Certificates of InsuranceBLUEWAT
Client#: 9682 DATE ( ,
ACORD CERTIFICATE OF LIABILITY INSURANCE 1IET' 11010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,1 HIS
CERTIFICATE DOES NOATE OF INSURANCE DOES NOT CE POI-ld11:15
ONSTITUTE EXTEND
CONTRACT BETWEEN THE ISSAGE H
T AFFIRMATIVELY OR NEGATIVELY AMEND, U NG INSURER(S), AUTHORIZED
BELOW. THIS CERTIFIC REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. Ies must be endorsed If SUBROGATION IS WAIVED, sUR'( ct t
MPOR ANT: If the certificate holder is an ADDITIONAL INSURED, the policy( )
In policies may require an endorsement. A statement on this certificate does not confer rig n Is to the
the terms and conditions of the policy, certa
certtticate holder in lieu of such endorsement(s). Linda Wagner
PRODUCER NAME:
PHONE 401 yg6-2212 401.4:1-9661
Starkweather & Shepley AIC No Fxt
Insurance, Inc. ADDREss: Iwagner@starshep.com
Gtm
PO Box 549 CUST ER M s
Providence, RI 02901-050 INSURER(S) AFFORDING COVERAGE I NAIC a
St Paul Fire & Marine lj
INSURED --"�
Blue Water Marine Services, Inc INSURER B :
14100 South West 256th Street, Ste 14 INSURER C
Homestead, FL 33032 INSURER D
INSURER E :
OVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERE
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THEN
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.
LIMITS
TYPE OF INSURANCE POLICY NUMBER M
EL
A GENERAL LIABILITY OH06900651 1212012010 12120/2011 EACH OCCURRENCEWUMGE TO
s1 a)
PREMISES Ea ocaxrenoe ON,?
X COMMERCIAL GENERAL LIABILITY MEV ExP (Any one Dom) SS OD
CLAIMS -MADE � OCCUR -
PERSONAL & ADV INJURY $1,00_
GENERAL AGGREGATE s2,0 0
PR[N)ttcTS - COMPIOP AGG $1,010
GE WL AGGREGATE LIMIT APPLIES PER: s
POLICY M PERCT LOC
COMBINED
AUTOMOBILE LIABII RY iderd) LE LIMIT :
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED AUTOS ZZ BODILY INJURY (Per accident) $
SCHEDULED AUTOS �� r PftOPERTY DAMAGE
✓✓ I s
HIRED AUTOS (Per accid�+t)
$
NON -OWNED AUTOS
s
UMBRELLALWB OCCUR
MADEI I I I I F—
EXCESS LIAR MS
$
DEDUCTIBLE
AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDE
ANY PROPRIETORIPARTNERIEXECUTIVE(-1 WA
OFFICERIMEMBER EXCLUDED? J E.L. DISEASE - EA
(Mandatary In NH)
If yyeess, desa�e under E.L. DISEASE - PO
ESCRIPTION OF OPERATIONS bebw
A P & I OH06900651 1212012010 12/20/2011 $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES "wh ACORD lei, Additimd Ram wm Schedule, if more apace Isrequired)
P&I includes Jones Act, Collision, Towers & Salvors Liability
Vessels: 2006 25' Metal Shark, 1994 26' Silvership, 1998 25'9" Madison, 1990 25'9" Bay Kat, 2000 45'
(See Attached Descriptions)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL-ED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Monroe County Board Of ACCORDANCE WITH THE POLICY PROVISIONS.
Commissioners ,""—'--
Marine Projects Section AUTHORIZED REPRESENTATIVE
5100 College RoadK9y West FL 33040
annn Arrnon rrnDDnDATInN_ All rhrtts reserved.
ACORD 25 (2009109) 1 of 2 The ACORD name and logo are registered marks of ACORD UW
#S3000801M300060
• DESCRIPTIONS (Continued from Page 1)
AMS 25.3 (2009109) 2 of 2
#5300080/M300060
Client#: 9682
BLUEWAT
ACOR& CERTIFICATE OF LIABILITY INSURANCE
FM"'°°"""'
0103/2013 /
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(in) must be endorsed. If SUBROGATION IS WANED, subject to
the terms and conditions of the policy, certain policies may require an endoreement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endoreement(s).
PRODUCER
N Linda J. Wagner
Starkwenther S Shepley
" ; 401-096-2212 A� Ne , 401.431-9661
Insurance, Inc.
-MAIL
ADDRESS: lwagner@starshep.com
PO Box 549
Providence, RI 02901-0549
INSURE S AFFORDING COVERAGE
NAIL N
INSURER A: Travelers
25674
INSURED
Blue Water Marine Services, Inc
INSURER B :
14100 South West 256th Street, Ste 14
INSURER :
Homestead, FL 33032
INSURERD:
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NLIMRFR-
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.
LTR
TYPE OF INSURANCE
D p
B
POLICY NUMBER14710,9M
M
LIMITS
A
GENERAL LIABILITY
ZOH14T7965112ND
1212012012
12120/2013
EACHOCCURRENCE
$1000000
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FAOCCUR
P a D
S10(),()00
MED EXP WW one )
$5 000
PERSONAL a ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2 000 000
GENL AGGREGATE LIMIT APPLIES PER:
POLICY PRO- LOC
PRODUCTS - COMPIOP AGG
$1 000 000
$
AUTOMOBILE
LIABILITY
ANY AUTO
n
/�
COMBINED SINUEE LIMIT
■ accident
BODILY INJURY (Per person)
S
SMIED SCHEDULED
ALL AUTOS
HIRED AUTOS NON-OVMED
AUTOS
/
�(
tom/
BODILY INJURY (Per accident)
S
PROPERTY DAMAGE
$
s
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED I I RETENTIONS
S
WORKERS COMPENSATION
AND EMPLOYERS' LU UTY
OFFICERNAMBERPEXCLUDED�'IECUTIVE�
NIA
tAC STATU- OTH
E.L EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEEI
S
(Mandatory In NH)
M yes, dseerbs under
DESCRIPTION OF OPERATIONS below
E.L DISEASE -POLICY LIMIT
$
A
P & I
ZOH14T7985112ND
1212012012
12120/2013
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addidanal Remarks Schedule, B non span Is required)
P81 includes Jones Act, Collision, Towers dr Salvors Liability
Vessels: 2006 25' Metal Shark, 1994 26' Silvership, 1998 2S' 9" Madison,1990 25'9" Bay Kat, 2000 45'
Madison, 2010 60' x 25' Progress, 2000 25' Silvership, 2001 28' Silvemhip, 1998 25'9" Silvership, 2003 26'
Harbor Tug, 2003 24' Sea Arc, 2004 20' Sea Arc, 2008 25' Pontoon, 15' x 30' Barge and 1997 28' Silvership
Certificate Holder is included as Additional Insured ATIMA.
Monroe County Board Of
Commissioners
Marine Projects Section
5100 College Road
Key West, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
a. UJaLr It4i
ACORD 25 (2010/05)
01988-2010 ACORD CORPORATION. All rights reserved.
1 of 1 The ACORD name and logo are registered marks of ACORD