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Certificates of Insurance A....III... C.RlIIICAleO'p':NSU,R:ANCE """"~~""""'0I""""""'1'"''''''~~__'''~'"'.''-'''__''''~''':ll""",""''~'''''''''-,:""~,,,,,_ PRODUCER DATE (MM/DD/YY) 01-10-95 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 ,.._~I~~E C~~~=:~I~;::~~~~~:~~i:~b~~~~~~..... COMPANY A Bankers Insurance Co The Fullers Inc 3600 Roosevelt Blyd Key West, FL 33040 INSURED COMPANY f,PPROVED BY RISr, MJ"t~.\(:t ;\'; ;'.; COM~ANY ::Tr~~--- COMPANY lco~ 0 WAIVER. Nt''' <~----___ l THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I 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&~T .'._._-~:':~:~~R~NC:--...":'-- ._-~~:: NU::R-..'-.... ., ~~;~~~~=~g~~. np~~~:(~i~~~~' LIMITS .1----+-- .. _.______.-.__.._;-_"'._..._______._._._..__._,..........__.___._____..._.....__.... .___......_._.__._..__.___... .__._._...~__..... .".__..._.____.... '_."'_..._ I i GENERAL LIABILITY GENERAL AGGREGATE $ I A iliJQQ~MERCIAL GENERAL ~IABILlTY : p~O~~.C~i-~~~;/QP.AGG $ -L..J CLAIMS MADE [!:i OCCUR GLA09-4810281-00 12-27-94 12-27-95 PERS9NAL & ADV INJURY $ -----, OWNER'S & CONT PROT g~c_H.()C9lJAA~NC;_ $ fiRE [?AMAGE (Anyo!1e fire) $ " "~'---r--~-'--,,,,__,_,,_ ------.~.._..".._-_._----.--,~~I?_.;~~.J~~_.()~e_p~~~!:ll_..._"" .$__ 311 Margaret Street Key West, FL 33040 ~l{' :_~ 5QQ_, QQQ. ~QQ,Q_OO _ !2QQ~_Q Q Q ?QQ,QQO _.?_Q, QQO . .__.-~JlQ_Q ._ AUTOMOBILE LIABILITY i 1 I ' ' ALL OWNED AUTOS 1 A i-X'--; SCHEDULED AUTOS j r-X--; HIRED AUTOS I )C: NON-OWNED AUTOS I ANY AUTO ! ~_~~RAGE LIABILITY ANY AUTO '--j COMBINED SINGLE LIMIT $ BODIL Y INJURY $ 100,000 10-14-94 10-14-95 (Per person) BODIL Y INJURY $ 300,000 (Per accident) PROPERTY DAMAGE $ 50,000 BA 09-3800254-0-01 _._-_..".~_._--~,...-...-----...._--'--...-"----~,.._.--...".""_.....,.....------..,,'......--.- ,.,--- ...-.,.....-""'---... -~------~-.-..----""'._"--------~--~ ...._~,""'___.._..,N..._>.,.,. ~....._ '. AUTO ONL,'(-EA .}\9gl()~~T $ OTHER THAN AUTO ONLY: - _... __ '0" "_._~___ ____.....___. __ _."_ L_~!~ESS LIABILITY ._.__, UMBRELLA FORM i OTHER THAN UMBRELLA FORM i WORKERS COMPENSATION AND ! EMPLOYERS' LIABILITY ! THE PROPRIETOR/ , PARTNERS/EXECUTIVE : OFFICERS ARE: OTHER EACH A99JP~NI $___ -..-- ... _.._....--,._.._--..,-....._..__~_,_....__.._,.._..._.__,__..._.~~GREG~,~_.._.l.._....__._____.._ EACH Q9_CU.RRENCE $ AGGREGATE $ -----.---.......-----....--- .....----...,-,.... - -,-.....--.. .'--.- --_..__._-_._..,_._.,~..__._--_.__.._-_. STATUTORY LIMITS - ...... '.---.. ... .. -" -, ". - - EACH ACCIDENT $_ DISEASE: POLlC~ived~ " ~------'r--"_"_-t-Dli~k- ~i~r. itros~ ConrI"oJ DATE II/11ft;.'" ( . INITIAL La _ -----..-----..-,~-,-_.-,-_.,.__._..h __.._,,__,_._._~,-_-.~-_-----.,..._._ ,.~._",._ DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS Refrigeration and A/c: Sales, Service and Installation Vehicle schedule submitted 11-14-94 CIMfFIC.TI........HOtOIA and Additional Insured CANCEll.ATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ~ EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL -1Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, I BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ~ AU OF A:~R:~~~SE~PON THE COM~~~~EPRESE~A~~~~~....! ~~ @ACORDCORPORATION1993: Monroe County Board of County Commissioners Attn: Public Works 5100 College Rd, Room 502 Key West, FL 33040 i ACORO. 25-S. (3183) ...'.....~~.-,._..._,1',..",."_.....a:,~",...,;.........,;;,._.._.._~_,._."."._'.,''''~,..,,...,''....~''''.....~_,.._~-........__~__._....,''''........._,''''''''-._.__._~__._''_..,.~~...-..,,_.''''_~_~.._~__"'" lI1e....I111..,ei:':0f':)!i'.rlSU:I1A.e Oi~Eio~95) i I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1 ; ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ! HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR U!JEFtrHE C~~=~::I~;:~~~~~~:~~~~~~~CIES B7-~ COMPANY A FTBA Self Insurers Fund The Fullers Ine 3600 Roosevelt Blvd Key West, FL 33040 ~----------------------------------------------- ----- ------.----- ._------------------------------------------------------ P INSURED I CO~ANY APPROVED BY RISK MANAGEMENT I ~1~ ~a~;::~e~~~e:~e, rne COCANY~Y. . '7 //f~A) I Key West, FL 33040 COMPANy{l~TEI:.':ll~ 515 I !. ". i.. .... ...... . . i . · .i., .,.. .." ".., ..... 'ii.. " D :::; I ! INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS I 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. 1-------- i-------------- -----------.-------.-1------------------------.---------------.---,-------------------.---- -----.----i._h____------ --- ----- -- -------, I co i TYPE OF INSURANCE; POLICY NUMBER ! POLICY EFFECTIVE 'POLICY EXPIRATION I L TR ! GENERAL LIABILITY , ...; DA~:i~~~~~-i-~~E_~~~D/Y~) GENERAL AGGREGATE LIMITS$ ____ ___ I S:!~~:;c~:~::I?J':~~: I :~~~~:~~~:~~i:~u:~G .: l t-----l $ $ AtDttlllt~ PRODltCER r AUTOMOBILE LIABILITY ~----) I----..J ANY AUTO I ALL OWNED AUTOS SCHEDULED AUTOS 1--0-----: HIRED AUTOS NON-OWNED AUTOS i GARAGE LIABILITY ! ANY AUTO , EXCESS LIABILITY UMBRELLA FORM I i OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND A I EMPLOYERS' LIABILITY 890-2848 THE PROPRIETOR/ I PARTNERS/EXECUTIVE OFFICERS ARE: OTHER r-----l ; , [INCL rx. EXCL I _ FIR ~_ Q I\~I\~ !