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04/18/1990CONTRACT f THIS AGREEMENT, made and entered into this 18th day of April, 1990, A.D., by and between Monroe County, Florida, party of the first part (hereinafter sometimes called the "Owner"), and Pro Flooring of Key West, Incorporated, party of the second part (hereinafter sometimes called the "Contractor"). WITNESSETH: That the parties hereto, for the consideration hereinafter set forth, mutually agree as follows: 1.01 SCOPE OF THE WORK The Contractor shall furnish all permits and permit fees; labor, materials, equipment, machinery, tools, apparatus, transportation and dump fees; and perform all of the work described in the attached Proposals dated March 8, 1990 for: STAIR RESURFACING COURTHOUSE ANNEX 500 WHITEHEAAD STREET KEY WEST MONROE COUNTY, FLORIDA and shall do everything required by this Contract and other Contract Documents. 1.02 THE CONTRACT SUM A. The Owner shall pay to the Contractor for the faithful performance of the Contract, in lawful money of the United States, as follows: B. Based upon the price shown in the Proposals Number 1764 and Number 1765 dated March 8, 1990 heretofore submitted to the Owner by the Contractor, a copy of said Proposals being a part of these Contract Documents, the aggregate amount of this Contract is the SUM of Eight thousand six hundred twenty three dollars and thirty-six cents ($8,623.26) 1.03 COMMENCEMENT AND COMPLETION OF WORK A. The Contractor shall commence work within 10 calendar days after date of Notice to Proceed. B. The Contractor shall prosecute the work with faithful- ness and diligence and shall complete the work not later than thirty (30) calendar days after date of Notice to Proceed. 1 1.04 CONTRACTOR'S ACCEPTANCE OF CONDITIONS A. The Contractor hereby agrees that he has carefully examined the sites and has made investigations to fully satisfy himself that such sites are correct and suitable ones for this work and he assumes full responsibility therefore. The provisions of the Contract shall control any inconsistent provisions contained in the specifications. All Specifications have been read and carefully considered by the Contractor, who understands the same and agrees to their sufficiency for the work to be done. Under no circumstances, conditions, or situations shall this Contract be more strongly construed against the Owner than against the Contractor and his Surety. B. Any ambiguity or uncertainty in the Specifications shall be interpreted and construed by the Owner, and his decision shall be final and binding upon all parties. C. It is understood and agreed that the passing, approval, and/or acceptance of any part of the work or material by the Owner shall not operate as a waiver by the Owner of strict compliance with the terms of this Contract, and Specifications covering said work; and the Owner may require the Contractor and/or his surety to repair, replace, restore, and/or make to comply strictly and in all things with the Contract and Specifications any and all of said work and/or materials which within a period of one year from and after the date of the passing, approval, and/or acceptance of any such work or materi- al, are found to be defective or to fail in any way to comply with this Contract or with the Specifications. This provision shall not apply to materials or equipment normally expected to deteriorate or wear out and become subject to normal repair and replacement before their condition is discovered. Failure on the part of the Contractor and/or his Surety, immediately after Notice to either, to repair or replace any such defective materials and workmanship shall entitle the Owner, if it sees fit, to replace or repair the same and recover the reasonable cost of such replacement and/or repair from the Contractor and/or his surety, who shall in any event be jointly and severally liable to the Owner for all damage, loss, and expense caused to the Owner by reason of the Contractor's breach of this Contract and/or his failure to comply strictly and in all things with this Contract and with the Specifications. 