Certificates of Insurance
/
813-447-6481
6090 Received
H.isk Mgmt. & Loss Contr
D^TE .:3 /
:1~.~~~.~~J~~~i~;;;:~::::~::::~:;::;::::~;::::111I1.IIIII.II:IIII.I~~:!:::::.....................:.:.:...:;;::.::.llllllllllllllllllllllllllllllllilllllllljlllll1111111111111111,I'JI'jlllllllr.......~Att;.~~~~f...lll1
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 AFFO DING COVERAGE
ROGER BOUCHARD INSURANCE
101 Stlrcrest Dr. PO Box
CLEARNATER. FL :14618
INITI^L
D. L. Porter Conltruction. Inc
1100 Gil lelpie Avenue
Slrlsotl. FL 34236
COIoPANY
A
COIoPANY
B Auto Owne
COIoPANY
C
COIoPANY
D
. .
THISIS TO CERTIFY THA T THE POLICIES OF INSURANCE L1STEDBELOWHAVEBEENISSUED TO THEINSURED NAMEDABOVEFORTHE POLICY PERIOD
INDICA TED. NOTWITHST ANDINGANYREOUIREMENT, TERMORCONDITlONOF ANY CONTRACT OROTHERDOCUMENT WITHRESPECT TO WHtCHTHIS
CERTlFICA TE MA Y BE ISSUED ORMA Y PERT AIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LMITS SHOWNMAY HAVE BEEN REDUCED BY PAID CLAMS.
00 POLIO' II'ROTIVI! POLIO'DPRAT
L TI TYPe: OP INIUIlANOl! POLIO' NIl..... DATI! (MhI/DDIYV) DATI! (MhI/DDIYV) LIMITS
lIDII9IAL L1A11L'" CEtERA!. ACUlEOATE . 1000000
B X COMMERCIAL CEt-ERA!. L1ABILlTV 20506438 1/09/95 1/09/96 PROOUCTS.COIoP/OP AOO . 1000000
a.AIMS lWJE ~J ~ PERSONAL L ADV I~V . 1000000
..
Owt-ER'S L CONTRACTOR'S PROT EACH OC~NCE . 1000000
X FIRE DAMACE (Any one fire) . 50000
rED EXP (Any one person) .
MlTO....Lt: LIAIIL'" COMBIt-ED SItQ..E LIMIT
B X ANY AUTO 20280555 1/09/95 1/09/96 1000000
ALL OWt-ED AUTOS BOOILV I~ .
SCHEIll.ED AUTOS (per person)
X HIRED AUTOS BOOILY I~
X NDN.OWt-ED AUTOS (per accident)
PROPERTV DAMACE .
.MAGI! L1A11L'"
ANY AUTO
B
DODILlAIIL'"
X UMBRELLA FORM
OTtER THAN UMBRELLA FORM
WClAICDS ooloPl!NlATION AND
EW'LOYDS'L1A11L'"
71280681
LIMITS APPLY PER PROJ
1/09/95
1/09/96
AUTO ONL V . EA ACCIDENT .
OTHER THAN AUTO ONLY: i\H\H<~)UtH:
EACH ACCIDENT .
AOOREOATE .
EACH ~NCE .
AOOREOATE .
· 3000000
WAiVFR: N/A
y S "__.
TtE PRa'RIETORI
PARTt-ERS/EXECUTlYE
OFFICERS ARE:
OTHI!R
I No.
EXa.
... -. '.. . ... .
STATUTORY LIMITS nH~~~HHHU~~>~~<~
EACH ACCIDENT .
DISEASE. POliCY LIMIT .
DISEASE. EACH EMPLOYEE .
M L ITM
MONROE CO BD OF C:OUNTY COMMISSIONERS IS ALSO AN ADDITIONAL INSURED.
::!Lx<<<0:..:~..:....L~:..::,;:x"'x.:::lntt:t~~ttmmHmlli!Ml@mllillimm~~~~#@llillimMmWJ..........,:,;.,~::.,,\... :...::,....W@~t~~~Witij~~tHiWf~~il~i~~~i~~~~~iliWW#:;::~:W~~~l~*MW~~~~~~1~mWi:?ffl,*~ir;l~f
- ftOJECT
MONROE CO BD OF COUNTY
C<Mt11 SS I ONE RS
5100 JUNIOR COLl.EGE ROAD
KEY WEST. Fl 33CI40 . // 523 0
'\'g.i.f_1MWlNl;lti~!iIlfl~li;i~flmlIllII;llilfllliIIIIII:mII!11II!tlr:::iiti::i~:i!t~ttitfJlft;;lflJ:fiIIitiif:Mi.!_..n!'l..._if.!~!
