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Certificates of InsuranceOILei:11 ISSUE DATE (MWDD/YY) QM5 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. PRODUCER COMPANY BINDER NO. `Collinsworth, Alter and Associates, Inc. Post Office Box 9315 Miami Lakes, Florida, 33014-9315 Wausau Insurance Companies BRBIND9495 EFFECTIVE DATE I TIME --P EXPIRATION DATE TIME 4/29/88 E.IX I AM 5/29 Ix 12:01 AM PM NOON (305) 822-7800 THIS COMPANY BINDER I EXP qID TO POLICY NO.: EXTEND OVERAGE IN THE ABOVE NAMED (305) 463-8601 CODE SUB -CODE DESCRIPTION OF OPERATIONSIVEHICLES/PROPERTY (INCLUDING LOCATION) Renovations of first floor of Courthouse Annex Building, located at Jackson Square Key West, Florida INSURED Hewett -Kier Construction Inc. 1888 N. W. 23rd. Street Pompano Beach, Florida 33060 • TYPE OF INSURANCE PROPERTY CAUSES OF LOSS COVERAGESIFORMS All Risk -Special Form Builders Risk except AMOUNT $301,783 DEDUCTIBLE $1,000 COMRANCE 100% BASIC = BROAD ®SPECIAL as specifically excluded. Of th Some but not all exclusions: Flood., Quake, Windstorm and Hail cont unt GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY CLMWS MEE Q OCCURFeCE ppODUCTs•COMP/OPS AGGREGATE $ PERSONAL & ADVERTISING INJURY $ OWNER'S & CONTRACTORS PROTECTIVE EACH OCCURRENCE $ FIRE DAMAGE (ANY ONE FIRE) $ RETRO DATE FOR CLAIMS MADE: MEDICAL EXPENSE (ANYONE PERSON) $ AUTOMOBILE ALL VEHICLES SCHEDULED VEHICLES CSL $ LIABILITY BI PERS/ACCID $ NOWOWNED PD $ id HIRED MED. PAY $ GARAGE PIP $ UM $ AUTO PHYSICAL DAMAGE ALL VEHICLES SCHEDULED VEHICLES ACV COLLISION DED: STATED AMOUNT $ OTC DED: OTHER EXCESS LIABILITY UMBRELLA FORM OCCEACH URRENCE AGGREGATE SELF -INSURED RETENTION OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS.MADE: STATUTORY WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY $ (EACH ACCIDENT) $ (DISEASE -POLICY LIMIT) $ (DISEASE -EACH EMPLOYEE) SPECIAL CONDITIONS/RESTRICTIONS/OTHER COVERAGES 30 days written notice or material change will be given to all parties, As Their Interest May Appear Monroe County Board of County Commissioners MORTGAGEE x ADDITIONAL INSURED 500 Whitehead Street LOSS PAYEE Key West, Florida LOAN# AUTHORIZED REPRESENT IV David I. Al , SECTION b0650 CERTIFICATE OF INSURANCE THIS IS TO CERTIFY THAT THE(A) Wausau Insurance Companies (B) FCCI Fund Insurance Company Address C/O Collinsworth, Alter and Associates, Inc. P. 0. Box 9315, Miami Lakes, FL 3014 of has issued policies of insurance, as described below and identified by a policy number, to the insured named below; and to certify that such policies are in full force and effect at this time. It is agreed that none of these policies will be cancelled or changed so as to affect the interest(s) of the Monroe County Board of Co. Coamissioneghereinafter sometimes called the Owner) until thirty (30) days after written notice of such cancellation or change has been delivered to the Owner's Architect/Engineer; Post, Buckley, Schuh & Jernigan, Inc. Insured Hewett -Kier Construction, Inc. Address 1888 N. W. 23rd. Street, Pompano Beach, Florida 33060 Status of Insured X Corporation Partnership Individual Location of Operations Insured State of Florida Description of Work - Renovations Courthouse Annex Building, Jackson Square, Key West, Florida INSURANCE POLICIES IN FORCE Forms of Coverage Policy Number Expiration Date *Worker's Compensation/Employers' Liability 05993 12/31/88 +Comprehensive Automobile viability 1429-02-085697 05/05/89 *Comprehensive General Liability 1429-00-085697 05/05/89 Contractual Liability 1429-00-085697 05/05/89 +Excess Liability 1429-03-085697 05/05/89 Other (Please specify type) POLICY INCLUDES COVERAGE FOR: YES NO 1. Additional Insured: The Owner. X CGL Only 2. *Liability under the United States Longshoremen's and Harbor Workers' Compensation Act. x 3. +All owned, hired, or nonowned automotive equipment X used in connection with work done for the Owner. 