Certificates of Insurance
7.3331
~ SE""'RITY INSURANCE GROUP
I D SECURITY INSURANCE COMPANY OF NEW HAVEN
D UNITED STATES CASUALTY COMPANY
D THE FIRE AND CASUALTY INSURANCE COMPANY OF CONNECTICUT Ii>
D THE CONNECTICUT INDEMNITY COMPANY I ~
~ NEW AMSTERDAM CASUALTY COMPANY 15~
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Ed. Date: 1-64
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Th i s is to certi fy that insurance policies issued to ............ ....... QfAQl~.,,:,: y.;l.. ~.~.Q D,... .I.n!;. .................... .................................... ............... ..............
(Name of insured)
. . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . ..3 QQ. . ~ .lm. 9. n t. g . 0.. . . S t. .r ~ . ~ t ~. . . .I~ y: . . .1:~~. ~ .t .J. . . . E l 9 r .~ g 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Address)
b d" d f h. h I' d b 1 · f · h. C f 1\ nrj 1 30 1966
the num ers an eXpIratIon ates 0 W IC are lste e ow, are In orce In t IS ompany as 0 ...........t:'.....:...... .:..)...... ..~......................................,
(Date)
.. d . h h h f h f 11 · I t. Florida
covering In accor ance Wit t e terms t ereo at t e 0 oWIng oca 100.... ............................................................... ........ .................................................
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. ICE~IAC~E OF
LIMITS OF LIABILITY
KIND OF POLICY EXPIRATION
POLICY NUMBER DATE
Bodily Injury Property Damage
A-Workmen's Provided by Workmen's Nil
Compensation Law
Compensation Sta te of..............................................
B-Manufacturers or Each person $. . . .. .. ... . . . .. .. . . .. .. . . . . .. . . . Each accident $................................
Contractors Liability Each accident $................................ Aggrega te $. . .. .. .... .... . .. . . .. . . .. . . .. .. .
C-Owners or Contractors Each person $. ................ ....... ........ Each accident $.... .............. ..............
Protective Liability Each accident $................................ Aggregate $... ...................... .......
D-owners, Landlords Each person $. . ..... .. .. ...... . . . . ... . .. . ... . Each accident $................................
and Tenants Liability Each accident $.............. ..................
E-Automobile Each person $............................... . Each accident $................................
Liability
(1) Owned Vehicles Each accident $.... ............. ...............
(2) Hired Vehicles Each person $. . . . . .... .. .... . . .... . . .. . . .. .. . Each accident $................................
Each accident $... .............. ...............
(3) Other Non-owned Each person $. ........ . . .. .. .. . ... . . . . .. . . . . . Each accident $. .................. ....... ......
Vehicles Each accident $. ........ ........ ...............
F-Comprehensive
Liability Each person $. ...................... .. ...... . Each accident $................................
(1) Comprehensive Each accident $................................
Automobile
-~ (2) Comprehensive roc u,42413 4--30...67 Each person t. .30.Q,.Q.QQ... ....... Each accident $..3.QQ~.QO.Q...........
General Each accident $..3QQ~.O.QQ.......... Products excluded
~rodu~ts V~.~~.~~............. Aggrega te $.3 QQ ,.Q.oo...........
ggrega e
(3) Comprehensive Each person $............................... . Each accident $.... ........... ........ .........
(combined General
and Automobile) Each accident $........... ............... ......
Aggrega te $............................... . Aggregate $.............................. ..
Each person $............................... . Each accident $. ...... ........ .................
Each accident $....... ........... ..............
Aggregate $. . ... ......... ..... . . . .... . . . . . . Aggregate $. . . . . .. .. ..... .... .......... . . ..
-
* Property damage c~,used by blasting or explosion (other than explosion of machinery or pressure equipment) excluded.
* Property damage cuused by collapse of or structural injury to buildings excluded.
* Property damage u:nderground caused by mechanical equipment excluded.
This Certificate is issued at the request of:
Name... ...........~ ~~~ ii~.. .Q~~.~.~... .......... .......... ................... ........ ................................ ....... ......................................................................................................
Address............~~~~~:.. .9~.~~~Y...g.9.~:t~...~9.~.~~.J.. ..~~Y.. .~~~ ~.~ .1.. ..f~.9~.~9:~ .... ... ........................... ...... ..................................... ... ...... .............
to whom we will mail \vritten notice of cancelation or any changes affecting this Certificate....._-/
* ~50.00 Deductible Property Damage KEY~.?'I~~CE, ,I=~C.
