The URL can be used to link to this page

Home My WebLink AboutCertificates of Insurance 'Iii II flfj ~ li~.II_t ~..... ! i, ~. }: 1111., ,I itl... '. i. ~ ~ I;., '.,.,.' 'll! 'l'" .,'~' I ~~H ,.~ I 1 j t ~ f I, , l Ii rf f III ;\: r t l' \,11 (~11 C OJ'L'~ all.Y .~,( 1 :'\ l~ c Lea '^ r/~ E 1. n r i 1 ~l :- I t I~~ luiJ j ; J -, . i S.l. () ~J a 1 ~; e r vie f~ 5 ,; r rJ I~: . J~ i g COP!) i t t l(e~y ~ .~ T' J I) D'j ! l '1 J E ~.,ot ',) 'r -..----. '--<-- -..-----.--.---.-.-----...-------,---- ....- -".--.---- This I'; to cert fy that pol:cies of Insurance listed b ~i [)w hen E ------- .,-----.---..-.----.----.---.--..--.-r----------- -_. -----.--.----... CUMPA1';Yf< r v p~ /"IF ."'(," J'F<I\ Nt't'.,. I ~" 'L rl/UMBI~F i r T r n' '. ,I '~~J ~ .. . '~i ...~, _ --.--.... -.----------f-----.----_ ___ __________._ GENERAL LIABILITY ! 10 COMPf7EHENSIVE FORM G L P 6:1 : r: ::; 7 A I Q PfIEMISES--C>PERJ\ T IONS ''; r:tn u fa c 1 T.. re r I :; 10 EXPLOSION A~D APsr CO.") t rll. c'1 '1"11 's :, i HAZAPD .J ~,_ .c. ~ . t.' ... ! 0 UNDERG~OUND H!~ZA.FD iO j 0 CONTF-?ACTUp,L INSURANCE i 0 !3ROAD ~ OF~M I DAMACE ! 10 IND[PfN lENi rORS i 10 PF PS("!\ '\1 I~~ II :r~, i _._-+-~~~----~--_.__._--" ! AUTOMOBILE l'jc\BllITY : ) I '0 0, COMPPF H[N~!\/[ ClRrv' I OWNED 10 HiRED I 0 NUN OWNED :Jeer I~; ;uec lnsur: ' c ~ i : . I 1'111 POL Ie''! )(PiRA.TION i 1 Ti j; :i i A:: ~ (C FI E ", ~.~~~ M .If; ~TE 13 - 2 4 - ~ i . , \ l ", ~n i ..3.b , $ ,. f I J ~ T pi ded t, 1 , , I I ~)[ RSONAL iNjURY) 10 UMBRELLA FORM 10 OTHEr< THf\N UMBF~LLLfl I FORM I /WORKERS' COMPEr~SATIONI ! and I I EMPLOYERS'LIAIEULITY I ------r---- OTHER -- I C :~:, M R I ~ i E i i i - - -_.-+~---~_._-------- -...---. . - I I i I - - --t------.----- ..-----. - ------+---------- -..---------.-. EXCESS LIABIl.ITY I I II 1111_1111~"IIIIII~~~ ItACH ACI i[)[Nr, _11_1 .J...._..I..I..1III I.. II. DESCRIPTION OF OPERATlONS/LOCATIONSA'EHIClES U.lli'.illl! 1111:1.llii~III._ -----------------------.-..---.. '-'--- '-----....--. .....-.---.--...---.. -- ..---.---.----___u____._ _ _'_'__,,, Cancellation: Should any of the above describecl pollcle:, be:;:!l1celled before thf~ e:oir:tion date therec , the Issuing com- pany will endeavor to mail "':I:-~t-- days w.'ittel lotlce the below II n"d certificate ider. but failure to mai such notice shall impose no obligation or II Ibi 'ity of any kind upon 'lE ':ompany. ~,,1 I NAME AND ADDf~ESS:JF CERTIFICATE HOLDER , r ! I i i L____________._______ -.--- .--..-__.____.____...___, __.___ __ _ ___.___ _J T(e~l ;'10St~ Flori(18 33040 -" ---l I I I i I Monroe County Clerk ,Att: R1II111 t~Jhi te 1'1h_ i t e St$ ,r o:r t e tuT~~1~~I:JI;~f1~,,~I~'~if)'~n',T ;~;~~~1't~"""''llIlr:- ...,-~.~ " .....,;i3~,~... 1.! NAME AND ADDRESS 1 THE POItl'ER AIaIai CCllPBr 1 P.O. BOX 1490 .~ Dr WEST, FLA. 33040 OJ NAME AND ADDRESS OF INSURED J ~1 ~ J ,I J i J fhis is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. - t "1 COMPANY 'j LETTER ~--- '-------- 4 GENERAL liABiliTY 1 .. .~ 'J i .~ ] 1 1 1 f f J I Q_. .- ..~- c~-' . ._, "f "'';'-. I!"- -;;) ..~. . t4 :,~ ~lJ'j , Ii :.-~ ,~-r.'~~~~~;,~,~:..t.A',~~~:-~._,t"'S.,.~._,....._..",!,-___"",,,,,,,,,,,,~_~,,,,_,,_,,_ ~,'R___,.___."...~,.,....-...,.,....._...._.., ~_--... .- ~~ ~-~. ~.: --.r.- ':-:'""r. "rH:.-'~"""~,"~'" bo'-!~~~"'~ '1\:( ~,,:.:-_'IJt?-T-'-f':.....t>;;-..~~.~:~~,~ '~~"'''i'':r'';_ --'..-f,' """t;-', .....',. "','- \~.~, ~t".'~'~'" _~ .__.._ _,'. 1, CO(!l?ANIES AFFORDING COVERAGES I---- 13LAliD DIBPOSAL SERYICB, mo LOT 19 OOP.PITT "'UTT.~ PARK BIG ~lTr Dr, I'Ll. COMPANY A J!!l'NA C &8 LEITER COMPANY B '""'- LETTER COMPANY C LETTER COMPANY D LETTER COMPANY E LETTER TYPE OF INSUHANCE --r-POLICY I EXPIR1ATION DATE Ac;GREGAT t. POLlCY NUMBER limits of Liability in Thousands (000) r---EACH . OCCURRENCE o COMPREHENSIVE FORM [J PREMIS ES-OPERATIONS o EXPLOSION AND COLLAPSE' HAZARD o UNDERGROUND HAZARD o PRODUCTS/COMPLETED OPERATIONS HAZARD o CONTRACTUAL INSURANCE o BROAD FORM PROPERTY DAMAGE o INDEPENDENT CONTRACTORS o PERSONAL INJURY BODILY INJURY $ $ * PROPERTY DAMAGE $ $ BOOIL Y INJURY AND PROPERTY DA~t~GE COMBINED $ $ -Applies to Products/Completed Operations Hazara. I $ I i (PfRS'JNA.L INJIJ~''r r''''-' ---"l"7"~"~....-. ' ~. [. r AUTOMOBILE LIABILITY o COMPREHENSIVE FORM DOWNED o HIRED o NON-OWNED BODILY INJURY (EACH PERSON) BODILY INJURY (EACH OCCURRENCE) PROPE.RTY DAMAGE BODILY INJURY AND PROPERTY DAMAGE COMBINED $ $ $ EXCESS LIABiliTY o UMBRELLA FORM o OTHER THAN UMBRELLA FORM BODfL Y INJURY AND PROPERTY DAMAGE $ $ COMBINED I STATUTORY r"'-~...~~~~'" . ~., - .,,~'...~~~.~~.< ~. ~. ~.<~~..,~~~~ 100:000'.:' _ . 1M:;, --':.4\~~"'.0;.,t'k~";.i;, $~4 $ (t.AC H ACCIDEN ,; x WORKERS' COMPENSATION and EMPLOYERS' LIABILITY OTHER 9-- 3--78 23 a - 6016$ c.u. f DESCRI PTION OF OPERA T10NS/LOCA T IONSNEH ICLES I J I ,t i ~ Cancellation: Should any of the above described policies be cancelled before the expiration date thereof. the issuing com- pany will endeavor to mail - 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. NAME AND ADDRESS OF CERTIFICATE HOLDER: ~ 00U1r&& OIDX JB'I BAILK WBIB Wla'J-...._A]) ~. Dr~. I'Ll. 33040 1UiClI 30, 1978 DATE ISSUED: ~~ t:j, ,,\ ~ ~'j / ,.. ~~~HORIZED REPRESENT~ ~' , 111111 I 111" "I IllIf'l [I I' , , 'III' I I II III I II I I I 'I' I I II' ~ 'I' 1111 1 "'4 :I_II~':..... If.., !.l.~." ...",. -1-."-" t( - . . , '.' 'i : II I f, " ~,,'. f r, r I t i · ill .jl!Li ! 1 j . 11 { ~ f , I I ' ~ { II l' \ {i The Port(~~e-All(:~11 (~ompany P.Oo Box 1490 Insurance Company of North Americ Key Westj Flori~a 33040 Bland Disposal Services, Inc. Lot 19, Big Coppett Key Key West, Florida 33040 n . '; ; l r ! I c: ( I I a' ' = e e i :; ~, u ~ c I h f n ~; u r '< In r ~~ I :' (r I BEl? PC, Lie' :XF'lfU.TION! I i I~~~l:!jl~ ~;!~~ !:!:,< ~. II :. 300 t, N',lA GLP 71 82 61 8,124/79 Manufacturer's and . Contractor's Liabili~y 1 D ldl.1! ( 2 5 , 25, I IJU t ~ ~ I ) 1 I ) ,~, 1M [; I 1 ~:T AUTOM08~l.E LI/I\EiILITY ---- ----t---------- 1 IS tl) F'Ci JU:: 's/CorTl~: l'ete<1 :)4"rati I: n s ~I(llard 'F ,- ;( 'f -. -"----.--4--.- --EXC-Es-SLIABi~L ITY "-..---~-"._----_.u..______,_..,,_ .._--'---,,--- -,--- -----+------.-.-,.--.--......- :( Ilip'yA. 