C C '. #! i:.~ c;. I C?,v (2/ AI 6-6.-7!?/ Ale
FIL-~
IHOULD AN' OP THE AIIC)ft DaOR_ POLIO" _ OANOB.L.D .-pORI! THe
DPRATION DATI! THI!RI!Ol'. THE ....... oo"'AN' WLL I!NDI:AVOR TO MAL
DAYS WRTTTI!N NOTIOl! TO THE OI!RTPIOATI! HClLD!R NAMeD TO THe IDT.
NOTICe: IHALL '..-oII! NO O8LIQATION OR L1A11.'"
. THe co AN'. ITS fil ATIVI!S.
f~!x!!!~JI~_II.I.j!l!!:!11111:!111!1!!I!...:;::;;:::;;;;;::::::::.:;w.... .......
ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFOR IN COV AGE
ROGER 80UCHARDINSURANCE
101 Starcrest Dr, PO 80x 6090
CLEARNATER, FL :.4618
813-447-6481
COll>ANY
A Flo
COll>ANY
B
ce
D. L. Porter Construction, Inc
1100 Gi Ilupie '~venue
Sarasota, FL 34236
COll>ANY
C
COll>ANY
o
THIS IS T OCERTlFY THA T T HE POLICIES OFINSURANCE LISTED BELOWHA VE BEEN ISSUED TO THEINSURED NAMEDABOVEFORTHE POLICY PERIOD
INDICA TED, NOTWIT HST ANDINGANYREQUIREMENT. T ERM ORCONDITlONOF ANYCONT RACT OROTHERDOCLMENT WITHRESPECT TO WHtCHTHIS
CERTlFICA TE MA Y BE ISSUED ORMA Y PERT AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LMITS SHOWNMAY HAVE BEEN REDUCED BY PAID CLAMS.
00 POLIOY II'I'I!OTIVE POLIOY IDCJIIIAT
L TIl T,,"or INIURANllIt POLIOY NIl..... DATI! CMMIDOIYV) DATI! CMMIOD/YV) LIMITS
.....AL LIABLITY
COMIlERCIAL OEM:RAl.lIABllITY
a.AllolS MAllE [J OCClR
OWM:R'S a. CONTRACTOR'S PROT
OEtERAL AOCROATE .
PROO..CTS.COll>/OP AOO .
PERSONAL a. AOV I~Y .
EACH OCCUlRENCE .
FIRE DAMAOE (Any one fire) .
lED EXP (Any one person) .
COlelM:D SItQ.E LIMIT .
AUTOMOBU L1ABLITY
ANY AUTO
ALL OWM:D AUTOS
SCHEllU.ED AUTOS
HIRED AUTOS
NON.OWM:D AUTOS
EQ)ILY I~
(pel person)
EQ)ILY I~
(pel accident)
PROPERTY DAMAOE .
8.... L1ABLITY
ANY AUTO
AUTO Olt. Y . EA ACCIDENT .
OTHER THAN AUTO OIt.Y: YHHHHWHHHH
EACH ACCIOENT .
AOCROATE .
EACH OCCUlRENCE .
AOCROATE .
.
noasLlABLITY
UIeRELLA FORM
OTHER THAN UIeRELLl FORM
WORICms OO~ATION ,WI)
I!.....OYl!JlS'L1ABLITY
A
THE PROPRIETORI
PARTM:RS/EXECUTlVE
OFFICERS ARE:
OTHI!R
23940
1/01/95
1/01/96
STATUTORV LIMITS
EACH ACCIDENT .
DISEASE. POliCY LIMIT .
DISEASE. EACH EMPLOYEE .
1 ~ 1 i 1 i j 11 j ij j ~j j j j ~ ~ j j j ~;j j~j j j j j; j; ~
I No.
EXa.
1000000
1000000
1000000
MWITM
:\;"x,<<~~~*,~:;:*h.. ..;t :;:.::::::;::L:".:::J::::m::lfMlllMMil1iillmWr:::::::ttlMi:::::l:liliMtWmi::::f....~~..............~~:....::....:........t~\ll~~~~~~~~~~l~MW@KmW@?:~w~~~~~l:lfMmMM?:mmmM~l,~~~t:~:Ki::~l:~l~tMili:
MONROE COUNTY 8[1 OF COUNTY
C<Met I SS I ONE RS
5100 JUNIOR COLLEGE ROAD
KEY WEST, FL 33040
IHOULD ANY or THI! AIIOVlI! 1lDClR-. POLlOa lIE OANOl!LLl!D III!POAI! THI!
IDCJIIIATION DATI! THI!MOI'. THI! ..... OO"ANY WLL I!MII!AVOR TO MAL
30 DAYS WRITTI!N HOTIO! TO THI! OI!RTPIOATI! HOLDI!R NAMI!D TO THI! IDT,
BUT PAL M IUOH HOTIO! IHALL I~HO ....ATION ORJ.IABLITY
or Y TH OO"ANY, ITS OR AT