2 1.05 LIQUIDATED DAMAGES A. It is mutually agreed time is of the essence of this Contract and should the Contractor fail to complete the emergency repairs within the specified time, or any authorized extension thereof, there shall be deducted from the compensation otherwise to be paid to the Contractor, and the Owner will retain the amount of Fifty Dollars ($50.00) per calendar day as fixed, calendar day as fixed, agreed, and liquidated damages for each calendar day elapsing beyond the specified time for completion or any authorized extension thereof, which sum shall represent the actual damages which the Owner will have sustained by failure of the Contractor to complete the work within the specified time; it being further agreed that said sum is not a penalty, but is the stipulated amount of damages sustained by the 'Owner in the event of such default by the Contractor. B. For the purposes of this Article, the day of final acceptance of the work shall be considered a day scheduled for production. 1.06 PARTIAL AND FINAL PAYMENTS In accordance with the provisions fully set forth in the General Conditions, and subject to additions and deductions as provided, the Owner shall pay the Contractor as follows: One (1) partial payment of fifty percent (50%) of contract amount upon delivery and storage of materials on site. One (1) final payment of fifty percent (50%) of amount upon 100% completion and acceptance of the work. 1.07 CONTRACT DOCUMENTS A. The Contract Documents attached hereto, are as fully a part of this Contract as if herein repeated. 3 IN WITNESS WHEREOF the parties hereto have executed this Agreement on the day and date first above written in four (4) counterparts, each of which shall, without proof or accounting for the other counterparts, be deemed an original Contract* ,a Party o e i t Part APPF - . ;flfFll By DANNY L. KOLHAGE, Clerk i (Seal) Signed, Sealed and Witnessed in the presence of:** Title At st: _ (Seal) (*) In the event that the Contractor is a Corporation, there shall be attached to each counterpart a certified copy of a resolution of the Board of Directors of the Corporation, authorizing the officer who signs the Contract to do so in its behalf. (**) Two witnesses are required when Contractor is sole ownership or partnership. 4 SWORN STATEMENT UNDER SECTION 287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS. 1. This sworn statement is submitted with Bid, Proposal or Contract No. for Stair resurfacing, Monroe County Courthouse, KW 2. This sworn statement is submitted by David Lund (name of entity submitting sworn statement) whose business address is 6475-D Second Street Stock Island, FL 33040 and (if applicable) its Federal Employer Identification Number (FEIN) is 59-0761446 (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: 3. My name is David Lundy (please print name of individual signing) entity named above is President 4. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 5. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere. 6. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means: 1. A predecessor or successor of a person convicted of a public entity crime: or 2. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term r "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for* fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 7. I understand that a "person" as defined in Paragraph 287.133 (1) (e) , Florida Statutes means natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "Person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. 8. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (please indicate which statement applies.) Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, nor any affiliate of the entity have been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND (Please indicate which additional statement applies.) There has been a proceeding concerning the conviction before a hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer did not place the person or affiliate on the convicted vendor list. (Please attach a copy of the final order.) The person or affiliate was placed on the convicted vendor list. There has been a subsequent proceeding before a hearing officer of the State of Florida, Division of Administrative HdaringS. The final order entered by the hearing officer determined that it was in the public interest to remove the person or affiliate from the convicted vendor list. (Please attach a copy of the final order) The person or affiliate has not been placed on the convicted vendor list. (Please describe any action taken by or pending with the Department of General Services.) (sig ature) Date: 4— � � ':�c STATE OF COUNTY OF PERSONALLY APPEARED BEFORE ME, the undersigned authority, VovA Luadu who, (name of individu signing) after first being sworn by me, affixed his/her signature in the space provided above on this day of My commission expires: 19 q U. NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP 1ULY 30,1993 BONDED THRu GENERAL INS. UND. froposal Page No. of Pages PRO FLOORING OF KEY WEST, INC. 6475 -D 2nd St. Stock Island, FL 33040 (305) 296-9818 NS 1764 PROPOSAL SUBMITTED TO PHONE DATE County Courthouse 294-8417 March 8th, 1990 STREET JOB NAME 500 Whitehead St._ CITY, STATE AND ZIP CODE JOB LOCATION Key West, Fla. 33040 ARCHITECT DATE OF PLANS JOB PHONE Attn: Mark Maclaughlin We hereby submit specifications and estimates for 6 Landings & 6 sets of Steps Furnish 60 Stairtreads @ $38.76 each. $2 326.80 Furnish 60 Stair.rise.rs @ $10.20 each. �612.00 Furnish 100 Lin. ft of Cove Base @ $1.50 per Lin. ft. $150.00 Furnish 228 sq ft of rubber landing tile @ $2.04 per sq ft. $465.12 Furnish 6 gals of S-765 Stairtred Addhesive @ $40.24 per gal. $241.44 Furnish 6 gals of S-215 Epoxy Addhesive for rubber landing tile @ $63.97 each. $383.82 Furnish 20 Lin. ft of reducer @ $1.50 per Lin. ft. $30.00 4,209.18 Labor: Install 60 stairtreads @ $10.00 each. $600.00 Install 60 stair risers @ $5.00 each. $300.00 Install 100 Lin. ft of cove base @ .50tr per Lin. ft. $50.00 Install 228 sq ft of rubber landing tile on 6 landings @ $2.50 per sq ft. $570.00 Estimated Prep work $150.00. $150.00 Install 20 Lin. ft of reducer @ .50( per Lin. ft. $10.00 Labor $1,650.30 Materials $4,209.30 Total $5,859.48 Hip prapooP hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: FIVE THOUSAND EIGHT HUNDRED FIFTY NINE AND FORTY EIGHT CXYX.($ $5,859.48 Payment to be made as follows. $,Z,129..74Mat:eri-a1 draw- with balance of $1,929 f74 due upon completion. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above speuhca Authorized ( tions involving extra costs will be executed only upon written orders, and will become an Signature - extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance Note: This proposal may be Our workers are fully covered by Workmen's Compensation Insurance withdrawn by us If not accepted within—l—/ days. -Arreptattrr of Fropawd -The above pnces, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature i�D�II Page No. of Pages PRO FLOORING OF KEY WEST, INC. 6475 -D 2nd St. Stock Island, FL 33040 (305) 296-9818 NO. 1 % 6 5 PROPOSAL SUBMITTED TO PHONE DATE County Courthouse 294-8417 March 8th, 1990 STREET JOB NAME 500 Whitehead _ CITY, STATE AND ZIP CODE JOB LOCATION Key West Fla. 33040 ARCHITECT DATE OF PLANS JOB PHONE Attn. Mark Maclau hlin We hereby submit specifications and estimates for Do to the way the steps are designed in order to install Rubber stringers there would have to be a charge of $25.00 per step for prep in order to ensure proper installation of rubber stringers. I Prep 60 steps @ $25.00 each $1,500.00 Install 156 Lin. ft of Rubber Stringer @ $3.50 per Lin. ft. $546.00 4gals of 5-765 Stringer addhesive @ $40.24 each $160.96 Furnish 156 Lin. ft of Rubber stringer @ $3.57 Lin. ft. $556.92 Total $2,763.88 ITIP prUpD8r hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: -TWO THOUSAND SEVEN HUNDRED SIXTY THREE & EIGHTY EIGHT C�TI��($ $2,763.88 �. Payment to be made as follows. 381I$al-wwith balance of ;381_._94_due upon completion. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above speuhca Authorize j tions involving extra costs will be executed only upon written orders, and will become an Slgnat Ure extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance Note: This proposal may be —;— Our workers are fully covered by Workmen's Compensation Insurance withdrawn by us if not accepted within U days. Arrrptarire of froposal —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature F L O R I D A APPLICATION FOR WORKERS COMPENSATION INSURANCE This application must be typed or printed and filed, in duplicate, with: NCCI — ATLANTIC DIVISION • Post Office Box 3098, Boca Raton, Florida 33431-0998 • (407) 997-4633 Important: Instructions for completing this application can be found in the Florida Workers Compensation Insurance Plan —Information and Procedures — Handbook. This handbook is available from NCCI — Order Processing • 750 Park of Commerce Drive, Boca Raton, FL 33487. Please answer all questions and requested information thoroughly. Omissions may result in delay of coverage. The undersigned employer hereby applies for workers compensation insurance in Florida and expressly represents that such insurance is sought in good faith. I. GENERAL INFORMATION EFFECTIVE 12:01 A.M. R a o, x) ke td (DATE) �' Z� 1 ,I ca.0 T� c . NAME OF EMPLOYER �t V © O O O O J n ( 2. F.E.I.N. REQUIRED BYLAW F,ED A`L EMPSYER ID NUMBER 3. MAILING ADDRESS (Street) _ (City) (County) (State) �� —j AU yQ _ (zip) � � (Phone) 4. PRINCIPAL LOCATION OF BUSINESS ( ) ( Y) � (Street) (City) (County) (State) /VO.IJG (Zip) 5. OTHER FLORIDA LOCATIONS (Street)(City) ( ) iy) (County) ) (State) ) Sit h7 c: (zIP) 6. PAYROLL OFFICE ADDRESS ( ) (Street) (City) (County) (State) 7 LEGAL STATUS fl Sole Proprietor f-: Partnership KCorporation Other (explain): (ZAP) 8- Has there been a name change during the past three years? I I Yes )rvP. If yes, give previous name and date of change: 9 Are there operations in states other than Florida? Yes i No. If yes, complete the following (self -insured or uninsured, indicate under Insurance Carrier.) II. INSURANCE RECORD 1. Has there been previous workers compensation insurance coverage in Florida? Yes iti( No If no, complete: irAlew Business I I Self -insured i Other (explain): _ _ _ k / (i1�iC- If yes, Insurance Record Three Previous Years: State _— — -- Insurance Company — Policymber Nu _Policy From Period: To Premiums 2. Total audited payroll for each of the above policy periods (Do Not Complete If New Business) Policy Period: From To Payroll 3 Are you in debt to any broker, agent or insurance company for any unpaid premiums for workers compensation coverage? C I Yes y No. If yes, coverage maybe denied or canceled. Explain: ---------- - --- ---- ----_-- ill. INSURANCE COMPANIES WHO HAVE REFUSED INSURANCE List below name and representative of two companies who have refused coverage in the past sixty days. The representative named must be a full-time employee of the insurance company. If applicable, one of these companies should be the one providing workers compensation insurance to the applicant at the times nt Insurance Company Name of Representative V CL C/iJ _el V- CORPORATE 0F:r- ----------�•••••.•-• ��v• r>tr�rvn7vnr'HI•i11VtFSJ List below name, title, duties and approximate annual salary of officers, sole proprietors or partners. r� a,o e y �o , n nrnpr r rs, Yes a No. If yes, attach a copy of the exemption form which has been filed with the Department of Labor and Employment Secu- rity Executive officers of a corporation are automatically covered under the Law. If any officers choose not to be covered, then an exemption form has to be completed in duplicate. The payroll for all officers which are covered must be included in the premium calculations in Section VI of this application. 2 If a partnership or proprietorship, have the partners or proprietors elected coverage? i i Yes I 1 No. If yes, attach a copy of the election form which has been filed with Department of tabor and Employment Security. Partners and sole proprietors are not automatically covered under the Law. If they desire to be covered, they must complete an election of coverage form in duplicate. The payroll for partners or sole proprietors is not to be included in the premium calculations unless they have chosen to be covered under the policy. 3 Has the corporation officers, partners or sole proprietors payroll been included in determining the estimated annual premium? L, Yes k 4o If any executive officers, partners or sole proprietors are to be covered under the policy, then this question should be answered yes. 4. Is the premium financed? [ I Yes Y-No. If yes, attach a signed copy of the finance agreement. V. AGENCY AND PRODUCER Agency Name r�C ( % ZNf . ,�C/� . Phone No. 3 Address LE (/E �7 23e) Producer E✓G� L ` ``�� r ' G ' Name Signature XJ Fed Emp. ID No./Soc. Sec. No. V 1, Date wCiPi-FL(ea) OVER NCr440 (arpFL) AJ%.A.; y A 11UNAL MUENSE No, 50015330017 1989-1990 City of Key West, Florida NO REFUNDS THIS LICENSE MUST BE PROMINENTLY DISPLAYED LICENSE PERIon gFnimumin 10/01/99 09/30/90 E E PENALTY SCHEDUL9-�x''�'';e• .: 15 .LICENSE gib D��A OCT6OBERQO OVEMB RO BUSINESS z j ADDRESS: ,t �ti 1 6475 D 2ND ST E � V TYPE t + r• LICENSE: f� 79E CONTRACTORS:SPECIr��,. ' BUSINESS SPECIFY: NAME:� PRO FLOORING OWNER: FLOORING CONTRACTOR ADDRESS: PRO FLOOR ING—DAVI D LUNDY CITY: 6475-0 2ND STREET STOCK ISLAND FL 33040 STATS CERTIF'ICAA Y yr AKE� �IIYI•� I I�� •� .. q���a�p,} .. ii �i ice'-�1+��'y�� ;. KEY wE,. PLEASk SEE BACK Of 4.itEit's EO tir PROF" stflM1� ROUGH IC .fie 0D —. 2094665 REVS 03/26/90 15:44 GENERAL REVENUE FUND 5001533mv NAME: PROF/FLOORING KW.CK 1093 001 LICENSES 321-100 s 225.00 FINANCE DEPARTMENT DIVISION OF REVENUE �j �y�1r* �(j y t .y , t? HIS B(EECCOOMgEjSpA�1RECEIPT ONLY WHEN VALIDATED BY RECEIPTINO #*kPAI WAIRWIS 104D' CK--03/26/90 19*0�i'�FILFVVVVI/V�F M NUMBER,DATE. AND AMOUNT PAID. ..,, CL U 641:b D ' 2fiv 5 T , CIC %f2# OV�R12*000000*02096 K** REFS *** C „a• M A.Z. T I F 1 C A ik 411*11 IL&SOMUST BE POSTED CONSPI�DNJSLY 19 YOUR PLACE OF R11SINFRfi THIS FORM BECOMES A RECEIPT ONLY WHEN VALIDATED BY RECEIPTINO ***PijJftfiW 561di.50 CK 03/2LL6/9//��iipp1q , + Ag�y s,T�p BER,DATE,ANDAMOUNTPAID. * REFU 11 �1CHL04* D + 3MD ST51i�0� 0I33i�bAMD 1 Y0o @990 6Y�� b T THIS LICENSE MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS CERTIFICATE OF COMPETENCY FOR MONROE COUNTY THIS IS TO CERTIFY THAT I?AVID LUNDY SP 1238 QUALIFIES AS A SP—F1QDLiri2_AC2D raIntor In good standing, ancrthis Certificate expires on n s re oked o I ey UII.DING O FICIAL CERTIFICATE OF COMPETENCY BOARD OF EXAMINERS of the City of Key WestyCounty of Monroe, State of Florida DAVID 18 1D O CERTIFY That--- --------•---------------------- Is duly registered as a ---------------- --------SP__-- FLOORING --CONTRACTOR ------------------- In conformity with the regulations of the City of Key West. Dated this 29-__ day of----SPZ----------------- 19 ---$9 This Cen fpta.,bires-_----SFTT_._3" _ 19�0hless revoked accordin '1fw. By -------- >- �/------------------------- 299 se ZI KEY WEST, FLORIDA County Courthouse 500 Whitehead St. Key West, Fla. 33040 (305)294-8417 Attn: Mark Maclaughlin, Pro Flooring 6475 - D 2nd St. Stock Island, FL 33040 296-9818 When contracts are accepted there will be a material draw of the total of both contracts within 7 days after acceptance of contracts. The total of both contracts come to the amount of $8,623.36 with total deposit of $4,311.68 leaving a balance of $4,311.68 due upon completion & acceptance of said job. T you, i �Davi M. Lundy kFh �a11 T ,' JIB.'. lKey West Insurance 13104 Flagler Ave Key West, Fl 33040 SUB -CODE i ' Ir,lrr'ro Inc. 5� 16 / 8 9 THIS CERTIFICATE IS ISSUED AS A MATTER Of} INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.,THIS CEI'4TIFICA'TE DOES NOT AMEND t� EXTEND OR ALTER THE COVERAGE AFFORDEq BY THE POLICIES BELOW jay. I COMPANIES AFFORDING COVERAGE COMPANY LETTER AFidelity & Casualty Co. of New York COMPANY B r� LETTER Pro Flooring of Key West Inc. COMPANY G. LETTER ' 6475-D 2nd St. Stock Island Key West, Fl 33040 COMPANY LETTER D COMPANY LETTER (:C)�.' RAGE$ .,,r. �...�..-.. .,.:._..�,.,,.i r., ,,..... ...m..: �..s.,� a i')C . :S 13 TO CERTIFY THAT THE POLICIES OF INSURANCE LIST D BELOW HAVE. BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD WITH RESPECT 10 WHT!:`i:( THIS 't�,DICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM C IFRTIFICAIE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE R CONDITION OF ANY CONTRACT OR OTHER DOCUMENT AFFORDED BY THE POLICIES DESCRIBED HER�IN IS SOBJECT TO ALL THE TERMS I:;>'CLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS S iOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I t n 1.: ^ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN, THOUSANDS DATE (MM/DDIYY) DATE (MM/DD/YY) j.. NERAL LIABILITY GENERAL AGGREGATE $ 500, ' x:OMMERCIALGENERAL LIABILITY BOX7064717 5/16/89 5/16/90 PRO06CTS-COMPIOPS _ AGGREC A I F S CLAIMS MADE OCCUR. PERSONAL & ADVERTISING INJI W, S V,NER S & CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED18AL EXPENSE (Any one persnw $ r1I TO MOBILE LIABILITY COMBINED I SINGLE S, ANY AUTO LIMIT LL OW` IED AUTOS BODILY " INJURY $ SCHEDULED AUTOS (Per person) iai HIRED AUTOS BODIY INJU Y i cr a NON -OWNED AUTOS (Per accident) V GARAGE LIABILITY PROPERTY E $ DAM x dXCESS LIABILITY a EACH AGGREGATE u OCCURRENCE 01HER THAN UMBRELLA FORM . t $TATUTORII WORKER'S COMPENSATION $ (EACH AGGIDENT) r!, j AND $ i (DISEASE--PtlLICY LIMIT):;, + ' EMPLOYERS' LIABILITY $ � (DISF:4SF--EACH CMPLOM0 - 'Iti'.:TIIPTION OF OPERATIONS/LOCATIONS/VEHICLES/REST RICTIONS/SPE :IAL ITEMS 4 1 J: P I s ,t 1 ..yy,,.. ,n,,.. ar.�rrmn*ew.. �w- .F iMIRh,y}.