Certificates of Insurance
1~ isk ~t-l(~;f s
DATE .___.S.ILi_tZ.L Certificate of Insurance
I
ItYITJ .1 ---X? Issue Date: (MM/DD/YY)
FINANCIAL ~~ERvicES ASSOCIATES of A VENTURA, INC. 4/25/95
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.
ATTENTION CERTIFICATE HOLDER: If you have any questions
please contact 8 FISCHLER,HERBERT at 1-800-753-1992
i;:!:!;::;;::::i::::i::;i;;i::i;;:::l:::l::i::::ii::i::::ll::lll\lillr::IIi..ql1il~~::tli~.i~::::"IU1!l!l!!illil:ml!n:::!;::i!::::::
Financial Services Associates
2999 NE 191st. St. Suite 803
Aventura, FI. 33180
Joe Caffrey dba/Caffrey Construction
P.O. Box 6651
Company Letter A
FUBA
Company Letter B
Key West, FL 33041
11:11t~:tll!111m!m!~:11ll@!imrl:imlril!mmll!11!t~!lmll111;1:1!m:~*llM.wi:~~~i@llilttttIllf~l!:rlltl;1111MmlIMrrr~:lmmt~:~:1!~ll~m:~I!~!~:lm:lmmlrl:1r;lllm;:t~
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED. NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OF OTHER DOCUMENT WITH RESPEC~
TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJEC
TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES.
o Policy Effective Policy Expiration
T Type of Insurance Policy Number ate (MM/DD!YY) ate (MM/DD!YY) All Limits in Thousands
General Liability General A re ate $
Commercial Liabilit~ Products- Com / 0 s A re ate $
laims Made [pccupation Personal & Advertisin In.u $
Owners & Contractc~rs Protective Each Occurrence $
Fire Dama e an one fire $
Medical Expense (anyone person) $
Automobile Liability
Any Auto
All Owned Autos
Scheduled Autos
H ired Autos
Non-Owned Autos
Garage Liability
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~/
CSL $
Bodily
Injury
Per Person $
Bodily
Injury
er Accident $
Property
Damage $
Each Occurrence
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Excess Liability
Aggregate
Other Than Umbrella Form
$
$
A
Workers' Compensation
And
Employers' Liability
16467
1/1/95
12/31/95
Statutory
$ 100
$ 500
$ 100
Other
Description of Operations/ Locations/ Vehicles/ Restrictions/ Special Items
DBA:
::!~::!:::::::~~:~:~~::!I!~lm!:::::::!:~mmm:::~t:lli.1_1:.Iiimlll::!::::!::::!:~m~:::!::!::::l::::l:!:!l::::::::::!::l!::::mmmm~:mm::l::::!::::!::::~:~~!!::::l:!!!!!!!!!!lm!!m!!liBBi.!!!!!!:m::l::l~::::!::::mm::::::::!I::!!!llM:!!!!l!!!lm::::!ll::!l~!!~~!!!l::::
Monroe County-Board of Cty. Commissioners
Monroe County Environmental Mgt.
5100 College Road
Key West, FL 33040
~ ",
-Cl~ '. L^-/~
'j;A...
CERTIFICATE OF' INSURANCE: JOSEP-l
PRODUCER
The Johnsons Insurance Agency
798A Avenue A.
Big Pine Key FL 33043
305-872-2888
CSR SC 05 09 95
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
COMPANY
A Granada Insurance Company
-------------------------------------------------------------------
COMPANY
B
-------------------------------------------------------------------
Joseph Francis Caffrey
P.O. Box 6651
Key West FL 33041
COMPANY
C
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COMPANY
o
> COVERAGES <====================================================================================================================
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, TUE INSURANCE AFFORDED BY THE POLiCIES DESCRIBED HEREIN IS SUBJECT TO
ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
---------------------------------------------------------------------------------------------------------------------------------
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF POLICY EXP
DATE (MM/DD/YY) DATE(MM/DD/YY)
LIMITS
------------------------------- --------------------------- --------------- -------------- ----------------------------------
GENERAL LIABILITY
A IX] COMMERCIAL GEN LIABILITY
[ ] CLAIMS MADE [X] OCC.