'F )JiMA.;[ . -i---------------___,i_._ -,----___....". _ ___,__, _, '''_' "0 '._._,._.,__ _ ;WORKERSf COMPENSATION' and EMPLOYERS' LIABILiTY OTHER ---- ---+----------1-- .;!I,;~-~~------~IIIIIIIIIIIIIIIIIIIIII- --- ----+----------~I IIII_IL______.__ __________ i I .I.II.III~ 1.1111111.111111111111111111111111111111111111111111111111II. II DF~,CRIPTION OF OPERA TIONS/l OC t,TIONS/VEH iCl E ~ _..11111111.1.111 I 11111111111111.1111111111_.1 -_. .,---_. ------.--.-.-.-------..-.....-...----------..----.---.---.- --'--'-_0'_'..' ,,_____,_. .,,, _ ... .._.__"_.______. _ . .,._.___ _ __________,__. __ .____ ._.__________..____..____._.......,.,__.__".._____ Canlcellation: :3 ho u Id an y of th" above cJe~;c ri i:I"d pol it: ~,bE cancelled before the 2.' pi I bon date thereof, the issu i nu corll- ;Jd n y will endeavo r to Inai I ,.,.1.0.,,__ (jays 'I Ii th 1 notice to the below na rd certificate holider, but fa I ,i u re to 11 ads L c h not Ice 5 h a II i in po S ~ ~ II cub II gat j = iJ r I 3) :II j t y 0 fan y kin d u po nth t' 0 rn pan y. J--- ./: ~/ DA~~~~~ / ---~" ~.- AUTHORIZED REPRESENTATIVE The Porter- Allen Company ~" /' Monroe County Clerk Att: Ralph White Whitehead Street Key West, Florida 33040 776 ~. ~ ~ Ii; ... Employers Self Insurers Fund RECEIVED APR 2 1991 Board of Trustees Thomas S. Petcoff, Chairman, Lakeland Paul S. Mears, Jr., Vice Chairman, Orlando Greg C. Branch, Ocala John A. Gray, Leesburg Robert L. Noojin, Tampa Robert Siegel, Miami CERTIFICATE OF INSURANCE ISSUED TO: Municipal Service District Stock Island Wing II Public Service Bldg. Key West, FL 33040 This is to certify that Bland Disposal Services, Inc. P.O. Box 2431, Key West, FL 33040 being subject to the provisions of the Florida Workers' Compensation Act, has securE~d the payment of the compensation by insuring their risk with the Employers Self Insurers Fund COVERAGE NUMBER: 0830-11422 Statutory-State of Florida EFFECTIVE DATE: April 1, 1991 Employers Liability $100,000 (Each Accident) $100,000 (Disease-Each Employee) $500,000 (Disease-Policy Limit) EXPIRATION DATE: April 1, 1992 REMARKS: CANCELLATION: Should the above described policy be cancelled before the expiration day thereof, the issuing company will endeavor to mail ~ days written nCltice to the above named certificate holder, but failure to mail such notice shaLII impose no obligation or liability of any kind upon the company. This certificate is not a policy and of itself does not afford any insurance. Nothing contained in this certificate shall be construed as extending coverage not afforded by the policy shown above or as affording insurance to any insured not named above. Received Risk Mam ~ & 5S Control G DATE INITIAL U/~ ~~~ March 28, 1991 Summit Consulting, Inc., Administrator Employers Self Insurers Fund Date Administered and serviced by Summit Consulting, Inc. P.O. Drawer 988 · I..akeland, FL 33802 · Telephone 813-665-6060 or 1-800-282-7648 (Florida) . FAX 813-667-1528 A..llt~ ISSUE DATE (MM/DD/YY) THE PORTER ALLEN COMPANY 513 SOUTHARD ST. KEY WEST, FL. 33040 X4-30-91 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 1-305-294-2542 f~T~~~NY A INSURANCE COMPANY OF NORTH AMERICA EMPLOYERS SELF-INSURERS FUND INSURED f~T~~~NY B BLAND DISPOSAL SERVICES INC. PO BOX 2431 KEY WEST, FL. 33040 f~T~~~NY C f~T~~~NY D f~T~~~NY E CO~IFb\.IS 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 (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE XX OCCUR. GPPD18778109 OWNER'S & CONTRACTOR'S PROTo 5-1-91 5-1-92 GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) $ 1, 000, 000 $ 1, 000 , 000 $ 1, 000 , 000 $ 1, 000, 000 $ 50, 000 MED. EXPENSE (Anyone person) $ AUTOMOBILE LIABILITY A XXANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY H01075962 6-1-91 6-1-92 COMBINED SINGLE $ LIMIT 1,000,000 BODIL Y INJURY $ (Per person) BODIL Y INJURY $ (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGA TE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELL.A FORM B AND EMPLOYERS' LIABILITY EMPLOYERS SELF INSURERS FUND #830-11422 12-24-90 12-24-91 STATUTORY LIMITS EACH ACCIDENT $ 100, 000 DISEASE-POLICY LIMIT $ DISEASE-EACH EMPLOYEE $ WORKER'S COMPENSA.TION OTHER MONROE COUNTY BUILDING & ZONING DEPT. KEY WEST, FL. 33040 Receivec Risk Mg . & '$5 (':>:~n~i. ;.; DATE 5" '_G. / _________ _ ~)(~). INITIAL ~.t' .' ,,"./;, '---C~.-~~ck.. (../, .'I//'....r Cc. tvJ~ DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH I SHALL IMPO E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Y, ITS A REPRESENTATIVES. AtDelllte '.......:.:...:..'..'.'.......:...............:...'......................... ...-. ..,... . ..... /,' ...............:. .'. ................ '."-" ..... -: -- ........."-. . .., .. .. - . . ..... -'.... '-"'-, . .... \:~.....:.....:...:: .:....:...:.:::..:..:...:.... . . '............:..:......:........:....:.......:....:..:....,......::..u..:............. ....:......::..........'...::...:.;.....,........::t..I.. . . .... .'. ..................... ..':.. . ............. ;..... ~.{)...,.... ...'............:... '.y................:.... :.... ...........::. .,..... .,..............;:... '. ............................ . . \::f~~~ :::::?{ ..:.:.~.:~::<.::,'::?\'_:. :~::~).::..: _ ::::::::::::</-'::'<,:: .~ ::\_ _ ?...<.~-" ~': ::~:::.~::. . ~:-:::-:_::: ,_,: . _: . _,.. . ISSUE DATE (MM/DD/YY) -~~.,...~.~~-,."...~~.;,:,;i..?........,w-....>~,.-..-n~...-~.....t I I PORTER ALLEN (:0., INC. 513 SOUTHARD ~STREET KEY WEST, FLA. 33040 PHONE 294-~~542 ~ .~ X 5-3-91 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. PRODUCER COMPANIES AFFORDING COVERAGE ~~T~~~NY A INSURANCE COMPANY OF NORTH AMERICA INSURED ~~T~~~NY B EMPLOYERS SELF INSURERS FUND BLAND DISPOSAL SERVICE INC. PO BOX 2431 KEY WEST, FL. 33040 ~~T~~~NY C ~~T~~~NY D f~T~~~NY E COVER_GIS 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 (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR. GPPD18778105 OWNER'S & CONTRACTOR'S PROTo 05-01-91 05-01-92 GENERAL AGGREGATE $1 , 000 , 000 PRODUCTS-COMP/OP AGG. $ow 1,000,000 PERSONAL & ADV. INJURY $1 , 000, 000 EACH OCCURRENCE $1 , 000, 000 FIRE DAMAGE (Anyone fire) $ 50, 000 MED. EXPENSE (Anyone person) $ 5 000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS }(SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY H01075962 COMBINED SINGLE $ LIMIT 1,000,000 BODIL Y INJURY $ 06-01-91 06-01-92 (Per person) BODIL Y INJURY $ (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM B WORKER'S COMPENS~~TION AND EMPLOYERS' LIABILITY Member # 830-11422 12-24-90 12-24-91 STATUTORY LIMITS EACH ACCIDENT DISEASE-POLICY LIMIT DISEASE-EACH EMPLOYEE $ 100, 000 $ 500,000 $ 100 000 OTHER Recei v~:!d Risk M~t. & Loss Control -",',,, 'I' DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS MONROE CO. RISK MANAGEMENT WING II, ROOM 207 PSB 5100 JR. COI.LEGE ROAD KEY WEST, FLORIDA 33040 ,f~, ;.,/,~ INITIAL .A. ,\)v \,...,../ ': .. /y'" '.o/lA. j_1 ~) 00-' C';j~..