Certificates of Insurance
n "", '::":'; ".J>
~~~FERS NO RIGH+~ 1~~~'tfTHE CERTIFICATE HOLDER. THIS CERTIFICATE
ROGER BOUCHARD INSURANCE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BV THE
10 1 St a rc r .s t Dr PO Box 6090 POLICIES BELOW.
.
ClEARNATER . Fl 346 1 8 COMPANIES AFFORDING COVERAGE
813-447-648 1 COIf>ANV A
LETTER Owners nsuranC ComDanV
I e
COIf>ANV B
. INSURED LETTER Owners
Aut 0
0 l Po r t. r Const r uc t i on I nc COlPANV C Kecelved
. LETTER Risk Mgmt. & ,Loss Control
1 100 G i I I esp i e Ave
Sa r aso t a COIf>ANV D D^TE / / (.J.; /9 ""{
LETTER ----- \ 7'\" / 7
FL 34236 COMPANV INITI^L 'CJ YJ/Y
LETTER E L/
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICA TED, NOTWlTHST ANDING ANY REQUIREMENT. TERM ORCONDlTlONOF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTlFICA TE MAY BE ISSUED OR MAY PERT AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LMlTS SHOWNMAY HAVE BEEN REDUCED BY PAID CLAMS.
co TYPE Of INSURANCE POLICY NUhIIIER POLICY El'RCTIYE POLICY e:XPIlATKlf' LIMITS
LT. DATe: (MM/DO/YY) DATe: (MM/DO/VY)
Gl!NEAAL L1ABLITY GENERAL AGGREGA TE S 1000000
-
A X CCMoIERCIAl GENERAL LIABILITY B INOER 1 /09/93 1 /09/94 PRODUC T S-ClJv1P lOP AGG. S 1 000000
1 CLAIMS MADE [i] OCCUR. PERSONAL & AllY. INJURY S 1000000
... .
- OWNER'S & CONTRACTOR'S PROTo EACH OCCURRENCE S 1000000
FIRE DAMAGE (Any one lire) S 50000
-
MED. EXPENSE (Anv one oerson S 5000
AUTOhlClllU LIABLITY ClJv1BINED SI NGL E S
-
B -X ANY AUTO B INDER 1 /09/93 1 /09/94 LIMIT 1000000
- ALL OWNED AUTOS BODILY INJURY S
SCHEDULED AUTOS (Per person!
I--
-X HIRED AUTOS BODilY INJURY S
-X NON- OWNE D AUTOS (Per accidentl
- GARAGE LIABILITY PROPE R TY DAMAGE S
e:Xce:SSLIABLITY EACH OCCURRENCE S 3000000
B M LI>1BRELlA FORM B INDER 1 /09/93 1 /09/94 AGGREGA TE S 3000000
. .,. ......... ..- ,... ,_. ..... .......... ..,.
OTHER THAN LI>1BREllA FORM ::::::::::;:::::;:::;:::::::;:;:;:;:;:;:::::: ::::::::;:;:::;:::;:::;:;:;:::::;::::
.:-:.;.;.;.;.;.;.;.;.:.;.;.;.:-:.;.;.;.;.;.;. ::::::;::::::::::::::::::::::::::::::
...... ...... ...... .....
I . ....... ....... ....
.....................................
ST A TUTORY LIMITS ... ...... .........
WORK!R'S .... ....... ........
COhlPENSATION ::::::::::::::;:::::::::::::;::::::::
................. .
AND EACH ACCIDENT S
DI SEASE-POll tv LIMIT S
e:hFLOY!RS'L1ABLITY S
DISEASE-EACH EMPLOYEE
OTKe:R
DESORPTION Of OP!RATIONSILOCATIONIIVDt IOLUISPe:CIAL ITe:hlS
RE : MONROE CaJNTV l I BRARV ADDI T I a'II . KEV WEST BRANCH . 700 HEMI NG ST KEV WEST
ADD I T IONAl I NSUREO: M(J\,IROE COlJ-.ITV l I BRARV KEV WEST BRANCH ; THo.1AS E POPE . PA
I IlKCI1 I t- CUUN y AOARIl OF [;[JlJN V Ml
)) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
::::::\: EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO
ff MAIL 60 DAYSWRITTENNOTlCETOTHECERTlFICATEHOLDERNAMEDTOTHE
MONROE COUNTY II BRARV KEV WEST :t::: LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL MPOSE NO OBLlGA TlON OR
BRANCH-ATT: PETER HORTON t:\:: LIABILITY OF A~KINDUPONTHE COMPANY,ITS AGENTS OR REPRESENT A TlVES.
