Certificates of Insurance
A4_ttlilt~
CERTIFICATE OF INSURANCE
ISSUE DATE (MM/DD/YY)
2/08/91
PRODUCER
Seitlin & Company
P. O. Bo x 025:220
Miami, FL 33102-5220
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
E~T~~~NY A
Hartford Ins. Co. of the SE
INSURED
E~T~~~NY B
Pet Heaven Memorial Park
Att: Cand~ Santos
10901 West Flagler Street
Miami FL 33174
E~~~~NY C
E~T~~~NY D
THE FLORIDA CHAMBER FUND
E~T~~~NY E
roVERAGES w"'_~...__..._.............__..~....,..___,........__ ""'_.,...,,'''''.",'~-,~,-~ .'" '~'~'.,..*
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:
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DA TE (MM/DD/YY) DA TE (MM/DD/YY)
ALL LIMITS IN THOUSANDS
A GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
UUCKI3382
1/23/91
1 /23/92 GENERAL AGGREGATE
PRODUCTS-COMP/OPS AGGREGATE $
PERSONAL & ADVERTISING INJURY $
EACH OCCURRENCE
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
FIRE DAMAGE (Anyone fire)
MEDICAL EXPENSE (Anyone person) $
COMBINED
SINGLE $
LIMIT
BODIL Y
INJURY
(Per person)
BODIL Y
INJURY $
(Per accident)
1000
1000
500
500
300
10
CLAIMS MADE
OCCUR.
OWNER'S & CONTRACTOR'S PROTo
PROPERTY
DAMAGE
EXCESS LIABILITY
EACH
OCCURRENCE
$
AGGREGATE
OTHER THAN UMBRELL,l\ FORM
.0
WORKER'S COMPENSATION
00315
1/23/91
1/23/92
STATUTORY
AND
EMPLOYERS' LIABILITY
$
100 (EACH ACCIDENT)
500 (DISEASE-POLICY LIMIT)
100 (DISEASE-EACH EMPLOYEE)
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER
CANCELLA TION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Monroe County Public Works MAIL~DAYSWRITTENNOTICETOTHECERTIFICATEHOLDERNAMEDTOTHE
5825 .Jr. Co 11 eg e Rd. W. LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Ke y We s t, F 1 01' i d a 33040 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
At t n : Win d y ~~'"_..__._~<--<._- ".C"h'"'~,".n"~.~.~, >.
Acm~,D 2.~:~~~,1!.~_~____.,_________________ ~,~?~(~ REP:_~~~:~1~_l':'_ ,~0C~C~~~'C6~~RATION 1989
3- 25
PRODUCER
Seitlin & Company
P. O. Box 025220
Miami, FL 33102-5220
TWS CERTInCATE IS ISSUIW AS A MAlTER OJ' INroRMATlON ONLY AND CONnRS
NO RlGIlfS UPON THE CKRTlnCATE HOLDER. TffiS CKRTlnCATE DOES NOT AMBNI),
KrrKND OR ALTER THE COVERAGE An"ORDED BY THE POLICIES BEWW.
\.
./
./
COMPANIES AFFORDING COVERAGE
COMPANY
LK'lTER
A
Hartford Ins. Co. of the SE
CODE
SlJB.CODE
COMPANY
LK'lTKR
B
Hartford Ins. Co. of the SE
INSURED
Pet Heaven Memorial Park
Au: Candy Santos
10901 West Flagler Street
Miami FL 33174
COMPANY
LKTrER
C
COMPANY
LK1TKR
D
THE FLORIDA CHAMBER. FUND
COMPANY
LKTrER
E
TIDS IS TO CKIITUY THAT THE POLICIES OJ'INSUUANCK LISTED BELOW HA VX BEEN ISSUKD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NO'MVITRljf.....1lIDING A.W REQUlKEMENT, TERM OR CONDITION OF ANYCONTRACf OR OTHER DOCUMENT WITH RESPECI' TO WlUClI TIUS
CKRTInCATE MAY BIl: ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYl'HE POLICIES DESCRIBED HEREIN IS SUBJltcrTO ALL THE TER.\fS,
EXCLUSIONS AND COl-IDmONS OF SUCH POLICIES. LIMITS SIIOWN MA \" HAVE BEEN IlIIDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECI1VE
DATE (MMIDDIVY)
POLICY EXPIRATION
DATE (MMIDDIVY)
ALL LIMITS IN mOUSAND5
COMBINED
SINGLE
LIMIT
BODILY
INJURY
(pR. PER.)