{, c'.. ' Jr\. -, (', . '- eIR\P....'...O....... ATTN: JANE L. \lOGEL-ARTZ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL -l-O- DAYS WRITTEN NOTICE T CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TAIL S ICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF A IN UPO MPANY, ITS AGENTS OR REPRESENTATIVES. A.CeFlO2S.S(7190) @>ACORDCQRP(JRATION 1990 OK~~ErY ~o~~~~E (305) 294-4641 MEMORANDUM To: Barry Boldissar Environmental Management /1 , i Kay Bahleda .. 'i'/~) R.isk Management 1/1 From: Date: March 22, 1993 Subject: Bland Disposal Service, Inc. BOARD OF COUNTY COMMISSIONERS MAYOR, Jack London, District 2 Mayor Pro Tern, A Earl Cheal, District 4 Wilhelmina Harvey, District 1 Shirley Freeman, District 3 Mary Kay Reich, District 5 --------------~------~-------------------------------------------- Attached please find letter from Bankers subject company. a copy of the insurance certificates and and Shippers Insurance Company regarding I have discussed the "additional insured" situation with our Risk Consultant and he is trying to negotiate with Bankers and Ship- pers regarding their cornpany policy and their underwri ting agree- ment with the State of Florida. In the meantime, we are accept- ing these certificates of insurance accompanied by the company's letter of refusal. Please insert into your contract files. tions, please call. cc: Belle DeSantis If you have any ques- Bank,-.,JSh iP.ters Bankers & Shippers Insurance Company 3060 South Church Street Burlington. North Carolina 27215 (919) 538-4000 February 3, 1993 Board of County Commissioners ATTN: Kay Bahleda Wing II, Room 207 P.S.B. 5100 College Road Key West, FL 33040 Recel'~'~ Risk Mgmt. & Loss Control c9- q -- 6Z. DATE -------L-.... _ INITIAL _,~ RE: Bland Disposal Service, Inc CFL 0119709 Dear Kay Bahleda: This letter is in responce to your recent request to add Monroe County as additional insured on the above mentioned policy. As I have informed you in the past, we can not list Governmental entities as additional insureds or additional interests on our Commercial Auto policies. Please be informed that we can not honor your request on the above referenced policy, nor on any of our Commercial Auto policies. If you have further questions or concerns, please feel free to contact me at 1-800-323-6848 est 4437. Sincerely, ~"CL ~~ ~'--_ ~ l_ l ~,,--i- Karen Hunt Customer Service Representative cc: 300601 The Porter Allen Company ONE OF TheTravelers..... COMPANIES I , AtDt.ltlt. I i PRODUCER ..' . . /" '. .... ..'..:./.....'....:..:. c," <./ .'/ .....,.. .\.i:.:.:.:>...:'..;....>. . :.... ,.... :-:..;...... ......:................:...........:................'...............:.:.....:........:.:......'..... ..::....:.....'......'.. :..'.":....:'.'~................:.'........:..................:..':..:.......'...:.......:........'..............':..."......'..:..:...'...::.:.::..:.......:.......c:--:.."......:.::....-:....:.:...........:............'." o "::.:',:..>:~:. ..<":.:..,__.:. .,", .:}::..: {;:::;: : _' N, ~\::}i}:; -;.. -~'::.':::::. :::::/ ..._,_.._..:-:.:::::>::~: .~::.~{: ...:..,:.:,::'::':'::;':: "'-.-', :." - .:.'- ',' . "..",:. -..,.... ";-'.- ....':.."..'...,..' "'-""-. ........:. " '-,',',',',..- -,,-",.' ,......- '. -',',-,-' ,'", . ISSUE DATE (MM/DD/YY) 01/04/93 THI I I IUD A A MATTER 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. THE PORTER ALLEN COMPANY 513 SOUTHARV STREET KEY WEST, FLORIVA 33040 (305) 294-2542 COMPANIES AFFORDING COVERAGE f~T~~~NY A BANKERS & SHIPPERS INSURANCE COMPANY INSURED f~T~~~NY B I. / UNITEV NATIONAL I NSURANCE .~PAN~/y (',)" ".' 0 'i. (~ >>J { !.....\.;. ~ \ Lt .~. ) /,/.. ,L:o/~ /, l.. I 1. '\ A I~ L / \-. I -, ._. "j ~i~'~~! / . /V (.., BLANV VISPOSAL SERVICE INC. PO BOX 2431 KEY WEST, FLORIVA 33040 f~T~~~NY C f~T~~~NY D f~T~~~NY E 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, 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 (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS A X SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED. EXPENSE (Anyone person) $ CLAIMS MADE OCCUR. OWNER'S & CONTRACTOH'S PROTo COMBINED SINGLE LIMIT $ 500,000. CFL 0119709 00 06/01/92 06/01/93 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM } ""~c.: I -J I , DISEASE-POLICY LIMIT $ J DISEASE-EACH EMPLOYEE $ i --~---------~"1 i I i I I _.__...._..~.J i I I i I i I I EACH OCCURRENCE $ $ AGGREGATE ....' .~".J..,.~~~.~.-c.....,~~,~.:.,~'""IT'?>t'4"'t,'..~.,.'>.~".~~""'lI!..,.hf"">~~~~~~~".~__~,~~,~"_'!~~:,. WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY LIMITS EACH ACCIDENT $ OTHER -..._""~"~o;~.,,,....~....--.',,..'~..-=',',':',.~'-"'..,.'<:":':..~~l!\..::.,t.;1\'~l"~~_~~~~Aot9I'Ilr'>~ B EXCESS AUTO LIABILITY XTP 36763 12/28/92 06/01/93 $500,000. DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE'CHOLDER"~""'C; 0'_".. "_~__~'v~ MONROE RISK MANAGEMENT WING II, ROOM 207 PUBLIC SERVICE BUILVING 5100 JUNIOR COLLEGE ROAV KEY WEST, FLORIVA 33040 ~~__I~- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL -21L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENT A TIV? ^ \\ 0~ ACORD 25-S (7/90) ~ACORDCORPORATION 1990 ..._~~~__U~...._ ..."""It' ...", ~""_"';>' _~~~~~.. I A.~.nlt" __r.' , PRODUCER 1 ISSUE DATE (MM/DD/YY) THE PORTER ALLEN COMPANY 513 SOUTHARV STREET KEY WEST, FLORIVA 33040 (305) 294-2542 12 28 92 THI RTIFI AT I I SUED 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 UNITEV NATIONAL INSURANCE COMPA~Y J' INSURED E~T~~~NY B '\ / ~,,- ......./ f~/"''-/ ",,- \ . Nf/J-J .) "/"1 ., . i N " ../ \ U'~ -'1 \ ,vi I \ ' r--*' BLANV VISPOSAL SERVICES, INC. PO BOX 2431 KEY WEST, FLORIVA 33040 E~T~~~NY C E~T~~~NY D ?