COI Expires 09/22/1994PRODUCER
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.
BLP INSURANCE AGENCY
COMPANIES AFFORDING COVERAGE
1280 SW 26th AVE. #2
FT. LAUDERDALE, FL 33312
COMPANY
A BRITAMCO, A SYNDICATE ON THE
INSURED
COMPANY—nLINOIS INSURANCE EXCHANGE
B
R & G CONTRACTING, INC.
2131 WASHINGTON ST.
COMPANY
C Rv
' HOLLYWOOD, FL 33020
COMPANY
D DATE (�..
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IN MERIOP�
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDD/YY)
POLICY EXPIRATION
DATE (IMUDO/M
UBIIS TIthousand
GENIAL
FJABB.ITY
GENERAL AGGREGATE
$ 300
A
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
FA0304
9/22/93
9/22/94
PRODUCTS-COMP/OP AM
$ 300
, ._
PERSONAL BADVINJURY
s 300
EACH OCCURRENCE
$ 300
OWNERS & CONT PROT
FIRE DAMAGE (Any one fire)
$
MED EXP (Arty arm person)
$
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
$
BODILY INJURY
(Per pars°")
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per °odder i
s
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
s
AGGREGATE
s
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
STATUTORY LIMITS
EACH ACCIDENT
Y
EMPLOYERS' LIABILITY
-
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: FIEXCL
DISEASE - POLICY LIMIT
s ."
DISEASE - EACH EMPLOYEE
s ='
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS .
PROJECT: THE LOWER MATECUMBE BEACH BATHROOMS
CERTIFICATE HOLDER ADDED AS ADDITIONAL
INSURED ATIMA
-`v
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
"ONROE COUNTY PUBLIC WORKS DIV. AND
EXPIAUE THEREOF, COMPANY WJLL ENDEAVOR TO MAR
t tONROE COUNTY BOARD OF CITY
COMMISSIONERS
-- NOTICE � CERTIFICATE HOLDER NMED TO THE LEFT,
BUT SUCH IMPOSE NO OBLIGATION OR LIABILITY
5100 COLLEGE RD.
tL
OF 114WANY, ITS AGENTS OR REPRESENTATIVES.
STOCK, IS., KEY WEST, FL 33040
AUTOO T'I�
:r -