Certificates of InsuranceMI„'1"® CERTIFICATE LATE OF INSURANCE ISSUE DATE (MM/DD/YY)
2/9/90
PRODUCER 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
Clifford Insurance Agency, Inc.
P. 0. Box 3220 COMPANIES AFFORDING COVERAGE
Belleview, Florida 32620
CODE
INSURED
SUB -CODE
Southern Coach, Inc.
1985 N.W. 57th Street
Ocala, Florida 32675
LETTERNY
A Liberty Mutual
COMPANY
B
LETTER
COMPANY
`.
LETTER
COMPANY
LETTER
COMPANY E
LETTER
COVERAGES
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 EFFE:CIIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
_TR DATE (MM/DDI)'Y) DATE (MM/DD/YY)
GENERAL LIABILITY
GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMP/OPS AGGREGATE $
CLAIMS MADE OCCUR.
PERSONAL & ADVERTISING INJURY $
OWNER'S & CONTRACTOR'S PROT.
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MEDICAL EXPENSE (Any one person) $
AUTOMOBILE LIABILITY
COMBINED
SINGLE $
ANY AUTO
LIMIT
ALL OWNED AUTOS
BODILY
INJURY $
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY
NON -OWNED AUTOS
I NJURY $
Received (Per accident)
GARAGE LIABILITY
(/ ,�,��Ci01
Risk. Mgmc• & LO S Ck!1' PROPERTY g
DAMAGE
EXCESS LIABILITY
DATE EACH AGGREGATE
OCCURRENCE
INITIAL $ $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
STATUTORY
$ 100 (EACH ACCIDENT)
A AND WCI-351-479137-010 1/6/90 1/6/91 $ 500 (DISEASE —POLICY LIMIT)
EMPLOYERS' LIABILITY
$ lOO (DISEASE —EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/BEXVG)CZM6/SPECIAL
ITEMS
Refurbishing Fire Trucks
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Monroe County Risk Management
MAIL 1.Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Wing 11, Room 207, P.S.B.
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
5825 Junior College Road
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Key West, Florida 33040
AUTHORIZED REPRESENTATIVE
` , 4ORD
ACORD 25-S (3/88)
CORPORATION 1988
A41FO 10. CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY)
2/9/90
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Clifford Insurance NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
P.O. BOX 3220 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Belleview, Fla. 32620 COMPANIES AFFORDING COVERAGE
CODE SUB -CODE
INSURED
Southern Coach, Inc.
1985 N.W. 57th Street
Ocala, Fla. 32675
COMPANY
A
LETTER General Agents Insurance Co. of America, Inc.
COMPANY B
LETTER
COMPANY `.
LETTER
COMPANY
LETTER D
COMPANY E
LETTER
COVERAGES....�_..�....n.m._..�.�,�R..�....r�,.�._.a�,.�.�...�...,.,�
� �
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
_TR
POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
DATE (MM/DD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY
GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY
PROD UCTS-COMP/OPS AGGREGATE $
CLAIMS MADE OCCUR.
PERSONAL & ADVERTISING INJURY $
OWNER'S & CONTRACTOR'S PROT.
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MEDICAL EXPENSE (Any one person) $
AUTOMOBILE LIABILITY
COMBINED
SINGLE $
ANY AUTO
LIMIT 500
ALL OWNED AUTOS
BODILY
INJURY $
SCHEDULED AUTOS
(Per person]
HIRED AUTOS
BODILY
INJURY $
NON -OWNED AUTOS
(Per accident)
A X GARAGE LIABILITY GLA145964
4/24/89 4/24/90 PROPERTY
$
DAMAGE
EXCESS LIABILITY
EACH AGGREGATE
OCCURRENCE
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
STATUTORY
$ (EACH ACCIDENT)
AND
$ (DISEASE —POLICY LIMIT)
EMPLOYERS' LIABILITY
$ (DISEASE —EACH EMPLOYEE)
OTHER
Garage Keepers Legal Liability $250,000.00
Medical Payments $1,000.00 Received
Ri51_ Mg t.& Ss -control
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS DATE
Emergency Fire Truck Refurbisher INITIAL
CERTIFICATE HOLDER
Monroe County Risk Mgt. Wing
Wing 11, Room 207, P.S.B.
5825 Junior College Road
Key West, Fla. 33040
CANCELLA'
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 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 REPRESENTATIVES.