~ \ \ " \ E~T~~~NY E CO LTR ~~~~~~~~~~~~~~~=~~ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. , I ~ , ! ..-. i i i TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ $ $ $ $ CLAIMS MADE OCCUR. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) OWNER'S & CONTRACTOH'S PROTo AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY MED. EXPENSE (Anyone person) $ Risk M&mt & Ipss ControJ DATE I C(J COMBINED SINGLE LIMIT $ INITIAL BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ I c...~'''''''''': I I I EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM ~~.-:,~ '~"^':'W""'lt::r-_........".-.~.~......~~..-,;;;r~.~,,-.,.::-~_,~~c~~~~.~,_~..:.,-;;.j,"".......~'";:-ol.O...,T-"'....."ryJl.J'l-r~~.~;A'>:.,.-..:.Y';;l.~~~~~~~>;"1C"J~.,..\.'r"o-~~~"'$".-O~..!~....,I..,,.;"".,_,"f,c_~,. EACH OCCURRENCE $ AGGREGATE $ WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY . ":;,"r-~f':-~3,:"":"""''''~-<J'!''-;'f''~':'.''"''-?:;''-''-'':''"::~-;,.'T.''.'-~"''7'''~.~-~~:itl.~''';::'''''~'''''lIeiP'''W:''~~~~~~'''','t~~~,.,,_~,,-; STATUTORY LIMITS A EXCESS AUTO LIABILITY 12/28/92 06/01/93 EACH ACCIDENT $ DISEASE-POLICY LIMIT $ DISEASE-EACH EMPLOYEE $ l _-.........~.....,.,...~'-""'._~"'~''''''''y.--_...'''-~'''~.'''''''",.".l I i r I I --_.,-~---' , ! t f r f i $500,000. OTHER BINVER# C-2542/12-28 (POLICY#-XTP36763) DESCRIPTION OF OPERA TIONS/LOCA TlONS/VEHICLES/SPECIAL ITEMS CERTIFICA iE'H,oLDER~"_:"'''''''''' "~~ F~ MONROE RISK MANAGEMENT WING II, ROOM 207 PUBLIC SERVICE BUILVING 5100 JUNIOR COLLEGE ROAV KEY WEST, FLORIVA 33040 Q-~_~l"'.:...: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR J LIABILITY OF ANY KIND UP~N THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENT~~ '. . I . @ACORDCORPORATION 1990 ! ACORD 25-8 (7/90) .'" ~ . '-*'~t AtDttll.~ CERFlPlCATE.OF..'NSURAHce ISSUE DATE (M M/DD/YY) THE PORTER ALLEN COMPANY, INC. 513 SOUTHARD ST. KEY WEST, FL. 33040 12-3-92 , I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND ""'-1 II CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE I' DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE , L POLICIES BELOW. . ____. . ____.~ COMPANIES AFFORDING COVERAGE , I I I f ~ I I I ! f~T~~~NY A COLONIA INSURANCE COMPANY PRODUCER INSURED f~T~~~NY B BANKERS & SHIPPERS INSURANCE COMPANY BLAND DISPOSAL SERVICES, INC. P.O. BOX 2431 KEY WEST, FL. 33040 f~T~~~NY C EMP. OF WAUSUA / AR f~T~~~NY D f~T~~~NY E 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, 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 (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE )( OCCUR. CGL 129693 OWNER'S & CONTRACTOR'S PROTo 5-01-92 5-01-93 GENERAL AGGREGATE $'1~'o6(f~-i),6() . PRODUCTS-COM PlOP AGG. $ PERSONAL & ADV. INJURY $ 1 ,000 , 000 . EACH OCCURRENCE $ 1 , 000 , 000 . FIRE DAMAGE (Anyone fire) $ 50 ,000. MED. EXPENSE $.. ,"~~~Q,QQ. AUTOMOBILE LIABILITY B ANY AUTO ALL OWNED AUTOS XX SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY COMBINED SINGLE LIMIT $ 500,000. CFL 0119709 6-01-92 6-01-93 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE $ $ C AND EMPLOYERS' LlABILI1"Y 1413-00-110906 9-22-92 STATUTORY LIMITS EACH ACCIDENT $ 100,000. 9-22-93 DISEASE-POLICY LIMIT $ 500,000. DISEASE-EACH EMPLOYEE ~" J ,QQ,J,QQ~Q"~ WORKER'S COMPENSATION OTHER DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS Received Risk Mgmt. & ~ Control DATI"" " . TiJt:J7~ ~'9~.r&"h INITIAL J t-$ CERTIFICATE HOLDER CANCELLATION MONROE RISK MANAGEMENT WING II RM 207 PSB 5100 COLLEGE RD. KEY WEST, FL. 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY )NILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NO e~SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND T , ITS AGENTS OR REPRESENTATIVES. ~f?C!.~,D~,~:~._(!!.~~t,. @ACORD CORPORATION 1990 OK~~rY ~o~~~2E (305) 294-4641 BOARD OF COUNTY COMMISSIONERS MAYOR, Jack London, District 2 Mayor Pro Tern, A Earl Cheal, District 4 Wilhelmina Harvey, District 1 Shirley Freeman, District 3 Mary Kay Reich, District 5 Monroe County Risk Management Wing II, Room 207 P.S.B. 5100 College Road Key West, FL 33040 January 12, 1993 Bankers & Shippers Insurance Company P.O. Box 2510 Burlington, NC 27215 Re: Certificate of Insurance, Bland Disposal Service, Inc. Policy #C-2542/12-28 Excess Auto Liability Policy ICFL 0119709 00 Auto Liability Enclosed please find a copy of the Certificate of Insurance for subject policy and a copy of the insurance requirements for the Contract between Monroe County and Bland Disposal. Please note that the wording "Monroe County Board of County Commissioners as aCiditional insured" is required on the Certificate. Please issue a corrected Certificate to the Risk Management of- fice. If you have any questions, please call our office at 305) 292-4454. Thank you. Sincerely, ~f7L~~~ Kay Mhleda Risk Management LEBSBLND/TXTBAHL f . O'(~~ErY ~O~~~~ E (305) 294-1&41 .., BOARD OF COUNlY COMMISSIONERS MA YORe Wilhelmina Harvey, District 1 . Mayor Pro Tern, Jack London, District 2 . Douglas ,Jones, District 3 A E41rl Chenl, District 4 John Srormont, District 5 F A C S I MIL E ~~.. RAN S r.r I S S ION D~.~ 9./'L~''"''~ . · UfJ~~~~~ e2-!J~ ~~7~ · To: Fax if: From: ~iZ ~~~ Q~f.f.i.c E. Risk }~a;nagement · Telephone it: ( 3 0 5) .2 9 2 ..4- 4. 5 4~_ Location: 5100 Junior College Road Key W~st, Fl. 330~O Fax.fl: 305-292-4401 Number of pages including cover _ \.-=S ~ Please confirm receipt of fax with telephone call if check Remarks: ~ I1tC&OCL ~ - tP~ ~~\ ~10NROE COUNTYY ID:305-292-4401 JRN 04'93 14:33 TRANSMIT CONFIRMATION REPORT NO. 002 RECEIVER TRRNSt'1 I TTER DRTE DURAT I Otr~ MODE PRGES RESULT [N_XPY t~Ot'~ROE COUNTYY JAN 04'93 14:33 01~59 STD 03 OK OK~~ErY ~o~~~~E (305) 294-4641 Monroe County Risk Management Wing II, Room 207 P.S.B. 5100 College Road Key West, FL 33040 December 9, 1992 Bland Disposal Services, Inc. P.O. Box 2431 Key West, FL 33040 Re: Certificate of Insurance Dear Sirs: BOARD OF COUNTY COMMISSIONERS MAYOR, Wilhelmina Harvey, District 1 Mayor Pro T em, Jack London, District 2 Douglas J ones, District 3 A. Earl Cheal, District 4 John Stormont, District 4 Enclosed please find a copy of the Certificate of Insurance for- warded to the Risk Management office by the Porter Allen Compa- ny. Your agreement requires the following: $1,000,000 in Auto Liability coverage Monroe County Board of County Commissioners narned as "Additional Insured". 