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Certificates of InsuranceA Al ISSUE DATE (MM/DD/YY) si sa7/o6/89 PRODUCER ❑ COMML. INS. CONSULTAN- _=, 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 P,.O„ DRAWER 1398 LAKELAND FL COMPANY A LETTER RELIANCE INS. GROUP COMPANY B EMPLOYERS SELF 'ENSURERS FUND IGWETECH & CONSOLIDATEDLETTER COMPANY LETTER �+ FL CRUSHED t, rON '& E-31U.1-" SIDIARIE tk TR1.'- STATE- COMPANY D LETTER P.O. BOX 1 ii } LEESBURG, FL 32749-030Ci COMPANY E LETTER THIS IS TO CERTIFY THAT 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 CONDI- TIONS OF SUCH POLICIES. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS A GENERAL LIABILITY VQ8254206 i_}Sj /01 /89 O j /01 /90 GENERAL AGGREGATE 0 $ 2,000 COMMERCIAL GENERAL LIABILITY X PRODUCTS-COMP/OPS AGGREGATE $ 2 (),00 CLAIMS MADE ® OCCURRENCE X PERSONAL & ADVERTISING INJURY $ 1 (_ o j OWNER'S & CONTRACTORS PROTECTIVE X EACH OCCURRENCE $ 1 000 FIRE DAMAGE (ANY ONE FIRE) $ S o MEDICAL EXPENSE (ANY ONE PERSON) $ A AUTOMOBILE LIABILITY 'v'Q SL 205 (}Sj / i_} j / $� i }S / f:} �, %�77i) ANY AUTO CSL $ 2,000 X ALL OWNED AUTOS SCHEDULED AUTOS X BODILY NJURY (PER PERSON) $ HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY APERI T( $ PROPERTY DAMAGE $ GARAGE LIABILITY EXCESS LIABILITY EACH AGGREGATE Q OCCURRENCE W $ OTHER THAN UMBRELLA FORM B WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY 830B466 is S /i } 1 / 89 03 / 31 / 9 STATUTORY $ 1 000 (EACH ACCIDENT) $ 1, 000 (DISEASE-POUCY LIMIT) $ j i joo (DISEASE-EACHEMPLOYEE) OTHER RECE VED IMONROE COUNTY DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS ; initra;a Sery ces/Risk hlgirt. Div. mc DATE -A(d. q e V • q 111 • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO f 3LJN Y OF I�IC�I�II CIE MAIL :I C DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE RISI'�. MANAGEMENT G_LV3. LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR BUILDING #�: PUF3i_-It; SERti1ICF BUILDING }"EY WEST, FL 3 3UL+C; LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHORIZED EPRE NTATIV_. . ISS[}UE DATE (MM/DD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, COMML. INS. CONSULTANTS EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. DRAWER 1398 COMPANIES AFFORDING COVERAGE LAF::ELArJO FL 3e0r COMPANY A LETTER RELIANCE GROUP -INS. COMPANY B LETTER EMPLOYERS S.I.F. INSURED a-7&Cli EL CRu'ti> i>>i STONE iY COMPANY C SUDSID. t TRI STATE LETTER LUMBF_RMENS MUTUAL/KEMPER CARRIERS & C. M. I . , INC. COMPANY P.O. BOX 490300 LETTER ROYAL INDEMNITY LEESBURG, EL 34749-0300 COMPANY E LETTER CAL UNION INS. CO. THIS IS TO CERTIFY THAT 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 CONDI- TIONS OF SUCH POLICIES. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS A GENERAL LIABILITY VQ8254 37 05 / 01 / 9f) 05/ f)1 / 9 1 GENERAL AGGREGATE $ 2,000 X PRODUCTS-COMP/OPS AGGREGATE $ 21 000 COMMERCIAL GENERAL LIABILITY I CLAIMS MADE F-1 OCCURRENCE X PERSONAL & ADVERTISING INJURY $ 2,000 OWNER'S & CONTRACTORS PROTECTIVE X EACH OCCURRENCE $ 2, f„lOf ) FIRE DAMAGE (ANY ONE FIRE) $ so MEDICAL EXPENSE (ANY ONE PERSON) $ la {i AUTOMOBILE LIABILITY V Q '2' L+217 f_iS/ i1/90 Os/01/91 X ANY AUTO CSL$ 2,000 X BODILY ALL OWNED AUTOS SCHEDULED AUTOS INJURY (PER PERSON) $ X HIRED AUTOS X BODILY INJURY X NON -OWNED AUTOS ACCIDENT) $ PROPERTY GARAGE LIABILITY DAMAGE $ D EXCESS LIABILITY c� � t=•.i-- NO )f_)19I. 4 ..!! � )S / () 1 / 90 f)1 / 01 / 91 EACH AGGREGATE Y UMBRELLA OCCURRENCE $ 10, 000 $ 107000 OTHER THAN UMBRELLA FORM E; 83081466 04/0.1/9f) 03/31/91. STATUTORY WORKERS' COMPENSATION $ 500 (EACHACCIDENT) AND $ S OO (DISEASE-P000Y LIMIT) EMPLOYERS' LIABILITY $ S 00 (DISEASE -EACH EMPLOYEE) 1- (tPERRE.LLA :T_.CX010994 OS/01/90 05101/';''1 )f)i_), f_if}f) , Received Risk M mt & Los Control DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS DATE W. COMP ]_NCLUDES USL&H COVERAGE INTITIAL "Oh• • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO COUNTY OF MONROE MAIL1 1 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE RISK MANAGEMENT LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR WING II, ROOM 207 LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. PUBLIC SERVICE BLDG. AUTHORIZED REPRESENTATIVE �' KEY WEST, FL 3304() _.