] OWNERS.S & CONTRACTOR.S
PROTECTIVE
]
]
GL023419
03/17/95 03/17/96
GENERAL AGGREGATE 300 000
PROD-COMP/OP AGG. exciuded
PERS. & ADV. INJURY excluded
EACH OCCURRENCE 3 0 0 , 0 0 0
FIRE DAMAGE
(ANY ONE FIRE) excluded
MED. EXPENSE
(ANY ONE PERSON) exc I uded
~JrRO\'FD B\ R Sr~ MAN ~GFMENT
--------------------------- ---------.----- --------------
AUTOMOBILE LIABILITY
[ ] ANY AUTO
[ ] ALL OWNED AUTOS
[ ] SCHEDULED AUTOS
[ ] HIRED AUTOS
[ ] NON-OWNED AUTOS
[ ]
[ ]
P'/...
OK/c;
C~C't-
Co/$.6
COMB. SINGLE LIMIT
BODILY INJURY
(PER PERSON)
nf;, T r
~l. 3. ".TQ.
I, '.
~,,!' ~ V/ yes
BODILY INJURY
(PER ACCIDENT)
PROPERTY DAMAGE
-----------________u___________ ___________________________ _______________ ______________ ___________________ ______________
GARAGE LIABILITY
[ ] ANY AUTO
[ ]
[ ]
AUTO ONLY (EA ACC)
OTHER / AUTO ONLY:
EACH ACCIDENT
AGGREGATE
-------------------..----------- --------------------------- --------------- -------------- ------------------- --------------
EXCESS LIABILITY
[ ] UMBRELLA FORM
[ ] OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
--------------------.----------- --------------------------- --------------- -------------- ------------------- --------------
WORKERS COMP. AND EMP. LIAB.
THE PROPRIETOR/PARTNERS/
EXECUTIVE OFFICERS ARE:
[ ] I NCL . [ ] EXCL.
]STATUTORY LIMITS
EACH ACCIDENT
DISEASE-POL. LIMIT
DISEASE-EACH EMP.
------------------------------- --------------------------- --------------- -------------- ----------------------------------
OTHER
-DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS-------------------------------------------------_____________________
Residential Building Contractor
**NOTE** The Certificate Holder is also Additional Insured.
> CERTIFICATE HOLDER <====================================> CANCELLATION <=======================================================
MONCO- 3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Monrge ~ounty :Boa:rd of County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Commlssloners :Envlronmental 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Management LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
i~~ 0 w~~E l~r;e 3 ~8~g _ ~ ~~~~ ~~~~ _ ~~ _ ~~~_~~~~ _ ~~~~~,.,_ ~~ ~J..O_. ~~.A_, ~~:, ~~,: _../~.~~.~~: _,~~.~~~. ~:. ~,N_",.,.T_. ~~~~~::
AUTHORIZED REPRESENTATI\(,E,." " '"".'" , \1 I ( }~('.? _,/ h I
<~ F I( /()(L~'.,/J"'7t--. "'" _, ~/ (;F/ (.tt.,,'!
The Johnsons Insurance A fi~'- .
_ACORD 25-S (3/93.) "/7
{' C _' ~t.e
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.. '.", ..... ',' .. ..... ....,....... ..... ... ....... ..,'..,..,.. ... .-,
. . ...... .. '.. .... ... '.. ". .., ". ,. ......... .' ... '..,..,. ._,..."... '. '. ...."..', ..,.... ,.....,... ,...." '.. .
..1 RGI.1IIIIiEII' EI.lElIII_IIIIIIIIII. DATE (MM/DDNY)
",;,,:,::,,;,:::.':;;,:; 5 / 30/ 9 ~.~_,__._ ..
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
ACORQM
PRODUCER
ISLAND INSURANCE .~GENCY,INC.
3229 FLAGLER AVE #112
KEY WEST,FL. 33040
INSURED
JOSEPH F. CAFFREY
CAFFREY CONSTRUCTION
PO BOX 6651
KEY WEST,FL. 33040
CO~ANY BANKERS AND SHIPPERS INS CO.
Received
COMPANY
RIsk Mgmc & Loss Control B
DATE Sf ~ I / f~____COMPANY
- C
INITIAL ----.k
. . -.-"---.....-."-----.-COMPANY
D
RE'C;:-J\Jr:n :~~ ~~ '~f '~ J,: ", ~r:~
....... f'- tI...., V . J " ,1 ,: I ~...,;.J
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 POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE:
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISES/OPERA TIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPER
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (Priva.te Pass)
ALL OWNED AUTOS
(Other than Private Passenner)
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
XX SCHEDULED AUfTQ
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION A~ID
EMPLOYERS' LIABILITY
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDNY) DATE (MM/DDNY)
LI M ITS
APPROVED BY RISK M,~N~Gf~~ENT
BY ~ -J/;lr~L
DATE .. // t:. - s - /-5
BODIL Y INJURY OCC $
BODIL Y INJURY AGG $
PROPERTY DAMAGE OCC $
PROPERTY DAMAGE AGG $
BI & PD COMBINED OCC $
BI & PD COMBINED AGG $
PERSONAL INJURY AGG $
or< l ~
C~'-
C tP&t$
WA rVER:
N/~. _.. YE~ ~'-
BODILY INJURY
(Per person)
$100,000
BODILY INJURY
(Per accident)
$
300,000
50,000
PROPERTY DAMAGE
CFL -170418-02
BODILY INJURY &
PROPERTY DAMAGE
COMBINED
EACH OCCURRENCE
AGGREGATE
$
$
$
10/30/94
10/30/95
EL EACH ACCIDENT $
EL DISEASE - POLICY LIMIT $
EL DISEASE - EA EMPLOYEE
DESCRIPTION OF OPERATIONS/LOCA,TIONSNEHICLES/SPECIAL ITEMS
CONSTRUCTION.
1985 DODGE D-150 p/U VIN:IB7FD14H7FS664250
-..-~,.-p'-~~~""""'......-r"'1-'-"""",,"",r-.'''''''~'''''''~-'-''-'''''''''''''''''''~'''''I-''''''''T........'"~'''.'-..4'.-''......, -,.ry""~'-'"'"''''-''''~''"fW'''~'-;''''~~~~~r"~~''''''~
OEA1IPIeA:t_HOlDEA
MONROE COUNTY BC:AlID OF COUNTY COMMISIONERS
5100 COLLEGE ROAD
KEY WEST, FL . 3304()
.~~'?~~.:_~~P!-l.'(l~)
:--::':CANCEtLATfOjf!:)\:::::::::.::::.::
, .............., ...' .....,......,....
. . , . . . . . . . . .. ..,.............
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
4-
~~2~R~\j'Rst")'709. J
J lU'1 C! 2 2 t 199]
I\\"tt 1~. ,~'~;,
,,,t ')rh,'.nt
MONR()E.COUNirv t J4'1,,()RII)A
1~(.(I&e~Nt .fur Wnl\.~r
or
In~lIrl'lIce 1~~cl\11 rC:I1U,.n'~
11111 rccluClllOd Ihfll III" il\llllrllllOO !'(lClulrcCllculr;, nil .pcClnL'tI illlho CtnlUlY'$ Sc:h~\lICl or lnllllrllllCC
ltccluJrcfllonls. be ,vai'Jc;d ur anodincd un Ihc rOnU\~~nu conhu~~.
Co.\I ,nClor:
JOSEPH F. ~..AFFRE~,~ MCAFF_1;\EY CONi.1R.ucUQN
ConI tUCl lOr:
t I...............
Addrcs~ or C~ontrnc(Ot:
P. o. BOX 6651
~l 'I
KEY WEST FL 3~040
....' ...............- IlIIhdI .Lbdol Ii.I r "I" .~
I r....'~
phone: .
-LlJlIIILl
Scol'e or Work:
CONSTRUCTION
',," .... .........-.-......
... ..... ".... 1
Ron~on ror 'NnJvcr:
,,~BANKERS:'~\~.. aHIPPE.~3 INnU~AN9El COMPA~Y (COMMERCIAL AUTO)
WIL['.Ul!JCDT LIST' A GOVERNMENT ENTITY AS AN
T ....., ....."'~ T
'~~.DDITipN~.I:.. ;
I
Onle
SInnnturc of. Conlmctor:
Rt,k M~uUtAcJncut
Counly ^lhninislrAtor npl,cnl:
Approved:
-........--....,,~-
Nnt ^I,,)fOycd:
Ua(o:
-' -~...... ....
Dourd or Coun1)' COlnr"iH6ioJ,crs npPclll~
^ I)f) roved ~
Nor ^I 'proved ~
Meeting D=llo:
4H'
M. ,'.. .. -
W^Jvnn.
~
..
GO.d ~OO.oN ~T:vl
S6'TO un[
8999-v6G-SO~:l31
3JNtr~nSN I GNrjjS I