BODILY
INJURY
(pR. ACC.)
PROPERTY
DAMAGE
500
I
,
::..!
GENERAL AGGREGATE
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ~~ OCCUR.
OWNER'S .. CONTRACfOR'S PROT.
EACH OCCURRENCK
GARAGE LIABILITY
AGGREGATI;
EXCESS LIABILITY
OTHER THAN UMER. roRM
AND
EMPLOYERS!' LIABIl,ITI'
J 1-'....
d
\"'OP.J:~ERS: COl\1rEfiS/;~TrON
--;00-
(CALiI ACCIDKNTj
(U13EASK-POL. L~M.)
(DISEASE-EA. KMPL.)
OTHER
r
_I
DESCRIPTION O}4-' OPERAT10NSILOCATIONSlVEHICLESlSPECIAL ITEMS
TERMS AND CONDmONS AS PER POLICIES ISSUED.
MONROE COUNTY, FL.
5100 COLLEGE ROAD
KEY 'VEST, FL. 33040
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 1 0 DAYS WRITTEN NOTICE TO THE CERTInCATE HOLDER NAMED TO TIUi:
LEIT, Bur FAILURE TO MAIL SLlCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILrrY 01' ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTIIORIZED REPRESE
.~...~
.:::::::::::::::.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::;::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::: .::::::::::::::::::::::::::::::::::::::::;.;:.::::::::::::::::::::::::::::::.::.:::::::::::::::.
PRODUCER
TIDS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Seitlin & Company
P. O. Box 025220
Miami, FL 33102-5220
NO RIGHfS UPON THE CERTIFICATE HOLDER. TIDS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
LETI'ER
A
Hartford Ins. Co. of the SE
CODE
SUB-CODE
COMPANY
LETI'ER
B
Hartford Ins. Co. of the SE
INSURED
Pet Heaven Memorial Park,Inc.
Animal Disposal & Private Crem
1090 1 West Flagler Street
Miami FL 33174
COMPANY
LETI'ER
C
COMPANY
LETI'ER
D
Commerce Mutual Ins. Co.
COMPANY
LETI'ER
E
TIDS IS TO CERTIiY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT, TElL'\{ OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO wmCH TIDS
CERTIFICATE MAY HIe 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.
TYPE OF INSURANCI:
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DDIYY)
POLICY EXPIRATION
DATE (MM/DDIYY)
ALL LIMITS IN THOUSANDS
COMMERCIAL GENERAl. LIABILITY
CLAIMS MADE ~~ OCCUR.
OWNER'S'" CONTRACTOR'S PROT.
GENERAL AGGREGATE
D
COMBINED
SINGLE
LIMIT
BODILY
INJURY
(pR. PER.)
BODILY
INJURY
(pR. ACC.)
PROPERTY
DAMAGE
500
ALL OWNED AurOS
SCHEDULED AurOS
NON-DWNED Amos
GARAGE LIABILITY
EXCESS LIABILITY
EACH
OCCURRENCE
AGGREGATE
OTHER THAN UMBR. FOlRM
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
(DISEASE-POL. LIM.)
(DISEASE-EA. EMPL.)
OTHER
APR 13
MOttJtO~~ (CTY~ DG. DEPT.