+ur.,.:y�y�FTwM+•^+Yu.n.,.wrr� +Ml►� I.,r TIFI00E:} ER ! a t w'f =CAIVC�L4�$�C i s . ??r SHOULD ANY OF THE ABOVE DESCRIBED EXPIRATION DATE THEREOF, THE ISSI MAIL AL DAYS WRITTEN NOTICE TO TH LEFT, BUT FAILURE TO MAIL SUCH NOTI t ? LIABILITY OF ANY KIND UPON THE COMPA' AUTHOR15JD REPRESENTATIVE At a.... . 1,OLICIi BE CANCELLED 13EFOREjTI t,110 COMPANY WILL ENDEAVOF;; CERTIFICATE HOLDER NAMED TdTI E SHADl- IMPOSE ,NO OBLIGATION I e, its A' ENTS OR REPRE$i:NYATIKE rt nac►e�i1► `� ; tllk 0-4 T 1 4 i f 1 m • 11 t,a CT � Y (3 Q t42 tom,, I. 00 P Q �o a QWM 2 in6 � •in r t N w G O W O a O W • 2 oo w V W x� nw Zy M t LL Lu W t:+ N 7 OD 0� T lf�� 1�1 J H z `.' j � w 4¢ W LL W O 0 W Q UT Q� z IL m w Lu 4. V) a 0 I-- /- u> u 14 O (z O u U. tW to v f� U.I U_I CL �D h N y w 7 p m4C 0 z !-1 a O D �C d a a ric J C OaI-m c~.» ui Q4oC,,j rx in ►- IL I- 1 0 Z u a 0 z 0 z uI-Iza t9 O w em U. 1 X o � u Odl'-�C .J ce %e M U. IL %Q 11A 00 O dic THIS LICENSE IS FURNISHED IN PURSUANCE OF FLORIDA STATUTES F ao Wa U u a X o z ai mo wQ w w LL M a� h- D I�- >� J� wo z l�) 4+ (ANiz d � 10.2 Im- 1.0 to In t:WU ra,Q � MWdW C! ¢ +� ~LL *0W trr 0 d 44 d W AJsw A o g sow 000 C') W 0km tM ui V1U i I r1d- Qt w of a rr ur J 4.J�0 7rt .tr �O a h th W zM' b : -0100 it ,� ,.► (.) 4. W W Lu J W = r tj W w Lu j _ }. M ~ tin. f 0. rJ wow' M6 os w atty� � 0 sUJI tot, ' 10 of t-9[ � w so'o'o r W sW o.ac w our V. = U4 mo J. r owm %N O a (Atj Ail UJI VA iri "�u► d tM- �• � l o �i w voi till rr Is V r ..� ttAA�� v Ot 7.. 'j AWLj. 1 k 0� '' ;Key West Insurance 3104 Flagler.Ave 'Key West, F1 33040 r •qJr SUB -CODE Inc. OF; ;Pro Flooring of Key West Inc. '6475-D 2nd Sit. Stock Island Key West, F1 33040 • COMPANY E j LETTER C(J" RAGES 014 _,�........�. _.... .._,.., •:S !3 TO CERTIFY THATTHE POLICIES OF INSURANCE LIST _D BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD t Uii ATED. NOTWITHSTANDING ANY REQUIREMENT, TERM ( R CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 10 `m r`•�i IHI;; 1911FICAIE MAY BE ISSUED OR MAY PERTAIN, THE INSUR .NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI. 1HE TERMS, r LUSIOPJS AND CONDITIONS OF SUCH POLICIES. LIMITS SiiOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ,. ' ' ' 5/16/89 J THIS'CERTISCATE IS ISSUED AS A MATTER 0 INFORMATION ONLY AND CONFERS r NO RIGHTS UPON THE CERTIFICATE HOLDER.,ffYHIS CERTIFICATE DOES NOT AMEND; si EXTEND OR -ALTER THE COVERAGE AFFORDE© BY THE POLICIES BELOW V COMPANIES AFFORDING COVERAGE COMPANY A LETTER Fidelity & Casualty Co. of New Fork COMPANY B LETTER TYPE OF INSURANCE IJEPAL LIABILITY IIw OMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. INNER S h CON TRACTOR'S PROT. -,i i r0'.I06ILE LIABILITY ANY AlirO .LL. OWNED AUTOS 'tCHEUULED AUTOS !TIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY i gXCESS LIABILITY IT HER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY rHl q POLICY NUMBER BOY-7064717 ill'f10N OF OPERATIONS/LOCATIONS/VEHICLES/REST RICTIO I I 1.^'TIFICATE HOLDER ._1.k S,_.,.}.:; _......,.-......,_. I ;: 1r a5-S (3/881 COMPANY ri LETTER COMPANY D LETTER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/UD/YY) 5/16/89 5/16/90 ALL LIMITS IN THOUSANDS r�11 //�� GENERAL AGGREGATE $ 500, PRODUCTS-COMPIOPSAGr3RECAIF- S PERSONAL & ADVERTISING INJ' P', EACH OCCURRENCE 5 ; FIRE DAMAGE (Any onr fir-! S MEDICAL EXPENSE (Any o ie pry •.":' 3 l COMBINED SINGLE S LIMIT' BODILY fi INJURY $ ! (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE j EACH AGGREGATE OCCURRENCE 1 STATUTORY $ (FAC + At.CIDINit S (0ISFASF--F!'1_ICY LIMIT) S rJlc:_ "r---F'.JH PMPLOYEE1 t t AAL ITEMS 1 ' fJ yi d CANCELLATION ' � �, ' T!, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO. ; MAIL _1a 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 REPRES=NTATIVES.,•.. AUTHOR-IiZ'E�DREPRESENTATI /! I #bACORD CORPOF r E