Certificate of Insurance AI/IIItIL cERTI IVrJ TE oF iNsuRANcE :;: DATE(MM/DD/YY)
CSR
PAVG 01 03 05 97
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
George H. Friedlander Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
PO Box 2466 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1566 Kanawha Blvd. E. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Charleston WV 25311 COMPANIES AFFORDING COVERAGE
FRIEDLANDER COMPANY COMPANY /
04 - 357 -4520 A St. Paul Fire & Marine v
INSURED
COMPANY APPRIVEI . R . ANAGFMFNT
COMPANY B' ,� -,L- 1, V
Pavex Corporation C .-
2501 N.W. 48th St. COMPANY DATE W1111111111111
Pompano Beach FL 33073 D •
:COVERAGES
° , + >: R
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.
El TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL DATE(MM/DD/Yr
GENERAL UABIUTY GENERAL AGGREGATE $2,000,000
fl COMMERCIAL GENERAL LIABILITY KK01200367 04/01/97 04/01/98 PRODUCTS - COMP /OP AGG S 2,000,000
■ CLAIMS MADE X OCCUR PERSONAL & ADV INJURY S 1,000,000
■ OWNER'S &CONTRACTOR'S PROT EACH OCCURRENCE
$1,000,000
III DAMAGE )Any one fire) S 50, 000
El 04/01/97
• EXP (Any one person) S 5,000
I
AUTOMOBILE UABIUTY
n ANY AUTO KK01200367 04/01/97 04/01/98
■ ALL OWNED AUTOS
III SCHEDULED • INJURY S / '
SCHEDULED AUTOS
fl HIRED AUTOS
II
III
Limits evidenced herein are those Ezra'_ i'? @d (Per person)
on behalf of the namsd insured. LIi :3iS BODILY INJURY S
NON -OWNED AUTOS afforded on behair of uditionai 61:.....
(Per accident)
are lesser of policy II its, or those SL: °, PROPERTY DAMAGE S
outlined in the corltrac specificari r:- ..; -' COMBINED SINGLE LIMIT S 1,000,000
I
GARAGE UABIUTY COn • if ians governing t ch work to e AUTO ONLY - EA ACCIDENT S
III
ANY AUTO
MI by the P►am@ • Insured , OTHER THAN AUTO ONLY:
EACH ACCIDENT S
III AGGREGATE $
I
EXCESS UABIUTY EACH OCCURRENCE $10,000,000
UMBRELLA FORM K301200756 04/01/97 04/01/98 AGGREGATE S10,000,000
III OTHER THAN UMBRELLA FORM $
A WORKERS COMPENSATION AND X _STATUTORY LIMITS _
EMPLOYERS' UABIUTY EACH ACCIDENT $1,000,000
THE PROPRIETOR/ fl INCL WVK1200235 04/01/97 04/01/98 DISEASE - POLICY LIMIT $1,000,000
PARTNERS /EXEC UTI V E
OFFICERS ARE: ■ EXCL DISEASE - EACH EMPLOYEE S 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES /SPECIAL ITEMS
LITTLE TORCH KEY II ROAD IMPROVEMENTS. THE CERTIFICATE HOLDER IS AN
ADDITIONAL INSURED PER THE ATTACHED ENDORSEMENT.
CERTIFICATE HOLDER CANCELLATION
MONC009 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
BOARD OF COMMISSIONERS MONROE 30 DAYS WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT,
COUNTY
ENGINEERING DEPARTMENT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABIUTY
5100 COLLEGE ROAD OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
�� " ATI
KEY WEST FL 33040 / �laW ES NT �.Q
c o
•
AGOIiD 254 43/93) 0.0*., ®_ a o a ; • s : 1 s„