AUTHORIZED REPRESENTX5qE !��I �1\�,�
I.S.I. Agencies -q�/
ACORD 25-S (3/88) OACORD CORPORATION 1988
IWERTI MATE OF
PRODUCER
Clifford Insurance Agency, Inc.
P. 0. Box 3220
Belleview, Florida 32620
I CODE
SUB -CODE
INSURED
Southern Coach, Inc.
1985 N.W. 57th Street
Ocala, Florida 32675
ISSUE DATE (MM/DD/YY)
01ANIM 5/30/90
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
COMPANY I.N.A.
LETTER A
COMPAN
LETTER Y B Liberty Mutual
COMPANY `.
LETTER
Risk
COMPANY D
LETTER DATE _
Received
Pt. Lo§- Control
�Iqv_
C
COMPAN
LETTER Y E INITIAL
COVERkM
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 POLICY EXPIRATION ALL LIMITS IN THOUSANDS
LTR DATE (MM/DD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PROD UCTS-COMP/OPS AGGREGATE $
CLAIMS MADE OCCUR. PERSONAL & ADVERTISING INJURY $
OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MEDICAL EXPENSE (Any one person) $
AUTOMOBILE LIABILITY
COMBINED
SINGLE
$ 500
ANY AUTO
LIMIT
ALL OWNED AUTOS
BODILY
INJURY
$
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY
INJURY
$
NON -OWNED AUTOS
(Per accident)
A X GARAGE LIABILITY GPP 520-731
4/24/90 4/24/91 PROPERTY
DAMAGE
$
EXCESS LIABILITY
EACH AGGREGATE
OCCURRENCE
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION STATUTORY
+�-.- �+!', ann, n.-+ n, n • /i- $ 1 0 (EACH ACCIDENT)
jj AND WCI-351-4719137-01.V 1/ U/ :/V 1/ V/ J1. —O`
EMPLOYERS' LIABILITY $ 500 (DISEASE —POLICY LIMIT)
$ 100 (DISEASE —EACH EMPLOYEE
OTHER
Garage Keepers Legal Liability $250,000.00
Medical Payments $1,000.00
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESfWIMTA"/SPECIAL ITEMS
Emergency Fire Truck Refurbisher
CERTWICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Monroe County Risk Management EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Wing 2, Room 207 P.S.B. MAILI()--- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
5825 Junior College Road LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Key West, Florida 33040 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
REVISED
AI/III�II® wFM
k�i/MUC ISSUE DATE (MM/DD/YY)
6/14/90
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Clifford Insurance Agency, O RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
9 Y Inc.. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
P. O. Box 3220
Belleview, Florida 32620 COMPANIES AFFORDING COVERAGE
COMPAN
LETTER Y A GAINSCO
CODE SUB -CODE
COMPANY LIBERTY MUTUAL
INSURED LETTER B
SOUTHERN COACH, INC. COMPANY Received
LETTER C Risk Mg It. & SS Gtl:'i�rG�
1985 N.W. 57th STREET (�
OCALA, FLORIDA 32675 ETTERNY D DATE
INITIAL ttJ
COMPANY E
LETTER
COVERAGES
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 POLICY EXPIRATION ALL LIMITS IN THOUSANDS
LTR DATE (MM/DD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $
CLAIMS MADE OCCUR. PERSONAL & ADVERTISING INJURY $
OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MEDICAL EXPENSE (Any one person) $
AUTOMOBILE LIABILITY
COMBINED
500
ANY AUTO
SINGLE
LIMIT
$
ALL OWNED AUTOS
BODILY
INJURY
$
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY
INJURY
$
NON -OWNED AUTOS
(Per accident)
A X GARAGE LIABILITY GPP 520-731
4/24/90 4/24/91
PROPERTY
$
DAMAGE
EXCESS LIABILITY
EACH AGGREGATE
OCCURRENCE
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION ••,
STATUTORY
AND
B WC1-36.L-4 Ml3 /-0i0 L/6/ `90 i/ 6/ ti.i $ 100 (EACH ACCIDENT)
EMPLOYERS' LIABILITY
$ 500 (DISEASE —POLICY LIMIT)
--
$ 100 (DISEASE —EACH EMPLOYEE
OTHER
Garage Keepers Legal Liability $250,000.00
Medical Payments'$1,000.00
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RIMIM /SPECIAL ITEMS
Emergency Fire Truck Refurbisher
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Monroe County Risk Management EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Wing 2, Room 207 P.S.B. MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
5825 ,junior College Road LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Key West, Florida 33040 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE