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Certificates of InsuranceV.r'4 36253 FLORIDA CONSTRUCTION, COMMERCE and INDUSTRY SELF INSURERS FUND P.O. Box 1616 Sarasota, Florida 33578-1616 1/12/87 MONROE COUNTY MUN. SERVICE TO: ATTN. C. AQUERO WING II B F'UBLIC SERVICE BLDG. STOCK ISLAND KEY W FL 33040 This is to certify that: BALTUFF DISPOSAL SEWICE, INC. F` . O. BOX 529 BIG FINE KEY FL. 33043 being subject to the provisions of the Florida Worker's Compensation Act, has secured the payment of compensation by insuring their risk with the FLORIDA CONSTRUCTION, COMMERCE AND INDUSTRY SELF INSURERS FUND. COVERAGE IS SUBJECT TO CANCEL.L.ATrON WITH 30 DAYS NOTICE TO INSURED SERVICED BY: FLORIDA EMPLOYERS INSURANCE SERVICE CORP. P.O. BOX 25248 SARASOTA, FL 34277-2248 Respectfully submitted, 813-957-0140 E AGENT: 00516 — 01 Tom- COVERAGE NUMBER: 05583 -- 01 EFFECTIVE DATE: 1/01/87 EXPIRATION DATE: 12/31/87 ISSE D n ATE (MM/DD/YY) IT,�' �:, 3/7/91 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Greenwich Risk Management, Inc, g CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P.O. BOX 1209 POLICIES BELOW. Boca Raton, FL 33429 COMPANIES AFFORDING COVERAGE COMPANY LETTER A National Union Fire Insurance LETTERNY B Liberty Mutual Insurance INSURED COMPANY C Baltuff Disposal Service, Inc. LETTER P.O. Box 529 COMPANY D Big Pine Key, FL 33043 LETTER COMPANY E LETTER 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 TYPE OF INSURANCE POLICY NUMBER LTR POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 1 000, OO A X COMMERCIAL GENERAL LIABILITY GLA5830241 , 2/4/91 2/4/92 PRODUCTS-COMP/OPAGG. $ N/A CLAIMS MADE X OCCUR. PERSONAL & ADV. INJURY $ 1,000,00C OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000,00C X Incl . Completed FIRE DAMAGE (Any one fire) $ 50, OO Onerations MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT 1,000,00C ALL OWNED AUTOS BODILY INJURY $ A X SCHEDULED AUTOS BA3763853 2/4/91 2/4/92 (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS 100, 000 EACH ACCIDENT $ B AND WC1351212289011 3/1/91 3/1/92 500 000 EMPLOYERS' LIABILITY DISEASE —POLICY LIMIT $ � 10O 000 DISEASE —EACH EMPLOYEE $ , OTHER Received Risk Mgmt. & LOP C011trol DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS DATE_ NSWMA/AIGRM 102004 INITIAL CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MUNICIPAL SERVICE DISTRICT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MONROE COUNTY MAIL—10DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE WING 2—B, PUBLIC SERVICE BLDG. LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR KEY WEST, FL 33040 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REP//RyysBE?�NTATIIVEE ATTN: SHIRLEY AGUERO JIM BAKER ��C/iG��ti C y V a�ali:ID ISSUE DATE MM/DD/YY 3/20/91 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Greenwich Risk Management Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P.O. BOX 1209 POLICIES BELOW. Boca Raton, FL 33429 COMPANIES AFFORDING COVERAGE COMPAETTERNY A National Union Fire Insurance INSURED COMPAN LETTER Y B Liberty Mutual Insurance COMPANY C Baltuff Disposal Service, Inc, LETTER P.O. Box 529 COMPANY D Big Pine Key, FL 33043 LETTER COMPANY E LETTER 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 TYPE OF INSURANCE POLICY NUMBER LTR POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 1P000,00( A X COMMERCIAL GENERAL LIABILITY GLA5830241 2/4/91 2/4/92 PRODUCTS-COMP/OPAGG. $ N/A CLAIMS MADE XOCCUR. PERSONAL & ADV. INJURY $ 1 000,00( OWNER'S d CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000,00C X Incl . Completed FIRE DAMAGE (Any one fire) $ 50 00 MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT 1,000,00C ALL OWNED AUTOS BODILY INJURY $ A X SCHEDULED AUTOS BA3763853 2/4/91 2/4/92 (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS 100,000 EACH ACCIDENT $ B AND WC1351212289011 3/1/91 3/1/92 DISEASE LIMIT $ 500,000 EMPLOYERS' LIABILITY —POLICY DISEASE —EACH EMPLOYEE $ 100,000 OTHER Receivp-d 14611 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ntrol NSWMA/AIGRM 102004 DATE IIN147AL , CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE C THE MONROE COUNTY RISK MANAGEMENT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO WING II MAIL __j()DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ROOM 207, P.S.B. LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 5100 JUNIOR COLLEGE ROAD LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. KEY WEST, FL 33040 ATTN Jane Vogel Artz AUTHORIZED REP /REfENTATIVE ACORD h V