The URL can be used to link to this page

Certificates of Insurance IS CE: ^rIF;>e IS ISSUED AS A MA fTER OF INFORMATION ONLY AND CONFERS N() J~I(1H"S U ')(.N THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND! E) TEND JR",1. rER THE COVERAGE AFFORDED BY THI: POLICIES BELOW. Arthur J. GaIIE-! ~r &:Xlrpany P.O. Box 02-52E, Miami, Florida~102-5288 (305) 592-6080 COMPANIES AFFORDING COVERAGE INSURED i COMPANY A \ LETTER International Surplus Lines Insurance Co. t---- .------ --- .-------, f~#~~Y B The Brewer Canf)( 7 of b"ll:)rida 9801 N.W. 106 E,,;. c~et Miami, Florida~178 COMPANY C LETTER COMPANY D LETTER COMPANY E LETTER 1..111111 1111111 THIS IS TO CERTIFY THA 1 NOTWITHSTANDING ANY BE ISSUED OR MAY PERT TIONS OF SUCH POLlCIE~ I:IES 01' IN~.URANCE LISTED E!:Ell,C1~V HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. IREUE~ T, "ERM OR CONDITION ()f ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY "HE liNS JIRj~NCE AFFORDED BV "rtIE: POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI- TYPE OF INSURAN POLICY NUMHEF~ POLICY EFFECTIVE DA TE (MMIDDIYY) POLICY EXPIRATION DATE (MM/DDIYY) LIABILITY LIMITS IN THOUSANDS OCC5~~~NCE AGGREGATE GENERAL LIABILITY COMPREHENSIVE FORM PREMISES/OPERA TIONS UNDERGROUND EXPLOSION & COLLAPSE ',I,! :1) PRODUCTS/COMPLETED ell! I, IONS CONTRACTUAL INDEPENDENT CONTRACT:)III BROAD FORM PROPERTY ,II ~IE PERSONAL INJURY 531-000522-9 8/27/87 9/1/88 BODIL Y INJURY $ $ PROPERTY DAMAGE $ $500,:pe in the lic. $500,000 SIR per PERSONAL INJURY $ occ. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS (PRI'! I,:S.) ALL OWNED AUTOS (OTHI;:!:::: 1I,I!..,.lAN) PH I,III'I,)S. HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY 531-000522'-9 8/27/87 9/1/88 BOOIL Y INJURY $ (PER PERSON) BOOIL Y INJURY $ (PER ACCIDENT) PROPERTY DAMAGE WORKERS' COMPENS~:II,"! !!<H~ STATUTORY $ (EACH ACCIDENT) $ (DISEASE-POLICY LIMIT) $ (DISEASE-EACH EMPLOYEE) ! I i I I j j I --------t I ______---L DESCRIPTION OF OPERATIONS/LOCATION :~NEHICLES/SPECIAL ITEMS Add.. 1 RE: Project Roadway Irnprovements Key Largo ltlOna Insured Roads 5 #04.004.67 . Buckley & Shuh EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA AND EMPLOYERS I LlABIIII.,J"!i" "II" OTHER - Monroe County and Post, _111111_1111 Monroe County 500 Whitehead Street Key West, Florida 3304:0 Certificate of Insurance 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 LISTED BELOW. HilL RICHARDS AND COMPANIES, 260 WEKIVA SPRINGS ROAD P. O. BOX 1950 llTAMONTE SPRINGS INC. COMPANIES AFFORDING COVERAGES COMF'ANY LETTER A FLA. TRANS. BlDRS. ASSOC. Slf NAME AND ADDRESS OF INSUFiED COMPANY B LETTER COMPANv C i LETTEP I t---.--.------.--------------------- -- lCOM~A'" __~~_~__ i COMPA.N' E 331 78 i tT-'TEH This is to certify that policies of Insurance listed below have been issued to the insured named above for the contract or other document Wlttl respect to which this certificate may be issued or may pertain. the insurance conditions of such policies Fl32101-0000 THE BREWER CO. OF FL, 8REWERCOTE ASPHT PROD. 9801 NW lObTH ST. W&8 TRK -_.__.,.~.__., ----....-.--....---.-.....-..-.--..--------------.-.--_._~._._-+._-_._---_.- period Indicated Notwithstanding any requirement, term or condition of any by the policies descrioeci herein IS subject 10 all the terms, exclusions and COMPANY LETTER POLlCY NUMBER T- POliCY POLlCY EFFECTI'iE DATE I EXP!RATION DATE -------l-- ! TYPE OF INSURANCE -I I I GENERAL LIABILITY COMPREHENSIVE FORM PREMiSES/OPERA nONS EXPLOSION A.NO COLLAPSE HAZpRD I UNDERGROUND H/..lARD ~ I PRODUCTSC>JMPLE OPE ;1 A T Ie) N S CON'~R/,CTl:j\L BROAD FORM F'ROF'E RTY DA~AGE INDEPENDENT CONTRACTORS PERSO~.AL i~UJRy' 1~,.JUHY AUTOMOBILE LIABILITY ~-.._----------t---------------------+--- : Irj.JUR'- PE'~ PE: PSON\ COMPREHH~S:VE FORM NONOV,'NEC AUTC\S i ,._____________ ----_._-------1------ DMJlA()t i .