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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
....
....
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0 fr / '
4 ' 9 32000
10.404MMIN1046 NOWNRENNERMar....:;,::::AIdlegantinligil.::::::...
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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
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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
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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
• {[; + :•.
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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