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Certificates of Insurance ) . V ' Ifir■NIROE COUNTY NA Emcv 0 4, 7/ ..._ c .,iSTRUCTION M , . E o' I „ CE B D . : , • - • : : ,- k::::: , ::::::::::::WW::::4:-zY.M. ,, $.:::::-:::: 4 :::*:' , : , :x:::::::::::::: , :::P.A , : ,, ::::::./.4 , W , 'W::: , •: ' - ii El 1 a i i 8/95 ... 1 THI :INDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM PRODUCER °CONANT OMER NO. ROGER BOUCHARD INSURANCE Fidelity & Deposit Co of 956494 101 Starcrest Dr, PO Box 6090 DATE EFFECTIVE TIME DATE EXPITAT/U TIME CLEARWATER, FL 34618 10/17/95 1 12:01 X AM 11/17/95 X " PM NOON THIS BINDER IS ISSUED TO EXTEND COVERAGE IN 11 ABOVE NAMED COMPAW PER EYPIRIM3POLICY P43: 000E SUB-000! 4128 J DESORPTION OF OPERATIONSIVENICLESPROPERTY (Including Location) INSURED Commerc i al Construct ion 100/Received D. L. PORTER CONSTRUCTION, INC. Risk Mgmt. & Loss Control 1100 Gillespie Avenue DATE _Z2L.21LY_ Sarasota FL 34236 A?' 4t1 INITIAL -----. ISOMPASOMNIE:MONSOMM:ill:MNOMBEEMEMENNEVEMSENEMPMEREMENATIMMESEEN 1 TYPE or INSURANCE COVERAGEWORMS AMOUNT FDEDUCTIBLE EL PROPERTY CAUSES CF LOSS BUILDERS RISK 286,000 1,000 BASIC T — IBROADI ISPEC. EXCLUDING WIND, FLOOD & EARTHQUAKE GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGO. $ CLAIMS MADE I 'OCCUR PERSONAL & ADV. INJURY $ OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE FIRE DAMAGE (Any one lire) $ RETRO DATE FOR CLAIMS MADE: AFTHUVIEJ BY RISK Me.,n,IAGEmENT MED. EXPENSE (Any one person) $ AUTOMOBLE LIABLITY COMBINED SINGLE LIMIT $ 0/216, AW AUTO By BODILY INJURY (Per person) $ ALL OWNED AUTOS - /3 BODILY INJURY (Per accident) $ SCHEDULED AUTOS DATE / "30 -,.---S- PROPERTY DAMAGE $ HIRED AUTOS MEDICAL PAYMENTS $ NON-OWNED AUTOS WAIVER: N/A V YES PERSONAL INJURY PROT. $ GARAGE LIABILITY UNINSURED MOTORIST $ $ , AUTO PHYSICAL DAMAGE DEDUCTIBLE I ALL VEHICLES I I SCHEDULED VEHICLES ACTUAL CASH VALUE COLLISION: STATED AMOUNT $ OTHER THAN COL: OTHER EXCESS LIABLITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $ 1 STATUTORY WORKER'S 001.1PENSATION : AND EACH ACCIDENT $ EMPLOYER'S LIABLITY DISEASE-POLICY LIMIT $ DISEASE-EACH EMPLOYEE $ SPECIAL CONDITIONS/OTHER 00VERMIeS , PROJECT: CRAWL KEY F I R E TOWER MORTGAGEE )( ADDITIONAL INSURED MONROE COUNTY BD OF CO COMMS g:: X 1 LOSS PAYEE 5100 COLLEGE ROAD u: LOAN # .... , KEY WEST, FL 33040 ::::::: AUTHOR •.■ -, , -• , • • , • , ATIVE / , i .... .... • • • - • -, .... ,. , 0 fr / ' 4 ' 9 32000 10.404MMIN1046 NOWNRENNERMar....:;,::::AIdlegantinligil.::::::... b' • + :•: ' :• ': ' •i �w :• : $Ckj? ti {::;:; k. i >.;','.j;. :. ? .; . ; .. f ....... • • .C. r• ?::: T'kk• ++ ••'••k .... n AYCia'IAgIO)V ........ ii: O ... EiFiii ...... ... .....;. • 5: .:::... <:: or . ............................... ........... ...... , ....... C'. , ?.:,.::'.:.,.., .f::::::::::::::.,:., +,. > }:? cif }; +• >: ?kk:'Yf: >;i:... }:Ski:: }:.: '•:.. } }:.:? �,[ j(9 THIS CERTIFICATE' 15 1S9()ED AS A MATTr 6k 1NFSRMAION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ROGER BOUCHARD INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 101 St arc rest Dr, PO Box 6090 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CLEARINATER, FL 34619 COMPANIES AFFORDING COVERAGE COMPANY 813-447-6481 A FCCI Mutual Insurance Company INSURED cOI.ANY Received D. 1. Porter Construction, Inc B Risk 1v11;mt. & Loss Control 1100 Gi 1 lespie Avenue COMPANY — Sarasota, FL 34236 C DATE ✓ S G�(� COLPANV �Zt, — D INITIAL .}.r:,:: ::.: .P , :.. kk• .4'}:k:ti;::.• }.; } k:'ix;::£{ •:: x'• ,..::::. .,',.. - :...:::': :.::::.,:" .o r ..., •.'�•."•�`4.`Sr:':�: } } :. > } : * ' �� f . •; •�Y. v ? +k,:: 4k: : >:: r. ::}.: x:. k}:kvv,•,•,. >k :} •:.k�i \:'•:: .: Fi :. . f.� • r. ..;fi �S•. y ?`''f • ik , r,8. 4•:}:: r tii{' jt: .S. i:k':;:i.:•:•: .\{ : 'tY •::. ',S'." . ..}., ? ?. }} c v;.r•:;:` •: ti " \�2 : v x, `�{: ::::R:'k} }k i < >S:? �:•} i •} •. .. k u`.: . f ' .k. ' + {ryY ' }:4 � •'w .. �. :fin.,r, stir\:: i:,.\}% Ctx'. �. ��> �? k+ ?: 1�,. ��fi}: � i•: k, i .+✓.f {?.,.ti'tif•.�� \'. .:)Frj:�i. :h i ......fik...f \'•: •K+::•.�•r:4`?kL }}t. ... n... x.....vv. N... /.:.. }. \•.:..{.... %,.... THIS IS TOCERTIFY THAT THEPOLICIESO LISTEDBELOWHA TOTHEINSURED NAMEDABOVEFORTH PERIOD INDICATED, NOTWITHSTANDINGANYREOUIREMENT ,TERMORCONDITIONOFANYCONTRACT OROTHERDOCUMENT WITHRESPECT TO WHICHTHIS CERTIFICATE MAY BE ISSUED OR MAY PERT AIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LMITS SHOWNMAY HAVE BEEN REDUCED BY PAID CLAt.IS. TYPE OF INSURANCE POLICY NUMBER LIMITS D'F!OTNE POLICY EXPRAT • LIMITS LTS DATE (MMIDDIYY) DATE (MIODDIYY) G M*AAL LIABLITY GENERAL AOOREOATE 1 — COMIERCIALOEIERALLIABILITY PRODUCTS•CO1P /CP AGO $ CLAIMS MADE ❑ OCCUR PERSONAL & ADV INJl1RV $ OWNER'SL CONTRACTOR'S PROT EACH OCCURRENCE $ _ FIRE DAMAGE (Any one lire) $ MED EXP (Any one person) $ AUTOMOBLE LIABLITY APPROVE BY RISK MAN.GEMENT comma) siNDLE LIMIT $ ANY AUTO ALL OWNED AUTOS BY `. /%' ' // D BODILY INJURv SCHEDULED AUTOS _ ` (Per person) _ HIRED AUTOS DATE ° ? � � BODILY INJIJRV $ NON-OWNED AUTOS (Per aooiderx) 4''A VER: N/A ES PROPERTY DAMADE $ GARAGE LIABLITY AUTO ONLY - EA ACCIDENT $ ANN AUTO OTHER THAN AUTO ONLY: i EACH ACCIDENT = AOOREOATE $ E XCESS L IABL IT Y EACH OCCURRENCE _ R UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FCRU = WORKERS COMPENSATION AND I STATUTORY LIMITS E MPLOYER$'LIABLRY A 23940 1/01/96 1/01/97 E A CC I DEN T $ 1000000 THE PROPRE — TOR/ INCL DISEASE - POLICY LIMIT $ PARTNERS /EXECUTIVE 1000000 OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE $ 10 00 0 0 0 OTHER DESORPTION OF OPERA j • 1 • • A • • -. IC .. LESISPE IAL ITEMS �' 7 RE: CRAW KEY F IRE TRAINING F CII .: .: .