,.--~
DESCRIPTION OF OPERATIONSlLOCATlONSlVEHICLESlSPECIAL ITEMs ~/. / ,,/' )
CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS colM ~ II
ANIMAL DISPOSAL & P:RIV ATE CREMATIONS FOR GENERAL LIABILITY & AUTO
LIABILITY PER FORM })[A 99 02.TERMS AND CONDITIONS AS PER POLICIES ISSUE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONROE COUNTY tt11j11 EXPIRATION DATE THE REOI', THE ISSUING COMPANY WILL ENDEAVOR TO
BD.OF COUNTY COMMISSIONERS MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
5100 COLLEGE ROAD
KEY WEST, FL. 33040
AUTHORIZED REPRESENTATIVE.
LEFT, Bur FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
C-c..' tU~. 4- .
~k
:::;:::;:;:::;:;:;:;:;:;:::;:::::;:;::::::::::::::::::::::::::::0::...:.:............:......:.....:...:::.1]..:.....:....,.....:........:...........:0::...:.:....:.:::::...:::::.11..:..........:.....:....:::::::.:::...:...:.:..:.....:.:..::::::1..............:::......:...:.:...H&:.....:::...:.:.....:...::::..::::...::::::.....:::......0::...:.:......:.....:....:::::::::::::::::::::::::::::::::::::::::::::::::::::;:::::::::::::;:::::::::::::::::::::::::::::::;:::;:::::;:::::::::::::::::::::::::::::::::;:;!'IISSUEDA'TE(MMIDDIYY)
PRODUCER
TIDS CERTIFICATE IS ISSUED AS A MATrER OF INFORMATION ONLY AND
CONFERS NO RIGHfS UPON THE CERTIFICATE HOLDER. TIDS CERTIFICATE
DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW
Seitlin & Company
COMPANIES AFFORDING COVERAGE
P. O. Box 025220
Miami
FL 33174
COMPANY
LE'ITER A Hartford Ins. Co. of the SE
COMPANY B APPROVED BY RISK MANAGEMfNT
LElTER Hartford Ins. Co. of the SE
,. ~A
COMPANY C BY ~ 7J'b f~~ ~
LElTER 0 .L- ~ #-
COMPANY DATE J- ~c ~..5
LEITER D Commerce Mutual Ins. Co. ~:.~~
COMPANY \-~ f) >,> t ~. N J.~ TLl
LElTER E
Miami, FL 33102-5220
INSURED
Pet Heaven Memorial Park,Inc.
DBA Animnl Disposal*
1090 1 West Flagler Street
.a................................................. .....................................................................................................................................................................................................................................................
............................................................................................................................................................................................................................................................................................................
~:ef:::==~:::;;::~~~~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:tt~{:t~:~:~r:~:~r:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:t~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:t~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:}~r:~:~:~:~:~:~:t~:~:~:~:}~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:f~:~:~:~:f~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:f~:}~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:ff}~:}r~r:~:~:f~:tr}r~r:}r}r~{r{:r~:
. .. . . ................................................................................................................................. ..........................................................................................................................................
TillS IS TO CERTIFY THAT THE laoLICIES 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 CONfRACT OR OTHER DOCUMENf WITH RESPECT TO wmCH TIDS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECf TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP.
TR DATE (MMIDDIYY) DATE (MMIDDIYY)
LIMITS
A GENERAL LIABILITY
-
X COMM. GENERAL LIAUILITY
........ I CLAIMS MADE [X]OCC.
OWNER'S &: CONfRACT'S PROT
-
B AurOMOBILE LIABILITY
-
~ ANY AurO
ALL OWNED AurOS
~
SCHEDULED AurOS
~
~ mRED AurOS
LX.... NON-QWNED AurOS
GARAGE LIABILITY
21UUCKI3382 1/23/95 1/23/96
Received
Risk Mgmt. & toss Control
DA Tl: __._ I - ~ 0 - 7' .5
INITIAL ___-=: tSIff.____
GENERAL AGGREGATE
PROD-COMP/OP AGG.
PERS. &: ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE(One Fire)
MED. EXP. (One Per)
COMBINED SINGLE
LIMIT
1000000
1000000
500000
500000
300000
10000
500000
21 UUCKI3382 1/23/95 1/23/96
-
BODILY INJURY
(per person)
BODILY INJURY
(per accident)
~
PROPERTY DAMAGE
EXCESS LIABILITY
nUMBRELLA FORM
nOTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
........................................................................................... ..................................................................................
