Certificates of InsuranceISSUE DATE (MM/DO/YY)
vmw�
PRODUCER
Frank J Becker Inc.
173 B'arle Avenue
Lynbrook Ny 11563
INSURED
R-Wave Inc.
173 Newtown Road
Plainview NY 11803
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES Not AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
COMPANIES APKORDING COVERAGE
COMPANY A
LETTER CO�mmer{cinS.__CO.
COMPANY B AfrwY��
LETTER ( -
COMPANY c
LETTER
COMPANY D C�
LETTERIIIVER
COMPANY E
LETTER
COVERAGES <z: , _40
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BE~ Mgt" i "Ilt IRSUAE&TO O" AftV9 tbMrtht 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 1 POLICY EFFECTIVE'POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER 'I DATE (mmmo YY) DATE (MM/DD/YY) LIMITS
GENERAL LIABILITY x COMMERCIAL GENERAL LIABILITY CJR 1 3 1 5 8 6
A CLAIMS MADE OCCUR.,
OWNER'S & CONTRACTOR'S PROT.�
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
i
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
8/1/93 j8/1/94
ask Pvfgmt. LOSS
4114
GENERAL AGGREGATE $
3,000,000
PRODUCTS-COMP/OP AGG. S
PERSONAL A ADV. INJURY j} S
1, 000,000
EACH OCCURRENCE I S
11000,000
FIRE DAMAGE (Any one fire) $
50,000
MED. EXPENSE (Any one fsrson) S
1, ., n n n
COMBINED SINGLE j S
LIMIT
_ 1
yntml
BODILY INJURY
$
3
(Per person)
BODILY INJURY
s
o7c__
(Per accident)
,
PROPERTY
is
i J
DAMAGE
j
EACH OCCURRENCE
IS
AGGREGATE
$
STATUTORY LIMITS
EACH AC0119E`NT S
DISEASE -POLICY LIMIT $
�i DISEASE —EACH EMPLOYEE $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Policy is hereby extended to include the Certificate Holder as additional
Insured.
CERTIFICATE HOLDER
County of Monroe SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
5100 College Road EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Key West Florida 33040 MAIL 3 0- 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 COZA7, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 2S-S
A',"'+"® CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY)
8-26-93
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
Frank J Becker Inc.
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
173 Earle Avenue
POLICIES BELOW,
Lynbrook NY 11563
COMPANIES AFFORDING COVERAGE
COMPANY (REVISED) ,
A
LETTER
Ccmmrcial Union Ins. Co._
INSURED
COMPAN Y B ya;-
LETTER
RECU
tte' EL
COMPANY K L�
R Wave Inc.
LETTER
173 NewtownRoad
�� ����
Plainview NY 11803
COMPANY ��.���
LETTER
COMPANY
LETTER CCC
COVIERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA D ABOVE FOR THE POLICY PEED
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
LTR
POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE (MM/DD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY
GENERAL AGGREGATE $ 3,000,000
X COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMP/OP AGG. $
A CLAIMS MADE X OCCUR.
CJR131586 8/1/93 8/1/94 PERSONAL & ADV. INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT.
EACH OCCURRENCE $ 1,000,000 ..
FIRE DAMAGE (Any one fire) $ 50,000
MED. EXPENSE (Any one person) $ 50000
AUTOMOBILE LIABILITY
COMBINED SINGLE $
ANY AUTO
LIMIT
T<2(:CiV.�C�
ALL OWNED AUTOS
LOSS COritCOI
SCHEDULED AUTOS
i{1SIC Mgmt.
`SN)JURY $
(P person)
///.�
HIRED AUTOS
DATE Y _ .. BODILY INJURY $
NON -OWNED AUTOS
Q (Per accident)
If L .___.�...._
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY
EACH OCCURRENCE $
UMBRELLA FORM
AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
STATUTORY LIMITS
EACH ACCIDENT $
AND
DISEASE —POLICY LIMIT $
EMPLOYERS' LIABILITY
DISEASE —EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Policy is hereby extended to include the Certificate Holder as additional
insured.