=(A!ly"C)~~_!i re) MED EXP (Anyone person) COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT $ .._----..--___._...__,_,____,___~~.~EGAT~_._!._________...____~ EACH OCCURRENCE $ AGGREGATE $ -"--'---~-'_.-. .----..-..-....----.-_!_----.-.-----..---- , STATUTORY LIMITS 01-01-95 01-01-96 EACH ACCIDENT $ 1 OQ~_Q_QO DISEASE - POLICY LIMIT $ 5_QQ._~_Q_QO -------~~s.~~~~~.~~~_':i~~~q~~~ .,~_._.~ 00 .~ 0 OQ._._~__ ~j . : I DESCRIPTION OF OPERATIONS/LOCATlONSN~HICLESlSPECIAL ITEMS .--.----------- -- -------- --.- --..-.----_____.____ '__'..__ I Refrigeration and Ale: sales, repair and installation ! ~ CEII'rIPle~TeHOI.OeR Monroe County Board of County Commissioners Attn: Public Works 5100 College Rd, Room 502 Key West, FL 33040 t 1 ! i I I ACOFtD25-'Si{$l93) OANCELLA110N I 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 COMPAN~!-J~_~~ENTS O~,. REPRESENT~~~~:.....~.._~ r A THO PRESENTATIVE ! '-""~~''''''~-*....~.."....., -"~ ""_.~.,,,.;,l..... ....,...,~,-,..~"''''-''''u_ '..:...-.-,......,......_11.... ,..,v....,.,.''"''*''''..~i.........~~~__.....~_~._~:_.~_,.~..__.:__ I A.~.tlll.e /PRODUCER ~c"_~-~~ __".J\.~I__ ISSUE DATE (MM/DD/YY) THE FULLERS INC 3600 ROOSEVELT BLVD KEY WEST, FL 33040 2/09/95 k THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Received CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Risk M-mt & La ,D_Q.~~J~OT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE ~ . · , 55 \fIim.1im~s BELOW. DATE COMPANIES AFFORDING COVERAGE INITIAL ~ COMt-'ANY A LETTER FIRST OAK BROOK SYNDICATE OF ILLINOIS INSURANCE EXCHANGE INSURED f~T~~~NY B D & V COMMERCIAL A/C, INC 311 MARGARET ST. KEY WEST, FL 33040 f~T~~~NY C By_Af'P~~NT D!iT~ ~ ,-~ ;; /~ ',""iER: N/A / YES ol(J(;, CL~ 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 A GENERAL LIABILITY X lfOMMERCIAL GENERAL LIABILITY CLAIMS MADE XX OCCUR. DOL 169976R12 OWNER'S & CONTRACTOR'S PROTo 02/02/95 02/02/96 GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) $500,000 $500,000 $500,000 $500,000 $ 50,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY MED. EXPENSE (Anyone person) $ COMBINED SINGLE LIMIT EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM BODIL Y INJURY $ (Per person) BODIL Y INJURY $ (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE $ WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY LIMITS EACH ACCIDENT $ DISEASE-POLICY LIMIT $ DISEASE-EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS REFRIGERATION, A/C: REPAIRS, SALES AND INSTALLATION CIRT.IPICA1"e.HOI.DEA CANCEt..LA."'ON MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: PUBLIC WORKS 5100 COLLEGE ROAD, ROOM 502 KEY WEST, FL 33040 ADDITIONAL INSURED ACORD2S-S(1190 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, IT GENTS OR REPRESENTATIVES. REPRESENTATIVE ec '_ ~<< < <'" / <e>~~~f'~ii~~HeC)"'~JjIQ"..i~.'Cl A.D..lllt.. C'8RTIRlCiA'8KOR'iINSII'RANCE 82T~~M4~915) PRODUCER , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Received I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Thie Fullers Ine Risk Mgmt. & Loss Contr~ ~~fC:~H~Hb~;;:l~~c:~~o~g~g :~~ttEM~~~icFE~~~~O~ : 3600 Roosevelt Blvd DATE .:J./~r/lj'(" '---'=COMeANleSAE~ORQI~(3COYEFlA(31E ---- II_ - - ._______It-JI'I'I~~_______~ CO~ANY ; INS:R:: ~-~:~~::ei::O:: C, ine COMeANY q:::~YR~:~~ ~~~__ I 311 Margaret Street COCANY --- 2--.:1:5".-?S c.~.c....... I, Key Wel~t' FL> 33040< .... .,." ,GO~ANY";":~R N.'A ~s I 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, ~---r~QLU~~~Nrn~!OFSU~~~IE&~~~~~E~~~~~~~~E~~~~I~, i . I .! I &~ I TYPE OF INSURANCE' POLICY NUMBER ____~;}~;~~~~)E ,_1~~~~~~~________________~1~~_________________ ! I_~ERAL LIABILITY : GENERAL AGGREGATE .,' $ i i i COMMERCIAL GENERAL LIABILITY i PRODUCTS-COMP/OP AGG . $ f ;----+.--, r--l; I ! I I CLAIMS MADE I i OCCUR! PERSONAL & ADV INJURY ,$ i '---t----, ___I; t ,_____ j OWNER'S & CONT PROT EACH OCCURRENCE $ i==IRE [)A~_~~~ (Arly ()ne_!i~eL ~.~ __.___--.--_______~ED E~~.0~y_.~~~J>~~~L__,._"t_.._~________~_... i AUTOMOBILE LIABILITY I----J ANY AUTO : ALL OWNED AUTOS ,____) SCHEDULED AUTOS ,_____j HIRED AUTOS i NON-OWNED AUTOS ; --------1 COMBINED SINGLE LIMIT $ BODIL Y INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ j.-------- -, l_~_~RAGE LIABILITY i ANY AUTO ----------.-__,-...-....__.....a__"-.-,...........______._.__,~ __~.~_...._""'-.........~,__..__-.-,___.__.._..... .,~_,..,_____..__ ....._."-""___._ : EXCESS LIABILITY UMBRELLA FORM i OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND A i EMPLOYERS' LIABILITY AUTO ONLY - EA ACCIDENT _ J~__ OTHER THAN AUTO ONLY: EACH ACCIDENT $ .----...--.------------.---- ---'-'- ".------.~~~F.!.~~I!__ ~.._.. ._______ EACH OCCURRENCE $ AGGREGATE $ ----....-..----.-...-..--.... ._.__._-_._....'-~. .---..-.............-.-....-..-..-------..-L- ___~..__.._..___.. 890-02848 01-01-95 01-01-96 STATUTORY LIMITS THE PROPRIETOR/ ! PARTNERS/EXECUTIVE , OFFICERS ARE: , OTHER ,-----1 : I ~ INCL : IX I EXCL: I EACH ACCIDENT $ 10_0 -..0_00 ql~~ASE - POLICY L1Mn:__ $ _ SUO, 0.0_0 ____._.__~.M__.____...__~~AS~.~.~~_~~~_~~~~._~_. 1 00 , 000 I I DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS I Refrigeration, A/c: Repairs, Sales and Installation I 1~~~~fiB~~rd ..Of.....county Commissioners J Attn: Public Works I I' 5100 College Road, Roam 502 :: Key West, FL 33040 _.._.....A'."___...__.....,____-...___.____...,________,__...~..~___......., -....__._~_...4_..__ ""__""__b".~_ ""_",~""",_,____._ .''''__~_'''' ..._____...._.____. _....~._..._..... .......___.___,_...._ CANCELLATION I I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I 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 t., .~""'~;:H>''''~-____"""",~_"",:, .....~.~ ~~,. ..".,"".,.,-,'.....,'c"" .~"""'.....~"~_.~.-t,-..~......._.""""''''.....~....._........,.,..."._... ~-'""......."""'---'~""_.._--..,..,..,,,.~.......----,.___..;d______~.....,.,.,...-,, ..~,,......~..-.. I /(00FlD284..(3.) t'c .' cp!~ ~ ISSUE DATE (MM/DD/YY) 03-15-95 KP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND f CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE i POLICIES BELOW. COMPANIES AFFORDING COVERAGE At~ttlllt@ CE:RTIFICA1EOP..INS_ PRODUCER THE FULLERS nre. 3600 ROOSEVEL11 BLVD KEY WEST, FL 33040 Received Risk Mgmt. & Loss Control DA TE .3/ dq /~ f~T~~~NY A FIRST OAK BROOK SYNDICATE OF _G- ILLINOIS INSURANCE EXCHANGE INITIAL 0- f~T~~~NY B INSURED D & V COMMERCIAL Alc, INe 311 MARGARET ST. KEY WEST, FL 3.3040 f~T~~~NY C f~T~~~NY D IZece!ved l\ifgrnt. &~ I..oss Control f~T~~~NY E : l\l!TIA L_. o .A..'J'}~ .______._<_____..___._____ 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) A GENERAL LIABILITY xx COMMERCIAL GENERAL 1~IABILlTY DOL-212539 02-02-96 02-02-95 CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROTo AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY APPROVED BV RISV M!:N"~rF~.:.ENT BY- ~~~~ DATE ~_02 ?~ ~-s \~J!: 'VFR: N !" ~ / vC"C' ... ..: ___~____.. I.. _ " ._._"...., __..._.___ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER DESCRIPTION OF OPERA TIONS/LOCATlONS/VEHICLES/SPECIAL ITEMS REFRIGERATION, A/c: REPAIRS, SALES AND INSTALLATION CERTIF.CA'FEi....Otl)&R MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: PUBLIC WORKS 5100 COLLEGE ROAD, ROOM 502 KEY WEST, FL 33040 ADDITIONAL INSURED ACORD 28-S. ('7/90) L CANCELLATION LIMITS GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) $ 500,000 $ 500,000 $ 500 ,000 $ 500,000 $ 50,000 MED. EXPENSE (Anyone person) $ COMBINED SINGLE $ LIMIT . BODILY INJURY $ (Per person) BOD!L Y INJURY $ (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE $ STATUTORY LIMITS EACH ACCIDENT DISEASE-POLICY LIMIT SHOULD ANY OF THE ABOVE DESCRIBED PO B D 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 Q ANY KIND UPON THE COMPANY, ITS AG TS OR REPRESENTATIVES. [ A.t..II~.8 \ PRODUCER I C..lfICA.....;Of...IH.UAANCE ._'""....,..---,...~..:r""'..~~--~.............-""'~#...~...,"',:,.-~,'''_...~_.:<f">"''......-.--..~_..,~.,....''"__~..,.. The Fullers rne 3600 Roosevelt Blvd Key West, FL 33040 - ~,....._------""-------....~_.~-.__.......-... THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Received ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ltisk Mgmt. & Loss Contrd1-1~~111~b~;::1~~C:l~~g~g :~~tt~I;M~~fic~~i~fQW DATE '/ q9r- COMPANIES AFFORDING COVERAGE INITIAL .. _ d_~ COMAANY i~~~~~~:k~~~~:~~~:-d:~~~:~;: -------------- COMPANY EhrougIi- PrOgr ani--Uiiderwri-fer s B DATE (MM/DD/YY) 05-25-95 INSURED COMPANY 1iPPRO\7ElJBY R1SKMAN~GE~~E~ii 0 ~/~ C..... Wf~C/;~~ .c~~~ COMPANY / /.cove..<*.i<..i........\i...............i......ii....iiiii\.... .. --- D OATF. .. ~ - (; -7$" ____ i THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE'IlIQ$URED NA,,!~ ABOVE FOR THE POLICY PERIOD I INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENIWITH 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, r---- rl;_~_9LU~IQ~S AND__COt~DIIIO~S OE_SUCH P9L1CI~~~!I~ S~O~~JY~_Y_Jj~Y~_~_~EN. Fl~J?LJGEP J3'(F>>AIR_9LAIMS. D & V Commercial A/C, rnc 311 Margaret St Key West, FL 33040 i co ) LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS r--- i !_~!!!OMOBILE LIABILITY : ANY AUTO ~------------------- ..-~~~;L-;~~FlE;~~i--~. ~Q.<5;Q()(r----- PRODUCTS-COMP/OP AGG $ 500,000 02-02-95 02-02-96 PERS9~,,-~_~~qY~I~J_~RY - '$-5Q~Q~;~_QQ9 ;,,9H__99QLJA~~N9~ $ 5_QQ_ ,.Q_Q_O _FIBED~~~~l:J"rlt~~€)fire) .$ ..... ?O_~__QOQ ---.-1--------_<>___..___.____._ _ -.-~~I?~~.{A'!Y_<?.~_P~!~_~L._.._~__._.__~!_qp 0 J GENERAL LIABILITY ; ~~ , ! A :~~9~MMERCIAL GENE~NABILlTY ' ! i ! CLAIMS MADE I X I OCCUR DOL212539 f--_.t---:- _! L___J OWNER'S & CONT PROT !~-- ----.-. i COMBINED SINGLE LIMIT $ r--~--i ALL OWNED AUTOS i SCHEDULED AUTOS BODILY INJURY (Per person) $ i HIRED AUTOS ;--.-., i NON-OWNED AUTOS BODILY INJURY (Per accident) $ >-----, ! I GARAGE LIABILITY i ANY AUTO PROPERTY DAMAGE $ ......-.-.--.-......----""-..--------._,~..~._v_.___......____.......__.._______..._______""_, -<<'-...----=-.~--.-"'___.__....r._.___"~___,__ I \...- I i I I ~LJTO ON_~_Y - EA ACglDENT ,$. OTHER THAN AUTO ONLY: -.-- ". - -- --. ..' _. -, ...--. .. -- . --. - f-..-..-.~---....:.,--j _~_.____.._._.~_.._____.__,.._____._____._.__ _._.._...____ EACH ACCIDENT $ ~-._.'4"-----.----,.---.___.__._._.__.... __._~GGRE~_~__.L_____.._.._ ...__......_._..._ EACH OCCURRENCE $ AGGREGATE $ -~--_..~-_.._,.._. -----..--- ._._~_."---~--.".._._..._._---_..- ,--._.._~.. .....-.---- '''--'-'.- .---.- ._._...$--_._---~..- -...-- STATUTORY L1M ITS EACH ACCIDENT $ _ DISEASE - POLICY LIMIT $ --------.""---.----.--..- DISEAS~..:.~~.9!:i_~M"~'=_Q.!E!_ >O.~_.__.._..________ EXCESS LIABILITY ------, UMBRELLA FORM !---j I i OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER r-----u1 l.---J INCL , I I i EXCL: DESCRIPTION OF OPERATIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS '.$-..----------...-...,-.----.------...----0-.--- Refrigeration, A/c: Sales, Repair and Installation CIRTlAe_18 NOIWOIR Additional Insured CANCELlArlON I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I,' EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, I BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY : MPANY, IT Monroe County Board of County Commissioners Attn: PtiblicWorks: 5100 College','Rd ~~;c~l;~~a~~ 33040 CC:.~ S~ ACORD.2"8~a7IS) AtDttlllts e......1Il1I,11l."I.UIIAN... DATE (MM/DD/YY) 05-25-95 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Received ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Th 11 ' HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR e Fu ers Ine Risk Mgmt. & Loss Control L__~:rER THE COVERAGE AFFORDED BY THE POLICIES BELOW,__ 3600 Roosevelt Blvd Key West, FL 33040 DATE '-1")/7'5' CQPJlf'ANIE:$uAFFOR[)INGCQVERAGE COMPANY I'NSURED-~- ------- n___n_______~l\1J~1~~______~_ COM:ANY FT:p~R:V~~~y ~~:::::;,E:E~;nd I ~l~ ~a~;::~e~~~ A/C,~Ine COM~ANY -.BY~~~~~ - f:::.:c. I Key West, FL 33040 -n~Tf""'- ". ...~---7~~~.. r COMPANY \.'~:;.TR: N/A I'~~ CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BE:N ISSUED TO THE INSURE~;~:BOVE FOR THE POLICY PERIOD I 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--'---hi----------.....-.--....-----.----------.---T-.-.-.--..------.....--------.---. '''''-_'''__'''_'hn 'j'--"'-"-'-" ".. . _.. .... .... _......... . . _ . .__ I. LCTOR il' TYPE OF INSURANCE I I: POLICY NUMBER POLICY EFFECTIVE . POLICY EXPIRATION , DATE (MM/DD/YY) DATE (MM/DD/YY) I I I --..--.------....-- .--.-----_.__..._.. _____._______ fJ!~NERAL LIABILITY ! GENERAL AGGREGATE i I COMMERCIAL GENERAL LIABILITY : PRODUCTS-COMP/OP AGG [--=rJ CLAIMS MADE [] OCCUR I PERS~~~~ & ADV INJURY -. [ , OWNER'S & CONT PROT ! EACH OCCURRENCE PRODUCER LIMITS i AUTOMOBILE LIABILITY f-._-, ,___J ANY AUTO ~"'___I ALL OWNED AUTOS . ; SCHEDULED AUTOS L.._ ....-i i HIRED AUTOS NON-OWNED AUTOS $ $ $ .$ - ~1J=l.Eg~M_I\~E (Anyone fire) :H~'_ ~~5.XP (A_~_~~~ pe~~.L_.._.J-___________ COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ -------.....--..,.'"I.-~~_.------'"---_.-.._----- _...__...__.,_____. .. r-._"..__.._...~.,;_.._'______..'.._-.__.~...._______~___,.__,..~_.~___~~ i GARAGE LIABILITY ;---1 . . ANY AUTO t i i ~ I Ii ! EXCESS LIABILITY :=J UMBRELLA FORM ~ , WORKERS COMPENSATION AND A: EMPLOYERS' LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT $ -----..-----....,----.-.------.----.- ..-.-_.._.~~9_~~~~.~_._~_.__.____..____.__ EACH OCCURRENCE $ AGGREGATE $ I OTHER THAN UMBRELLA FORM ...--,.,.------.........-.-.....,.,""----,~,.._.---"..~.._--~ ..~_.,.....".'-,~,.... .-~-..-.-,..---~~-._-.................."'~-..-"-..... "--_...~ .--.-,,~.~"-<.,........-......-...-.- ..._-~--..._"'-,_. '-r'..._~.,.".-' '_.h,.","" ,,~__..^_~....,~ THE PROPRIETORI P ARTNERS/EXECUTIVE OFFICERS ARE: OTHER r h-.-Hi i i INCL r'---'1 i X i EXCL 890-2848 01-01-95 0-1:-01-96 STATUTORY LIMITS EACH ACCIDENT .. $ ..1_QQ.'uQ.OO DISEASE - POLICY LIMIT $. 5.0Q.,000 .." ._!?~~.~.f\~.~..- ..~~C?.~.~~ ~~_~~.~_~_ .~ ...__.! 0 Q-.JJQQ . ....__. i DESCRIPTION OF OPERA TIONS/LOCA TIONSNE'HICLES/SPECIAL ITEMS . ..---......-..-..-..--------- ---------...---. , Refrigeration, A/c: Sales, Repairs and Installation . ~ . ! .-.--.- -..-----~:.---. ------~.-...;-1-t~.- ~ fCI""N~1I:HOtOef1 ! Monroe County Board of County Commissioners I Attn: Public Works J 5100 College Road j Stock Island Key West, FL 33040 ; C C : C/.IJ/j y 5/juJ y~ j I F/~~ I ACOFlD25-S(3193) ~. CANCELLATION ..,..........,------~.,------.-._--~ 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 At~ttlllt~ CERTIFICATE OF INSURAN_ ISSUE DATE (MM/DD/YY) PRODUCER The Fullers Inc 3600 Roosevelt Blvd Key West, FL 33040 11-07-95 THIS CERTIFICATE is ISSUED ASA MATTER6F 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 f~T~~~NY A Bankers Insurance Co INSURED D & V Commercial Alc, rnc 311 Margaret St Key West, FL 33040 f~T~~~NY B f~T~~~NY C Recelveo .t{;.~::':' lvignJt. & Loss Control DAn --~.:..~Z_~~?:?_=_ INITIAL ___._~!::."