.......................................... .........................................
........................................... .........................................
........................................... ........................................
.......................................... ........................................
:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:. .:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:
D
08473-000
1/23/95
1/23/96
I ...........................................
X ST ATurORY LIMITS )#~)~)#~)#~~#~~~)~)~)~~##f#f/tt~)t~~t~
EACH ACCIDENf 100000
DISEASE-POLICY LIMIT 500000
DISEASE-EACH EMP. 100000
WORKERS' COMPENSATION
AND
EMPLOYER'S LIABILITY
OTHER
DESCRIPTION OF OPERATIONS/J..OCATIONS/VEIDCLESISPECIAL ITEMS
CERTIFICATE HOLDER IS ADDITIONAL INSURED AS PER FORM (CG2010(11/85)
AS RESPECTS BUSINESS AUTO COVERAGE & GENERAL LIABILITY
*NAMED INSURED CONTINUE: & PRIVATE CREMATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONROE COUNTY
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ..J!L.- DAYS WRITrEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, Bur FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
BD.OF COIJNTY COMMISSIONERS
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUfHomzEDrr;Y\t ~-
cc ~ S"''7-~-'-j ~ /?1~
5100 COLLEGE ROAD
KEY WEST ~ FL. 33040
:illlltlllllllllllil.IIIf111ftIlDt_I..II&.~'."lirl}lllllIJ!l"nJSS~o~;::~1V\1
PRODUCER
THIS CERTInCATE 18 lSSum AS A MATrER OVINFORMATION ONLY AND
CONFERS NO IUCHTS UPON TIlE CERTlncATE HOLDER. TlDS CERTInCATE
DOES NOT AMEND. EXTEND OR. ALTER. THE COVERAGE AFFORDED BY THE
POLICIES BELOW
SeitJin & Company
P.O. Box 025220
COMPANIES AFFORDING COVERAGE
Miami, FL 33102-5220
COMPANY
LETrER A Hartford Ins. Co. ofth
INSURED
COMPANY B
LETTER Hartford Ins. Co. ofth
Miami
FL 33174
COMPANY C
LE'lTKR
COMPANY
LInTER D Riscorp Insurance Co.
COMPANY E
LETfER
" \1
-/.1 ~ )>( (7 &:~.
Pet Heaven Memorial Park,Inc.
DBA Animal Disposal.
1090 1 West Flagler Street
../.~~:f;-t i.../ "
TIDS IS TO CERTIIY THAT TIlE lPOUCIES OF INSURANCE LISTm BELOW HA VF. BEEN ISSUED TO THE INSURED NAMED ABOVE roR. TlJK POI.ICY PERIOJ>
INDICATED. NOTWJI1mT ANDIN~G ANY REQUlREMKNf, TERM OR CONDmON 01' ANY CONfRACf OR OTHER DOCUMENT WITH RESPKCf TO WInCH TIllS
CERTIFICATE MAY BE ISSUED OR. MAY PERTAIN, THE INSURANCE AWaRDED BY TIlE POLICIES DESCRIBED HEREIN IS SUBJECf TO ALL THE TERMS,
EXCLUSIONS AND CONDmONS 01' SUCH POLICIES. LIMITS SHOWN MAY IIA VE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY KFI'. POLICY EU.
n DATE (MMIDDIYY) DATE (MMJDDIYY)
LIMITS
A GENERAL LIABILITY
-
X COMM. GENERAL LWmnY
....... I CLAIMS MADE [iJocc.
21UUCKD382
1/23/96
1123/97
GENERAL AGGREGATE
PROD-COMPIOP AGG.