/ /' ~. /// 4: .,.. <'~ ...---
By.... ....... .~.~..).. ...<... ./~-:-::::r.-.-(::'~-.. ..... ........ .... .........
, . /' AuthorIZed Representative
INSURANCE !M~
*
Ed. Date: 1-64
7-3331
".f~1JRITY INSURANCE GROUT -~
a SECURITY INSURANCE COMPANY OF NEW HAVEN I~
o UNITED STATES CASUALTY COMPANY '~~
o THE FIRE AND CASUALTY INSURANCE COMPANY OF CONNECfICUT I ~
o THE CONNECTICUT INDEMNITY COMPANY I ~~
[j NEW AMSTERDAM CASUALTY COMPANY I ~~
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This is to certify that insurance policies issued to ...........QfM?~~Y~.~.iQ.~.a....~~~........................................ ...................................................
(Name of insured)
........... ....... ...................... .3.00... s. ntan...S.t1:l!e.t......KeJ;. ..w.e(~~f-lo.r.1d.a.. ......................... ............ .............................................................
the numbers and expiration dates of which are listed below, are in force in this Company as of.......AI'-~1.1...3.Q,....1.965..................................,
(Date)
covering in accordance \vith the terms thereof at the following location...........nQ~1da..............................................................................................
............................. ..... ...... ................... ..... ........ ....... ..... ..... .................... ............... ................................... .... ................................... ................................ ... ...................
.
LIMITS OF LIABILITY
KIND OF POLICY EXPIRATION
POLICY NUMBER DATE
Bodily Injury Property Damage
A-Workmen's Provided by Workmen's
Compensation Law Nil
Compensation State of... ........ ................. ..... .............
B-Manufacturers 01" Each person $............................... . Each accident $................................
Contractors Liability Each accident $................................ Aggregate $.... ....................... .....
C-Owners or Contractors Each person $............................... . Each accident $.. ..............................
Protective Liability Each accident $................................ Aggregate $.............................. ..
D-Owners, Landlords Each person $............................... . Each accident $................................
and Tenants Liability Each accident $................................
E-Automobile Each person $............................... . Each accident $................................
Liability
(1) Owned Vehicles Each accident $............... .................
(2) Hired Vehicles Each person $............................... . Each accident $................................
Each accident $................................
(3) Other Non-owned Each person $. . ......... ...... . . ... . .. . . .. . . . Each accident $................................
Vehicles Each accident $................................
F-Comprehensive $. ........ .................. .... .
Liability Each person Each accident $................................
(1) Comprehensive Each accident $................................
Automobile
*(2) Comprehensive Each person $. ....3QQJ.999.. ..... Each accident $....~QQ".Q9Q........
General Each accident $......300,.0.00....... Products Excluded
WG-351939 4-30-.66 Products Excluded $.... J99...9QQ........
Aggrega te $. . . . . ... . .. . . .. .... ... ... . ... . . . Aggrega te
(3) Comprehensive Each person $. . . . . . . . . . . .. ........... ....... . Each acciden t $................................
(combined General
and Automobile) Each accident $................................
Aggrega te $.......................... .... ... Aggregate $. . .......................... ....
Each person $............................... . Each accident $. .............. .................
Each accident $................................
Aggregate $...... ................ .......... Aggregate $........... ...... ...............
*
*
* Property damage caused by blasting or explosion (other than explosion of machinery or pressure equipment) excluded.
* Property damage caused by collapse of or structural injury to buildings excluded.
* Property damage underground caused by mechanical equipment excluded.
This Certificate is issued at the request of:
Name. .............. ........................................ CQl1Dt~...Ql.~ls;...... ........ .......... .......... ...... ........ ........ ............ ........................................................................... ......
Address................................................ .....&n.rQf'-.. .Co:t1tlt,J:...Coul1i... Jbue.e.,.... ~ey.. W~Jt,....flc>.~1..g.~.......................................... ........ .........
to whom we will mail written notice of cancelation or any changes affecting this Certificate. _" .
* $50.00 deductible Property Damage BY....:==--~~:~..;;,;;=~:::::-..~.
-_.~ Authorized Representative
CERTIFICATE OF INSURANCE
S;ECUR)
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INSURANCE
10010 Asylum Avenue, Hartford, Connecticut
4-1-68 slm
[Xl SECURITY INSURANCE COMPANY OF HARTFORD
D THE FIRE AND CASUALTY INSURANCE COMPANY
CERTIFICATE OF INSURANCE
ROUP
D THE CONNECTICUT INDEMNITY COMPANY
D
This is to cE!rtify that insurance policies issued to..... ......... ...C.ab.l.e~Vis.i.on.,....In.c........