CERTIFICATE HOLDER
CANCELLATION
County of Monroe
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
5100 College Road
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Key West Florida
33040 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 TH OTANV ITS *GENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Al
/�
ACORD 25-S 7/90
T Ab CORD CORPORATION 1990
C
UNTY joROE
KEY WESTLORIDA 33040
(305)294-4641
-- BOARD OF COUNTY COMMISSIONERS
:1
'4993
.T� MAYOR, Jack London, District 2
Mayor Pro Tem, A Earl Cheal, District 4
Wilhelmina Harvey, District 1
Shirley Freeman, District 3
Mary Kay Reich, District 5
;r.
Monroe County Risk Management
5100 College Road
Key West, FL 33040
Mr. Frank J. Becker, Inc.
173 Earle Avenue
Lynbrook, Ny 11563
August 23, 1993
Re: R-Wave, Inc. Policy ##CJR131586
Dear Mr. Becker:
BRA [�
'RANK j 8EC;�ER
INC.
The Certificate of Insurance forwarded to Risk Management for
subject policy does not specify whether the policy is a per oc-
currence or claims made policy.
Please forward verification to Risk Management at above address.
If you have any quesitons, please call me at 305) 292-4542.
Sincerely,,,
Kay Bahleda
Risk Management
CC: Pete Lubert
LEBRWAVE/txtbahl
=r
990`
COMPANY A COMMERCIAL UNION INS CO
LETTER
COMPANY B STATE INAPP19)g BY RISK MANAGEM+f
INSURED LETTER
R-Wave Of Florida, Inc. COMPANY C LL�C�
3965-A7 Investment Lane LETTER
West Palm Beach, NY 33404 COMPANY D Eft S
LETTER
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
LTR
TYPE OF INSURANCE
POLICY NUMBER I
POUCY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
A
GENERAL LIABILITY
X ', COMMERCIAL GENERAL LIABILITY
CLAIMS MADEI X' OCCUR.
I OWNER'S & CONTRACTOR'S PROT.
CJR131586
08101195
08101196
GENERAL AGGREGATE
$ 3,000,000
PRODUCTS-COMP/OP AGG.
$
PERSONAL&ADV. INJURY
$ 1, 000, 000
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$ 50,000
MED. D(PENSE(Any one person)
$ 5,000
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
Rec
Risk :�Agmt.
DATIE
INITIAL
i
Ived
Lass Control
/
COMBINED SINGLE
LIMIT
l $
BODILY INJURY
Per ( person)
)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
EXCESS LIABILITY
~— UMBRELLA FORM
--', OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
$
B I
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
897 516-1
02/05/95
02/05/96
STATUTORY LIMITS
EACH ACCIDENT
I $ 100,000
DISEASE --POLICY LIMIT
$ 500,000
DISEASE --EACH EMPLOYEE
$ 100, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
COUNTY OF MONROE IS INCLUDED AS ADDITIONAL INSURED FOR WORK PERFORMED BY
THE INSURED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MONROE COUNTY MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ATTN: RISK MANAGEMENT LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGEtjTS OR REPRESENTATIVES.
5100 COLLEGE ROAD AUTHORIZED REqftSEwrATIVE %
KEY WEST, FL 33040
.. .....
PRODUCER
Frank J. Becker Agency
173 Earle Ave.
Lynbrook, NY 11563
INSURED
R-Wave, Inc. & R-Wave Of Florida, Inc.
173 Newtown Road
Plainview, BY 11803
COMPANY A COMMERCIAL UNION INS CO
LETTER
COMPANY B STATE INS FUND
LETTER
Received
COMPANY C Mgm[ & Loss Con.rOl
LETTER
COMPANY D
LETTER
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
I POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
A
i GENERAL LIABILITY
GENERAL AGGREGATE
$
3,000,000
X
COMMERCIAL GENERAL LIABILITY
CJR131586
08101195
08101196
PRODUCTS-COMP/OP AGG.