30 days notice of cancellation Please have your agent issue another certificate that includes the above requiements. If you have any questions, please call the Risk Management of- fice at 292-4454. Thank you. Sincerj~ly , ~/ (..-L/ /;: ~.. ;/\:~c::z~ ~rya/A-~~_//. Kay Bahleda Risk Management LEBDSCI/TXTBAHL OK~~ErY !:~~~~~E (305) 294-4641 BOARD OF COUNTY COMMISSIONERS MAYOR, Wilhelmina Harvey, District 1 Mayor Pro T em, Jack london, District 2 Douglas J ones, District 3 A. Earl Cheal, District 4 John Stormont, District 4 ~ Monroe County Risk Management Wing II, Room 207 P.S.B. 5100 College Road Key West, FL 33040 December 1, 1992 Bland Disposal Service, Inc. P.O. Box 2431 Key West, FL 33040 Dear Sirs: Re: Certificate of Insurance Our files indicate that your insurance has expired. Please for- ward a current Certificate of Insurance in compliance with the contract for: SOLID WASTE DISPOSAL to the Risk Management office at above address indicating cover- age for the following: GENERAL LIABILITY AUTO LIABILITY WORKER'S COMP x -- X -- X EXPIRATION DATE 6/1/92 EXPIRATION DATE 6/1/92 EXPIRATION DATE 9/22/92 COMMENTS: Copy of the insurance requirements in your agreement enclosed for your convenience. Please note addi tional insured endorsement and 30 day cancellation notice requirements that are required., but not included on your previous certificates (copy enclosed) . If you have any questions, contact the Risk Management office at 305) 292-4454. Thank you. Sincerely, Kay Bahleda Risk Management ................................... . ...."., -.......... .... .......'.... . ::: "......1.1. <:: ~.... . .. PRODUCER NEXT Risk Management William F. Comiskey, Jr., CIC 1900 Glades Road, Suite 103 Boca Raton FL 33431-7333 ........... ........ ... ..... ... -... ........ ........ .............. ....... ....... ..,. ......... ... ......... ........ ... ... ......... .... -...... .............................. -.. ...".... -..................... ......." ......... ... ... ... ..... ..-..... .................... ..... ....... ........... -... ... ..... ..... ................ ... ........ ............ -,. ... .... ........ . -.. ... -..... -.... .., ... .., .... -.. ........ ........... .., -... ... -.. ... ......... .... ..- ... ... ....... ... ............. .... ........ .... ..................... .... ...... .................. ... ................ ............ ....... ...... ........ ... ... ... .......... ........ .............. .... ..................... .......:n>r;.ftTI.. ..t!'I" .n.;;A::T.r:.......ts.t!.......I. ...a:..I..... .....i>...n:::A/.:..n.1t! ....................................................................................................................................................... ........s,.~~...'..fi'....~.~....,.....~......Q~.......,t.......Q"'~.'Rg .....?HU?.....?............>_~j.Hj......< D~;~;;;~ 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 INITIAL Bland Dispos!Ll Service, Inc. P.o. Box 243l. Key West, FL 33040 National Union Fire Ins. Co. W.F. Comiskey, Jr., CIC 746134 407-338-0488 INSURED 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 ISSl.IED 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 Ll'R TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION DATE (MM/DD/VYJ DATE (MM/DDIVYJ UMITS GENERAL UABIUTY COMMERCIAL GENERAL l.IABIUTY CLAIMS MADE CJ OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) AUTOMOBILE UABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT BODilY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE GARAGE UABIUTY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT . AGGREGATE EACH OCCURRENCE AGGREGATE EXCESS UABlUTY UMBRELLA FORM OTHER THAN UMBRELLA I~RM A WORKERS COMPENSATION ANID EMPLOYERS' UABlUTY THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL WC 877-33-80 RA 05/01/95 05/01/96 X STATUTORY LIMITS EACH ACCIDENT DISEASE - POLICY LIMIT DISEASE - EACH EMPlOYEE 100,000 500,000 100,000 DESCRIPTION OF OPERATIONS/LOCA.nONSNEHlCLES/SPECIAL ITENlS . . . .. . . " ... . . . . .. " .. . .. .. ........ ................ ... . . . .. .......... .. ....... . . . C C. .IA ~ ~ MONRO 02 SHOULD ANY OF THE ABOVE DESCRlBm POUCIES BE CANCELLED BEFORE THE r-_- - EXPlRAnON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe COUll ty Board 0 f .1.L DAYS WRITTEN NonCE TO THE CERTIRCATE HOLDER NAMm TO THE LEFT. County Commissioners R is k Managemen t BUT FAILURE TO MAIL SUCH NonCE SHALL IMPOSE NO OBUGAnON OR UABlUTY 5100 College Road/Stock Island Key West, Ji'L 33040 OF ANY KIND PON THE COMPANY, ITS AG AUTHORlZm ~ W.F. Com skey, Jr., CIC 746134 A~9~P.~(~~~l.UU~A*qip. . ........ '........ ..' ..... ........ ...... -, ........ .... .... .... ....... ... ............ ..... ....... ... '.. -.. ..... .... '...... .,....... ........ ... ....... ................. -,... ................................. ...... ......... ..... :..:............................................~....................................................................................................................................................................................................................................................................................................................................................................................................................................................... ...... A..tlut. ........I&BII&IIII&......I.&......II.SIBIII.IE ..............................................................................................~.i......................... D~:;;;;~ 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 NEXT Risk Management William P. Comiskey, Jr., CIC 1900 Glades Road, Suite 103 Boca Raton FL 334:~1-7333 74613~ Received W.F. Comiskey, Jr., CIC . kM La C 407-338-0488 IS gmt. & ss 0 INSURm DATE S- INITIAL Bland Disposal Service, Inc. P.O. Box 2431 Key West, FL 33040 Rational Onion Fire Ins. Co. C) el C; Clj:;:-'~ 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 ISSlIED 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 TYFE OF :N~URANCE: POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION UMITS LTR DATE CMM/DDIYYI DATE IMMIDDIYYI GENERAL UABlUTY GENERAL AGGREGATE .2,000,000 A COMMERCIAL GENERAL lJABIUTY GLA1210816 05/01/95 05/01/96 PRODUCTS - COMP/OP AGG . R/A CLAIMS MADE ~J OCCUR PERSONAL. ADV INJURY .1,000,000 OWNER'S. CONTRACTClR'S PROT EACH OCCURRENCE .1,000,000 :x: FIRE DAMAGE (Anyone fire) . 