~___~____ 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 CLAIMS MADE OCCUR. GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED. EXPENSE (Anyone person) $ OWNER'S & CONTRACTOR'S PROTo AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS A X SCHEDULED AUTOS X HIRED AUTOS X NON.OWNED AUTOS GARAGE LIABILITY COMBINED SINGLE LIMIT $ 95-1212 11-07-95 11-07-96 BODILY INJURY (Per person) 100,000 $ 300,000 BODILY INJURY (Per accident) AND EMPLOYERS' LIABILITY APPROVED BY RISK MANAGEMENT BY~Y/1~ [WE _ I/"'"' / -Y'-7'5 '," ~ "-- PROPERTY DAMAGE 50,000 EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM o~(C. C~ EACH OCCURRENCE $ AGGREGATE $ WORKER'S COMPENSATION ~ r). STATUTORY LIMITS EACH ACCIDENT $ DISEASE-POLICY LIMIT $ DISEASE-EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERA TIONS/LOCA TlONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER and Additiona.l.' Insured: CANCELLATION 1. 1992 Ford F250 IFTHF25H5MNB16637 2. 1994 Ford F350 IFDHF37HORNA16032 3. 1994 Ford F250 IFTEF25N5RNA36707 Refrigeration, A/c: Sales, Repairs and Installation Monroe County Board of County Attn: Public Works 5100 College Rd, Room 502 Stock Island Key West, FL 33040 i#ht:J(; ACORD 25-8 (7~ c c t CtA/'Y .6~~---,<J JIit~ F 1l.-e5' CommissioneIf~ULD 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. RIZEDREPRE~ J~ ------------ -t(' ,:;;(~b @ACORD CORPORATION 1990 At:ttlllt~ CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) 12-13-95 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. The Fullers Inc 3600 Roosevelt Blvd Key West, FL 33040 COMPANIES AFFORDING COVERAGE f~T~~~NY A Bankers Insurance Co INSURED f~T~~~NY B Received Risk Mgmt. ,& Loss Contro! DATE /./ -1..t;5- J -- IN ITIA L _.~___". ____._.__,__~.__ D & V Commercial Alc, Inc 311 Margaret St Key West, FL 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 AGGREGATE $ PRODUCTS-COM PlOP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED. EXPENSE (Anyone person) $ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROTo AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS A X SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY COMBINED SINGLE LIMIT 09-3804044-3-00 11-07-95 11-07-96 BODILY INJURY (Per person) $ 100,000 BODILY INJURY (Per accident) $ 300,000 PROPERTY DAMAGE 50,000 WORKER'S COMPENSATION $ $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM AND EMPLOYERS' LIABILITY .: '!~ VFC: STATUTORY LIMITS EACH ACCIDENT $ DISEASE-POLICY LIMIT $ DISEASE-EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS This certificate voids and supersedes certificated datecf~ 11-07-95. Refrigeration, A/c: Sales, Repairs and Installation (Please see attached list of vehicles) CERTIFICA TE HOLDER · and Add! t ionalIrisated:CANCELLATION ACORD2S.S(7J90) C C t. C IN 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. ~~~:1990 Monroe County Board of County Commissioners Attn: Public Works 5100 College Rd, Room 502 Stock Island Key West, FL 33040 " . 'lehicle list for D & V Commercial Ale:, Inc Bankers Insurance Company pol #09-3804044-3-00 1. 1992 Ford F250 IFTHF25H5MNB16637 2. 1994 Ford F350 IFDHF37HORNA16032 3. 1994 Ford F250 IFTEF25N5RNA36707 At~ttlllt~ CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) The Fullers rne 3600 Roosevelt Blvd Key West, FL 33040 01-11-96 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. PRODUCER ------_._---..._~-,-......._--..-,... -'--"'-'-"""---~_."'---'-":''''''''''~''-''-'''~-'' COMPANIES AFFORDING COVERAGE f~T~~~NY A FTBA Self Insurer's Fund INSURED f~T~~~NY B Received l\.'lgrTH, & Loss (~ontrol /._~-~~. ?k___ .Qc.t-// D & V Commercial Alc, Inc 311 Margaret St Key West, FL 33040 f~T~~~NY C D;'~TF f~T~~~NY D i r~J I '''1' f A I " ---......---_...,,---.._--~.--_-~"'._~---- 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 CLAIMS MADE OCCUR. GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED. EXPENSE (Anyone person) $ OWNER'S & CONTRACTOR'S PROTo AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY BY ~~/~ C~~ COMBINED SINGLE LIMIT BODILY INJURY (Per person) DATE '!;"dVER: N/~. _L- YES BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM ... '!l'''--'_?<''''''~''''_''''';_1~'W'_'''', _____........1\>-.'"........"'......< "'_',.,," EACH OCCURRENCE $ AGGREGATE A WORKER'S COMPENSATION AND 890-2848 01-01-96 01-01-97 STATUTORY LIMITS EACH ACCIDENT DISEASE-POLICY LIMIT DISEASE-EACH EMPLOYEE $ 1 00 , 000 $ 500,000 $ l 00 . 000 EMPLOYERS' LIABILITY OTHER , DESCRIPTION OF OPERA TIONS/LOCA TlONS/VEHICLES/SPECIAL ITEMS Refrigeration, A/c: Sales, Repairs and Installation ! CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of County Commissione~PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Attn: Public Works MAIL l.!L.-- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 5100 College Road, Room 502 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Key Wes t, FL 33040 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, i ACORD 25-$ (7/90) , CC :#~~ At:ttlllt~ CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) The Fullers rne 3600 Roosevelt Blvd Key West, FL 33040 02-09-96 ! 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 L?