$
CLAIMS MADE! X OCCUR.
PERSONAL & ADV. INJURY
$
1,000,000
OWNER'S & CONTRACTOR'S PROT.
EACH OCCURRENCE
$
1,000,000
FIRE DAMAGE (Any one fire)
$ 50,000
MED. EXPENSE (Anyoneperson)
$ 5,000
AUTOMOBILE LIABILITY
ANY AUTO
.
COMBINED SINGLE
LIMIT
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
~J. SCHEDULED AUTOS
—~ HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
bAI E ^/
1 AIVER: N/A
�ES
!
1
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
$
STATUTORY LIMITS
WORKER'S COMPENSATION
897 516-1
02105196
02/05/97
EACH ACCIDENT
$ 100,000
AND
-- — -- — --
DISEASE--POLICYLIMIT$
---- —
500,000
' EMPLOYERS' LIABILITY
I',
DISEASE --EACH EMPLOYEE
is 100,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
COUNTY OF MONROE IS INCLUDED AS ADDITIONAL INSURED FOR WORK PERFORMED BY
THE INSURED
Workers Compensation Coverage for New York
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MONROE COUNTY MAIL 30 DAYS WRI EN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
490 63rd Street Ocean LEF BUT FAILU T MAIL SUCH NOT HALL IMPOSE NO OBLIGATION OR
Suite 170 LI ILITY F ANY IN UPON TH O N ITS AGENTS OR REPRESENTATIVES.
Marathon, FL 33050 AUTH RIZED EPRES ATI E
�f*37GTi
INSURED
R-WAVE OF FLORIDA, INC.
3965-A7 INVESTMENT LANE
WEST PALM BEACH, FL. 33404
COMPANIES AFFORDING COVERAGE
COMPANY PREFERRED NATIONAL
A
COMPANY
B
COMPANY
C
COMPANY
D
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 POLIC EXPIRATION LIMITS
LTR DATE (MM/DDNY) DATE (MM/DD/YY)
-GENERAL LIABILITY
A X COMPREHENSIVE FORM
PREMISES/OPERATIONS
UNDERGROUND
_ . EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPER
_- CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (Private Pass)
ALL OWNED AUTOS
_ (Other than Private Passenger)
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
BODILY INJURY OCC $
BINDER 11207096 11-13-96 11-13-97 BODILY INJURY AGG $
PROPERTY DAMAGE OCC $
PROPERTY DAMAGE AGG $
--------- -
-
BI&PDCOMBINEDOCC $1 , 000, 000
BI & PO COMBINED AGG $1 , 000 000
PERSONAL INJURY AGG $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
BODILY INJURY &
PROPERTY DAMAGE $
COMBINED
EACH OCCURRENCE $
AGGREGATE $
WORKERS COMPENSATION AND
APPROVED BY RISF MA"��C��'NT ORYLIMITS ER _
EMPLOYERS' LIABILITY
Q ,
�+ EL EACH ACCIDENT $
THE PROPRIETOR/ INCL
BY
C%G EL DISEASE POLICY LIMIT $
CZ
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
/ 7 `/
EL DISEASE - EA EMPLOYEE $
`
OTHER
_ _
- - -- - --- -----
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
COUNTY OF MONROE
EXPIRATIO D TIE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATTN: RAY MILLER
n�Qn
1Q_ D YS N✓RITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
J
FA%# 1-305-292-4564
_- _�
CC F�l�zYn K/R��i�l
VUT FAI RE TO MAIL SUCH TICE ALL O ialeLIGATION OR LIABILITY
5100 COLLEGE RD.
�/�`
�_ OF D UPON C P ITS AGE S OR REPRESENTATIVES.
KEY WEST, FL. 33040
/
AUTH I DR ESENT V
...........
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