\ :. :•�LYTf••{.•.. •.. •n; f r�: •.ik•: •: + ir. \'V:k }n. {., ;..; ;....w:.v •: •::?w.•::••: xv. •::? ,Y r 4 ^:?:+ : k}ii% ,. ,{,• . k , :,:Y:,. r };k}... : : +,c •:::., ,. }} ,}.i: +r. w . .. . k..: ::r:.fi:.::: : fiI •. •::k;.:;:,:ir ?•r:.• L+*.k: { }:k :} }' -• -`.: :. ... •..... �•. ..} f.•:: }i : } }K :.rtih:: }}:kw: \ +.'+i f:w.•}A}....r... �. }.:. •: \v.:v:.v: }. ; : .. .....:.... .. • .: .. r.. � {3`' .��p } . ; •..: .. SHCYLD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED WORE THE EXPMATION DATE THEREOF. THE NPIANNO COMPANY WLL ENDEAVOR TO MAL MONROE COUNTY BD OF COUNTY 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TH,A LEFT. COMM I SS I ONERS BUT F TO $UCH NOTICE SHALL OSLIQATICN • LIABLITY 5100 JUNIOR COLLEGE ROAD a ;ANY /'`ND • THE ITS ' OR -, -• , ATIRIES. / KEY WEST, FL 33040 ' ' ' ATNE / / • 952 . 00 • {[; + :•. ;7�?�.; ? ?•`•: ? ?• ^. •. 'H':ba....��.� O�' •• +• •'� .��•�. • }: ?h:• }. ^ •.�:�: • ::k:; ::::: . ::: : nk i•::::{ d::: 3 v.:: v . x;.✓ f { ? • . ti ?kf + } }: } :k .< ;::kk. , �' MO ... .. : ����r! , Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED FLORIDA WINDSTORM UNDERWRITING ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216 -6064 INSUREDS NAME AND ADDRESS MAR "' r* THIS IS A D. L. PORTER CONST INC. ' " "` _ FU Uf GENERAL BUSINESS 1100 GILLESPIE AVE SARASOTA, FL 34236-1519____------------- ' DECLARATIONS PAGE POLICY TERM 2/28/96 TO 2/28/97 AT 12: A.M. (STANDARD TIME) POLICY NO. 756109 INCEPTION DATE EXPIRATION DATE PAGE 1 „MOUNT OF INSURANCE vercent Or r ercent: AUto i ncrease Item Ca ura a Deductible : L o P rtt Ii flCB( s3 oa i P remiu m a Pro No; ; Building Contests Applicable not icipat on Terr3tibr Percentage $ $ % $ % 1 $ $ • 11 FOUR STORY MASONRY PRACTICE FIRE TOWER UNDER CONSTRUCTION BLDG LOC: MILE MARKER 56 CRAWL KEY,; MONROE FL 33037 286,000 0 1 100 1 5,000 90 1 .484 1 1,384 i .0 APPROVED •�,. P.1 ;v, i,►eki,..r.etcr T Oei BY :. s — C I-tth DATE • P6 • V" '"ER: N/A L "ES Received Risk Mgmti & Loss Con-r( DATE — 7 INITIAL. � P - I TOTAL AMOUNT OF COVERAGE PREMIUM PREMIUM PREMIUM TOTAL PREMIUM Applicable to Automatic Other For Automatic For Other For Reinsurance Increase Provision Increase Provision $ $ $ $ $ 0 286,000 .00 1,384.00 208.00 1,592.00 subject to Form No( s ) : ($1UU RETAINED ) • BUILDERS' RISK FWUA 14 (ED 10 -90) GB2 04/95 Mortgagee /Loss Payee MONROE CO. BD OF CO COMM'S 5100 COLLEGE RD MONROE C. KEY WEST, FL 33040 CONSTRUJ ': Received _ 3 7 1%2) :' Producer: Payor / c ]7�� ROGER BOUCHARD