Certificate of Insurance
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Post, Buckle~ Schuh & Jernigan, Inc.
CONSULTING ENGINEERS and PLANNERS
10 PALMS PLAZA, HOMESTEAD, FLORIDA 33030-6094 . 305/248-4750 . TELEX 808435
June 14, 1983
Mr. Danny Kolhage
Assistant Monroe County Clerk
500 Whitehead Street
Key WE!st, Florida 33040
RE: Certificate of Insurance from Contractor for Paving and Grading of Cross Key
Waterway Estates
Dear Mr. Kolhage:
Enclosed for completion of your contract papers is the properly executed copy of the
Certifi(~ate of Insurance for the above project.
Very truly yours,
POST, BUCKLEY, SCHUH & JERNIGAN, INC.
as
MONROE COUNTY CONSULTING ENGINEERS
J. 4~--
By: H. Lee Swanson, P .E.
Project Manager
HLS/lvc~
401-002.29
Enclosure
cc: Mr. Edward Stickney w/encl.
Mr. Lucien Proby w/encl.
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i er~. Certificate of Insurance / I
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<< THIS IS TO CERTIFY that the described policies, covering in accordance with the terms thereof, are in force as of the date hereof: ~
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<<Insured', THE BREWER COMPANY OF FLORIDA, INC., W & B TRUCKING, INC., & ~
~ ASPdALT MATERIALS & PAVING COMPANY, INC. ~
~ 9801 N.W. 106th Street ~
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~ _ C~"-ER!,_GE_
~ Workers >>
~ Compensation
<< Employers
<< Liability
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~ Completed
Operations
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<< Excess/Umbrella
<< liability
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<< --_.
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<< This document is furnished for information only. It does not provide or convey any insurance. Unless specified hereon its issuance does not make i
~ the person or or9amzjition to whom it is issued an additional insured under any policy of insurance. It neither a"irmatively nor negatively amends. W
extends or alters the coverage a"orded by the contract of insurance between the insured and any Company. Amendment. extension or change of
suCh contract CClln only bee"ected by endorsement issued by the Company and attached thereto. thirt (30) days
i Should any above described poUcy be cancelled. the Company issuing said policy will make all reasonable e"ort to give,41otice to ~e holder of this
document. at the address shown herein. but failure to give such notice shall impose no obligation of any kind upon the Company or the ::>>
undersigned. :;
Dot'" 6-7-83 ::~~........
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)(~'?!R!}~,?&~~~~~~~~~~~~~~'X
Comprehensive
General
liability
Products
j, Jlorida 331 8
LIMITS OF LIABILITY
COMPANY AND EXPIRATION f---....--.--.------~----,....-~.----.- _. _._._~- .--.-- -------.-
POLICY NO. DATE Bodily Injury Property Damage
- - -"--
Statutory Nil
Each Accident $
Nil
_.
National Each Occurrence $ 500,000 Combined Single Limit
Union Fire Aggregate $ 500,000 Comb ined Single Limit
GLA9456917RA 06/01/84 Aggregate $ 500,000 Combined Single Limit
.
lNational
Union Fire 06/01/84
BA1454687 Each Occurrence $ 500,000 Combined Single Limit
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Mission 06/01/84 Combined Single Limit S 5,000,000
National Aggregate $ 5,000,000
MN020l77
Comprehensive
Automobile
Liability
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PAVING AND GRADING IMPROVEMENT AT CROSS KEY WATERWAY ESTATES SUB-DIVISION
KEY LARGO, FLORIDA.
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This CertificatEl is issued to CERTIFICATE HOLDERS
POST BUCKLEY SCHUH & JERNIGAR, INC.
10 Ponce Plaza
Homestead, Florida 33030
AND ADDITIONAL INSUREDS:
MONROE COUNTY
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
KEY WEST, FLORIDA 33040
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