Certificates of InsuranceRISK MANAGEMENT SERVICES, INC.
P. 0. BOX 20654
ORLANDO, FLORIDA32814
TELEPHONE: 894-2031
CERTIFICATE OF INSURANCE
ISSUED TO:
F
Board of County Commissioners
Monroe County, Florida
L
This is to certify that REDLAND CONSTRUCTION COMPANY__ INC.
23799 S. W. 167th Avenue
Howstead , Florida 33030 , being subject to the provisions
of the Florida Workmen's Compensation Act, has secured the payment of compensation by
insuring their risk with the
FLORIDA TRANSPORTATION BUILDERS ASSOCIATION SELF -INSURER'S FUND
COVERAGE NUMBER:
EFFECTIVE DATE:
EXPIRATION DATE:
REMARKS:
2/1/82 Statutory — State of Florida
2/1/83 $100,000 Employers Liability
IT IS AGREED THAT IN THE EVENT OF MATERIAL CHANGE OR CANCELLATION OF
THE POLICY, A THIRTY (30) DAY CANCELLATION NOTICE WILL BE GIVEN IN
WRITING.
This certificate is not a policy and of itself does not afford any insurance. Nothing con-
tained in this certificate shall be construed as extending coverage not afforded by the
policy (ies) shown above or as affording insurance to any insured not named above.
DATE: 1-28-82 ,/I •
BY: _ K
W. R. Dorminy, President
Risk Management Services, Inc.
THIS CERTIFICATE IS ISSI
° THIS CERTIFICATE DOES
NAME AND ADDRESS OF AGENCY
ALEXANDER $ ALEXANDER, INC.
3565 PIEDMONT ROAD, N.E.
ATLANTA, GEORGIA 30363
NAME AND ADDRESS OF INSURED
REDLAND CONSTRUCTION COMPANY, INC.; REDLAND
ROCK CC PANY, INC. & CHARLES P. MUNZ, INDIV.
23799 S.W. 167TH AVENUE
HOMESTEAD, FLORIDA 33031
COMPANIES AFFORDING COVERAGES
LETTERNY A FIREMAN' S FUND INSURANCE COMPANY
COMPANY
LB PACIFIC EMPLOYERS INSURANCE COMPANY
ETTER
COMPANY
LETTER
COMPANY D LETTER
COMPANY E LETTER i..
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. 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 of Liability in Thousan
s
COMPANY
LETTER
TVPEOFINSURANCE
POLICY NUMBER
POLICY
EXPIRATION DATE
EACH
AGGREGATE
OCCURRENCE
GENERAL LIABILITY
BODILY INJURY
$
$
A
❑ COMPREHENSIVE FORM
LA 3007977
6/1/82
❑ PREMISES —OPERATIONS
PROPERTY DAMAGE
$
$
❑ EXPLOSION AND COLLAPSE
HAZARD
❑
UNDERGROUND HAZARD
❑ PRODUCTS/COMPLETED
OPERATIONS HAZARD
❑
BODILY INJURY AND
CONTRACTUAL INSURANCE
PROPERTY DAMAGE
$500
$ Soo
❑ BROAD FORM PROPERTY
COMBINED
DAMAGE
❑
INDEPENDENT CONTRACTORS
PERSONAL INJURY
$ 50o
❑ PERSONAL INJURY
AUTOMOBILE LIABILITY
BODILY INJURY
$
(EACH PERSON)
A
❑ COMPREHENSIVE FORM
LA 3007977
6/1/82
BODILY INJURY
$
❑ OWNED
(EACH ACCIDENT)
❑ HIRED
PROPERTY DAMAGE
$
BODILY INJURY AND
$500
❑ NON -OWNED
PROPERTY DAMAGE
COMBINED
EXCESS LIABILITY
$
❑
BODILY INJURY AND
UMBRELLA FORM
XMO 003938
6p
/1/82
PROPERTY DAMAGE
$5,000
$ 5,000
❑ OTHER THAN UMBRELLA
COMBINED
FORM
WORKERS' COMPENSATION
STATUTORY
and
EMPLOYERS' LIABILITY
$
(EACH ACCIDENT)
OTHER
UL5CHIFIION OF OPERATIONS/LOCATIONS/VEHICLES
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail days written notice to the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company.
NAME AND ADDRESS OF CERTIFICATE HOLDER:
Board of County Commissioners
Monroe County, Florida
DATE ISSUED:
ACORD 25 (1-79)
A
ED
ERVICES, INC.
CERTIFICATE OF INSURANCE
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 listed below.
NAME AND ADDRESS OF AGENCY
SELF INSURED SERVICES, INC.
1221 LEE ROAD
ORLANDO, FLORIDA 32810
NAME AND ADDRESS OF INSURED
REDLAND CONSTRUCTION COMPANY, INC.
23799 S.W. 167 AVENUE.
HOMESTEAD, FL 33031
This is to certify that Workers' Compensation and Employers' Liability coverage has been issued to the
Insured named above and is in force for the period from
to termination of Policy No. 890-001
I
Cancellation: Should the above coverage be cancelled, the Service Agency will endeavor to mail a 30-day
written notice to the Certificate Holder named below, but failure to mail such notice shall
impose no obligation or liability of any kind upon the Florida Transportation Builders
Assn., or the service agency. All terms of this certificate which are applicable to the described
policy shall apply to the required renewals thereof.
NAME AND ADDRESS OF CERTIFICATE HOLDER
BOARD OF COUNTY COMMISSIONERS
MONROE COUNTY, FLORIDA
DATE ISSUED
2'1/V
i
AUTHORIZED SIGNATURE
8-MID AC 184