Certificate of InsuranceMONROE COUNTY
RISK MANAGEMENT
5100 COLLEGE ROAD
STOCK ISLAND, KEY WEST, FLORIDA 33040
Ph. (305) 292-4454 Fax (305) 292-4564
VJi
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SIGNED
DATE
RECIPIENT: RETAIN WHITE COPY, RETURN PINK COPY
DATE PWDDIM
a�aORI). 1EVIDENCEOF�PROPERTY INSIIRANC�� ��
THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE
RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY.
PRODUCER A/C E E._ _
COMPANY
THE PORTER ALLEN COMPANY
THE HARTFORD STEAM BOILER INSPEC. INSPEC. INS.
513 SOUTHARD STREET
KEY WEST, FLORIDA 33040
CODE: SUB CODE:
A N
CUSTOMER ID #:
INSURED MONROE COUNTY BOARD OF COMMISSIONER
NNUMBER
I
POLICY NUMBER
5100 COLLEGE ROAD
CSI AT 9450737
EFFECTIVE DATE
EXPIRATION DATE
CONTINUED UNTIL
KEY WEST, FLORIDA 33040
3-15-95
3-15-96
TERMINATED IF CHECKED
THIS REPLACES PRIOR EVIDENCE DATED:
I
PROPERTY INFORMATION _
LOCATION/DESCRIPTION ELECTRONIC DATA PROCESSING EQUIPMENT
MONROE COUNTY BOARD OF COMMISSIONERS
COVERAGE INFORMATION
COVERAGE(PERILSIFORMS AMOUNT OF INSURANCE DEDUCTIBLE
E D P
ALL RISKS OF DIRECT PHYSICAL LOSS OR DAMAGE
EXCLUDING FLOOD LOSS IN A "A" ZONES
DEDUCTIBLE $1,000
EXCEPT SPECIAL WIND AND WIND DRIVEN WATER 1
Leive^
DEDUCTIBLE $10,000 OR 10% OF LOSS Risk -'Agin
. x r.,s ,ontr�;:
DAT:_
iN1TIAL
REMARKS (Including Special Conditions)
COUNTY OF MONROE
CHICORP FINANCIAL SERVICE, INC. LEASE # C93153
EQUIPMENT: DATA GENERAL COMPUTER EQUIPMENT
CANCELLATION,
THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE
POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW DAYS
WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT
INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW.
ADDITIONAL INTEREST LO55'PAYEE AND ADDITIONAL ,INSURED
NAMEANDADDRESS CHICORP FINANCIAL SERVICES INC. I
MORTGAGEE I X I ADDITIONAL INSURED
AND/OR ITS ASSIGNS
X LOSS PAYEE Il ��
208 S. LASALLE STREET, 4TH FLOOR/LEASING DEPT.
LOAN# ASE—"93153
CHICAGO, ILL 60604
AU NT
C C ,� G�Z'LeG� �o /�lPRcd
ATTN: NITA TROUTMAN GL�xK
*PRES
F K MCPHE SON
i,,, ,_ •7 I•y - ir-n C'R n At -non rnRPORATION 1993