(Name of Insured)
. .3.00.. .~'imont.on. ::.t..., ..K ey.. :rtte.st 'J'" Florid.a....................................
(Address)
the nU111bers and expiration dates of which are listed belo\v. are in force In this Company as of.....
. .A.p.ril.. .3.0.~... .1.96.8........
(Date)
covering in accordance with the ter111S thereof at the follo\ving location ...........~,t.~te...o.f ..flo.:r.:LQ:~........
KIND OF
POLICY
POLICY
NUMBER
EXPIRA nON
DATE
Bodily Injury
A-Workmen's
Compensation
Provided by W ork111en's
COlnpensation Law
State of ....................
Each person $.. ..... . ......... Each occurrence $......
Each occurrence $..
Each person $.300,OOO.Each occurrence $. 300.,.000. A *
Each occurrence $.300".0.00. Prod.uctsExcluded
~roducts ~xcluded
Aggrega te $..
Each person $..........
Eac h occurrence $............
B-Manufacturers or
Contractors Liability
Each person
Each occurrence
C-Owners or Contractors
Protective Liability
Each person
Each occurrence
D-Owners, Landlords
and Tenants Liability
E-Automobile
Liability
( 1) O\vnecl Vehicles
Each person
Each occurrence
Each person
Each occurrence
(2) Hired Vehicles
Each person
Each occurrence
(3) Other N on-o\vned
Vehicles
Each person
Each occurrence
F-Comprehensive
Lia bili ty
(1) Comprehensive
A. u to 111 0 b i I e
(2) Cotl1prehensivc
General GLA 43 28 32
4-20-69
(3) Cotllprehensive
(co111bined Gleneral
and ..;\utomobile)
;\ggrega te
Each person
Each occurrence
./A.ggrega te
$.....
$. ..................
$ ...................
$ ...................
$....................
$.
$
$
$.....
$..
$...
$....
$....
$............ .
$
$....
LIMITS OF LIABILITY
Property Damage
Nil
Each occurrence $ :!:
.0..0.. ..0. .0..0.. .0..
Aggregate $ ..0.......0'.0........ .
Each occurrence $ ................ ..
Aggrega te $
Each occurrence $ .... ....,.. ............
Each occurrence $..............
Each occu rrence $............
Each occurrence $........................
~;\ggregate
Each occurrence
$. .3.00.,.000.
$.........
.Aggregate $..
Each occurrence $ ....................
.Aggregate $.......
*Property damage caused by blasting or explosion (other than explosion of machinery or pressure equipment) excluded.
*Property damage caused by collapse of or structural injury to buildings excluded.
*Property damage un.derground caused by mechanical equipment excluded.
This Certificate is issued at the request of:
NalHe .................count.y..Clerk.............. ... ........ ......
Address ............. Monroe.. .C.ounty.. Caur.t... Heuse.,.. .Key. .1LJ.est~.. .F.l.orida.....
to \VhOnl \ve will tllail \vritten notice of cancelation or any changes affecting this Certificate.
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By. ........./-~;~..R~~e~:~;:~~.
Form 30134-1
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SECUft. _ f
INSURANCE
GROUP
~ SECURITY I NSUf\, II.~E COMPANY OF HARTFORD
o THE FIRE AND CASUALTY COMPANY OF CONNECTICUT
o THE CONNECTICUT INDEMNITY COMPANY
o
1000 Asylum Avenue, Hartford, Conn. 06101
I CERTIFICATE OF INSURANCE)
3-26-69 a\.{
.. JOOHS:i.monton .Str.S3E3t,... KE3Y JYE3st,. .1"10 r.ida
This is to certify that insurance policies issued tOHHHGa.b.l~-Vi~:iQn"JnG.
(Name of Insured)
........ -.......... ......................
(Address)
the numhers and expiration dates of which are listed helow. are in force III this Company as ofH.Apri1JO, 19.69
(Date)
covering in accordance with the terms thereof at the following location.StateHofH.F1o:ri.da
This Certificate of Insurance neither affirmatively or negatively amends, extends or alters the CU\lTage afforded by the policy
or policies certified to herein.
KIND OF POLICY EXPIRATION
POll CY NUMBER DATE
A-Workmen's
Compensation
B-Manufacturers or
Contractors Liability
C-Owners or Contractors
Protective Liability
D-Owners, Landlords;
and Tenants Liability
E-Automobile
Liability
(1) Owned Vehicles
(2) H ired Vehicles
(3) Other Non-owned
Vehicles
F -Comprehensive
Liability
( 1) COt11prehensivc
A. u tOI11ohile
(2) COlnprehensive CIA 42-87-12 4-30-70
General
(3) Conlprehensive
(conlb'd General
and Automobile)
LIMTTS OF LIABILITY
BOdily Injury
Property Damage
Provided hy \V Orkll1en's
COlnpensation Law
State of
Each person $......................... .... Each occurrence $....
