Certificates of Insurance
p
B
Post, Buckle~ Schuh & Jernigan, Inc.
s
J
CONSULTING ENGINEERS and PLANNERS
10 PALMS PLAZA, HOM ESTEAD, FLORIDA 33030-6094 . 305/248-4750 . TE LEX 808435
July 19, 1984
Mr. DSLnny Kolhage
Clerk 4)f the Board of County Commissioners
500 Wtlitehead Street
Key Wiest, Florida 33040
RE: Certificate of Insurance, The Brewer Com~y of Flori~ Project No. 401-
002.36/40, Big Pine Key Roads
Dear lVlr. Kolhage:
We are forwarding the enclosed Certificate of Insurance for inclusion in your files of
the abc)ve project.
This c<<~rtificate completes the Contractor's insurance requirements and he will be
issued )1is notice to proceed at our July 23, 1984 Preconstruction Conference.
Very truly yours,
POST, BUCKLEY, SCHUH & JERNIGAN, INC.
as
MONROE COUNTY CONSULTING ENGINEERS
HLS/RC:~P lIve
401-002:.36/40
1(,k~
By: H. Lee Swanson, P .E.
Project Manager
Enclosure
cc: Edward L. Stickney w/encl.
7/6/84
THIS CEnTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO AIGH'TS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
SCN INSURANCE
Post Office Box 5~~6037
Miami, Florida 38152
(' H C ~. ~ "
L. ~ij c.
COMPANIES AFFORDING COVERAGE
A TRANSAMERICA
INSURED
THE BREWER CDMP ~l OF FlORIDA, INC., W. B.
TRUCKING, INC. ANI) ASPHALT MATERIALS &
PAVING COMPANY, n~c.
9801 Northwest 10t3th Street
Miami, Florida 38178
COMPANY D
LEITER
E
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY FtEQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERT'~IN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI-
TIONS OF SUCH POLICIES.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS
DATE (MMIOONY) DATE (MM/DDNY) EACH AGGREGATE
OCCURRENCE
06/01/84 06/01/85 BODILY $ $
INJURY
PROPERTY $ $
DAMAGE
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISES/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPERATIONS
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
19263328
~~t:~ED $ 500 , $ 500 ,
PERSONAL INJURY $
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV. PASS.)
AlL OWNED AUTOS (OTHER THAN)
PRIV. PASS.
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
19263328
06/01/84
06/01/85
BODILY
INJURY $
(PER PERSON)
BODILY
INJURY $
(PER ACCIDENT)
6~~~~~TY $
gbt~~ED $
500,
EXCESS LIABIUTY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
UM21346FL
06/01/84 06/01/85
BI & PO
COMBINED
WORKERS' COMPENS'~TION
AND
EMPLOYERS'LIABILiITY
STATUTORY
(EACH ACCIDENT)
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYEE)
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS
CONTRACT COVERIN(, ROAVWAY IMPROVEMENTS
BIG PINE KEY ROA~DS - MI LE MARKER 28 TO MI LE MARKER 32
P~oject 401-002.36/40
AVDITIONAL INSUREVS: COUNTY OF MONROE &
POST, BUCKLEY, SCHUH & JERNIGAN, INC.
1 0 PCLtm-6 Plaza
Home6tead, FlotU.cla 33030-6094