00650 - 1 04-017.10 POLICY INCLUDES COVERAGE FOR: (Continued) 4. °Damage caused by explosion, collapse or structural injury, and damage to underground utilities. 5. Products/Completed Operations 6. Owners and Contractors Protective Liability 7. Liability assumed in the Contract 8. Personal Injury Liability 9. +Excess Liability applies excess of: Ta) Employers' Liability (b) Comprehensive General Liability (c) Comprehensive Automobile Liability (d) Contractual Liability YES NO LIMITS OF LIABILITY FORM OF COVERAGE BODILY INJURY PROPERTY DAMAGE Worker's Compensation Statutory XXXXXXXXXXXX Employers' Liability $ 500,000 Each Accident XXXXXXXXXXXXXXX Comprehensive Each occurrence - Automobile Liability $ 1,000,000 Combined Single Limit BI/PD Comprehensive Each occurrence - General Liability $ 1,000,000 Combined Single Limit BI/PD Contractual Liability $ 1,000,000 Each occurrence - Excess Liability $ 1,000,000 Combined Single Limit BI/PD Other (please Copy of the Insurance Standard ACORD Certificate of Insurance specify type) Attached, for your additional information only. The Insurance Company hereby agrees to deliver, within ten (10) days, two (2) copies of the above policies to the Owner's Architect/Engineer when so requested. NOTE: Entries on this certificate are limited to the Authorized Agent or Insurance Company Representative. (A) Wausau Insurance Companies Date May 2, 1988 - � (B) FOCI Fund Insurance Company Issued at Miami Lakes, Florida Authorized Representative Insurance Agent or Company - Send original and one copy to: Post, Buckley, Schuh & Jernigan, Inc. 1 North Krome Avenue Homestead, Florida 33030 END OF SECTION 00650 - 2 04-017.10 GM,; WAII ISSUE DATE (MM/DD/YY) Q" 5/02/88 PRODUCER Collinsworth, Alter and THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, Associates, Inc. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Post Office Box 9315 Miami Lakes, FL 33014-9315 COMPANIES AFFORDING COVERAGE COMPANY LETTERA Wausau Insurance Company COMPANY LETTER B Wausau Insurance Com an INSURED COMPANY c LET7ER Wausau Insurance Company Hewett —Kier Construction, Inc. COMPANY D FCCI Fund 1888 N. W. 23rd Street Pompano Beach FL 33060 COMPANY E LETTER THIS IS TO CERTIFY THAT 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 CONDI. TIONS OF SUCH POLICIES. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/OD/YY) POLICY EXPIRATION DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS A GENERAL LIABILITY 142900085697 5/05/88 5/OS/89 GENERAL AGGREGATE $ 1, 000, X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ®OCCURRENCE PRODUCTS COMP'OPS AGGREGATE $ 11 000, PERSONAL & ADVERTISING INJURY $ 1 000, OWNERS & CONTRACTORS PROTECTIVE X EACH OCCURRENCE $ 1 , 000, RRE DAMAGE (ANY ONE FIRE) $ 50, MEDICAL EXPENSE (ANY ONE PERSON) $ 5, AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS 142902OB5697 5/05/88 5/05/89 csL $ 11000, xy. X X BODILY NJuav (PER PERSON) Q`�" W X X BODILY INJURY (PER ACCIDENT) $ HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ti - -_ X PROPERTY DAMAGE $ EXCESS LIABILITY