISEASE - POLICY LIMIT $
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $
OTHER
A Professional Liab GU5756341 08/24/96 08/24/97 Per Occ. $1,000,000
Aggregate $1,000,000
DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLESlSPECIAL ITEMS
Retroactive Date: 8/21/1987, Claims Made Policy. Certificate Holder is named
as Additional Insured.
CERTIFICA TE HOLDER
MONRO 0 2
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 UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
E~~(.,,%._+.. @ACORO:CORPORATION..1988
County of Monroe
Risk Management & Loss Control
5100 College Road
Key West FL 33040
ACORD 25-S (1/95)
: A-#N AJY77V/~) ctPAJsr H!4/-
r/~6/' .
\)
........At:t..ir.lt:w.'lllillllllillliilllllllillll
Weekes & Callaway, Inc.
777 E Atlantic Ave Ste 300
Delray Beach, FL 33483
(561)278-0448 Fax(561)278-2391
,.,.,.;.,.,.,.,.,.,.,.,.,.,. '...',... 11/19/1997
.............. .
.............. .
.............. .
.............. .
..................................................................
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.
...................................... ..............
....................................................
.....................................................
....................................................
.....................................................
....................................................
.....................................................
....................................................
.....................................................
....................................................
::;:::::;:;:;:::::;:::::::::::::::::::::::::::::::::::::::::;:;:;:::::::::;:;:::::::::;:::::::::;::::::::
....................................................
.........................................................................................................
.........................................................................................................
.....................................................
....................................................
.....................................................
...... ............ ............ ...............
.................. .........................
................... .......................
.................. ....................
................... ..................
ISSUE DATE (MMIDDIYY)
PRODUCER
COMPANIES AFFORDING COVERAGE
Robert G. Currie & Assoc. dba
Robert G. Currie Partnership
134 NE 1st Avenue
Delray Beach, FL 33444
COMPANY A Steadfast Insurance Co
LETlER
COMPANY B
LETlER
COMPANY C
LETlER
COMPANY D
LETlER
COMPANY E
LETlER
INSURED
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.
POLICY EFFECT1VE EXPIRA110N
DATE (MMIDDIYY) DATE (MMIDDIYY)
TYPE OF INSURANCE
POLICY NUMBER
UMITS
CO
LTR
GENERAL UABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR.
OWNER'S & CONTRACTOR'S PROTo
OTHER
A PROFESSIONAL
LIABILITY
EOC2772773-00
GENERAL AGGREGAlE
PRODUCTS-COMPIOP AGG.
PERSONAL & ADV. INJURY
EACH OCCURRENCE
UABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
COMBINED SINGLE
LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
EXCESS UABILITY
UMBRELLA FORM
OlliER lliAN UMBRELLA FORM
WORKER'S COMPENSA11ON
AND
EMPLOYERS' UABILITY
8/24/97
AGGREGATE
EACH CLAIM
1,000,000
1,000,000
DESCRIPTION OF
ITEMS
9'mJm~m\~~'~l
......................
......................
......................
::iii::::9p.l"'!iiAnP!!::
................... ......................
. . . . . . . . . . . . . . " . . . . . . . . . . . . . . . . . . . . . . . . . . .
................... ......................
.................... .... .................... ..
... ..
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Monroe County
Risk Management &
5100 College Road
Key West FL 33040
Loss Control
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL --!Q DAYS WRITTEN NOTICE TO THE CERTiFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSH NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
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