Each occurrence $......................... ...../Aggregate $ '"
Nil
Each person $............................... Each occurrence $......................
Each occurre nce $............................... /Aggrega te $..................... ..
Each person $..... ........................... Each occurrence $.......................
Each occurrence $...............................
Each person
Each accident
Each person
Each accident
Each person
Each accident
$............................... Each accident
$...............................
$......................
$............................... Each accident
$......................
$...............................
$............................... Each accident
$...............................
$.......................
Each person $............................... Each occurrence $.......................
Each occurrence $...............................
Each person $.300,QOQ.Lqq Each occurrence $qJOQ,.QOQ.
Each OCCULence $..3QQ".O.(~......... Products Excluded
AJ;g~1!r~B ExctI:~dE3~qqq.qH..lAggregate $.q?()(:)?g~.
Each perSOll $.... " ....................... Each occurrence $.......................'
Each occurrence $.................... ...........
~ggregate
$......................... ... ... ~ggregate
$.......................
Each person $............................... Each occurrence $......................
Each occurrence $...............................
Aggregate
$..................... ........./Aggregate
$.......................
*Property damage caused by blasting or explosion (other than explosion of machinery or pressure equipment) excluded.
*Property damage caused by collapse of or structural injury to buildings excluded.
*Property damage underground caused by mechanical equipment excluded.
rrhis Certificate is issued at the request of:
N al11t'HQo.1l!ltyqG1~:r.lcqHHH. ..q.q..q . .q...
.\ d d r t' s s . .. l'-fo l1!'O ~ Go. 1l!l t,y q Qo. \1:r.tH J1():tl~ ~, )(ey W ~~ h F'lO!:'iclCl
to whom we will mail written notice of cancellation or any changes affecting this Certificate.
Form 30134.5
By..
2Y ~~~~~C-=--
....... .. .-L~.;~.:H .............
Authorized Representative
SECUR!J!Y
INSURANCE
GROUP
XB SECURITY INSURAIJ!CE COMPANY OF HARTFORD
D THE FIRE AND CASUALTY COMPANY OF CONNECTICUT
D THE CONNECTICUT INDEMNITY COMPANY
D
1000 Asylum Avenue, Hartford, Conn. 06101
I CERTIFICATE OF INSURANCE I
Th is is to ce rti fy that insurance policies issued to
... . 300..S.lmonton...Stre.e.t,
. . . C.a b.1 e ~.v. i. .5. i .cD n , . . . .1. n c .. . . . . . .
(Name of Insured)
(Add ress)
. .... .K.e.Y... Wes.t..,... F.l.or. I.d.a....
the nun1hers and expiration dates of \"hich are listed helo\v. are in force in this COlnpany as of.....Apr..i.l...30.,....1970..
(Date)
covering in accordance \vith the tern1S thereof at the follo\ving location ......S.t.~.t~....o.f...F.l.or..i..d.a......
This Certificate of Insurance neither affirn1atively or negatively amends, extends or alters the cu\crage afforded by the policy
or policies certified to herein.
KIND OF
POLICY
POLICY
NUMBER
EXPIRA nON
DATE
LIMTTS OF LIABILITY
Bodi Iy Injury
Property Damage
A- Workmen's
Compensation
Provided by \V orkl11en's
COlnpensation La\v
State of
Nil
$.................... .... .... Each occurrence $... ..................
$......................... ..... Aggregate $ ......................
$............................... Each occurrence $..... ............. ...
$............................... Aggregate $................... ...
Each person $............................... Each occurrence $.......................
Each occurrence $...............................
Each person $............................... Each occurrence $.......................
Each occurrence $...............................
Each person $....~9~.~.9.q.q........ Each occurrence $.....).99.,.0.0.0::
500,000
Each occurrence $...............................
P~oducts Exc1
Aggregate $..........Excl......... Aggregate $.....30Q.j.OO.O
Each person $............................... Each occurrence $.......................
Each occurrence $...............................
