Loading...
Certificate of Insurance ACORD CERTIFICATE OF LIABILITY INSURANCE 1 9/2 PRODUCER (305) 743 -0494, Fax(305) 743 -0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Y HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 500280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon FL 330500280 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Great American Ins . Co . All Design Custom Metal Fabrication, Inc. INSURER B: 212 Lindahl Street INSURER C: Marathon FL 33050 INSURER D: 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 OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POUCY EXPIRATION LTR )NSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM /DDFYY) DATE (MM /DDNY) LIMITS GENERAL LIABILITY Om:383866400 04/06/2009 04/06/2010 EACH OCCURRENCE 1 $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREM SES (Ea occurrence) $ 100 , 000 A CLAIMS MADE © OCCUR MED EXP (Any one person) $ 2,500 PERSONAL 8 ADV INJURY $ 1,000,000 — GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 1,000,000 POLICY n JEC Ti LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ — 1 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ n OCCUR I 1 CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND (WC STATUS 1 1OTH- EMPLOYERS' UABILITY )TORY LIMITS) ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ • OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION (305)295-3179 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of County Counnssioner EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1100 Simonton Street 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Key West, FL 33040 FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRE NTATIVES. AUTHORIZED REPRESENTATIVE / .— c r7f) in " . ACORD 25 (2001/08) © ACORD CO" 0 - ' . ON 1988 INS025 (0108).08a Page 1 of 2