50,000 ;s MED EXP (Anyone person) 5,000 AUTOMOBILE UABlUTY .1,000,000 BA1350410 05/01/95 05/01/96 COMBINED SINGLE UMIT A ANY AUTO ALL OWNED AUTOS BODILY INJURY :x: SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE GARAGE UABlUTY ANY AUTO AUTO ONLY - EA ACCIDENT . OTHER THAN AUTO ONLY: EACH ACCIDENT . AGGREGATE EACH OCCURRENCE AGGREGATE EXCESS UABlUTY UMBRELLA FORM OTHER THAN UMBRELLA IFORM WORKERS COMPENSATION ANID ENlPLOYERS' UABlUTY THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL STATUTORY UMITS EACH ACCIDENT DISEASE - POUCY UMIT DISEASE - EACH EMPLOYEE DESCRIPTION OF OPERATlONS/LOCA.nONSNBlCLES/SPECIAL ITENlS EIA/AIGRM (102008) The Certificate Holder is named Additional Insured, per General Liability & Auto Liability policy fo~s. ::i~ijtlfI9Alj)iQ@~ij UiHiU?ii\<.//!/?i}!/i/>}.t?i./<HU/i}'/i}:i/ii/.i//?/:::.)\\i//U.:{UU!iUU!\\~~"~tQ~tt~Q",Ui:/)::::::>>::>:>::-:-:... . MONRO 02 SHOULD ANY OF THE ABOVE DESCRlBm POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUNG COMPANY WIll ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERnRCATE HOLDER NAMm TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATlON OR UABlUTY OF ANY KIND UPON THE COMPANY, ITS AG AUTHORlZm R rJ,~...___ W.F. Com! ~ CI MOnroe COWlty Board of County Commissioners Risk Management 5100 College Road/Stock Island Key West, JrL 33040 :[A~Q~Q:::~~j:~fj~f:U:U><:: CC ~ ~c~- CLf~~ P/LB ................. ..................... .... .........,.. .... ..... ... .... ..... ........ ....... ........... ... ................. ....... ......... ............ .................... .... ........AC..n.. ..........11111&11111......16......11.11111111 PRODUCER NEXT Risk Management William F. Comiskey, Jr., CIC 1900 Glades Road, Suite 103 Boca Raton FL 334:31-7333 W.F. Comiskey, Jr., CIC 746134 407-338-0488 INSURED ................... ............................... .......... ... ..- ... ..-..... - ... .... .......... ... ....... ...... ...................... ... ......... .... ...... ... ..... ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... ....... ........... ....... ... ... ..-...... ..... ..... ....... ..... ...... '" ...... .. .-......... ........ '" ....., .....,.....,... ......, ..... ..... ... ........,...".. .:-:.:.:-:.:-:.:.:.:.:-:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:-:.:-:-:':-:-:':':':-:-:':-:':':':-:':-:':':':-:':':-:-:':-:'cjf':':-:':.:.:.:.:.:.:.:.:.:-:.: DATE (MMIDDIYY) ~+l< 04/25/95 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. COMPANIES AFFORDING COVERAGE COMPANY A RISCORP Property & Casualty COMPANY B APPROVED BY RISK MANAGlMENT Bland Disposlll Service, Inc. P.o. Box 243:L Key West, FL 33040 COMPANY BY C l:)~/~ 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 CERTIFICA TE 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 INGURAr~CI: POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION DATE (MM/DDIYY) DATE IMMIDDIYY) UMITS GENERAl UABlUTY COMMERCIAL GENERAL UABIUTY CLAIMS MADE CJ OCCUR OWNER'S 81 CONTRACTOR'S PROT GENERAL AGGREGATE PRODUCTS - COMP/OP AGG . PERSONAL 81 ADV INJURY t EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) AUTOMOBILE UABlUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE UMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE GARAGE UABlUTY ANY AUTO AUTO ONLY - EA ACCIDENT . OTHER THAN AUTO ONLY: EACH ACCIDENT . AGGREGATE EACH OCCURRENCE AGGREGATE EXCESS UABlUTY UMBRELLA FORM OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION AND EMPLOYERS' UABIUTY 05/01/96 X STATUTORY UMITS EACH ACCIDENT DISEASE - POUCY UMIT DISEASE - EACH EMPLOYEE THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL 20287-000-95 05/01/95 100,000 500,000 100,000 DESCRIPTION OF OPmATlONSILOCA no NSNBlCLES/SPECIAL ITEMS MONRO 02 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELlED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTlRCATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATlON OR UABlUTY OF ANY KIND UPON THE COMPANY. ITS AGENT AUTHORIZED R Monroe Cow~ty Board of County Commissioners Risk Management 5100 College Road/Stock Island Key West, PL 33040 Cl-.' CM-oc ~ F/'-6 W.F. Com AtDttlllt~ ~ER"".t=I~.A.""'E.ic)F......I.NSI..IR7IN.~.E CSR>AM BLAND.....! 05/03/96 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 DATE (MM/DDIYY) PRODUCER NEXT Risk Mana~ement William F. Com1sk.ey, Jr., CIC 1900 Glades Road, Suite 355 Boca Raton FL 33431-7333 W.F. Comiskey, Jr., CIC 746134 Phone No. 4 07 - 3 3 8 - 04 B 8 Fax No. INSURED COMPANY A National Union Fire Ins. Co. COMPANY B f-..... ~.......... ..~ j Bland Disposal Service, Inc. P.O. Box 2431 Key West, FL 33040 COMPANY C L: /~ cJr < -_"___2_=_Cj~__"_=.... ,.~~-f(? " COMPANY D 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 TYPE OF INSURANC E POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DDIYY) DATE (M M/DDIYY) GENERAL LIABILITY GENERAL AGGREGATE COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG CLAIMS MADE [J OCCUR PERSONAL & ADV INJURY OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO ",e.1 (; ALL OWNED AUTOS BY CL4Ji'1!!!lL BODIL Y INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS DATE BODIL Y INJURY NON-OWNED AUTOS (Per accident) ~ ~f ,~ l'J F R: N/A PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGA TE EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGA TE OTHER THAN UMBRELLA FORM ... -.. -.--- --~---...._.... ---'."---~--,_.._----.,.. .._"--------. _.__.