B-Manufacturers or
Contractors Liability
Each person
Each occurrence
Each person
Each occurrence
C-Owners or Contractors
Protective Liability
D-Owners, Landlords
and Tenants Liability
E.-Automobile
Liability
( 1) O\vned \1 ehicles
Each person
Each accident
Each person
Each accident
Each person
Each accident
(2) Hired V' e hicle~,
(3) Other N on-o\vned
\1 e hicles
F -Comprehensive
Liability
( 1) C 0111 pre hensi ve
.\utol11ohile
(2) COIl1prehellsivt'
General GLA 581863
4-30-71
(3) C0111prehensive
(conlb'd General
and Au tonlobile)
Aggregate
$............................... Each accident
$...............................
$.. ..
$............................... Each accident
$...............................
$......................
$............................... Each accident
$...............................
$.......
$. .. . .... ... . ........ ........ ... Aggregate
$.......................
Each person $............................... Each occurrence $......................
Each occurrence $...............................
Aggrega te
$............................... Aggregate
$.......................
*Property damage caused by blasting or explosion (other than explosion of machinery or pressure equipment) excluded.
*Property damage caused by collapse of or structural injury to buildings excluded.
*Property damage underground caused by mechanical equipment excluded.
'rhis Certificate i~ l~sued at the request of:
~ allll' . ...C.ounty ...C.lerk... ....... ............. ........... .....
:\ d(l res~ M.on.roe~.. .C.QUn ty.. .Cou.r t.. .House .,...... Key.. .We.s.t.,....F 10 r.l d.a......
to \\thOl11 we will Illail written notice of cancellation or any changes affecting this Certificate.
KEY ~S~E, INC.
By.. ..~~~.,....."",~~.
Form 30134-5 Authorized Representative
bbs 4-15-70
CERTIFICATE OF INSURANCf
THIS CEI HE OF INSURANCE NEITHER AFFIRMATIVElY NOR NEGATIVElY AME. iXTENDS OR
ALTERS THE COVERAGE AFFORDED BY ANY POLICY DESCRIBED HEREh...
UNITED STATES FIRE INSURANCE COMPANY
THE NORTH RIVER INSURANCE COMPANY
WESTCHESTER FIRE INSURANCE COMPANY
INTERNATIONAL INSURANCE COMPANY
THIS IS TO CERTIFY TO
CLERK of the BOARD OF COUNTY COMMISSIONERS
OF
(NAME OF CERTIFICATE - HOLDER)
Monroe County Co~rthouse, Key West, Florida 33040
(ADDRESS OF CERTIFICATE-HOLDER)
THAT ON THE DATE BELOW THE FOLLOWING DESCRIBED INSURANCE POLICIES, ISSUED BY THIS COMPANY, ARE IN FULL
FORCE AND EFFECT:
INSURED'S NAME: CABLE-VISION, INC.
ADDRESS:
300 Simonton Street,
CITY & STATE:
Key West, Florida 33040
THE POLICIES INDICATED HEREIN APPLY WITH RESPECT TO THE HAZARDS AND FOR THE COVERAGES AND LIMITS OF LIA-
BILITY INDICATED BY SPECIFIC ENTRY HEREIN, SUBJECT TO ALL THE TERMS OF SUCH POLICIES.
COVERAGES AND LIMITS OF LIABILITY
POLICY EFFECTIVE EXPIRATION
HAZARDS NUMBER DATE BODIL Y INJURY LIABILITY PROPERTY DAMAGE LIABILITY
DATE each person each occurrence
each occu rrence aggregate
PREMISES - OPERATIONS GA 81 48 14 4-30-71 4-30-72 $ 300,000 $ 500 ,000 $ 300 ,000 $ 300 ,000
ELEVATORS $ ,000 $ ,000 $ ,000 XXXX
IN DEPEN DENT CONTRACTORS $ ,000 $ ,000 $ ,000 $ ,000
PRODUCTS - COMPLETED $ ,000 $ ,000 $ ,000 $ ,000
OPERATIONS AGGREGATE: $ ,000 XXXX XXXX
CONTRACTUAL-AS DESCRIBED
BELOW $ ,000 $ ,000 $ ,000 $ ,000
AUTOMOBILE LIABILITY GA 81 48 14 4-30-71 4-30-72 300 ,000 500 ,000 $ 300
OWNED AUTOMOBILES $ $ ,000 XXXX
HIRED AUTOMOBILES $ ,000 $ ,000 $ ,000 XXXX
NON-OWNED AUTOMOBILES $ ,000 $ ,000 $ ,000 XXXX
WORKMEN'S COMPENSATION COMPENSA TION-ST A TUTORY
AND
EMPLOYERS' LIABILITY EMPLOYERS' LIABILITY - $ ,000
UMBRELLA LIABILITY $ ,000,000
LOCATION AND DESCRIPTION OF OPERATIONS, AUTOMOBILES, CONTRACTS. CONTRACTUAL LIABILITY - (INDICATE TYPE OF
AGREEMENT, PARTY AND DATE).
