Certificates of Insurance
...... ...................................................................................................................................................................................................................
.. ...... ... ... '" ... ...... .......................................................................................................................................................................................................................................................................................................................................................................................................................................................
.........................................................................................................................................................................................................................
A CORDB:IBmJ:l~nB.II:::m:I:::II:.Bnil.:::::I:II:III:.II:IIIS::::=:::::i: DATE (MM/DDIYV)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
DONATO INS. AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. BOX 607518 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ORLANDO FL 32750 COMPANIES AFFORDING COVERAGE
407-889-7525
INSURED
COMPANY
A CONNECTICUT INDEMNITY
ARNOLD1S TOWING SVC, ARNOLD1S AUTO & MARINE,
BK TOWING & ROADSIDE ASSIST IN ~~
5540 3RD AVE .l.'r
KEY WEST FL 33040 ~
COMPANY
B
COMPANY
C
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.
.c.,.0 i
.....R;
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DDIYY)
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY I
CLAIMS MADE D OCCUR
OWNER'S & CONTRACTOR'S PROT
APn!?0\~} I.tt/ft~. 1):"'~lT
BY __0 0 1.~)~)
i-,,~() () X
(':\ T E '~. ,., l.~..J
~". ..: . /) : ':
I t\ \.....-It)4.:~./
!~,,/ \. .-
(2' ~ic~
, ",,( "
(; )t)1 \ f !' tA:~~i
GENERAL AGGREGATE I $
PRODUCTS - COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
l~;'~ '1tt: R:
N/A
COMB/NED SINGLE LIMIT
$
500,000
A
TT101489
BODILY INJURY
(Per person)
04/30/98
04/30/99
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE $
GARAGE LIABILITY
~ ANY AUTO
A ~~~ X
TT101489
04/30/98
04/30/99
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGA TE $
EACH OCCURRENCE $
I AGGREGATE I $
$
500,000
EXCESS LIABILITY
o UMBRELLA FORM
I i
! OTHER THAN UMBRELU\ FORM
I WORKERS COMPENSATION AND
! EMPLOYERS' LIABILITY
500,000
500,000
I
I THE PROPRIETOR/
I PARTNERS/EXECUTIVE
OFFICERS ARE:
, OTHER
I
~ARAGEKEEPERS LEGAL LIAB.
A ION-HOOK
!
INCL
OTH-
ER
EXCL
$
EL DISEASE - POLICY LIMIT $
EL DISEASE - EA EMPLOYEE $
TT101489
04/30/98
04/30/99
$1,000 OED
$1,000 OED
$100,000
$100,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS INCLUDED AS POLLUTION COVERAGE _ COMPANY B _ POLICY #10619-02
ADDITIONAL INSURED FOR REMOVAL OF DERELICT VESSESL 08/21/97 _ 08/21/98
.q~fttIFiPA!'Mf@tggRi'::::::::::=:=::::::::!=:=::,'::P.ANi_!@;lli:~:!=m;-jjj8i0jjm .. .... .....
MONROE COUNTY BOARD OF COUNTY Cot+tISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
ATTN: RISK MGT. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
5100 COLLEGE ROAD -1L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
KEY WEST FL 33040-4399 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
ATTN: KIM McGEE, MARINE PROJECTS COORpJ-HATER I /"
FAX: 305-295-4317 ( ;,' ,. l~_} I~,le PRESENTATIVES.
~
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
PRODUCER
LONDON INTERNATIONAL GROUP
9600 KOGER BLVD., SUITE #225
ST. PETERSBURG, FLORIDA 33702
COMPANY
A
UNITED CAPITOL INSURANCE CO.
INSURED
ARNOLD'S TOWING SERVICE
5540 3RD AVENUE
KEY WEST, FLORIDA 33040
\,
COMPANY
B
COMPANY
C
COMPANY
I D
@9il~jiMMiintiml!!!mKMMMtmKMMll!lJKtUmlHM!KmM!M!ml!1!l!MWMM1MMtMMW!1!MMN1!1!tlf!tllMMUlttltff!1f!IN1MMMll!11tllimHMlmll!lllWl!!ll~
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
DATE (MMJDDIYY) DATE (MMJDDIYY)
LIMITS
~NERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
=0 CLAIMS MADE D OCCUR
OWNER'S & CONTRACTOR'S PROT
I---
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
i----
AUTOMOBILE LIABILITY
f----
ANY AUTO
\ t Ii /I
I'
'\... ""i"
~
COMBINED SINGLE LIMIT $
BODIL Y INJURY $
(Per person)
BODIL Y INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGA TE $
$
I WC STATU- I rom-
TORY LIMITS ER
EL EACH ACCIDENT $
EL DISEASE POLICY LIMIT $
EL DISEASE EA EMPLOYEE $
08/19/99 HULL $5,000
P&I $500,000 CSL
___ ALL OWNED AUTOS
_ SCHEDULED AUTOS
_ HIRED AUTOS
I--- NON-OWNED AUTOS
..~~.""'OVED 8Y'~SK ~~:-~~~FM~ ~f
. ':-, ,\ ',"
1 \ \
u V A \ \ '\.<h../ ( \J ~~, ~vJ.-,
D^,TE _ hi .---:") .\,,-,j i
v'!. nrFR:
~/:: .. ~ YE~
GARAGE LIABILITY
-
ANY AUTO
" /"
EXCESS LIABILITY
R UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND I
EMPLOYERS' LIABILITY
THE PROPRIETOR! ar-- INCL '
PARTNERs/EXECUTIVE
OFFICERS ARE: EXCL
!
37
, .l
r L.~
f
t.~,~
OTHER
A HULL & P&I
I
WOM1258296
08/19/98
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS
COVERAGE: HULL & PROTECTION & INDEMNITY
CERTIFICATE HOLDER ALSO AN ADDITIONAL INSURED AS RESPECTS TO DERELICT VESSEL REMOVAL CONTRACT.
@g(U1ifNig:~H.m!f!if!i!i!f!lIff!:ffff!lff!lf!!!H!ttllfffmlfflff!t!ttttlf!t:!tf!ti!:!lfi:ti_Wili&Mf!:f!tItttff!tIII:f:~::fim:IfI!IIII'I!tm!:ImmI!I:fI!I@f!tI!:!:lIffm!'!II:f!lff!'!~
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONROE COUNTY BOARD OF COUNTY COMM. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
MONROE COUNTY RISK MANAGEMENT · t.. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
5100 COLLEGE ROAD } . ( \/"11 BUT FAILURE TO MAIL SUCH NOTICE SHALL IM,P,OSE NO. OBLIGATION OR LIABILITY
KEY WEST, FLORIDA 33040 J7 11, '\ ,'/ i. F ANY KIND UPON THE COMPANY JTS AGENTS Oil., ES.
OATE_ / f AUTHO~,;1REPRESE~ATIYE .:..,:::(" -). "I' :" ,..'U\J' "... ~ --,..
AL At-. '. l -L1I "'.... J"? / ' '" /' '1 C? ..'1 ( ./
{'cORa:iMs.~afi51ml!1ImmrWgfWftlllffW@ml!@111!ili!1m{lrlrr!!~WmWiiifi%M'r!inirI:!:lgi~$mii@!I'!!ml~rtmrtIftlf~$::ImYiBW_AA'TJiN@ii8Mi
I