~LICIES BELOW. ~___~.__~_____..__,___ "^' PRODUCER COMPANIES AFFORDING COVERAGE INSURED f~T~~~NY B COMPANY A LETTER UnionAmeriea Insurance Co through Program Underwriters D & V Commercial A/C, Inc 311 Margaret St Key West, FL 33040 f~T~~~NY C '" AP~BY RISK MANAGlMENT t'___ C7~ ",..___~~_~__-:: ;J ~__ t>~/t, C t..on€ K..... f~T~~~NY D f~T~~~NY E ; " L ~<: r~/A /' YES 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 X OCCUR. OWNER'S & CONTRACTOR'S PROTo 96-142 02-08-96 02-08-97 GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED. EXPENSE (Anyone person) $ 500,000 500,000 500,000 500,000 50,000 _~~QQO N'''' ._, AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) ", .'-' ~VR.L':rn t. ,$; Loss Control -,"..02_=L~~._-7~ __ J i\HTit\.1 . .._._~_.__________ PROPERTY DAMAGE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE $ WORKER'S COMPENSATION AND OTHER STATUTORY LIMITS EACH ACCIDENT DISEASE-POLICY LIMIT DISEASE-EACH EMPLOYEE $ $ EMPLOYERS' LIABILITY DESCRIPTION OF OPERA TIONS/LOCA TlONS/VEHICLES/SPECIAL ITEMS Refrigeration, A/C: Sales, Service and Installation 1 CERTIFICATE HOLDER and Additional Insured: CANCeLL.ATION Monroe County Board of County Commissioners Attn: Public Works 5100 College Rd, Room 502 Stock Island Key West, FL 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 NY, ITS AGENTS OR REPRESENTATIVES. @ACOADCOAPORATION 1990 ACORQM ""'....."...,_..'.,~'c"P,._.~~~_____" .._ . ,.... .....' -,' -.- . . .... .. ,', .' .. '. . .' -, '. ,,'.' .,'., -.- '.' "". .'.'.' .' '., -,...' ,.' """'- -,... '-,,' , " .... ". -., ., ,.'.',' .' , .... .. "-"'" '.... "'" ,.. .' '.... '.. .'.' ,.' """""" '.-., -"'. .... . ",. "' " "..' .-. .'.'. . .' '. ........,...,.,.. '.. '.-,..' .' .'.' ..... .....,.." ".,.,., -,.... "'" .' - .' .".< .., GIR'fIIIGA1~.. QIJ.-i'"J1I.fj;jl_fR.I:lillt-JI. .. ...<iHi>... . DATE (MMlDDNY) ,,',',' ". ::-:-',:-:,:.:-:,;.:.;,;.;.;.',;.:..-:.:.;.;.:.;.;.;.:-:.;.: ..,..,' " ,',,",',''','. '..... ' 12/4/96 ~'~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 PRODUCER ISLAND INSURANCE AGENCY,INC. 3229 FLAGLER AVE #112 KEY WEST,FL. 33040 COMPANY A WINDSOR INS CO. INSURED COMPANY B D&V CCMMERCIAL A/C INC, 2409 ROCSEVELT BLVD KEY WEST,FL. 33040 COMPANY C COMPANY o COVERAO'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/DDIVY) DATE (MM/DDIVY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP $ OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO 309-3013026 11/07/96 11/07/97 COMBINED SINGLE LIMIT xx ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per person) 100,000 A BODILY INJURY (Per accident) $ 300,000 GARAGE LIABILITY ANY AUTO PROPERTY DAMAGE $ 50 000 THE PROPRIETORI PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL Ry~~~[N~ [\~T[ 6-.17-41 Vf~+\lfR:".- -N-Ik-~""-~-"- AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE $ AGGREGATE $ $ " ',.,~. -,--, T~~l~~' - . --'OJ~-----_.-'- ...--. -.-.-- ~ ~ EL EACH ACCIDENT $ Cc- _~ EL DISEASE - POLICY LIMIT $ ~.,-___~J:.~_I_~,~~.~.~.:__~_~._ ~.~~_~9~~.~ .,.~__,.__ ~,. fl\unt EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM ~'.._. ......~- .-. '..- -~._, -"-"---"-"-~-"'--"'-~"-'-- . '.. WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS A/e INSTALLATION & REPAIR. cERnFlcA.ii'HP12i)eR..-..~"APPlijfi~7~.!~~g::T7"7\.........jT7J..........C.......CANQI.n..... .. MONROE COUNTY BOARD OF CCUNTY eOMr1ISSIONERS 5100 COLLEGE ROAD KEY WEST,FL. 33040 .,...............,...,. '..'.... .', ,-,... ..........- ....-... ..- ..... . ....-. '. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL -lO- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FA E TO MAIL S NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ITS AGENTS OR REPRESENTATIVES. ..... ........_"" ~'---_I.____.- ~.. _.___,_........_.,__ _~____.__>__~~ ~~~~~.~~~ (~~) . ._.._."_._._!~~OO_I):~~()R_(JAAnC)N::1;ta8 i ACORQM .'.. .,. "'.. .... . , ....... ., " ... .. .... .. ~ . . .. , .. , , .., ".... ,,' <... ,,'...,.. - . , . ... , "... - . . . .... , ""',,,.., , , '.., -. . .. ,." " .. - .. -.... -. ""." -. .. ',....... .,..".. .' ..- .. "'",.. - -, . -, ... '..., . . ,....." ~mn~. -::.I~~m'I:~.<A."'.. .....:m. p ....."......<:.~. ..................I~<I... A.... :.::.:~I............ .:I..il(<I..~M.>I).;j:I:.::::..:::i.m!li!I...:::.<;.:~:::...:;:::!;_~.i.!I..;.....~.):.:......~:... .;:' . ...>::::......::..)..::::;'::.. . DATE (MM/DDIYY) "'1;;",.. r "''''II;ii;UrL.Plp.. .~I""....~,'.''''JSiti ...ii 4/16/97 ...----.----..-...--.....- . 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 ISLAND INSURANCE AGENCY, INC. 3229 FLAGLER AVE #112 KEY WEST,FL. 33040 COMPANY A COLONY INS CO. INSURED D & V COMMERCIAL A/C, INC. 2409 ROOSEVELT BLVD KEY WEST,FL. 33040 m\ COMPANY B ./ COMPANY C COMPANY o COVE:RAG:E5S 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 DA TE (MM/DDNY) DA TE (MM/DDIYY) LIMITS GENERAL LIABILITY XX COMMERCIAL GENERAL LIABILITY ~- .....-,.. --'" ~~- ~._._'''''-''___'"'_~.,_._-..~".._c~ - "-.., - -__,~.__ ..........~.__h'_~_..____._.._ .___,.~.__..__._........_~_..,.._..._... .