5100 JR. COLLEGE ROAD =@ ~
KEY WEST, Fl 33040 I....~. ",'''' d:h.4__/~2000
:=}t .A /.E-I
~Arn~~_I'lUll!ilnllW
-! .'~:~ ~:. :
.;. ".' .....-- ~'~
.-. .~, ..,. -.
u ,.,
~------------------~==._.-.
....-:=-::- ~ -:----==, -.--
---------
------------------=~--
__H. __ ____
--- ~:-- :;.- ::::::..- -..-
i.::.",'-''''"
..,-,'..1->
. .
- .-..-
.-..,-.,'-.i..~: ;'. ~;''t:
DATE
Received
Risk Mimt. & Loss Control
I~ J If - 9 .1
~) 9rt?
./
,.', ,_., ~..; f": ."". ~ : .~...
_.~. .-
INITIAL
- -.. -- '-' '""! ~~,...'.'
- -.;..
.. -..
=:::::::_-::::::-:::':::-:::::'"7.:::::=-"
--------=-:::====:~:-::==
-- - .... ~.:=.~ === :::==~.--
'..r,. ";',-. -:' ,....-.
.'.,1;.",',.
w=_-~~:-~J~SC?I3E~ -
.' _ ell," ;-,
'-:-n
I ~E~U?~D
:';,-. ...,'
"C
'"! -' '.':..,' ....;- ,.~''-' :
..r...;
u.; /".,Yi,,;C'
..-.;-..;.'--..... ;-'-'::
"_.:..::.i. :'-'
: "'.",
! j: '- _.
;.........
'-':.-~. ,-. :
.:. ,":'-"'.-'
,'~-:
.....-.-:". .';
.. '-- ..=-.
...i-'''-'',
. r-, -...',_ ;....:.. r';...:.~ '-.
.:.:c:-,::,'~;:>;'
,', .J.. :..~ :-. f;r::
~.': ,. ,"";'-'.-
. '~BF~ELL;:~
.-,i-,i
I' 'U;_;.':
, .;.'.-,..
.,. "'::-~i=='
...
~._.__..- _._, -.--...
-.- - --..-... -..--...
.- ~- -.- -_.,_.~..-
-....--......--...-...
---~----- ----~~-
----~~=.:=::~;=~~==-====~~.=.==--
'--..;'. ;,-,-'i-' i ,~'T', "-.:'_.'
-----_._-----'-
--:-:~~~===~:::~--==7_
;,,-';~:~ ,.
:--,....';_.:.':.....
r{EY WEST
.~: ':..i: -"
.;.. ~~ ',i
-l'-;'
...:- '~.. ~n l! ;'..
-f,r~ i-' :..,-:~ T :':
",;-,-.'~' ~;',.;. ~.' :".~.-
':'''-'',-''j,'
. ,-..:.-. ~. .. ~.
. .ol'.:
;' ;:,..:~)r!c.r
I ,.-' .-~;-~:."
,~. t:; ,': ~.;
.~...""..'_....'.....
......;;t. ...
L
/- 21'1-
i
\.
(.yo~
. :'V0""ii,~~~~E~~1~~
CUSTOMER ::: 10552
C E R T I FIe ATE 0 FIN SUR A N C E
ISSUE DATE: 06/05/92
-______._____________M~___________________________________________________________________________________________________
-------------------------------------------------------------------------------------------------------------------------
PRODUCER
NICHOLAS & CANNON AGENCY
~1 N. TUTTLE AVE.
POBOX 1419
SARASOTA, F L
ZIP CODE 34230
i
I
I
I
I
I
I
1
---------------------------------------1
I
I
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
INSURED
D. L. PORTER
CONSTRUCTION! INC.