Should any of the above described policies be cancelled before the normal expiration date thereof, the Company
will endeavor to give written notice to the above Named Certificate-holder, but failure to give such notice shall impose
no obligation or liability of any kind upon the Company.
...::::>
DATE:
4-2e-7l
BY
FM 103.0.4 4PT (REV 6/69)
ORIGINAL COpy
TO
Cle~k 06 ~he Boa~d 06 Coun~y
Comm),.6.6),oneJt.6
FROM
DOTSON & BROWN INSURANCE
P. O. BOX 276 - 315 SOUTH BROADWAY
TYLER, TEXAS 75701
597-8348, 597-8349, 597-8340
I DATE: 3 / 1:, / 7 3
__--Key Weh~, Ffohida
SU BJ ECT: C elf. t .i.. {i c a. t e. 0 a I Y./6 {( 1l. a Y./ c. e - (' a. he e. - V .i.. 6 .i.. 0 niT Yl c. ,
FOU'l t
We have been de~ignazed ~~ b4o~e~ ~Q~ ~he above QQmpany. Pe~ the~~
~'QU'~~ WP a~p Ptl~JnAina a ~Ph~i'i~a~p n~ i~AU~an~e 60h YOUh ~ilp~
16 fjOt~ ha"" ttnfj que6t-ioVJ6 plea6e 'eel 'hee tn caPP nn1j:fiYYJ"
T h a n h -i n 9 Y (f {{ -8 " I{ Y" tt 4.. a t t ~ 14 t {. Q n t" t h ~ a b" " ~
~Lf:&~~
I .
PLEASE RtPLY TO ~
SIGNED
RiP P V (1 t .c. (1 14} 11:t
Pn 1:t tl4 V 1:t
trl~
I SIGNED
DATE
GRAYARC co.. INC., BROOKLYN, N. Y. 11232.
THiS COpy FOR PERSON ADDRESSED
CER"P'
~(
,.".
Name of Insured
A,4dresaof IDlUred
. Loca.tioa..Qwered
OperatiCms"Covere
".IS'..":
:.: ;7< f~,~ -
ers
COVERAGE is provided in, Company initialed below:
[jJA=AETNA INSURANCE COMPANY
D U~AETNA FIRE UNDERWRITERS INSURANCE CO.
OC= CENTURY INDEMNITY COMPANY
Effective 12/.2'0/.72
that. on the above date '..~'.followingdescribed insurance policies, issued by this Company, are in full force and effect,
subject to all the tenns,.. conoitions, limitations and exclusions, thereof.
c.
NaM. .... C......
...........'. c...........
.....ic .....ty-IMIIy, .....,. .(Hot Auto)
..... Ual,ilJtfw,.."'.................>
f........, ..... .... ^. " ""',,' '. . - ...,..
".. CowrN. ..............)
Pr..,. .~o......... ....f'dfiOM..
Iodily'.......,
"'oduds-~,Qper_OM-
Property Do.....
......C_..~..I.,..., ....,.
(....... ...... ...........C........ . As Delated
In 1M Pdcy)
StteClflc Controc................,.......
(Other Thonlncidental COtttrocts As. .DeltMcI
In The Policy)
AutoMoWfe--lWly ...jury
PoIic,
.........
EfFective ·
Date
Expiration
Date
Limits of
Ualtility
Statutory
,000 each person
,000 each occurrence
,000 each occurrence
,000 aggregate
,000 each person
,000 each occurrence
,000 aggrega te
,000 each occurrence
,000 aggregate
,000 each person
,000 each occurrence
,~ each occurrence
,000 aggregate
,000 each person
,000 each occurrence
,000 ea~h occurrence
.......-P........., ......
....."
... ......
-Inc. luaa....... .00.'. ..verage fo.r.. tb.. .'efall.owing incidental written agreements: (1) 'lease.. of pre. mise.s, (2) ea.sement ag.' reem. ent, .ex. cept
in connection withCODSUuction or demolition operations on or adjacent to a railroad, (3) undertaking to indemnify 'a
muaicipa!i!r:r~uired.'brmum..cipal ordinance, except in connection with work for the municipality, (4) sidetrack agree-
ment, or (5)el.ev8tor mamtenance agreement.
Should any of the above described . ~be.callcelled :before the normal expiration date thereof; the Company
. will eft-wx: te.give.wtitten' notice.to the above-Named CertifICate-holder, but failure to give such notice shall im-
pose noobliption or liability of any' kind upon the Company.