~_..._------- A WORKERS COMPENSATION AI\lD X STATUTORY LIMITS EMPLOYERS' LIABILITY EACH ACCIDENT 100,000 THE PROPRIETORI INCL WC 880-10-86 RA 05/01/96 09/01/96 DISEASE - POLICY LIMIT 500,000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE 100,000 OTHER DESCRIPTION OF OPERA TIONS/LOCA~TIONSNEHICLES/SPECIAL ITEMS MONRO 02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AG AUTHORIZED E Monroe County Board of County Commissioners Risk Management 5100 College Road/Stock Island Key West, FL 33040 ACORD.25-S.,(3/93) cC- '~\~ ~1J4{ ~ Att.lllt~ CER"IFIC~"'E()FIN:SlJFI~NCE CSRAM BLAND..;.l 04/25/96 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 DATE (MM/DDIYY) PRODUCER NEXT Risk Manaiement William F. Com1skey, Jr., CIC 1900 Glades Road, Suite 355 Boca Raton FL 33431-7333 W.F. Comiskey, Jr., CIC 746134 Phone No. 4 07 - 3 3 8 - 04 :B 8 Fax No. INSURED COMPANY A National Union Fire Ins. Co. COMPANY B Bland Disposal Service, Inc. P.O. Box 2431 Key West, FL 33040 COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHST)~NDING 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 INSU:\AI'JC:E POLICY ~JUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/O[)/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE [J OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE PRODUCTS - COM PlOP AGG PERSONAL & ADV INJURY EACH OCCURRENCE AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) BY tJ I€./C C~K- COMBINED SINGLE LIMIT BODILY INJURY (Per person) DATE BODILY INJURY (Per accident) PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UM BRELLA FORM OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION A.ND EMPLOYERS' LIABILITY n\1 ITIA L AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGA TE EACH OCCURRENCE AGGREGA TE 05/01/95 X STATUTORY LIMITS EACH ACCIDENT 05/01/96 DISEASE - POLICY LIMIT DISEASE - EACH EMPLOYEE THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL WC 877-33-80 RA EXCL 100,000 500,000 100,000 DESCRIPTION OF OPERA TIONS/LOC~~ TIONSNEHICLES/SPECIAL ITEMS MONRO 02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Monroe C01.:Lnty Board of County Commissioners Risk Management 5100 College Road/Stock Island Key West, FL 33040 ACQRO.25..S..C3J93) C'CY' AtD.lllt~ GER-rIFIGJI-rE()FINSlJRJlNGE CSRAM BLAND.... 1 04/17/96 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 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE DATE (MM/DDIYY) PRC1DuCER NEXT Risk Mana~ement William F. Com1skey, Jr., CIC 1900 Glades Road, Suite 355 Boca Raton FL 33431-7333 W.F. Comiskey, JJ:'., CIC 746134 Phone No. 4 07 - 3 3 8 - 0 41~ 8 Fax No. INSURED COMPANY A National Union Fire Ins. Co. COMPANY B Bland Disposal Service, Inc. P.O. Box 2431 Key West, FL 33040 COMPANY C COMPANY D 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 ,.OUCY rJUr,~-SEh POLICY EFFECTIVE . POLICY EXPIRATION DATE (MM/DDIYY) DATE (MM/DDIYY) LiMITS GENERAL LIABILITY GARAGE LIABILITY ANY AUTO GENERAL AGGREGATE $2,000,000 05/01/96 05/01/97 PRODUCTS - COMP/OP AGG N/A PERSONAL & ADV INJURY $ 1, 000, 000 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Anyone fire) 50,000 M ED EXP (Anyone person) 5,000 05/01/96 05/01/97 COMBINED SINGLE LIMIT $1,000,000 BODIL Y INJURY (Per person) BODIL Y INJURY (Per accident) A X COMMERCIAL GENERAL LIABILITY GLA1216316 CLAIMS MADE [1~ OCCUR OWNER'S & CONTRACTOR'S PROT X Including Completed OJ;) s AUTOMOBILE LIABILITY A ANY AUTO BA1353056 ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS PROPERTY DAMAGE lr\IITIAt -~- -~. AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGA TE EACH OCCURRENCE AGGREGA TE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA, FORM WORKERS COMPENSATION A.ND EMPLOYERS' LIABILITY DATE :~ oL./C .__.._-~~--,- LLC7?f'-< STATUTORY LIMITS EACH ACCIDENT DISEASE - POLICY LIMIT DISEASE - EACH EMPLOYEE THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL \~ff:, !\fER: DESCRIPTION OF OPERA TIONS/LOCJ~ TIONSNEHICLES/SPECIAL ITEMS EIA/AIGRM (102009) The Certificate H4~lder is Additional Insured, per General Liability and Automobile Liiabili ty policy forms. MONRO 02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGEN AUTHORIZED REP. ~AT. id~ W.F. Comi ,~r., CI Monroe County Board of County Commissioners Risk Management 5100 College Road/Stock Island Key West, FL 33040 ACORO...25..S..(3193) cc L[J Ci2-4 Cc9~ r/L.5 PRODUCER NEXT Risk Mana~ement William F. Com1skey, Jr., CIC 1900 Glades Rbad, Suite 355 Boca Raton FL 33431-7333 J'".C:R<.:....:II::I.....,.,....IlTtt.......():> <r:....l... 'l'AII'l..IT" I..ell DAI\.."" C DATE (MM/DDIYY) A CORDTM .".;.IF"MII;..-'"'I'I,.~".,JlH\I."J;;i_l 0 8 / 2 6 / 9 6 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 W.F. Comiskey, Jr:'., CIC 746134 Phone No. 4 07 - 3 3 8 - 0 4 ~~ 8 Fax No. INSURED COMPANY A Ins. Co. of the State of PA COMPANY B Bland Disposal Service, Inc. P.O. Box 2431 Key West, FL 33040 COMPANY C COMPANY D . 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 (MM/DDIYY) DATE (MM/DDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE COMMERCIAL GENERAL LIABILITY r-----O CLAIMS MADE [J OCCUR OWNER'S & CONTRACTOR'S PROT PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ M ED EXP (Anyone person) $ AUTOMOBILE LIABILITY I--- ANY AUTO >--- ALL OWNED AUTOS - SCHEDULED AUTOS - HIRED AUTOS - NON-OWNED AUTOS - - 09/01/96 COMBINED SINGLE LIMIT $ BODIL Y INJURY $ (Per person) BODIL Y INJURY $ (Per accident) PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: OleIC EACH ACCIDENT $ CLI:::nC ~ AGGREGA TE $ EACH OCCURRENCE $ AGGREGATE $ $ X I we STATU- I IO;~ TORY LIMITS EL EACH ACCIDENT $ 09/01/97 EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ : .' ftecei'veci c1/DS '(q~oj ... .... ---"-'~"-'--- _._.._.._.~ "--...-.-- --.--. -.-----.-S?i~-.- "", GARAGE LIABILITY t--- ANY AUTO AP~ROVE.9fiY RISK M",N~GEMENT BY ~~ :M~~ p n.____,_~_=_?': _=?~_ _ "'/1 ~V .. f) EXCESS LIABILITY R UMBRELLA FORM OTHER THAN UM BRELLA FORM WORKERS COMPENSATION AIND EMPLOYERS' LIABILITY A THE PROPRIETORI PARTNERS/EXECUTIVE OFFICERS ARE: OTHER rllNCL ri EXCL WC8801426RA 100,000 500,000 100,000 DESCRIPTION OF OPERATIONS/LOC.ATIONSNEHICLES/SPECIAL ITEMS MONRO 02 :. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,.! AGENTS OR REPRESENTATIVES. ~U~:~BIZ;o~;r....;.'~..c. :.,:.::. ';...tIi.::.:.. .... ......4. (f>:ACORO.:CORPORA1ION.....:988 Monroe COl.lnty Board of County Commissioners Risk Management 5100 College Road/Stock Island Key West, FL 33040 Cc : C~OL CrY$6) ~rM FlL-CF" ~C()FlP..~!3-S..(1/95) PRODUCER NEXT Risk Mana~ement, Inc. William F. Com1skey, Jr., CIC 1900 Glades Road, Suite 355 Boca Raton FL 33431-7333 A CORDTM ...C.E.R...I.P.I.C....E...... a.p'...... 1..1.. BI..1.. I....V...... I .N.S.l.J.Fl7j.~...