PERS. A AnV. INJURY
EACH OCCUIlR.ENCE
no DAMAGE(One I1re)
MEn. EXP. (One Per)
COMBINED SINGLE
LIMIT
100000o
100000o
500000
500000
300000
10000
500000
OWNER'S A CONTRACrs PROf
"--
~
B AurOMOBILE LIABILITY
-
...x... ANY Auro
ALL OWNED AtrrOS
-
SCHEDULED Auras
~
~ fiRED Auras
Lx.. NON-oWNED AurOS
GARAGE LIABILITY
-
21UUCKD382
1123/96
1123/97
t~ f::F F'C\T [" R \ F! ~~' ~~~ t~: '" r r,t r ~,.'i
[;L~~~~
(7
d -~- 1 ~
BODILY INJURY
(Pw ,.....)
o~/&'
c~
BODILY INJURY
(per acddent)
'f __
'rn.
./' ,,-.
PKOPEKTY DAMAGE
EXCESS LlABlLrrv
nUMBKELLA FORM
=:JOTHEK THAN UMBREL1LA J'ORM
EACH OCCUIUlKNCE
AGGREGATE
~~iI~;~j~j~j~j~j~j~;~i~;~j~j~;~j~j~j~j~j~j~j~;;;;;~;;;~;r;j~;;j~;~;~j~;;fi~ I;;~;;;~;~j~;;;;j~j~j~;~j~j;;;;;;;;;;~;;;~;~;~rj~j~;~;~j~;~j;;;j~;;j~f.
D
08473-000
1123/96
1123/97
I .. ... ..... ......... ....... ...... .... .......
X ST ATurORY LIMITS t~#~~~~~~~~~~;~~~~~~~~~~~~~~;;;~;~;~~~~~;~;~~t~;;;;;~;~;;~~;~;~~~~;r
EACH ACCIDENT 100000
DISEASE-POLICY LIMIT 500000
DI8EASE-EACH KMP. 1 ()()()()()
WORKERS' COMPENSATION
!_"lD
KMPLOYER'S LIABILrn'
OTHER
DESCIUYI10N O~ OPERATlONSll,OCATlONSIVKWCLKSlSPKCIAL rrEMS
CERTIFICATE HOLDFJllS ADDmONAL INSURED AS PER FORM CG2010(11/85)
AS RESPECTS BUS.AUro &, GENERAL LIABILITY COVERAGE.
.NAMED INSURED CONTINUE: & PRIVATE CREMATION
Monroe County, Fl!
Animal Control Dept.
PUBLIC WC~RKS DIVISION
SHOULD ANY 01' THE ABOVE DESCRIBED POLICIES BE CANCKLLKD BEroRE THE
EXPIRATION DATE TllEREO~, THE ISSUlNC COMPANY WILL ENDEAVOR TO
MAIL ..3.!L- DA Y8 WRrI'TEN NOTICE TO THE CERTlncATE HOLDER NAMED TO THE
LEFT, Bur ~AILUKE TO MAIL SUCH NanCE SHALL IMPOSE NO OBLIGATION OR
ATIN:BILLIE HUMBERT
5230 COLLEGE ROAD
UABILITY OF ANY KIND UPON TIlE COMPANY, rrs AGENTS OR REPRESENTATIVES.
... AunwRrLmrrJ1R ~-
J~-f dJ (j
r-
KEY WEST, FL. 33040
A STOCK COMPA~IY
OLD REPUBLIC INSURANCE COMPANY
GREENSBURG,PENNSYLVANIA
CERTIFICATE OF INSURANCE
? (> (-'/'
ft~ -......-J --/ y/
~ . f
-r /
ptL/
Issuedto ~t i~~v~~n s'~1a4n('r'~ial Park, Irlt:_
Address
1090 I ~VQAt' ..' J AtJQ{' t3tc~t
( Lessee
or
Renter)
Date ()ct.ot:>Acl 6 ~ 1 {f{~ ")
tlidJ{i~ 6 c'lor i clii
This is to Certify that RYDER TRUCK RENTAL, INC.
is, at the date of this certificate, insured by the Company for the types of insurance and in accordance with the limits of
liability, exclusions, conditions, and other terms of the policy hereinafter described. This certificate of insurance neither
affirmatively or negatively amends, extends or alters the coverage afforded by the policy listed below.