. .' "-"
'-"MOI MIM1IVItY AMENDS..'1X1'INDS 01 At1ElS THE-COV.....~ &YJMEPOUCIIS INDlCA1ID'
By
.;~3:~.~1!'!~.~. send 1fiaI.....C!Mfce .One....l... .Copy.
';'~*,.r . " at
AutllOrizetl Agmt
..... Policy listed he......) ,
'\
dotson
&. brown
.
Insurance
bill dotson, ir.
res. 592-7797
martin h. brown
res. 592-0533
specializing in communications · commercial & industrial insurance
March 8, 1974
Clerk of the Board of County Commissioners
Monroe County Courthouse
Key West, Florida 33040
RE: Certificate of Insurance
Cable Vision, Inc.
Gentlemen:
Per our insuredls request we have enclosed a certificate of insurance
for your files. If you should have any questions please feel free to
contact our office direct.
Thanking you for your attention to the above.
Si ncerely,
4,T ON .& BRO~~~NSURANCE
II j
I' ~ t
I
Bill Dotson, Jr.
Partner
ms
315 south broadway · p. o. box 276 · tyler, texas 75701 · ac 214 597-8348
C~TE OF 1N5U~
~.
DESCRIPTIVE SCHlDULE
Inc. ETAL
~
Address of Insured .p ~O~ Box 1300
J(~WAst, Florida
Location Covered All locations
Oper3:tions Coveren CATV op@rations
tHIS IS TO CERTIFY TO CRfIPlCATE HOlDER:
Main.. AcWr.. (SIr'" And Nu......, City, State, Zip Code}
Cl~rk of th~ Board of County
Commissioners
Manro~ County Courthous~
K~~ W~~tt Florida
33040
COVERAGE is provided in Company initialed below:
[[J A=AETNA INSURANCE COMPANY
D U=AETNA FIRE UNDERWRITERS INSURANCE CO.
D C= CENTURY INDEMNITY COMPANY
Effective 3/6/74
that on the above date the following described insurance policies, issued by this Company, are in full force and effect,
subject to all the tenns,conditions, limitations and exclusions, thereof.
Co Nam. of Covera.. Polley Effective Expiration Umits of
Num&.r Date Date Ua&ility
Workmen'. Compensation WC801573 12/20/73 12/20/74 Statutory
· Public liability-locIil, Iniury (Not Auto) $ jUU ,~ each occurrence
CG221367 12/20/73 12/20/74
.Public lia&ility-Property Dama.. (Not Auto) $ 50 ,O(H) each occurrence
CG221367 12/20/73 12/20/74 $ 50 ,000 aggregate
(Explosion, C_ps., Underground ....rcls $ ,000 each occurrence
Not Covereel Unle.s Otherwise Sta'" ......) $ ,000 aggregate
Products-Completed Operations- $ 300 ,000 each occurrence
Wily Iniury CG221367 12/20/73 12/20/74 $ 300 ,000 aggregate
Products-Complee.d Operation. $ 5U ,000 each occurrence
Property Damage CG221367 12/20/73 12/20/74 $ 50 ,O(H) aggregate
Specific ContractuallNiIy Iniury $ jUU ,000 each occurrence
(Other Than Ind.ntal Contracts As Defined
In The Policy) CG221367 12/20/73 12/20/74
Specific Contractual-Property Damage. S ~U ,000 each occurrence
(Other Than Incidental Contracts As Defined
In The Policy) CG221367 12/20/73 12/20/74 $ 50 ,000 aggregate
Automobile-IocIHy Iniury S 100 ,000 eac h person
CG221367 12/20/73 12/20/74 S 300 ,000 each occurrence
Automobile-Property Dama.. r:G??13fi7 12/20/73 120/200/14 S oU ,000 each occurrence
......ary
Plate GIa..
-Includes coverage for the following incidental written agreements: (1) lease of premises, (2) easement agreement, except
in c9nnection with construction or demolition operations on or adjacent to a railroad, (3) undertaking to indemnify a
municipality required by municipal ordinance, except in connection with work for the municipality, (4) sidetrack agree-
ment, or (5) elevator maintenance agreement.
Should any of the above described policies be cancelled before the normal expiration date thereof, the Company
will endeavor to give written notice to the above Named Certificate-holder, but failure to give such notice shall im-
pose no obligation or liability of any kind upon the Company.
THIS CEanFICATE Of INSuaANCE NIIIMEI AFFlRMAnVELY NOR NEGAnvELY AMENDS, EXTENDS 01
ON1HIS CIIIIFICA'fE UNDEI POLICY NU.-&R.