X Umbrella 142903085697 5/05/88 5/05/89 .' EACH GCCURRENCE $ 11000, $ AGGREGATE 1, 000, OTHER THAN UMBRELLA FORM WORKERS' COMPENSATION 05993 1 /01 /88 12/31 /88 STATUTORY - $ 1 j 000,(EACH ACCIDENT) AND EMPLOYERS' LIABILITY $ 1 , 000, (DISEASE POLICY LIMIT) $ 1 1 000, (DISEASE -EACH EMPLOYEE) OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS Renovation of first floor of Courthouse Annex Building at Jackson Square, Key West. Certificate Holder is named as additional insured under the general liability insurance. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX - Monroe County Board PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO of County Commissioners MAIL 3ODAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 500 Whitehead Street LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Key West, Florida LIABILIT ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHOR ED EPRfiSL�1T E I Al AAI p i/aV � , s �' •: ISSUE DATE (MM/DD/YY) 2/16/89 PRODUCER Collinsworth, Alter and THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, Associates, Inc. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Post Office Box 9315 Miami Lakes, FL 33014-9315 COMPANIES AFFORDING COVERAGE (305) 822-7800 Dade (305) 463-8601 Broward (407) 833-9650 Palm Beach COMPANY LETTER A Wausau Insurance Company COMPANY LETTER B Wausau Insurance Company INSURED COMPANY C LETTER Wausau Insurance Company Hewett —Kier Construction, Inc. 1888 N. W. 23rd Street Pompano Beach FL 33060 COMPANY LETTER D FCCI Fund COMPANY E LETTER Wausau Insurance Company Revised Certificates THIS IS TO CERTIFY THAT 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 CONDI- TIONS OF SUCH POLICIES. "Limit shown below may be reduced by paid claims. " CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/VY) POLICY EXPIRATION DATE (MM/DD/VY) ALL LIMITS IN THOUSANDS A I GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCURRENCE 1429000S5697 5/05/88 5/05/99 GENERAL AGGREGATE $ 1,000 PRODuC-S-COMPOPS AGGREGATE $ 11000 X PERSONAL & ADVERTISING INJURY /IS� $ 11000 OWNER'S & CONTRACTORS PROTECTIVE EACH OCCURRENCE $ 1,000 FIRE DAMAGE fANY ONE FIRE) $ 50 MEDICAL EXPENSE (ANY ONE PERSON( $ 5 B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS 142902085697 5/65/88 5/05/89 CSC INJURY ,PER PERSON) $ 1 , 000,BODILY $ T TXT. HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY , nT" BDDILr INJURY 1PER ACCIDENT( $ X Physical Damao $500 Ded Comp $1, 000 Ded ollision PROPERTY DAMAGE $ C EXCESS LIABILITY X Umbrella 142903085697 5/05/88 5/05/89 EACH OCCURRENCE $ 1,000, $ AGGREGATE 1,000, OTHER THAN UMBRELLA FORM WORKERS' COMPENSATION 05993 1 /01 /89 12/31 /89 STATUTORY $ 11 000, (EACH ACCIDENT; AND $ 1, 000, DISEASEPOLICYLIMIT; EMPLOYERS' LIABILITY $ 1 , 000, (DISEASE-EACn EMPLOYEE) OTHER E 1469-85-085697 5/05/88 5/05/89 Contractors Equipment All Risk Excl Flood, and Quake Subject to DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL Renovation of first floor of Courthouse ITEMS $500 Deductible Annex Building at Jackson Square, Key West. additional insured under the general Certificate Holder is named as liability insurance. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX. Monroe County Board of County Commissioners PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 500 Whitehead Street LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Key West, Florida LIABILITY O&ZNY KIND UPON THE COMPANY, ITS AGES OR REPRESENTATIVES. AUTHORIZ R PPf)JR�4 l to AA