Certificate of InsuranceAI:IIi:10® CERTIFICATE OF INSURANCE ISSUE DATE
(OS/91
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
Se i t 1 i n & Company EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
P. O. Box 025220 COMPANIES AFFORDING COVERAGE
Miami, FL 33102-5220
INSURED
Falkanger, Snyder & Awsumb
Asbestos Consulting Service
614 S. Federal Highway
Ft. Lauderdale F1 33301
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY `.
LETTER
COMPANY D
LETTER
COMPANY E
LETTER rt imeT' ican Empire SuTp la_!s Lines
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
.TR DATE (MM/DD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
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
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
E OTHER
Prof. Liability
Asbestos
For professional liability covrag?,
the v ry7 cnate limit is the total
insLrLr;ce a;vail�ble for claims pre-
sented ithin the policy period for
all operations of the insured
SL53931
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
12/07/90 12/07/91
Risk
DATE
GENERAL AGGREGATE $
PRODUCTS-COMP/OPS AGGREGATE $
PERSONAL & ADVERTISING INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MEDICAL EXPENSE (Any one person) $
COMBINED
SINGLE $
LIMIT
BODILY
INJURY $
Per person)
BODILY
INJURY $
(Per accident)
PROPERTY $
DAMAGE
EACH AGGREGATE
OCCURRENCE
STATUTORY
$ (EACH ACCIDENT)
$ (DISEASE —POLICY LIMIT)
$ (DISEASE —EACH EMPLO)
$ 1, 000, 000 Ea. Claim
$1, 000, 000 Ann. Agg.
Receiv y,-d
nt. & Loss Control
CERTIFICATE HOLDER CANCELLATION 1MTIAL
SHOULD ANY OF THE ABOVE DES RIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Monroe County MAIL DO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
ATTN : B oar d o f C o un t y C omm i s s i on er S LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
500 Whitehead Street LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Key West, Fl. 33040 - --
AUTHORIZED REP RESE ATIVE
ACORD 25-S (11/89) nACORD CORPORATION 1989
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