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Certificates of InsuranceA0401talk CERTIFICATE OF INSURANCE DATE(MM/DD/YY) 3113195 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Southernmost Insurance Agency g y ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1104 Truman Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 323 COMPANIES AFFORDING COVERAGE Key West, F1 33041 COMPANY A Stewart Smith INSURED COMPANY BAPPROVED BY RISK MgNAGEMENT Davis Water Analysis _- COMPANY BY P.O. Box 2584 C Key West, Fl 33040 _--C - COMPANY DATE D 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. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000. COMMERCIAL GENERAL LIABILITY Binder #T1852 3113195 3113196 PRODUCTS-COMP/OP AGG $ PERSONAL & ADV INJURY $ 11000,000. A CLAIMS MADE �J OCCUR EACH OCCURRENCE $ ���j OWNER'S & CONT PROT FIRE DAMAGE (Any one fire) $ 50' 000,- X 1 -Pollution Liabil ty MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS Received I SCHEDULED AUTOS Risk Mgmt. & 1,oss Control BODILY INJURY (Per person) HIRED AUTOS DATE 3 3 "",9� BODILY INJURY (Per accident) I $ NON -OWNED AUTOS INITIAL PROPERTY DAMAGE I $ I GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND 77 STATUTORY LIMITS EMPLOYERS' LIABILITY EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE DISEASE - POLICY LIMIT $ DISEASE - EACH EMPLOYEE $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS **Monroe County is named addtional insured** CERTIFICATE MOLDER , CANCELLATION Monroe County Risk Management SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 5100 College Road 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Key West, F1 33040 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ATTN: Kaye OF ND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUT IZEDr77"o ACORD 25-S (3193) TION 1993 CC ; W&V Ay gray- 641 X -o �� ��� uo ee- CERTIFICATE OF INSURANCE CSR JJ DATE (MMIDD/YY) DAVZS-1: 10/11/95 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southernmost Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. 0. Box 323 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rey West FL 33041-0323 COMPANIES AFFORDING COVERAGE A. Wayne Lujan 305-296-5052 COMPANY A USF&G INSURED COMPANY B Symons International Group COMPANY C Fireman's Fund Davis Water Analysis P.O. Box 2584 Rey West FL 33045-2584 COMPANY D 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 P.AJD CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 X PRODUCTS - COMP/OP AGG $1,000,000 A COMMERCIAL GENERAL LIABILITY 1CP30005858303 12/28/94 12/28/95 CLAIMS MADE F_X] OCCUR PERSONAL & ADV INJURY $ 1,000,000 EACH OCCURRENCE $1 , 000 , 000 OWNER'S & CONTRACTOR'S PROT X FIRE DAMAGE (Any one fire) s 50,000 B Pollution Liab IYG-330484 03/13/95 03/13/96 MED EXP (Any one person) $ AUTOMOBILE LIABILITY A ANY AUTO 1CP30005858303 12/28/94 12/28/95 COMBINED SINGLE LIMIT $1,000,000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS A�' BY — '. ��'•,(;F��NT PROPERTY DAMAGE $ GARAGE LIABILITY LIVE---- -- -CWtC, AUTO ONLY - EA ACCIDENT S ANY AUTO WR:4 FR: v - _ ----YES / ✓ OTHER THAN AUTO ONLY: EACH ACCIDENT 1 $ AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY LIMITS EACH ACCIDENT $5OO , OOO THE PROPRIETOR/ INCL PARTNERS/D(ECUTIVE W55WZJ80657939 11/17/94 17/95 DISEASE -POLICY LIMIT $500,000 DISEASE - EACH EMPLOYEE $500 , 000 OFFICERS ARE: X EXCL OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS ***Additional Insured: Monroe County*** CERTIFICATE HOLDER CANCELLATION MONROE 4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board Of EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Commissioners, Monroe County Public Works, Engineering Dept 5100 College Road 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Rey West FL 3305 OF ANY KIND