POLICY NU~tBER
EXPIRATION DATE
TYPE OF POLICY
LOCATIONS TO WHICH
CERTIFICATE APPLIES
U.S.A. Z-35726
Canada Z-35727
Until Cancelled
Automobile Bodily Injury and
Property Damage liability
Un ited States of America,
its territories or possessions,
and Canada
Bodily Injury:
$
each person
$
each occurrence
LIMITS OF LIABIILITY
Property Damage $
each occurrence
Single limit:
$ 5rlf"" I)(V.) each occurrence
for Bodily I njury and Property Damage combined.
Subject to the terms, conditions, limitations and qualifications of a Truck Lease and Service Agreement, and/or a Truck
Rental Agreement, and amendments thereto, entered into betvveen the named Insured, Ryder Truck Rental, Inc., and the
above named Lessee or Renter, said Lessee or Renter is an Additional Insured, as respects Automobile Liability Insurance,
subject to the ternlS of the above mentioned policy.
I n the event of cancelation of or any reduction of limits in said policy, it is the intention of the Company to give thirty
days advance notiice by mail to the party to whom th is certificate is addressed at the address stated herein, provided,
however, that such notice will be given only to such party if the above lessee or renter is an insured, under said policy, at
the time of such cancelation or reduction of limits. The mailing of such notice as aforesaid shall be sufficient proof of
notice. //J . 1 ;{/
~~~J
Authorized Representative
89-69 (9/85)
PRODUCER
::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::Il.:...::.....6......:....R.:.....:...::;.W..:.....:...111:.....:.......:.........:.:0::...:.:....:.:::::...::::.I1...:.....:...6:.....:....:::::::fI:::...:...:::11.:.....:.:..::::::.1.....:.:.....:::....:1....:.:..:ua:.....:::...:.:.....:...:::.:::::...:::::.lI.....:::.:...:0::...:.:.....6:.....:....:;:::;:;:;:;:;:::;:;:;:;:;:::;:;:::;:;:::;:;:::;:;:::;:;:::;:;:;:;:;:;:;:;:;:;:;:;:;:::::;:::::;:::::;:::::::::::::::::::::::::;:;:::;:::::;::::::~'IIssITDD""TE(MMIDDIYY)
TffiS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TillS CERTIFICATE
DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW
Seitlin & Company
COMPANIES AFFORDING COVERAGE
P. O. Box 025220
Miami, FL 33102-5220
COMPANY
LEITER A Hartford Ins. Co. of th
COMPANY B
LEITER Hartford Ins. Co. ofth
COMPANY C
LETrER
iV'~:;; ~c PIS~,:~,.G~4 ~
FV ~___~ //u~
/.--9/
INSUKED
Pet Heaven Memorial Park,Inc.
DBA Aninud Disposal.
1090 1 West Flagler Street
.-
~-~
Ui~\ j t
COMPANY
LE'ITER D Riscorp Insurance Co.
/' Vr-'t"
_ 'J
Ai' 'r"'n.
It f.
Miami
FL 33174
COMPANY E
LE'ITER
TillS IS TO CERTIFY THAT THE I'OLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE roR THE POLICY PERIOD
INDICATED. NOTWITIIST ANDIN<<; ANY REQUlREMENr, TERM OR CONDITION OF ANY CONrRACT OR OTHER DOCUMENr WITH RESPECT TO WIDCH TillS
CERTIFICATE MAY BE ISSUED OR. MAY PERTAIN, THE INSURANCE AWORDED BY THE POLICIES DESC.RIBED HEREIN IS SUBJECT TO ALL THE TERl'tiS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EiT. POLICY EXP.
TR DATE (MMIDDIVY) DATE (MMIDDIVY)
A GENERAL LIABILITY
-
X COMM. GENERAL LIAlULITY
........ I CLAIMS MADE [iJOCC.
OWNER'S A CONrRAClr'S PROT
~
1/23/96
1/23/97
GENERAL AGGREGATE
PROO-COMP/OP AGG.
