Certificates of Insurance..%................::......... ..:.:........::....
.. .. ......: ......... ......... ...... .. ....
DATE %W/DD/YY)
...:::::....::.RTIRCATEI.:..............:::::::::::::::::..........::::.:.::...::..:::::::..:..::.:::::..::::::...::::::.
12 13 94 .::.
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
COOPER, SIMMS, NELSON h MOSLEY
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
271 West Canton Avenue
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Post Office Box 1480
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Winter Park FL 32790
COMPANIES AFFORDING COVERAGE
Brittain A. Simms
COMPANY
407-644-8689
A ITT Hartford Insurance Group
INSURED
COMPANY
B
COMPANY
C
12424 Research Parkway, 1275
Orlando FL 32826
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY ELECTIVE
DATE(MM/DD/YY)
POLICY EXPIRATION
DATE(MM/DD/YY)
LIMITS
GENERAL
LIABILITY
GENERAL AGGREGATE
: 2 , 000, 000
X
PRODUCTS - COMP/OP AGO
s2,000,000
A
COMMERCIAL GENERAL LIABILITY
21SBADX8845
01/04/95
01/04/96
CLAIMS MADE FxI OCCUR
PERSONAL S ADV INJURY
$ 1 000 , 000
EACH OCCURRENCE
$ 1 , 00O 000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
t 300,000
MED EXP (Any one person)
f 5,000
AUTOMOBILE
LIABILITY
A
ANY AUTO
21SBADX8845
01/04/95
01/04/96
COMBINED SINGLE LIMIT
= l , 000 , 000
BODILY INJURY
i
ALL OWNED AUTOS
SCHEDULED AUTOS
p
.y�
(Per Person)
HIRED AUTOS
t,
5
E
BODILY INJURY
Z
NON -OWNED AUTOS
J
(Per aeoide�x)
i
S I
1.I 20 199d
PROPERTY DAMAGE
II
GARAGE
LIABILITY
ANY AUTO
CAM
, j
IJT Y
AUTO ONLY - EA ACCIDENT
II
OTHER THAN AUTO ONLY:
........................................
........................................
........................................
.
EACH ACCIDENT
i.....
AGGREGATE
II
A
EXCESS LIABILITY
NUMBRELLA FORM
OTHER THAN UMBRELLA FORM
21SRADX8845
01/04/95
01/04/96
EACH OCCURRENCE
$ 1000000
AGGREGATE
$ 1000000
=
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: R EXCL
21WBC ER3744
01/04/95
01/04/96
X STATUTORY LIMITS
EACH ACCIDENT
$ 100, 000
DISEASE -POLICY LIMIT
$ 500,000
DISEASE - EACH EMPLOYEE
$ ZOO 000
A
OTHER
Property
Special Form
21SBADX8845
$500 Ded. R/C
01/04/95
01/04/96
Contents $132,600
DESCRIPTION OF OPMATN)Ni/LOCATN)NE/VEHICLW/SPECIAL ITEMS
The Ce}tificate Holder is Named as an additional insured in respect to the
liability coverages.
COUNT01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUNG COMPANY WILL ENDEAVOR TO MAIL
County of Monroe 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
County Attorney ' s Office BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
310 Fleming Street
Rey West FL 33949 OF ANY IaPAjV ANY, ITS AGENTS at REPRESENTATIVES.
BritfiTn IA
.....�...........::........
A081:11.
(COOPER, SIDS, NELSON & MOSLEY
271 West Canton Avenue
Post Office Box 1480
Winter Park FL 32790
Brittain A. Simms
INSURED
Fishkind & Assoc., Inc.
12424 Research Parkway, 1275
Orlando FL 32826
DATE::._. :.
OuIM/DD /YY)
:>::>::>::>:::.::::::::::::::::::::::>::>::>::>::>:>FISHK»1::?:::>:>«:: 12 09 94
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
A ITT Hartford Insurance Group
COMPANY APPPOVEO RY RISK MANAGEMENT
B
COMPANY BY
COMPANY /
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 LIMITS I
LTR DATE (MM/DD/YYI DATE IMM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE s21000,000
A Z COMMERCIAL GENERAL LIABILITY 21SBADB8845 01/04/94 01/04/95 PRODUCTS - COMP/OPAGG i 2,000,000
CLAIMS MADE ®OCCUR PERSONAL & ADV INJURY $ 1, 000, 000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1, 000 000
FIRE DAMAGE (Any one fir.) $ 300,000
MED EXP (Any one p.m.) $ 10,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
21SWWX8845
01/04/94
01/04/95
COMBINEDSIN(iLELIMIT
a 1,000,000
BODILY INJURY
F' pwoon)
i
ALL OWNED AUTOS
SCHEDULED AUTOS
Z
BODILY INJURY
(Per ecadem)
9
HIRED AUTOS
NON -OWNED AUTOS
Y
Riskrl iil:.gIY1T.
'LOSS COIIfIO
PROPERTY DAMAGE
i
GARAGE LIABILITY
iiT i..A . _, ..
/ Q
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
(�.IAIL .�.._�
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
* 1000000
AGGREGATE
$ 1000000
A
NUMBRELLA FORM
21SEMDX8845
01/04/94
01/04/95
$
OTHER THAN UMBRELLA FORM
A
WORKERS COMPENSATION AND
STATUTORY LIMITS
........................................
........................................
.......................
EMPLOYERS' LIABILITY.................
EACH ACCIDENT
i 100 000
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
21WBC ER3744
01/04/94
01/04/95
DISEASE -POLICY LIMIT
$ 500,000
DISEASE - EACH EMPLOYEE
$ 100, 000
OTHER
A
Property
21SBADX8845
01/04/94
01/04/95
DESCFVFrnON OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
The Certificate Holder is Named as an additional insured in respect to the DEC 1994
liability coverages.
C01=01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUNG COMPANY WILL ENDEAVOR TO MAIL
County of Monroe 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
County Attorney's Office
310 Fleming Street BUT FAIL TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Key West FL 33949 OF Y, ITS AGENTS OR REPRESENTATIVES.
. S