INS INC 1519 INSURED ® - 14- r� - S� (J - 101 STARCREST DRIVE (1� P 0 BOX 6090 ! CLEARWAT R, FL 34618 -6090 CC : ) 2L� ' Da te: 2/29/96 FWUA 3(ED. 7/87) 1519 DCH PO D — INSURED COPY TEM N 13270 766 ACORO CERTIFICATE OF LIABILITY INSURANGI, DD : DATE (MM /DD/YY) DLPOR -1 01/11/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Roger Bouchard Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 101 Starcrest Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 6090 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater FL 33758 -6090 COMPANIES AFFORDING COVERAGE COMPANY Phone No. 727 - 447 -6481 Fax No. 727- 449 -1267 A OWNERS INSURANCE COMPANY INSURED COMPANY B AUTO OWNERS INSURANCE CO D. L. Porter Construction, Inc COMPANY D.L. Porter Constructors, Inc. C FCCI MUTUAL INSURANCE CO 6574 Palmer Park Drive COMPANY Sarasota FL 34238 D RLI COVERAGES 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 LTR DATE (MM /DD/YY) DATE (MM /DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 10 0 0 0 0 0 A X COMMERCIAL GENERAL LIABILITY 20506438 01/09/99 01/09/00 PRODUCTS- COMP /OPAGG $ 1000000 CLAIMS MADE X OCCUR PERSONAL & ADV INJURY $ 1000000 OWNER'S & CONTRACTORS PROT EACH OCCURRENCE $ 10 0 0 0 0 0 FIRE DAMAGE (Any one fire) $ 5 0 0 0 0 MED EXP (Any one person) $ 5000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 B X ANY AUTO 9627162200 01/09/99 01/09/00 _ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS ; (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED WNED AUTOS ! (Per accident) $ I CC 1 ROPERTYDAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ YE - -- ANY AUTO "'" i� t2 �' OTHER THAN AUTO ONLY: (aka) EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 4 0 0 0 0 0 0 _ D X UMBRELLA FORM 00L0031796 01/09/99 01/09/00 AGGREGATE $ 4000000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND X WC STATU- I OTH- I. _ TORY LIMITS _ ER EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 10 0 0 0 0 0 c THE PROPRIETOR/ INCL 40266 01/01/99 01/01/00 EL DISEASE - POLICY LIMIT $ 1000000 PARTNERS/EXECUTIVE — - OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ 1000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES /SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED ON ALL PHASES OF INSURANCE EXCEPT WORKERS COMPENSATION ATTN: ANN MYTNIK CERTIFICATE HOLDER >.CANCELLATION BOARD 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL BOARD OF COUNTY 'COMMISSIONERS 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, OF MONROE COUNTY BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 COLLEGE RD KEY WEST FL 33040 ` 1 10100 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Z REPRESE TIVE DATE ACORD 25.5 (1/95) Tlsi >'"t f i`'® " ACORD CORPORATION