PERS. It ADV. INJURY
EACH OCCURRENCE
nRE DAMAGE(One I1re)
MED. EXP. (One Per)
COMBINED SINGLE
LIMIT
21UUCKI3382
-
B AUfOMOBILE LIABILITY
-
...x.. ANY AUTO
ALL OWNED AUTOS
-
SCHEDULED AUf OS
-
X mRED AUf OS
=x= NON-oWNED AUf OS
GARAGE LIABILITY
21UUCKD382
1/23/96
1/23/97
BODILY INJURY
(Per penen)
h.
BODILY INJUKY
(per accident)
-
PROPERTY DAMAGE
H ~~ ~.l.= ffL_.__... .-.....
AtIJ ,
-1"' .....
EACH OCCURRENCE
AGGREGATE
................................................ ........................................
.......................................... ........................................
.......................................... ..........................................
.......................................... ........................................
.......................................... ........................................
.......................................... ........................................
.......................................... ........................................
.......................................... ........................................
.......................................... .........................................
.I :'. :
EXCESS LIABILITY
IUMBRELLA FORM
~OTHER THAN UMBREL:LA roRM
, ~
LIMITS
100000o
100000o
500000
500000
300000
10000
500000
EACH ACCIDENT
DISEASE-POLICY LIMIT
; ........ .. .... ........ ........
"..... T l"rI .. , ._. ~ .:.:::::::::::::::::::::::::::::::::::::::::~:::::::::::::::::::::::::::::::::::
X ...,. AT,",. OR a L....IT~ ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
D
08473-000
1/23/97
1/23/96
\VORKERS' COMPENSATION
AND
KMPLOYER'S LIABILITY
DISKASE-KACH EMP.
OTHER.
DESCRIYfION OF OPKRATIONSII,ocATIONSIVEWCLKSISPECIAL ITEMS
100000
500000
100000
CERTIFICATE HOLDEll IS ADDITIONAL INSURED AS PER FORM CG2010(11/85)
AS RESPECTS BUS.AUTO & GENERAL LIABILITY COVERAGE.
IfINAMED INSURED CONTINUE: & PRIVATE CREMATION
M ~ t F 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
" onroe luOun y,
Animal Control Dept
PUBLIC W()RKS DIVISION
5230 COLLEGE ROAD. ') I AUTHORIZED ~Et1.1."" 1\ D
KEY~'r~.J? fl' A~-..te__+ r Ip ~ ~_
~
EXPIRATION DATE THERKOI', THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ..3.U..- DAYS WRITTEN NOTICE TO THE CERTlnCATE HOLDER NAMED TO THE
LEIT, Bur FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ATIN : BILLIE HUMBERT
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENf ATIVES.
...PRODUCER
jl__a.r_I::~~L_I_BI_llllltlLlllla\-1'slllf_"'l~n~~~~~(MMn)D1n1
Seitlin &'. Company
nus CERTInCATE IS ISSUED AS A MA'ltrER OF INFORMATION ONLY AND
CONFERS NO RlGHrS VPONTHE CERTlDCATE HOLDER. TInS CERTInCATE
DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW
P. O. Box 025220
COMPANIES AFFORDING COVERAGE
Miami, 14L 33102-5220
COMPANY
LElTKR A Hartford Ins. Co. of th
Miami
FL 33174
;, ",-
COMPANY ;.~; .1 ,c.- ,." ',' _.'
LE'lTKR B Hartfocd Ins. Co. of th .c >~-\/ -'
COMPANY C _:.7X:1
LETI'ER
COMPANY
LETTKR D Riscorp Insurance Co.
COMPANY E
LE1TER
~tJRED
Pet Heaven Memorial Park:,Inc.
DBA Aniimal Disposal.