---.---------.--+ sO[JI,-Y iNJURY AND i DAMAGE: . O\-'cJN ED AUTOS HIRED j.L);'(Y; --------------------} EXCESS LIABILITY 8. UME3RE ..LA ~ ORM ~C~~~~R THM~ UM8F<ELLi\ WORKER'S COMPENSATION 1 and I EMPLOYER'S LIABILITY I I OTHER i flORI'A/FLORIOA I TATE OF I I 80-00560 i 6/01181 , EMPl~YEES ONL vi I I ' i _......L..________.._...__i___________-L____.._____m._____ 1 00 (EMH ACCIDE~nl A-41405 DESCRIPTION OF OPfRATIONSL C'CA T!O~>JSiVEH IClES'SPECiAL ITEMS Additional Insured: Monroe County, Florida and Post, Buckley, Schuh & Jernigan, Inc. Roadway Improvements, Key Largo Roads V, Project No. 04.004.67 ----_._--------------,----_._-'"-----~---_._--'----~..-.-_._..._-_._,--------_.~-_.~-_.__._---_._---- Cancellation: Should any of the above described policies be cancelled before the expiration date thereof. the issuing company will endeavor to mail .30 days written notice to the below named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives, Monroe County Public Works Department 500 Whitehead Street Key West, Florida 33040 --- ---~_._~ ~ '. 27 y---~/ '. /'"f Nl},ME AND ADDRESS OF CERTIFICATE HOLDER I~UTHORIZE[) REPf=1ESENT A TIVE : . AtDttlllte ISSUE DATE (MM/DD/YY) 9/2/88 PRODUCER 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 ARTHUR J. GALLAGHER & CO. P.O. Box 02-5288 Miami, FL 33102-5288 Tel 11(305) 592-6080 COMPANIES AFFORDING COVERAGE CODE SUB-CODE ~~~~NY A National Union Insurance Co. ~~~::Y B International Insurance Co. INSURED ~~~::Y C The Brewer Company of Florida, Inc. 9801 NW 106th Street Miami, FL 33178 ~~~::Y D ~~~~NY E cove.ClBI 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 POLICY NUMBER POLICY EFFECTIVE .. POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DDIYY) TYPE OF INSURANCE GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROTo 8171212RA 9/1/88 9/1/89 AUTOMOBILE LIABILITY A X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS CA82308093RA 9/1/88 9/1/89 cr Binda! evidences th.3 ~;:'!!~;_S :y;- ~~~tt~'z; ;nG~pUon ~~ i t ~lf~ \~~: ~':~;~ ~ ;~:~ ~~;! ~~~ (;~;;,~~ ~ ~ ;:~~; ~ ~ i~;; ~3. "~C~;jce the aF',ou~t of inSUrf.H1Ce in force. X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY B X Umbrella 524-202158-7 9/1/88 9/1/89 OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY ALL LIMITS IN THOUSANDS GENERAL AGGREGATE $ 2,000 PRODUCTS-COM PlOPS AGGREGATE $ 1,000 PERSONAL & ADVERTISING INJURY $ 1,000 EACH OCCURRENCE $ 1,000 FIRE DAMAGE (Anyone fire) $ 100 MEDICAL EXPENSE (Anyone person) $ 5 COMBINED SINGLE LIMIT BODIL Y INJURY (Per person) BODIL Y INJURY (Per accident) $ 1,000 $ $ ~~~~~~TY $ EACH AGGREGATE OCCURRENCE $ $ 5,000 5,000 STATUTORY $ $ $ (EACH ACCIDENT) (DISEASE-POLICY LIMIT) (DISEASE-EACH EMPLOYEE OTHER RECEIVED . ~O~ROE COUNTY AdmInistrative Services/Risk Mgmt O' DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLES/RESTRICTIONS/SPECIAL I:~~ Q .9.." '-""..... .../ ,j =2',. .:~. IV TIME n/- ~-p. j!!if- ...cetkllllION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MA~~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABILlTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED.REPRES~J ~ _. @ACORO.CORP"'1"18N 1988. C&R'fIPle.1E..........I.IR Monroe County Public Works Dept. 500 Whitehead Steet Key West, Florida 33040