COI Expires 05/17/2015RUFFROO -01 MSANDY
CERTIFICATE OF LIABILITY INSURANCE
°A 51 X
THIS CERTIFICATE M 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 MUM INISURER(S). AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(los) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsament. A statement on this certificate does not confer rights to the
certificate holler in Ileu of such endoreemerift
PRODUCM
UW Certiflcab De artmont
Preferred Insurance Services. Inc
4035 Ridge Top Road, Suite 150
FalRfait, �A 220
PHONE 703 867 -5940 R 03 991 -4838
: COrtift reftrins.corn
INSU AFFORDYNi COVERAGE
NAIC S
A
NSURERA :Companion Property and Casualty
12157
X
INSURED
INSURER 5 : Comparilon Commercial Ins Co
10794
INSURER c Berk Mld-Adandc Group
31325
Roofing By Ruff Inc.
INSURER D:
P RE M MMOOMUMCS)
937 Fleming St.
Key West, FL 33040
INSURER E:
LID EV am pown)
INSURER P:
COVERAGES CERTIFICATE NUMBER: REVISN]N MUURFR-
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.
am
LTR
TYPE OF INSURANCE
N
LIMITS
A
X
corarERctAL GENERAL uA@Lrrr
CLAIMS -MADE 0 OCCUR
X
P83OV136
05/17/2014
05
EACH OCCURRENCE
$ 1,000,0
P RE M MMOOMUMCS)
S 100,0
LID EV am pown)
S 5,0
!
DA
WAIVE N/A - L YES—
NT
PERSONAL A ADV INJURY
i 1,000,
GEWL AGGREGATE LIAR APPLIES PER:
POLICY ❑X JECT ❑ LOC
GENERAL AGGREGATE -
S 2,000,00
PRODUCTS - COMPOOP AGG
S 2,000,00
$
OTHER:
B
AUTOMOBILE
X
LIABILITY
ANY
X
136
05/17/2014
05M 712015
R
i 1,000,00
BODILY IN.IURY (Pa► perean)
i
OweI
AM AUT OS ED AUTOS
SODLY INJURY (Per a ddenq
S
HIRED AUTOS X AUT NOTO NON-OWNED
X
I per soc kl e rm
i
S
X
UMBRELLA LIAS
X
OCCUR
EACH OCCURRENCE
S 10,000,00
I
AGGREGATE
$ 10,000,00
A
excess LIAa
mmms -vADE
X
UM3627136
05117/2014
ON1712015
DED I I RETENTION s
f
A
woRRCERa COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOROPARTNER�rrvE Y
OFFICERIMEMBER EXCLUDED?
(Mandatory M NH)
r yes� deeeAbe under
DESCRIPTION OF OPERATIONS below
N / A
3627136
ON1712014
05/17/2015
X STATUTE
E L. EACH ACCIDENT
s 500,00
E.L. DISEASE - EA EMPLOYEE
i 500,0
E.L. DISEASE . POLICY LIMB
S 500,00
C
Laced Rented
CIM9000116
05/17/2014
0511712015
150,00011,000 DIED
DESCRIPTION OF OPERATIONH I LOCATIONS 1 VEHICLES (ACORD 101, AddNlanl Remark@ Schedule, may be dferied K more space Is required)
EVANSTON INSURANCE COMPANY; Contractors Pollution liability, Policy 013CPLO1128; Effective SM712014 to W1712015 - General Aggregate: $3,000,000;
Each Condition: $3,000,000; Deductible: $25,000; Mold Sub - Limited $1,000,000
Re: East Martello Towers Roof Repair - Monroe County - 3501 S. Roosevelt Blvd., Key West. FL 33040 -Tim Ruff License dCCC1327463
The Monroe County Board of County Commissioners, its employess and otfldals are Additional Insured with respect to General Liability and Automobile
Liability regarding all work performed by the named insured. Umbrella Liability Follows fonTL Explosion, Underground and Collapse are not excluded from
the general liability Y 13 'A1NAOJ 30SNOW
.11
The Monroe County Board of Lowy CbjTdrtM
Key West F� 33040 ONO338 80,E 03`IIJ
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 REPRES6iTATIVE
®1988 -2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and l000 are reaistered marks of ACnRn