Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Certificates of Insurance
1 Client #: 9682 BLUEWAT ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 7 o 0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Starkweather & Shepley, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. BOX 549 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Providence, RI 02901 INSURERS AFFORDING COVERAGE INSURED INSURER A: NEW HAMPSHIRE INSURANCE Blue Water Marine Services INSURER B: Capt. Cole Murray INSURER C: 16015 S.W. 298 Terrace INSURER D: Homestead, FL 33033 I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 1 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 SUCF POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY GL6082267 12/20/99 12/20/00 EACHOCCURRENCE $$1, 000, 00C s COMMERCIAL GENERAL LIAB[LIIY FIREDAMAGE(Anyonefire) s$50,000 CLAIMS MADE OCCUR MED EXP (Any one person) s$5,000 PERSONAL & ADV INJURY $$1, 000, 00C I GENERAL AGGREGATE $$ 2, 0 0 0, 0 0 C GEM. AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $$1,000,00C POLICY PRO- LOC AUTOMOBILE LIABILITY r , COMBINED SINGLE LIMIT ANY AUTO .} HC I - n Rti ` ;,i ? ( Ea accident) $ ALL OWNED AUTOS �_ B ODILY INJURY SCHEDULED AUTOS a (Per person) $ HIRED AUTOS DATE 31 BODILY INJURY $ • NON-OWNED AUTOS (Per accident) iA'A'VER: N, ‘ YES ____4_— PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE 1 AGGREGATE $ H-- $ DEDUCTIBLE _ $ RETENTION $ $ WC STATU- OTH- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY - E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A GTHRP & I CV3030352 -13721 12/20/99 12/20/00 $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER LISTED BELOW IS NAMED AS ADDITIONAL INSURED AS RESPECTS CERTIFICATE HOLDER 1 ADDITIONAL IVSURED;NSURERLETTER: CANCELLATION SHOULD ANYOF THE ABOVE DESCRIBED POLCES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of Comm. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL1 0 DAYS WRITTEN Attn: Ms. Kim McGee NOTICE TO THE CERTIFICATE HOLD ER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5100 College Road IMPOSE NOOBLIGA110) ' ANi1* g.goMpfURER,1TS AGENTSOR Key West, FL 33040 REPRESENTATIVES. rINISU DRO 3 ^T, INC AUTHORIZED REPRESENT .Lo PIl ^t 1 /j 1-411" A®' , . I2 ACORD 25 -S (7/97) 1 0 f 2 #S10316/M10314 S LN iCORD CORPORATION 1988 CERTIFICATE OF INSURANCE CL §TATE INSURANCE COMPANY ❑ ALLSTATE INDEMNITY COMPANY El ALLSTATE TEXAS LLOYD'S T S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFI- CATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CERTIFICATE HOLDER NAMED INSURED Name and Address of Party to Whom this Certificate is Issued Name and Address of Insured NtNCE C IMY ECM) CF Q »USSIUIIZS ME 44aL'gE MoiaNE SERVICES, INC. 5100 (JTTWE ID. 19901 SR 296 MME' RELIC B 1 1ICE HJIIDIlN3 11YESIEAD, FICKIA 33030 1411G IV FCCM 410 KEY VEST, FICRIDA 33040 This is to certify that policies of insurance listed below have been issued to the insured named above subject to the expiration date indicated below, 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. TYPE OF INSURANCE AND LIMITS COMMERCIAL GENERAL LIABILITY Policy Effective Expiration Number Date Date Limit Amount GENERAL AGGREGATE LIMIT (Other than Products — Completed Operations) $ PRODUCTS — COMPLETED OPERATIONS AGGREGATE LIMIT $ PERSONAL AND ADVERTISING INJURY LIMIT $ EACH OCCURRENCE LIMIT $ PHYSICAL DAMAGE LIMIT $ ANY ONE LOSS MEDICAL EXPENSE LIMIT $ • ANY ONE PERSON WORKERS' COMPENSATION & Policy Effective Expiration EMPLOYERS' LIABILITY Number Date Date Coverage Limits WORKERS' COMPENSATION STATUTORY — applies only in the following states: BODILY INJURY BY ACCIDENT $ EACH ACCIDENT EMPLOYERS' BODILY INJURY BY DISEASE $ EACH EMPLOYEE LIABILITY BODILY INJURY BY DISEASE $ POLICY LIMIT AUTOMOBILE LIABILITY Policy Effective Expiration Numbe287508990337085 Date Date 02 -02.01 Coverage Basis 02 -02 Limits ❑ANY AUTO N OWNED AUTOS a HIRED AUTOS Combined Single Limit of Liability BODILY INJURY & PROPERTY DAMAGE $ •� EACH ACCIDENT _ ❑SPECIFIED AUTOS R1 NON -OWNED AUTOS Split'Ciabi i y Limits Bodily Injury Property Damage Each DOWNED PRIVATE PASSENGER AUTOS $ . PERSON _ DOWNED AUTOS OTHER THAN PRIVATE PASSENGER $ $ ACCIDENT UMBRELLA LIABILITY Policy Effective Expiration Number Date Date EACH OCCURRENCE GENERAL AGGREGATE PRODUCTS — COMPLETED OPERATIONS AGGREGATE $ $ $ OTHER (Show Policy Effective Expiration type of Policy) Number Date Date MTl7F (TI NITY FrlAlal (7F' CTTMf SST TF AT7)TT fl\I *L TN41l�T� DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /RESTRICTIONS /SPECIAL ITEMS 'Allstate. 