Certificates of Insurance
A.:..I~I.@
CERTIFICATE OF INSURANCE GLC
PRODUCER
EYS INSURANCE AGENCY
.0. BOX 500080
THON FL 33050
COMPANIES AFFORDING COVERAGE
A FL BUILDERS (~ EMPLOYERS MUTUAL
COMPANY
LETTER
COMPANY
LETTER
-
B AIS~moVED BY RIS~: M~,,'~,rn!ENT
,
& J Industries, Inc.
.0. Box 430654
ig pine Key, FL 33043-0654
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
BY--
D~TE
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 POLlvIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
ATE (MM/DDIYY) DATE (MM/DDIYY)
07/ 02 / 95 0 7 / 0 2 / 9 6 GENERAL AGGREGATE
PRODUCTS-COMP/OP AGG.
BINDER3532
OMMERCIAL GENERAL LIABILITY
LAIMS MADE DOCCUR.
OWNER'S & CONTRACTOR'S PROT
PERSONAL & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED.EXP. (Anyone person)
07/02/95 07/02/96 COMBINED SINGLE
LIMIT
BODILY INJURY
MODIFIED
OCCURRENCE FO
BINDER3532
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
(Per person)
BODILY INJURY
Rece vea
re", (1,1gmt. & Loss Control
_t:; d
OATl ~
(Per accident)
PROPERTY DAMAGE
EACH OCCURRENCE
AGGREGATE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
!NIT!AJ.
LIMITS
$ 1 000 00
$ 1 000 00
$ 50 00
$ 1 000 00
$ 50 00
$ 1 00
$ 1 000 00
$
$
$
$
$
WORKER'S COMPENSATION
AtlD
EMPLOYERS' LIABILITY
ERTIFICATE HOLDER ADDN'L INSURED FOR LONG KEY & KEY LARGO TRANSFER STATIONS.
o DAYS NOTICE OF CANCELLATION FOR WORKER'S COMPENSATION; 10 DAYS NOTICE FOR
L OTHER COVERAGES.
CERTIFICATEHOLDERCANCELLATION
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 C RTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHA IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UP THE MPANY, IT AGENTS OR REPRESENTATIVES.
34824540095
03/01/95 03/01/96
DISEASE-POLICY LIMIT
DISEASE-EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERA TIONS/LOCA T10NSNEHICLES/SPECIAL ITEMS
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
5100 COLLEGE ROAD
ROOM #506
STOCK ISLAND FL 33040
~ORPORATION 1990
ACORD 25-S (7190)
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