UPON THE COMPANY, 1 GENTS OR REP ENTATIVES. AUTHORIZED REPRESENTATIVE tft::/ A Wayne Luj a ACORD 25-S (3/93) CC ©ACORD CORPORATION'1993 I PRODUCER Commercial Ins. Consultants P. O. Drawer 1398 402 S. Kentucky Ave., 4th Fl. Lakeland FL 33802-1398 I INSURED Davis Water Analysis Inc P O Box 2584 Key West FL 33045-0000 COMPANY B LETTER Received Y °� COMPANY C Risk Mgmr. & Loss Conrro; DATE 11`Z d — q S COMPANY D LETTER INITIAL J- COMPANY E LETTER 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 $ COMMERCIAL GENERAL LIABILITY ...................... PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR.: .......... PERSONAL & ADV. INJURY ............. $ OWNER'S & CONTRACTOR'S PROT. I..................................................... EACH OCCURRENCE $ ............................................................... FIRE DAMAGE (Any one Tire) ................................................................. S MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY APPROVED BY RISK MANAfFMFNT COMBINED SINGLE ANY AUTO G LIMIT S ALL OWNED AUTOS BY. C�117C� BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS DbTE BODILY INJURY NON -OWNED AUTOS (Per accident) $ / YGC GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM .................................................................. AGGREGATE $ OTHER THAN UMBRELLA FORM ...... .......... ......... ..... ...... ........ ..................................... WORKER'S COMPENSATION X STATUTORY LIMITS A AND BINDER/TBA 11115195 06130196 EACH ACCIDENT - S EMPLOYERS' LIABILITYDISEASE -POLICY LIMIT $ ...................... ; . DISEASE - EACH EMPLOYEE $ OTHER ................-.................................................................................. DESCRIPTION OF OPERATIONS/LOCATIONSIVEHK:LES/SPECUIL ITEMS Monroe County Risk Management 5100 College Road Key West FL 33040 100000 ........... 500000 100000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE 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. - ,11W /`'IG.ef Producer: ENVIRONMENTAL INSURANCE SERVICES, INC. 200 CAHABA PARK SOUTH, SUITE 200 BIRMINGHAM, AL 35242 Insured: DAVIS WATER ANALYSIS, INC. 5601 3RD AVENUE STOCK ISLAND, FL 33040 Issue Date: 3/21/1996 REVISED 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 policy below. COMPANY AFFORDING COVERAGE AMERICAN SAFETY RISK RETENTION GROUP, INC. 1900 The Exchange, Suite 450 Atlanta, Georgia 30339 TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS Commercial General ASR100601-0 03/11/1996 03/11/1997 General Aggregate . . . . . . $ 1,000,000 Liability Products Comp/Op Aggregate. $ 1,000,000 Claims -Made Personal & Adv. Injury . . . . $ 1,000,000 Each Occurrence . . . . . . $ 1,000,000 Professional Liability Fire Damage (any one fire) $ 50,000 Endorsement INCL APPROVED BY RI K MANAGEMENT Med. Expense (any one person) $ 5,000 # ASR011 10 92 FYC_W C'— Pollution Liability Endorsement N/A Description of Operations/Locations/Special Items: CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED BUT ONLY AS RESPECTS TO GENERAL LIABILITY COVERAGE. GL DEDUCTIBLE $1,000,000. PROFESSIONAL LIABILITY DEDUCTIBLE $5,000. RETROACTIVE DATE 03/11/96. Certificate Holder: MONROE COUNTY RISK MANAGEMENT Cancellation: KAY MILLER 5100 COLLEGE ROAD Should the above described policy be cancelled before the KEY WEST, FL 33040 expiration date therof, the issuing company will endeavor to mail 30 days written notice (10 days if cancelled for non- payment of premium) to the Certificate Holder named to the Received left, But failure to mail such notice shall impose no obligation ' 1r N(gmt. &Loss COf1tT01 or liability of any kind upon the Company, its Agents or Representatives. Signature: C Com any's Wrisentative G/AVAY S,*JV&7P_ Certificate Holder Copy ASR005 08 93 F�L� Producer: ENVIRONMENTAL INSURANCE SERVICES, INC. 200 CAHABA PARK SOUTH, SUITE 200 BIRMINGHAM, AL 35242 Insured: DAVIS WATER ANALYSIS, INC. 5601 3RD AVENUE STOCK ISLAND, FL 33040 Issue Date: 4/9/1996 2ND REVISION 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 policy below. COMPANY AFFORDING COVERAGE AMERICAN SAFETY RISK RETENTION GROUP, INC. 1845 The Exchange, Suite 200 Atlanta, Georgia 30339 TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE11 EXPIRATION DATE LIMITS Commercial General ASR100601-0 03/13/1996 03/13/1997 General Aggregate . . . . . . $ 1,000,000 Liability Products Comp/Op Aggregate. $ 1,000,000 Claims -Made Personal & Adv. Injury . . . . $ 1,000,000 Each Occurrence . . . . . . $ 1,000,000 Professional Liability APPROVE BY SK h1ANAGEMENT Fire Damage (any one fire) . . $ 50,000 Endorsement INCL Med. Expense (any one person) $ 5,000 # ASRO11 10 92 BY 01el G Pollution Liability DATE Endorsement N/A # �W!VF_R: N/A YES Description of Operations/Locations/Special Items: CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED BUT ONLY AS RESPECTS TO GENERAL LIABILITY COVERAGE. GL DEDUCTIBLE $1,000,000 PROFESSIONAL LIABILITY DEDUCTIBLE $5,000. RETRO ACTIVE DATE IS 03/13/96. "REVISED TO SHOW THE CORRECT EFFECTIVE AND EXPIRATION DATES." Certificate Holder: MONROE COUNTY RISK MANAGEMENT Cancellation: KAY MILLER 5100 COLLEGE ROAD Should the above described policy be cancelled before the KEY WEST, FL 33040 expiration date therof, the issuing company will endeavor to mail 30 days written notice (10 days if cancelled for non - Received payment of premium) to the Certificate Holder named to the 1 n-it. 8t Loss Control left. But failure to mail such notice shall impose no obligation is t Mg'. _ �J or liability of any kind upon the Company, its Agents or / Representatives. 1Leai17AL Signature: C C C �� Sfl w Ede Co ny s Fkeprsejtdie F�t-c Certificate Holder Copy ASR005 08 93 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/DD/YY) DATE (MM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE S ......... COMMERCIAL GENERAL LIABILITY ........................................................................................ PRODUCTS-COMPANP AGG. $ CLAIMS MADE OCCUR.: PERSONAL & ADV. INJURY $ ........... .......... OWNERS & CONTRACTOR'S PROT. ........................................................................................ EACH OCCURRENCE $ E FIRE DAMAGE (Any one fire) $ .............................................................. MED. EXPENSE (Any one person)', $ AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT ' S ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION A AND EMPLOYERS' LIABILITY OTHER BODILY INJURY APPROVED,BY RISK MANAGEMENT (Per person) $ G BODILY INJURY (Per accident) S DATE — ! PROPERTY DAMAGE $ ltrrvr� , r� R/A r/ : EACH OCCURRENCE .......................................................................... $ — — - AGGREGATE $ ..... .......... .............: ..................... ................ . x STATUTORY LIMITS 1750183900 07/01/96 06/30/97 EACH ACCIDENT $ 500000 ....................................................................................... DISEASE - POLICY LIMIT $ 500000 DISEASE - EACH EMPLOYEE $ 500000 ........... ............................ ................. ................................. :....... .......................... :............................. ........................................................... :................................................................................... DE.SCRIP.TIO.N OF O...P.ERATIO.NS�I.00ATIO.NSNEHIC. L . SPECIAL ITEM..S Monroe County Risk Management 5100 Coiiege Road Key Nest FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE 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. UTHORIZE•D REPRESENTATIVE /www---w