~.E.......i~f1.1 DA;; ;;~;~~ 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 W.F. Comiskey, Jr., CIC 746134 Phone No. 561- 3 3 8 - 0 4 ~~ 8 Fax No. 561- 3 94 - 7 7 3 0 INSURED COMPANY A Zurich American Insurance Co. COMPANY B Ins. Co. of the State of PA Bland Disposal Service, Inc. P.O. Box 2431 Key West, FL 33040 COMPANY C Gulf Insurance Company COMPANY o /' 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS lTR DATE (MM/DDNY) DATE (M M/DDNY) GENERAL LIABILITY GENERAL AGGREGATE $2,000,000 A X COMMERCIAL GENERAL LIABILITY GL02829868-00 05/01/97 05/01/98 PRODUCTS - COM PlOP AGG $1,000,000 CLAIMS MADE ~J OCCUR PERSONAL & ADV INJURY $1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Anyone fire) 50,000 MED EXP (Anyone person) 5,000 AUTOMOBilE LIABILITY A BAP2829869-00 05/01/97 05/01/98 COMBINED SINGLE LIMIT $1,000,000 ANY AUTO ALL OWNED AUTOS BODIL Y INJURY X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODIL Y INJURY X NON-OWNED AUTOS (Per accident) BY PROPERTY DAMAGE GARAGE LIABILITY ~ AUTO ONLY - EA ACCIDENT ANY AUTO \V.A !VfR: NIA vrs OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGA TE EXCESS LIABILITY EACH OCCURRENCE 1,000,000 C X UMBRELLA FORM CU5841606 05/01/97 05/01/98 AGGREGA TE 1,000,000 OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AI~D EMPLOYERS' LIABILITY 100,000 B THE PROPRIETORI INCL WC8801426RA 09/01/96 09/01/97 EL DISEASE - POLICY LIMIT 500,000 P ARTN ERS/EXEC UTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE 100,000 OTHER REVISED DESCRIPTION OF OPERATIONS/lOCt~TIONSNEHIClES/SPECIAlITEMS Monroe County Boa]~d of County Commissioners are Additional Insured, per General Liab1lity and Automobile Liability policy forms. MONRO 03 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY Will ENDEAVOR TO MAil ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAilURE TO MAil SUCH NOTICE SHAll IMPOSE NO OBLIGATION OR LIABILITY Monroe County Risk Management Attn: Maria del Rio 5100 College Road Key West FL 33040 '( / /s-q;r ACORD 25-S..(1/95) PRODUCER NEXT Risk Mana~em.ent, Inc. William F. Com1skey, Jr., CIC 1900 Glades Road, Suite 355 Boca Raton FL 33431-7333 G.ERrl..F=.I.t.~."'.E......().F.......EI7S...BI.EI,..'t'......I.1Y.~.I..J..IIAN.I3.E.......i.~.l DA;~ ;;;;~~ 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 W.F. Comiskey, Jr., CIC 746134 Phone No. 5 61- 3 3 8 - 04 n 8 Fax No. 561- 3 94 - 7 7 3 0 INSURED COMPANY A Zurich American Insurance Co. COMPANY B Ins. Co. of the State of PA Bland Disposal Service, Inc. P.O. Box 2431 Key West, FL 33040 / COMPANY C Gulf Insurance Company COMPANY D 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DDNY) DATE (MM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE $2,000,000 A X COMMERCIAL GENERAL LIABILITY GL02829868-00 05/01/97 05/01/98 PRODUCTS - COMP/OP AGG $1,000,000 CLAIMS MADE ~~ OCCUR PERSONAL & ADV INJURY $1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Anyone fire) 50,000 M ED EXP (Anyone person) 5,000 AUTOMOBILE LIABILITY 05/01/97 05/01/98 COMBINED SINGLE LIMIT $1,000,000 A ANY AUTO BAP2829869-00 ALL OWNED AUTOS BODIL Y INJURY X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODIL Y INJURY X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGA TE EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 C X UMBRELLA FORM CU5841606 05/01/97 05/01/98 AGGREGA TE 1,000,000 OTHER THAN UMBRELLA. FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 100,000 B THE PROPRIETOR/ INCL WC5870782 09/01/97 09/01/98 EL DISEASE - POLICY LIMIT 500,000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE 100,000 OTHER DESCRIPTION OF OPERA TIONS/LOCJ~ TIONSNEHICLES/SPECIAL ITEMS Monroe County Boa:rd of County Commissioners are Additional Insured, per General Liab11ity and Automobile Liability policy forms. MONRO 03 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R RE ENTATIVE W.F. Co · ~, Monroe County Risk Management Attn: Maria del Rio 5100 College Road Key West FL 33040 ACORD.25~$..(1/95) ...........c:;.127.....l~7;zzH.... -- -/".-' A CORDTM C.E.R"'I..F.I.t.~"'.E.......rJ.F......I.IfJJ.BI.I.I....~.......1".!J._.IR'A",.~.Ii.......i..1 D~: 7;;;~~ 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 NEXT Risk Mana~eltLent, Inc. William F. Com1skey, Jr., CIC 1900 Glades Road, Suite 355 Boca Raton FL 33431-7333 W. F. Comiskey, Jx'., CIC 746134 Phone No. 561- 33 8 - 0 4 ,~ 8 Fax No. 561- 3 94 - 773 0 INSURED COMPANY A Zurich American Insurance Co. J-b COMPANY B /' Bland Disposal Service, Inc. P.O. Box 2431 Key West, FL 33040 COMPANY C COMPANY D . :. .. 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 (MM/DDNY) DATE (MM/DDNY) LIMITS GENERAL liABILITY - A ANY AUTO BAP2829869-00 GENERAL AGGREGATE $2,000,000 05/01/97 05/01/98 PRODUCTS - COMP/OP AGG $1,000,000 PERSONAL & ADV INJURY $1,000,000 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Anyone fire) $ 50,000 M ED EXP (Anyone person) $ 5,000 05/01/97 05/01/98 COMBINED SINGLE LIMIT $1,000,000 BODIL Y INJURY $ (Per person) BODIL Y INJURY $ (Per accident) PROPERTY DAMAGE $ A X COMMERCIAL GENERAL LIABILITY GL02 829868 - 00 =~ CLAIMS MADE [l~ OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY - ALL OWNED AUTOS ~ SCHEDULED AUTOS ~ HIRED AUTOS ~ NON-OWNED AUTOS GARAGE LIABILITY THE PROPRIETORI PARTNERS/EXECUTIVE OFFICERS ARE: OTHER fllNCL ri EXCL DATE ~-(j-C~7 AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: :... EACH ACCIDENT $ AGGREGA TE $ EACH OCCURRENCE $ AGGREGA TE $ $ I WC STATU- I IOTH- ~-> TORY LIMITS ER EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ ANY AUTO EXCESS LIABILITY R UMBRELLA FORM OTHER THAN UMBRELL.A\ FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY APPROVUl, BY'ISK~At:\AIIEMENT nv\^\ I. f y,(; J" ~VA rVER: N/A /' vr~ EU),.', (1~A.cy ~LUtaJW- -...-1 · r .~~ ern) DESCRIPTION OF OPERA TIONS/LOCJ~ TIONSNEHICLES/SPECIAL ITEMS The Certificate Hl~lder is Additional Insured, per General Liability and Automobile Li.abili ty policy forms. MONRO 02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe CO\;Lnty Board of County ColtDissioners Risk Management/Clark Lake 5100 College Road/Stock ~sland Key West, FL 33040 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS....AGENTS OR REPRE9IIJ't'TIVES. ~ ... 6 J;} I CY::r AUTHORIZED REPRESENTATIVE tI ~;... ~ l:- · ~iI 14. ::::::....:....:...:.......:.G>....:......:......J2.:...........:.... '.:...:..'_:._.._.""""'~ W. F. Comi skey , Jr ., CIC 746134 "., ...... . ..... . . ..<' ........ (9AqQFfP9QR:ppRA.....IOI\l1988 A~()~I)..~~SS..(1/~5)