'Mao N good hands a J • !IA,: :4 : i SCOTT GORHAM, INSURANCE AGENT `' _ n ' `� n ," __ _ 125 NE 8th STREET, HOMESTEAD, FL 33030 30 �, BUS: (305) 245 -8488 • FAX: (305) 245 -8660 CANCELLATION r., - r _ _ __.O 1 ID / Number of days notice 17 ./ /. �■ I / / 06 -15-00 -, vcS Authorized Representative Date Should any of the above described policies be cancelled before the expiration date, the issuing company will endeavor to mail within the number of days entered above, written notice to the certificate holder named above. But failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. U10523 -2 • Client #: 9682 BLUEWAT ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE i j o 0 Pl DUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Slarkweather & Shepley, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. BOX 54 9 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Providence, RI 02901 INSURERS AFFORDING COVERAGE INSURED INSURER A: NEW HAMPSHIRE INSURANCE_ Blue Water Marine Services rlNSURERB: Capt. Cole Murray — 16015 S.W. 298 Terrace INSURER C: INSURER D: Homestead, FL 33033 I ' I INSURER E: COVERAGES 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 OF MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCE POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 7 - - - -- I DATE (MM /YY) LIMITS _ -- TYPE OF INSURANCE i POLICY EFFECTIVE (POLICY EXPIRATION LTR � POLICY NUMBER DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY ! GL 6 0 8 2 2 6 7 1 12/20/99,12/20/0 0 EACH OCCURRENCE $ ,1 , 0 0 0, 0 O C COMMERCIAL GENERAL LIABELM FIRE DAMAGE (Any one fire) Is$50, 000 CLAIMS MADE I OCCUR MED EXP (Any one person) 1 $ $ 5 , 0 0 0 PERSONAL & ADV INJURY I$$ 1,000,00 C GENERAL AGGREGATE 1 $$2,000,00C . _ ;PRODUCTS - COMP /OP AGG _$$1,000 O O C GENII NL AGGR EG ATE LIMIT APPLIES PRO- POLICY ' I JECT AUTOMOBILE LIABILITY _ a'r '' Q '' Ii:. -0, COMBED INSINGLELIMIT ANY AUTO t ' - (Ea accident) $ 1 ALL OWNED AUTOS y BODILY INJURY SCHEDULED AUTOS (Per person) $ 1 HIRED AUTOS r r,7 F _ � • J le BODILY INJURY $ NON -OWNED AUTOS (Per accident) =' PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT I $ -- ANY AUTO , EA ACC $ l i -- OTHER THAN AUTO ONLY: AGO 5 EXCESS LIABILITY EACH OCCURRENCE $ ,- -_ � OCCUR r ] CLAIMS MADE AGGREGATE Is - - - -_ __ ! . DEDUCTIBLE �1$ ; --- ---- - - - - -- —- RETENTION $ $ WORKERS COMPENSATION AND _ WC ST G EMPLOYERS' LIABILITY TORY LIM ITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ j E.L. DISEASE - POLICY LIMIT $ A' OTHER P & I CV3030352 -13721 12/20/9912/20/00 $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER LISTED BELOW IS NAMED AS ADDITIONAL INSURED AS RESPECTS INSUREDS MARINE RELATED PROJECTS P & I includes Jones Act, Collision, Tower's and Salvor's Liability Vessels: 1992 25' Orange, 1994 26' Silvership, 1978 26' Dusky, 20' Shamrock, 1998 25'9" Madison, 1998 24' Silvership & 26' Baycat CERTIFICATE HOLDER 1 ADD RIONAL INS URED;NS UREA LETTER: _ CANCELLATION SHOUID ANYOF THE ABOVE D ES CRIB ED POLE ES B E CANCELLED BEFORE THE EXPIRATION Monroe County Board of Comm. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL1 0 DAYS WRITTEN Attn: Ms. Kim McGee NOTICE TO THE CERTIFICATE J II QLp$ ZtJyA0aF56��E�a }I LEi '1'oB I19'�r1Ei3pEr9�(YDOSOSHALL 5100 College Road IMPOSE NOOBLIGATION OR IL'1 '0','; /, J K � I7 $ 11rt( OC JIIJ✓ s I AGENTS OR Key West, FL 33040 REPRESENTATIVES. Atorney AUTHORIZED REPRESENTATIVE I / ACORD 25 -S (7/97) 1 0 f 2 #S10316/M10314 SL ©A CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 - (7/97) 2 of 2 #S10 316 / M10 314