Certificates of InsuranceMar-12-2003 14:29 From -Marsh CSU ev11 + T-186 P 002/002 F-753
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PRODUCER THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
PO BOX 469010 POLICY THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
Sunrise. FL 33345-9070 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
'12203---2002
INSURED
NORTH KEY LARGO UTILITY CORPORATION
24 DOCKSIDE LANE. NS12
KEY LARGO, FL 33037
COMPANY
A SCOTTSDALE INSURANCE COMPANY
COMPANY
B HARTFORD INSURANCE CO. SE (FL)
COMPANY
C HARBOR SPECIALTY INSURANCE COMPANY
COMPANY
D N/A
THIS Is TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PEW„pp INDICATED. '
NOTWITHSTANDING ANY REQLIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES_ AGGREGATE
LIMITS SHOWN ANY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE (MMIDD/YY) DATE IMMR)DIYY) LIMITS
A GENERALLIAWITY CLS0840213 64/30/02 04/30/03 GENERAL AGGREGATE $ 2,000,000
x COMMERCIAL GENERAL LIABILITY PRODUCTS - COMPX)p AGCi $ 2.000,000
CLAIMS MADE OCCUR PERSONAL &ADV INJURY $ 1,000,000
OWNERS 6 CONTRACTORS PROT E C $ 1 ODO 0
OCC A H URRENC
,OO
,100,000
FIRE OAMAGE An ane lire)
$
MED EXv Aw ono 6On
COMBINED SINGLE LIMIT
$ 5,000
$ 1,000,000
B
AUTOMOBN.EUAe1L1TV
21UEC000660
ANY AUTO
'4130/02*040/03
XSCHEDULED
BODILY INJURY
(/Bronson)
$
ALL OWNED AUTOS
AUTOS
HIRED AUTOS
NON -OWNED AUTOS
A V Y RI�
B
BODILY INJURY
(PerBccioonq
$
X
DATE -
PROPERTY DAMAGE
$
GARAGE
LIABILITY
WAIVER
AUTO ONLY-EAACCIOEHT
$
ANY AUTOIAT
Ihim
EXCESS LUIBIUTY
AGGRErwe IS
EACH OCCURRENCE Is
UMBRELLA FORM 0A06AIEWTE $
OTHER THAN UMBRELLA FORM $
C OWNERS COMP A N AND 99000004416202 U-
EMPLOYERS* LIA UITY 10/01/02 10/01/03 ITS ERDENT $ 1,0w.00o
THE PROPRIETOWPARTNERSIMCUTIVE INCL OLICY LIMIT $ 1,000,000OFFICERS ARE: EXCL CH EMPLOYEE. $ 1,000,000
DeeCRIPTRNI OF OPERATIDNSILOCATIONSA(CHICLESISPECIAL ITEMS
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS INCLUDED AS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND
AUTO LIABILITY,
rT�
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
1100 SIMONTON ST.
KEY WEST, FL 33040
'CANCELLAT '!I ! d h fcc v�`n�.y 1A1 jt4\ • , ;.q,I d ,
_.._._._,.,..i
6hO.A.D ANY OF THE POLICIES DESCRIBED .1EREIN LIE CANCELLED BEFORE THE EXPIRATION DATE TREREDF.
THE INSURER AFFORDING COVENAGE WILL ENDEAVOR TO MAIL A DAYS MMATTCN NOTICE TO ThE
CCRTIFICATE HOLDEk NAMED hERE,N. BUY FAILURE TO MAN SUCH NOTICE SNAIL IMPOSE NO OeLIaATpN OR
LMDILM OF ANY ICNO UPON THE NBURER A/FORONG COVERAGE, ITS AGENTS OR REPRESENTATIVES. OR TnF
wa�ew W 7IY3 C4, IWIrATt.
MARSH USA INC,
T: Frances S..Urani
rr/, I ., �1tlIM!{37Q2j; I'VA'(!_ID AS
Mar-12-2003 14:20 From Marsh CSU + T-186 P 002/002 F-753
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FROULICER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
PO BOX 469010
POLICY THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
Sunrise, FL 33345-9070
AFFORDED BY THE POLICIES OESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
12203---2002
A SCOTTSDALE INSURANCE COMPANY
INSURED
COMPANY
NORTH KEY LARGO UTILITY CORPORATION
24 DOCKSIDE LANE. #512
B HARTFORD INSURANCE CO. SE (FL)
COMPANY
KEY LARGO, FL 33037
C HARBOR SPECIALTY INSURANCE COMPANY
COMPANY
D N/A
Wig. qFfl " IIII: co�i DYP1FYiQVJI Y:jAlWltl.:Fa[tl C4 � tithe nalCEiria_erio9 o fe�diWNW
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF 8UCH POLICIES AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAC CLAIMS
CO
LTR
TYPE OF INSURANCE
POLICY EFFECTIVE ! POLICY EXPIRATION
I POLICY NUMBER DATE IMMIDD/YY) DATE IMMIDD/YY)
LIMITS
A
OENERALLIABIUTY
CLS0840213 I04/30/02
04/30/03
GENERAL AGGREGATE S 2,000,000
X COMMERCIAL GENERAL LIABILITY
)r CLAIMS MADE ❑OCCUR
!
i
PRODUCTS _ COMPIOP AGO
S 2.000,000
PERSONAL B ADV INJURY
S 1.000,000
EACH OCCURRE14CE
1,000.000
OWNER'S S CONTRACTOR'S PROT
FIRE OAMAGE (Any wefite)
S 100.000
MEO Ex► An one bon
S 5.000
B
AUTOMOBILE
LIABILITY
I21UEC000660 04/30/02
04/30/03
COMBINED SINGLE LIMIT
$ 1,000,000
ANY AUTO
BODILY INJURY
$
ALL OWNED AUTOS
I
X
SC14EOULFO AUTOS
I
(Pa ww)
X
X
BOOBY INJURY
fPBTroDoanll
;
HIRED AUTOS
NON•OWNEDAUTOS
I
I
PROPERTY DAMAGE
$
GARAGE LIABILITY
I
I
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
r
OTHER THAN AUTO ONLY:
0 !�'. • •'1'`.'!
FACHACCIMNT
S
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
S
AGGREGATE
S
UMBRELLA FORM
I
S
OTHER THAN UMBRELLA FORM
C
DINERS COMPENbATION AND 099000004416202 10/01/02
EMPLOYERS'LIABIUTY
I
10/01/03
U
TORY LIMITS ER
�I.
i. A" A • ,il..'•
EL EACH ACCIDENT
1$ 1,000,000
I
I
THE PROPRIETOR/ �, INCL
PARTNERS/FXECUTNE
I
EL DISEASE.POLICY LIMIT
S 1,000,000
EL DISEASE -EACH EMPLOYEE:
S 1,000.000
OFFICERS ARE:' EXCL
I
OTHER
—
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS INCLUDED AS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND
AUTO LIABILITY.
TIFtfS'. F.`(I,jOLD Rjy'}I'.'i1o', �yy,LI �s� 'ArtvtA�^: )TU'MII:: iP:.
CANCELLATION �4, ti M1 t,c �'1 t6 " ` A, y i.
61.Ou0 ANT OE THE POLR:IES DESCFJWD OEREIn BE CANCELLED OE►ORE TOE EAPRTATION DATE TnEREDF
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
THE .NB.rAEH AFFORDNO COVENAGC WILL ENDEAVOR TO MAr to DAYS LVINTTCN NOTICE TO •RE
CCRTIFICATE GOLDEN NAMED HEREIN BUT CAKURE TO MAIL SUCH NOTICE S"LL NAPOBE NO OBLIGATION CR
1100 SIMONTON ST.
KEY WEST, FL 33040
LIABILITY OF ANY RNO UPON THE NAUREA AFFORDING COVERAGE, ITS AGENYS OR REPAEUNTATNE6. OR T-F
MOUCRW TMIS-MICAR
MARSH USA INC.
BY. Frances Slquranl �` 0
+14, .I' MM1(3102) I VALID'AS OF; 03i+1 /03 ` ' '
A H Re",
Z - CERTIFICATE NUMBERe
41PRODUCER
ATL-000800952-02
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
PO BOX 459010
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
Sunrise, FL 33345-901 O
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
12203--2002
A SCOTTSDALE INSURANCE COMPANY
INSURED
COMPANY
NORTH KEY LARGO UTILITY CORPORATION
B HARTFORD INSURANCE CO. SE (FL)
24 DOCKSIDE LANE, #512
COMPANY
KEY LARGO, FL 33037
C HARBOR SPECIALTY INSURANCE COMPANY
COMPANY
D N/A
�y
Fw. I�..� �,,,. .:,.. G. ....� ... ?k!a ..,�, �,v,Q a •' '.. ff
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HER
, .c „ a�e
HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT
FOR THE POLICY PERIOD INDICATED.
OR OTHER DOCUMENT W ITH RESPECT
TO W HICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HER IS SUBJECT TO ALL THE TERMS, CONDITIONS
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
DATE (MM/DD/YY)
DATE (MM/DD/YY)
LIMITS
A
GENERAL
LIABILITY
CLS0840213
04/30/02
04/30/03
$ 2,000,000
X
COMMERCIAL GENERAL LIABILITY
GENERAL AGGREGATE
PRODUCTS -COMP/OP AGG
$ 2,000,000
-•--I
PERSONAL & ADV INJURY
$ 1,000,000
CLAIMS MADE F—IOCCUR
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Anyone fire)
$ 100,000
MED EXP An one person)
$ 5,000
B
AUTOMOBILE LIABILITY
21 UEC000660
04/30/02
04/30l03
COMBINED SINGLE LIMIT
$ 1,000,000
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
$
X SCHEDULED AUTOS
(Per person)
X HIRED AUTOS
BODILY INJURY
X NON -OWNED AUTOS
-
APP B RI
MA
,
A M NT
(Per accident)
$
PROPERTY DAMAGE
$
rtv
GARAGE LIABILITY
DATE .�
�
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
WAIVER NIA
Y
S
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
UMBRELLA FORM
AGGREGATE
$
OTHER THAN UMBRELLA FORM
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
099000004415202
10/01/02
10/01/03
STATU- OTH
r 3 n '
�
TWO
TORYLIMITS ER
EL EACH ACCIDENT
$ 1,000,000
THE PROPRIETOR/ INCL
EL DISEASE -POLICY LIMIT
$ 1,000,000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
OT ER
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS
INCLUDED AS ADDITIONAL INSURED AS RESPECTS
AUTO LIABILITY.
GENERAL LIABILITY AND
I�
AN�ikN„
,ffqw
... ,,,&s dens„ ,:. , > -.. £„ • , a� .„ ,�e"r7 2I2 <,,,c,
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
MONROE COUNTY
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ____W DAYS WRITTEN NOTICE TO THE
BOARD OF COUNTY COMMISSIONERS
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
1 100 SIMONTON ST•
KEY WEST, FL 33040
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
By Frances Slguranl
VALID AS OF 4/10/03
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