Certificates of Insurance
i~i~i~""""~~' ...... '1'" t' '1" ........... ({I;::::~::\I:::::~:~::~B::::>:::MI":::.I::::iii!A%I:::::::::~:I":::~:~:~::~i~i~i~j~ric;i~~~~:i~~I":::.I&I!~!1~~B!~A!iil:I:::::::::::~I:::::~:::~~i~i~~;j~i~~~j~i~i~i:~~i~i~~~~~i~i~i~i~i~i~j~i;!~!~i;!~i~i;i~~;i~i;~~i~!~~~i~!~i~!~i;i~i~!~i~i~i~~~i~i;~;i~i;~~i~~;~~i~i~!~i~!~~;i~~;~~!~i~~~i~~;~~i~~~~~i~;~~~~~i~~~~~;~~~~~~~~~""......DATE...i_D;m.............~:~~~~
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
-. *' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Sedgwick New York HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1285 Avenue of the Americas ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
New York, NY 10019 COMPANIES AFFORDING COVERAGE
(212)830-1000 Fax(212)830-1025 CO~~Y Travelers Indemnity Co. of IL
INSURED
Coopers & Lybrand L.L.P.
One Canterbury Green
P. O. Box 10108
Stamford CT 06904-2108
COMPANY
B
COMPANY
C
COMPANY
D
:gl',~ii..$.:::::<>:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::m::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::t::tt::tt::::::::::::::::t:::::::::::::::::::::::::.
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.
r POUCY E.ll:'fECTrn! POCty CJllJU.T1ON
I Pc.i~'f HUMBER
CO
ioTR
TY!SE OF i~SUFL\"CE
DATE (MMlDDIYV)
DATE (MlllDDIYV)
UMITS
GENERAL UABIUTY GENERAL AGGREGATE $3,000,000
A ffiMERCIAl GENERAl LIABILITY UC2JGLSA181T832AnL-97 01/01/97 01/01/98 PRODUCTS COMPIOP AGG $1,000,000
! CLAIMS MADE 00 OCCUR PERSONAL & ADV INJURY $1,000,000
~ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1,000,000
FIRE DAMAGE (Arly one fire) $ 250,000
I MED EXP (Arly one person) $ 1,000
AUTOMOBILE UABIUTY $1,000,000
- 01/01/97 01/01/98 COMBINED SINGLE LIMIT
A ANY AUTO UC2JCAP204T4681nL-97
-
ALl OWNED AUTOS BODIL Y INJURY
- (Per peraon) S
- SCHEDULED AUTOS
X HIRED AUTOS BODILY INJURY
- S
X NON-OWNED AUTOS (Per accident)
f---
~ ~O n~{ 7'[' :::ENT PROPERTY DAMAGE S
GARAGE LIA8UTY BY VT.~~1'1J.AJ AUTO ONlY - EA ACCIDENT ~
I---- (n- U-Ci 1
NfY AUTO DATE OTHER THAN AUTO ONlY:
-
- , EACH ACCIDENT $
- ./ Yr"
U: A 'Hr..,. at I. AGGREGATE $
EXCESS UABIUTY EACH OCCURRENCE $
~ UMBRELLA FORM I AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND I ~~TUT~Y LIMITS --
A EIR.O'tERS' UABLITY I UC2JUB181T828-7-97 01/01/97 01/01/98 EACH ACCIDENT $500,000
TliE PROPRIETOAl WINCL DISEASE POliCY LIMIT $500,000
PAATNERSiEXECUTIVE
OFFICERS ARE: X EXCL DISEASE EACH EMPLOYEE $500,000
OTHER
I
I
!
* Monroe County Board of County Commissioners
I
I
DESCRIPTION OF OPERA TIONSlLOCA TIONSlVEHICLESlSPECIAL ITEMS
* is an additional insured as defined in
add1t1onai 1nsured endorsement CG 20 09 11 85 of policy
UC2JGLSA181T832A-TIL 97 for work perfo~ed by Coopers & Lybrand
L.L.P.
.. ..... . . .