By
...
(I''''. 0.. Duplicate Copy foreGCh Policy liatecJh
}AuthOrized AgenlllS
Form 600.840 3/73
'0,., DESClIPTIVE SCHaM.E
Name of Insured Cahl~ Vision. Inc.. ETAl
~
CIltTlFlCATI OF ItllUMNCE
Address of Insured ',P.O I Ilnx ] 300
Kay W.~tt Florida
Location Covered All 1 BrA ti ons
Operations Covere~ ~~TV a,.rat. ions
1MIS IS TO CllftFY TO CEM1FICA1I HOLDER:
MailiRe AchIr.. (StreIt AtMlNumMr, City, State, Zip Code)
C 1 ~rlc of thQ Beard ef CGu,nty
COOITlissioners
Monroe County CourthQuse
l(_~ WA~t. Florida
33046
COVERAGE is provided in Company initialed below:
[X] A-AETNA INSURANCE COMPANY
D U-AETNA FIRE UNDERWRITERS INSURANCE CO.
o C=CENTURY INDEMNITY COMPANY
Effective 12/20/74
that on the above date the following describeci insurance policies, issued by this Company, are in full force and effect,
subject to all the tenns, conditions, limitations and exclusions, thereof.
Co Nam. of Cov...... Policy EfFectiv. Expiration Umits of
N.....r Date Date Liability
Work......'. COMpensation ~lR~573 12/20/74 12/20/75 Statutory
*'ultllc liabiRty-lodly lniury (Not Auto) $ 300 ,000 each occurrence
CG658778 12/20/74 12/20/75
*Public Liability-Pro......, ........ (Not Auto) S 50 ,~ each occurrence
CG658778 12/20/74 12/20/75 $ 50 ,000 aggregate
(lxp......, C....., ......... ....... $ ,000 each occurrence
Not Coverecl Un.... Oth.... s...... .H....) $ ,000 aggregate
Procluds-CoMpIetecI Operations- $ 300 ,~ each occurrence
locIily Injury CG658778 12/20/74 12/20/75 $ 300 ,000 aggregate
ProcludI-CompIeted Oper...... $ :>u ,~ each occurrence
Property Damag. CG658778 12/20/74 12/20/75 $ 50 ,000 aggregate
SpedIc Co.... ..... -I...., I..., $ 300 ,000 each occurrence
(0IIMtr .... ......... COfttracts As DefIned
In The Poley) CG658778 12/20/74 12/20/75
Specific Contractual-Property Damag. S 50 , ()()() each occurrence
(Other Then Incidental Contracts As D.lned
In Th. Policy) CG658778 12/20/74 12/20/75 S 50 ,000 aggregate
i'c~ -' ,..... . '. -'- -,. - , '--' '. ,. ,
i
.-.meWIe-hcll, I-fu" S 100 ,000 each person
CG658778 12/20/74 12/20/75 S 300 ,000 each occurrence
Automobile-Property .0....... CG658778 12/20/74 12/20/75 S 50 ,000 each occurrence
.......,
...........
-Includes covera. ge for the fOll,. owing incidental written agreements: (1) lease of premises, (2) easement agreement, except
in connection with construction or demolition operations on or adjacent to a railroad, (3) undertaking to indemnify a
municipality required by municipal ordinance, except in connection with work for the municipality, (4) sidetrack agree-
ment, or (5) elevator maintenance agreement.
Should any of the above described policies be canceUed before the normal expiration date thereof, the Company
will endeavor to give written notice to the above Named Certificate-holder, but failure to give such notice shall im.
pose no obligation or liability of any kind upon ~he Company.
1IIIICIIIIFICA.Of....NCI......MF.-ATlVE..V NOR NEGATlVElVA_NDS, EXTENDS 01 AlTEIS tHE COVIlAGE AFFOIDID
ON.,.. ClnACA1EUNDII JIOUCY...-. 0 ON & BROWN SU
By
(1.18..... Du'fIIk.,.C.,.,
Agent ms
Form 600-840 3/73
dotson
&. bro1.vn
.
Insurance
bill dotson, ire
res. 592-7797
martin h. brown
res. 592-0533
specializing in communications · commercial & industrial insurance
December 18, 1974
RE: Certificate of Insurance
Cable Vision, Inc.
Gentlemen:
Per our insured's request we have enclosed a certificate of
insurance for your files. If you should have any questions
please feel free to give us a call.
Thanking you for your attention to the above.
Sincerely,
ms
Enc.
315 south broadway · p. o. box 276 · tyler, texas 75701 · ac 214 597-8348