1100 GILLESPIE AVE.
SARASOTA, F L
ZIP' CODE 34236
COMPANY lETTER A AETNA L & C
COMPANY LETTER B FCC I FUND
rtfA.~j.\ (1 '}J
'-.._' /11
Co
COMPANY LETTER C
COMPANY LETTER D
COMPANY LETTER E
---------------------.---------------------------------------------------------------------------------------------------
---------------------.---------------------------------------------------------------------------------------------------
COI)EPAGES
THIS IS TO CERTIFY THAT 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 fiLL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY FAID CLAIMS.
-----------.----------.---------------------------------------------------------------------------------------------------
---------------------.--------------------------------------------------------------------.-------------------------------
CO
LTR
TYPE OF INSU~:ANCE
POLICY POLICY
POLICY NUMBER EFF. DATE EXP. DATE
LIMITS
====================~:======::============================================================================================
IGENERAL LIABILITY
AI (Xl COMMERCIAL GENERAL LIABILITY
I () CLAIMS MADE (Xl OCCUR.
i ( I OWNEF:' S l.-t CONTRACTOR'S PROT.
j ( )
i ' \
I " !
C022171471TCA
Cii/09/92
01/09/03
GENERAL AGGREGATE
I PRODUCTS-COMP/OP AGG.
I PERSONAL & ADV. INjURY
j EACH OCCURRENCE
i FIRE DAMAGE (ANY ONE FIRE)
i MED. EXPENSE (ANY ONE PERS)
'$ 2,000,000
.~ 2;000;000
$ 1;000;080
$ l,OOO~O' 0
$ 100,000
$ 5!000
---------------------------------------------------------------------------------------------------------------------------
iAUTOMOBILE LIABILITY
Ai (X) tNY AUTO
I ( ) ALL OWNED AUTOS
, ( ) SCHEDULED AUTOS
, (X) HIRED AUTOS
. (X) NON-OWNED AUTOS
( ) GARAGE LIABILITY
( .i
FJ22100270TCA Oi/09/92
01/09/93
COMBINED SINGLE LIMIT
$ 1,000,000
BODIU INjURY (PER PERSON) $
-----------------------------------------.--------------------------------------------------------------------------------
BODILY INJURY (PER ACC) $
PROPERTY DAMAGE $
iEXCESS LIABILITY
AI (X) UMBRELLA FORM
j ( ) OTHER THAN UMBRELLA FORM
i .._ __.. .
I Xj221j~966CCA 01/09/92
I
i
I
01/09/93 I EACH OCCURRENCE
! AGGREGATE
$ 3,000,000
$ 3;000;000
-------- ----------------------------------------------------------------------------------------------------------------
I
Bi wORKER'S COMPENSATION
AND
EMPLOYER'S LIABILITY
23940-001
01/01/92
() STATUTORY LIMITS
01/01/93 I EACH ACCIDENT
I DISEASE-POLICY LIMIT
I DISEASE-EACH EMPLOYEE
!
$ l;OOO!OOO
$ 5lQQYt'yOQ
$ 1; V'JiJ ,iJO'-1
------------------------------------------------------------------------------------------------------------------------
iOTHER
,
I
---------------------------------------------------------------------------------------------------------------------------
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL I1EMS
RE; i10NROE COUNTY LIBR~Vd ADDITION KEY WEST BRANCH, 700 FLEMING ST. ,KEY wEST
ADDL INSRD: MONROE eNTY LIBRARY KEY WEST BRANCH; THOMAS E POPE,P A (ARCHITECT)
AND MONROE COUNTY BOARD OF COUNTY COMMISSIONERS' (NOT APPLICABLE TO WORK COMP).
=====================:===================================================================================================
CERTIFICATE HOLDER
CANCELLATION
MONROE CNTY LIBRARY KEY wEST SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
BRANCH-ATTN:PETER HORTON EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
5100 jR. COLLEGE RD. 60 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
KEY WEST, FL BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
ZIP CODE 33041} OF ANY KIND UPON THE COMPANY! ITS AGENTS OR REPRESENTATIVES.
-- - - -- -- -- ------- - - ---- - --- - - - - - - - -- - - - -i- AUTHOR! ZED-REPRESEN TATIvE ----75;j--- - --- -- - -- -l- ,- ~ /l ~----- -- -~- ---- -- - - - -- - - --
i ELEANOR GARIEPY KR ~il:flt2V~"