Certificates of Insurance A CERTIFICATE OF INSURANCE ISSUE DATE (MM /DD/YY)
6/23/89
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
Marathon Insurance Center, Inc. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
11499 Overseas Highway COMPANIES AFFORDING COVERAGE
Marathon, FL 33050
COMPANY A
LETTER
,CODE SUB -CODE Aetna Casualty & Surety Company
COMPANY B
INSURED LETTER
Exective Building Maintenance LETT ER C
1760 109th Street, Ocean
Marathon, FL 33050 LETER D
COMPANY E
• LETTER
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.
ICO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
� DATE (MM /DD/YY) DATE (MM /DD /YY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS- COMP /OPS AGGREGATE $
1 i
CLAIMS MADE OCCUR. PERSONAL & ADVERTISING INJURY $
OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MEDICAL EXPENSE (Any one person) $
AUTOMOBILE LIABILITY COMBINED
ANY AUTO SINGLE $
LIMIT
ALL OWNED AUTOS BODILY
SCHEDULED AUTOS INJURY $
(Per person)
HIRED AUTOS BODILY
NON -OWNED AUTOS INJURY $
(Per accident)
GARAGE LIABILITY
PROPERTY
DAMAGE
EXCESS LIABILITY EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
STATUTORY
$ 100 (EACH ACCIDENT)
A AND 094 JC 0966393890 2/19/89 2/19/90
$ (DISEASE — POLICY LIMIT)
EMPLOYERS' LIABILITY 500
(DISEASE —EACH EMPLOYEE)'
OTHER $
RECEI
ices /kisk t,1 ^'t.
inistra
MONROE Se COUNT
Ad
DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /RESTRICTIONS /SPECIAL ITEMS ATmE .�
tive
TIM INITIALS _ —
'CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Monroe County Board of Commissioners EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
° MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Key West, FL 33040 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
ZWARIIVA Agent of Record
� I
ACORD 25— S,13 /88) ____ -_..� ..__ ��. _., ___ ®ACORD CORPORATIO,N_1988
SET TAB STOPS AT ARROWS
. • • • • • • • 1
Certificate of Insurance
=Ord THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW.
NAME AND ADDRESS OF AGENCY
Keys Insurance Agency of COMPANIES AFFORDING COVERAGES
Monroe County, Inc. COMPANY A American Professional Ins. Co.
P.O. Box 1209 LETTER
Marathon, Fla. 33050 COMPANY B
LETTER
NAME AND ADDRESS OF INSURED
COMPANY C
Executive Building Maintenance, Inc. LETTER
1760 109th Street, Gulf COMPANY D
Marathon, Fla. 33050 LETTER
COMPANY E
LETTER
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. 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.
COMPANY POLICY Limits of Liability in Thousands (000)
-
LETTER TYPE OF INSURANCE POLICY NUMBER EXPIRATION DATE EACH AGGREGATE
OCCURRENCE
GENERAL LIABILITY
BODILY INJURY $500,000 $
❑ COMPREHENSIVE FORM
A PREMISES- OPERATIONS GL AM 006736 -09 5/3/90 PROPERTY DAMAGE $300 000 $ 300,000
EXPLOSION AND COLLAPSE
HAZARD
❑ UNDERGROUND HAZARD
❑ PRODUCTS /COMPLETED
OPERATIONS HAZARD BODILY INJURY AND •
❑ CONTRACTUAL INSURANCE PROPERTY DAMAGE $ $
❑ BROAD FORM PROPERTY COMBINED
DAMAGE
❑ INDEPENDENT CONTRACTORS
❑ PERSONAL INJURY PERSONAL INJURY $
AUTOMOBILE LIABILITY BODILY INJURY
(EACH PERSON) $
❑ COMPREHENSIVE FORM BODILY INJURY $ •
❑ OWNED (EACH ACCIDENT)
❑ HIRED PROPERTY DAMAGE $
BODILY INJURY AND
❑ NON -OWNED PROPERTY DAMAGE $
COMBINED
EXCESS LIABILITY
BODILY INJURY AND
❑ UMBRELLA FORM PROPERTY DAMAGE $ $ •
❑ OTHER THAN UMBRELLA COMBINED
FORM
WORKERS' COMPENSATION STATUTORY _
and
EMPLOYERS' LIABILITY $
(EACH ACCIDENT)
OTHER
REC ; IVED
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES
•
Administrative rvic / Mgrrt. Div.
GATE i __ ElI2_ _ _ .
TIME G " `-'INITIALS -
Cancellation: Should any of the above descrit�d policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail U days written notice to the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company.
NAME AND ADDRESS OF CERTIFICATE HOLDER: 6[9/89
DATE IS . ED: r
Board of County Commissioners
K
1
ey West, Fla. 33040
i i--,
AUT EPRESENTATIVE
ACORD 25 (1 -79)
O ® CERTIFICATE OF INSURANCE ISSUE DATE (MM /DD/YY)
•
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
KEYS IhIGLJI?(lNCE. AGENCY NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P „ O. 3 1209
MARATHON, FL :3:305(] COMPANIES AFFORDING COVERAGE
COMPANY A PRLJFESSIONAL_ LJNDF.RWRTRS
LETTER
COMPANY
INSURED LETTER B
EXECUTIVE BLDG M IN I INC COMPANY Received
1760 109TH H G CRE_E� L GU LETTER C
g"r A Lobe r. s1tI C/
I"I(=1R(- ITHUN, FL 33050 LETTER D DATE
COMPANY 1 VITIA . • /%
LETTER E ,
COVERAGES
THIS IS TO CERTIFY THAT 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 CONDI-
TIONS OF SUCH POLICIES.
CO POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS
LTR TYPE OF INSURANCE POLICY NUMBER DATE )MM/DD YY ) DATE (MWDD/YY1 EACH
OCCURRENCE AGGREGATE
A GENERAL LIABILITY GL._AM0104+1709 05./03/90 05/03/91 BODILY
COMPREHENSIVE FORM INJURY $
L-11)( $
1)( CIO(
PREMISES /OPERATIONS PROPERTY
UNDERGROUND DAMAGE
EXPLOSION & COLLAPSE HAZARD $ :::3(
•i (`) (`
PRODUCTS/COMPLETED OPERATIONS
- CONTRACTUAL BI & PD $ $
COMBINED
INDEPENDENT CONTRACTORS
- BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY PERSONAL INJURY $
—
AUTOMOBILE LIABILITY BODILY
INJURY $
ANY AUTO IPER PERSON)
- ALL OWNED AUTOS (PRIV. PASS.) BODILY
/OTHER THAN 1 INJURY
- ALL OWNED AUTOS 1),RIV. PASS (PER ACCIDENT) $
- HIRED AUTOS PROPERTY
NON -OWNED AUTOS DAMAGE $
GARAGE LIABILITY
BI & PD
COMBINED $
EXCESS LIABILITY + ±
UMBRELLA FORM BI & PD
COMBINED $ $
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION STATUTORY
AND $ (EACH ACCIDENT)
EMPLOYERS' LIABILITY $ (DISEASE - POLICY LIMIT)
$ (DISEASE -EACH EMPLOYEE)
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
S[i<n� • log Z SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
1 IONROE COUNTY RISI' -. MAN(J PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
WING 2, ROOM i 0 7 P 9 ] : MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
5825 JR . COLLEGE ROAD LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
KEY WEST, FL. 320Lf0 AUTHORIZED REP SENTATIV
ACORD 25 (8/84) IIR /ACORD CORPORATION 1984 p
4