~iq_tm~4Q)ij~P~R~: '" :.:;/i}:///.:i}.:}.::::i}}}}::\.:
Monroe County Government
5100 College Road
Key West, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRA TlON DATE THEREOF. THE ISSUING COMPANY WILL ENDD VOR TO MAL
~ DAYS WRmEN NOTICE TO THE CERnFlCATE HOLDER NAilED TO THE LEFT.
BUT FAIWRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATlON OR UABIUTY
OF ANY KI~D UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
...................................................................................................;~~~;~..::..;g.:::t;~=;t;ij_fiil':iiii:m{
.;
.........................l............ ... ....
~At<mQ~~~~_~~~t_)~~:~~::::::::
Coopers
& Lybrand
Coopers & Lybrand L.L.P.
One Canterbury Green P. O. Box 10108
Stamford, CT 06904-2108
a professional services firm
inter-office correspondence
to:
Luther James
date:
June 3, 1997
from: Jana Grast
subject: Montore County Government
Attached please find the original Certificate of Insurance you requested for General Liability, Automobile
Liability and Workers' Compensation. Professional liability will be sent directly from our broker Minet.
If you have any questions, please call Robert Pattison at (203) 921-4362.
Ijlg
Attachment
Global Professional
Services
Minet Inc.
At'.ii..
inel
1801 McGill College Avenue
Suite 1100
Montreal, Quebec H3A 2N4
Telephone: 514.288.2273
Fax: 514.982.5175
June 4th, 1997
BY COURIER! FACSIMILE
CONFIDENTIAL
Mr. Luther James,
Coopers & Lybrand L.L.P.,
2400 Eleven Penn Center,
Philadelphia, PA
U.S.A. 19103-2962
Dear Mr. James:
PROFESSIONAL INDEMNITY INSURANCE
RE: Verification of Insurance Cover
As requested by Coopers & Lybrand L.L.P., Stamford, we have pleasure in enclosing our
Verification of Insurance issued to Monroe County Government. The original copy will follow by
courier today.
We trust you will find the enclosed to be entirely in order.
Yours sincerely,
/ '-h~ ./
~7'~~~;<~
Senior Account Representative
Enclosure
cc: Jana Grasty,
Coopers & Lybrand L.L.P. - Stamford
f Tl (]' P 1 ~ r . , I _.
J:\CL\97 _CORRWER-INS\97ClV116.DOC
Global Professional
Services
Minet Inc.
M'8iiia.
inel
1801 McGill College Avenue
Suite 1100
Montreal, Quebec H3A 2N4
Telephone: 514.288.2273
Fax: 514.982.5175
VERIFICATION OF INSURANCE
We, the undersigned Insurance Brokers, hereby verify that Z C Specialty Insurance Company has
issued the following described insurance, which is in force as of the date hereof:-
PROFESSIONAL INDEMNITY INSURANCE
NAME OF ASSURED: COOPERS & LYBRAND L.L.P. and others as more fully described in the
Policy wording.
POLICY NO.
UNDERWRITERS
PERIOD
VS97SWE-P10001
Z C Specialty Insurance Company
12:01 a.m. May 1st, 1997
to
12:01 a.m. March 1st, 1998
LIMIT:
US$500,000, an annual aggregate amount as more fully described in the
Policy.
RETENTION:
Various, as specified in the Policy.
Subject to the terms, conditions, exclusions and limitations of the Policy and co-insurance by the
Assured for percentages of the limit not insured.
This document is furnished as a matter of information only. The issuance of this document does
not make the person or organization to whom it is issued an additional Assured, nor does it modify
in any manner the contract of insurance between the Assured and Underwriters. Any amendment,
change or extension of such contracts can only be effected by specific endorsement attached
thereto. EO ~.!\.SS~K.~ A.~Gf~Ml'~"'T
Issued to: Monroe County Government BY ~_ ~ ...
~:~O~e~~~~~o~~:d DATE .. \o-Jt::L7
U.S.A. 33040 WAIVFR: ~/A J.Vf5
Issued at:
Montreal, Quebec
Per:
~okJv
Date:
June 4th, 1997
Divisional Executive Director
p ~l r: J ~ 1 r-. 1 I
J:\CL\97 _CORRWER-INS\97CL V116. DOC