~--.._.a_.__..__.__._______.._,. ~ GL1464590 2/10/97 2/10/98 GENERAL AGGREGATE PRODUCTS - COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE $500,000 $500,000 $500,000 $500,000 $ 50,000 $ EXCLUDED CLAIMS MADE OCCUR A OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) '-"-- ...._.~-_....---~,-...._..~ ._'.........._~.....~..._., ~_.."'----,- COMBINED SINGLE LIMIT GARAGE LIABILITY ANY AUTO BODILY INJURY (Per person) I.'/D "'Fq: N/A ~YfS 61f>. ~ PROPERTY DAMAGE '---Z~';'- --'fzt--_..__. ~.__.._-_..._._-;~.~~..~~~~..~.~~ ACCIDENT ~-.f 'Y1 t OTHER THAN AUTO ONLY: \.tClc " r(tu~il EACH ACCIDENT BODILY INJURY (Per accident) 2ATE. THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL $ AGGREGATE $ $ $ $ .......-....--..,--.... "-". ...wc-sTA'TO~..... ...-.........-QTF1:-.... .-.---.. ..---......-...---..--. TORY LIMITS ER EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ EACH OCCURRENCE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AGGREGATE DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS A/C REPAIR AND INSTALLATION CERTIFICATE HOLDER IS ADDITIONAL INSURED. :. . """"""~.'~"---_..,..... .--~t~-,...........,..o,-t......._...........,'W",?",_"--,,,,,, ~_-.c-, ...,~... "-';C'.t I OeATIACA:tEHOLDIR' MONROE COUNTY BOCC 5100 COLLEGE RD KEY WEST,FL. 33040 A~~r:r~2~~!'J,~~l. .._ l/lr~--/q7 L-k3 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY .....---..'.........--.....- ~_4'__-...,_._...._.,......_, ~,.._..,~__,______._,_~~~ r_ .._ ,_... '_._..~....._ ____..__ -'..,;".- ,~........,..:.,..;...;....,..-.:." .,,;.,,~,.'"'".....~ki,,_--+,......,......~_ .~~;...-4.............-.~__................,.-......._~...~...-.;...._;........~"...._, ..~.....~ (i).i\COAO:::OOFtPOAA110N';:1'088 . At~ttltl.. .!s~;t .., :.: .....\.;::t;,;{\(e~..,,::\\\ 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 The Fullers Inc 3600 Roosevelt Blvd Key West, FL 33040 ~~~~~NY A FTBA Mutual Ins Co / INSURED f~T~~~NY B D & V Commercial Alc, Inc 2409 N. Roosevelt Blvd Key West, FL 33040 rjJ\ COMPANY C LETTER APPROVED ~~J.SIirr:;)MENT BY "\f\. ~ 16-1-:<11 N/A /' YES ..... Of)' ~ --G: '. U. ~(T1~u COMPANY D LETTER DATE COMPANY E LETTER VJ.~ !VfR: co~.. r THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE liSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I 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 POLlclES 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 i POLICY EXPIRATION DATE (MM/DD/YY) : DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS 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 & CONTRACTOR'S PROTo COMBINED SINGLE LIMIT BODILY INJURY (Per person) $ lN3t13tlVNV'W }lS'~ .1.8 03^O~ddV BODILY INJURY (Per accident) $ r- PROPERTY DAMAGE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE $ A WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY 00002848 01-01-97 01-01-98 STATUTORY LIMITS EACH ACCIDENT $ 100, 000 DISEASE-POLICY LIMIT $ 500,000 DISEASE-EACH EMPLOYEE $ 100 000 OTHER DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS Alc and Refrigeration; sales, service and installation :.~i:HOLJ.l$t':~'t~~'ji'"", 5)~.r?~' I W%ij': SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Commissiottr&PIRATION DATE THEREOF, THE ISSUING COMPANY Will ENDEAVOR TO I. MAil ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ~~'\"~ I lEFT, BUT FAilURE TO MAil SUCH NOTICE SHAll IMPOSE NO OBLIGATION OR ~s~ l\~ LIABILITY OF ANY KIND UPON THE COMPA ,ITS AGENTS OR REPRESENTATIVES. ~~;~, Monroe County Board of County Attn: Public Works 5100 College Rd, Room 502 Key West, FL 33040 :\> ~;:::;';~;V~~;'~.,',~;.(:$~~;~~1~~~$,~v~:~i~;: "":;"01',' .'> :.:~;; 08-18-97 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 At:ttlllt. PRODUCER The Fullers Inc 3600 Roosevelt Blvd Key West, FL 33040 \. 'f~t~~~NY A FTBA Mutual Inc D & V Commercial Alc, Inc 2409 N Roosevelt Blvd Key West, FL 33040 0-,0\ J f~~~~NY B INSURED f~T~~NY C f~T~~~NY D .; .. .~-' ~",_""'~o'...,..~_", "....,.......,- ~- ."._ ~."......."'" .___..._.............,..._.." __..-~..-. ---.~. ..._ K' ...............~_.... ....".. . -...._ '. .. f~T~~~NY E COVER~GES< 's,f;1~':, " ,,:'''" S:"., ,i~;t1,t:;~";i:S'\'Ai">;'" 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 ILTR i TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DD/YY) ; LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY W^l'/fR: GENERAL AGGREGATE $ PRODUCTS.COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED. EXPENSE (Anyone person) $ CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROTo AUTOMOBILE LIABILITY ANY AUTO All OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY BY f)ATE COMBINED SINGLE $ LIMIT BODll Y INJURY $ (Per person) BODll Y INJURY $ (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE $ EXCESS LIABILITY UMBREllA FORM OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND FLWC100009248 07-29-97 07-29-98 STATUTORY LIMITS EACH ACCIDENT $ 100,000 DISEASE-POLICY LIMIT $ 500,000 DISEASE-EACH EMPLOYEE $ 100, 000 EMPLOYERS' LIABILITY OTHER DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS t CERTIFI9~TE HOL,DER i Monroe County Board of County Commissioners Attn: Public Works 5100 College Rd, Room 502 Key West, FL, 33040 . , ?;..;}.:':'CANCELI..ATlq~v"'::'''~ "i.;t;-:;;',.'