10901 Weat Flagler Street
THIS IS TO CEJn'WY THAT THE POLIaES OF INStJIU.NCE LISTED BELOW RAVE BEEN ISSUED TO TIlE IP5URED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITBSTANDING ANY IlEQUIREMENr, TERM OR CONDmON OF ANY CONrRAcr OR OTHER DOCUMENT WITH RESPECr TO wmCUTIDS
CEKTDlCATE MAY BE ISSUED OR MAY PERT~ TIlE ~URANCE AITORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECr TO ALL THE TERMS,
EXCLUSION; AND CONDmO~ OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID <1AIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EiT. POLICY EXP.
n DATE (MMJDDIYY) DATE (MMIDDIVY)
LIMITS
A GENERAL UABILlTY
-
X COMM. GENERAL LIABILIlY
:~i~;~:; I CLADeS -MADII: [iJocc.
OWNER'8 A CON11tAcrs PROf
~
21UUCKD382
1123/96
1123/97
GENERAL AGGREGATE
PR~MPIOP AGe.
PERS. A: ADV.INJURY
EACH OCCURRENCE
no DAMAGE{One I1re)
MED. EXP. (OM Perl
COMBINED SINGLE
uwrr
100000o
100000o
500000
500000
300000
10000
500000
~
B AtrrOMOBILE UABILI'n'
--
...x.. ANY AtJrO
ALL OWNED AUfOS
-
SCBEDVLED AUI"OS
~
~ HIRED Atrros
-X.. NON-OWNED AUfOS
GARAGE UABIUIY
21UUCKD382
1123/96
1123/97
-
APPROVED BY RISK M ~,~, ~\ ~F~;.ENT
BV ~~ ~~ tJ/C/G,
'- [ ./1: CL-~
D,~TE 162- /~ -;;.?
N/^ ~/ YfS
800ILY INJURY
(Pw ,......)
BODlL Y INJURY
(per' aa:ldeal)
PROPERTY DAMAGE
EXCESS UABIUIY
IUMBULLAIOIlM
=:]OTHER THAN UMBRItLLA I"ORM
\41,"\;'FR:
EACH OCCURRENCE
AGGREGATE
D
~t~;~;~;~;~;~~~;;;~;;;~;~;~;~;~;~;~;~;~;~;~;~;;;;;~;~;~;;;;;~;;;~;~;;;;;~;~;~;~~~~;;;;;~;~;;;;;~;;;~;~;~;;;;;;;~;~;~t;;;~;;;;;~;~;~;~;~;~;;;;;~;~;~;~;;;~;~
08473-000
1123/96
1123/97
x I ST A TUfORY LIMITS J~;;~~;;;~~~;;;;~;;;~;~;~;;;~;;;;;~;;;;;~;;;;;;;;;~;;;;~;;;;;;;;;;;~;~;l
EACH ACCIDENT 100000
DlSEASE-POUCY LIMIT 500000
DlSKASE-&ACII EMP. 100000
WORDRS' COMPEN8A1:1ON
AND
EMPLOYEa'S UA8lLl'IY
OTHER
I
DESCJUFI10N 01' OPKaATIONiILOCATlONSIVEHICLESISPKCIAL rrEMS
CERTIFICATE HOLDER IS ADDmONAL INSURED AS PFR. FORM CG2010(11/85)
AS RESPECrS BUS.AtrrO & GENERAL LIABIUTY COVERAGE.
.NAMED INSURED CONTINUE: & PRIVATE CREMATION
~_'lBl.al~~',',:',~u'r~"",~wW_t.-<W&%fWilf.g*~t{mi!*E1M}.l~l~mt$.~i~,@~:~~:~~~;:~?i.l1ONlj.M*-*~i.*m~~%_t;W!1_qiWtlt@tt@i*?l:~~l~Emtw@~n
SHOULD ANY 01' THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Monroe County, FI,
Animal Control Dept.
PUBUC ~'ORKS DIVISION
AITN:Bn.LIE HUMBERT
5230 COLJlEGE R.OAD
KEY~r;A~"~-)J ,_.I.~. ~~. ~ A~~rr;gR ~_
/
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ...3..0- DA V8 WIU1TKN NOTICE TO TIlE CERTUlCATE HOLDER. NAMED TO THE
LEFT, Bur fAlLUKE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
UABILITY Of ANY ICIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.