~~(~:ti,i,.:~:C ..... ,';\.'~} ...../.iA;.,.,. t:t: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL.....!.Q.. 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. I AGENTS OR REPRESENTATIVES. ! ACORD 25-5 (7/90) ..,...:....:- ' #""'A. ,m.... ft~I.:el:~,. ....A.::'. ....m.... ....",.:,' -::r"I:'::':I":::.}a~l; :.'::=:,:'-" ."<ll~;~.~I.":' ::.::::.::n~::.?I:"':I""'. . ;: v=E.:n}'I;': :r: ~"M;:::'>E;:''':r'''L;: :M~EI; ~L r:.> <:1' <: ~1.(:,:"':jwiin~MI.~": .;.;.} . . < ..,. . '." ....,,", '., ':i;:~:::;::~;::::~:~:.::L~~~::::.;::'::.~'~~'.,.:c".':". 11/14/97 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 A.L. TI;J~.Itt~_~COVERAGE AFFORDED BY THE POLICIE~_.~.~L.9W. COMP~NII:S AFFORDING COVI;RAGE ACORQM PRODUCER ISLAND INSURANCE AGENCY,INC. 3229 FLAGLER AVE #112 KEY WEST,FL. 33040 COMPANY A DA TE (MM/DDNY) WINDSOR INS CO. INSURED D & V COMMERCIAL A/C,INC. 2409 ROOSEVELT BLVD KEY WEST,FL. 33040 / COMPANY B 0\ ~. COMPANY C COMPANY o tOveRAGES 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 (MMlDDNY) DA TE (MMlDDNY) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR OWNER'S & CONTRACTOR'S PROT A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS XX SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS 6/26/98 309 3013018 6/26/97 GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY \\\\1-~q 1 N/A.L. YES V/AIVfR: THE PROPRIETORI P ARTN ERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL %:~ Cc'. ~~ LIMITS GENERAL AGGREGATE $ PRODUCTS - COM PlOP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ COMBINED SINGLE LIMIT $ BODIL Y INJURY $ 100,000 (Per person) BODIL Y INJURY $ 300,000 (Per accident) PROPERTY DAMAGE $ 50,000 AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ $ WC STATU- OTH- TORY LIMITS ER EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS 1997 FORD F-250 VIN:1FTHF25H1YEA07920 1996 FORD F-150 VIN:1FTEF15NXTLB34581 1994 FORD F-350 VIN:IFDHF37HORNA16032 1991 FORD F-250 VIN:1FTHF25H5MNB1663v **CERTIFICATE HOLDER IS ADDITIONAL INSURED***** MONROE COUNTY BOARD OF COUNTY COMMI$IONORS 5100 COLLEGE RD KEY WEST,FL. 33040 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 - DAYS TICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILUR TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY COMPANY, ITS AGENTS OR REPRESENTATIVES. ACORi)""2$S'.(1I9$l 111{1~/C1.. . -". '. ",-, -,' .., " . .............,..,.... . _.', "0" , "" -- - , . - . . ,. ~ . . ,. -. .. "'.',.. ..,.....,. -., "",-" ,- ,- .. o. H"'-+'5'-"'i~ ...."'" , .tifAcORtfcOAPOAATION 1988 S DATE (MM/DD/YY) ACORQM CERTIFICA OF LIABILITY INSURANC 05/27/03 PRODUCER 1- 877- 266 -6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 43 Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rochester, NY 14625 INSURERS AFFORDING COVERAGE q INSURED INSURER A: Twin City Fire Insurance Company Paychex Business Solutions, Inc. D 6 V COMMERCIAL A/C NSURER B : g INSURER C: 911 Panorama Trail South INSURER D: Rochester, NY 14625 877 - 266 -6850 INSURER E: COVERAGES 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 I INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION E LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM /DD /YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ g . COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ t : CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ t I GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT IT APPLIES PER: PRODUCTS - COMP /OP AGG $ � ^ POLICY I I JE C ^I LOC f AUTOMOBILE LIABILITY • COMBINED SINGLE LIMIT I ANY AUTO ��'��������� Q � G t , ' 'T (Ea accident) $ ALL OW NED AUTOS n - D SK 1N1 i AGEM B ODILY INJURY ` . SCHEDULED AUTOS r / _.�„_...- --^'�' (Per person) $ I ` "------------ t HIRED AUTOS DY BODILY INJURY_ i NON -OWNED AUTOS C -- II • -- (Per accident) $ DATE i t-: --"'� PROPERTY DAMAGE t W ^'v r R N I 1 J / � , � w _ (Per accdent) $ GARAGE LIABILITY r ` Gf� . • ( `y �✓ 'T/ AUTO ONLY- EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ( / ' ONLY: AGG $ ), EXCESS LIABILITY v v r.r(_X , — '► (/ �1 j - , 7 EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ 4 DEDUCTIBLE $ ~— RETENTION $ 41°P $ I A WORKERS COMPENSATION AND EMPLOYERS' WC STATU- OTH- { LIABILITY 01 WN J71900 06/01/03 06/01/04 X TORY LIMITS ER E.L EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 t E.L DISEASE - POLICY LIMIT $ 1,000,000 OTHER [[ t E DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ( WOMMERSIACOMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF D 6 V I d i t , f I CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE MONROE COUNTY THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE s CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION 5100 COLLEGE RD. OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE 1 USA I r -- w ACORD 25-S (7/97) 1122583 © ACORD CORPORATION 1988 s