Certificates of Insurance
ACORD. CERTIFICATE OF LIABILITY INSURANCen~~~'l ~ DATE (MM/DDNY)
06/27/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HBA Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2500 NW 79th Ave Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Miami FL 33122 INSURERS AFFORDING COVERAGE
Phone: 305-714-4400 Fax: 305-714-4401
INSURED INSURER A: HARTFORD INSURANCE COMPANY
INSURER B: Twin City Fire
Weathertrol Maintenance Co:rp. INSURER c:
7250 NE 4TH AVENUE INSURER 0:
MIAMI FL 33138
I 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.
I~f~ ~blf;l. ~ ____m._.__..
TYPE OF INSURANCE POLICY NUMBER DAT~ MMlOoNyi~ I ~.N~'rMMIOONyi LIMITS
GENERAL LIABILITY I ! EACH OCCURRENCE $ 1,000,000
~
A ~ COMMERCIAL GENERAL LIABILITY 21UUNLKI085 11/01/02 11/01/03 FIRE DAMAGE (Anyone fire) $ 300,000
- =:J CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10,000
~ Contractual Liab PERSONAL & ADV INJURY $ 1,000,000
Included GENERAL AGGREGATE $ 2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ 2,000,000
I [Xl PRO- nLOC
POLICY X JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $ 1,000,000
B ~ ANY AUTO 21UUNLKI085 11/01/02 11/01/03 (Ea accident)
- ALL OWNED AUTOS BODILY INJURY
, (\ ~f\ ~~EN1 $
SCHEDULED AUTOS (Per person)
~ API' ~ . I( I I~~
~ HIRED AUTOS BODILY INJURY
$
~ NON-OWNED AUTOS BY \,~\. (Per accident)
I-- \ 1 l' J) ?-, PROPERTY DAMAGE $
DATE . I' ./ (Pp.r accident)
GARAGE LIABILITY WAIVER N/A~~ _YES AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACe $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000
A ~ OCCUR D CLAIMS MADE 21XHUIN8629 11/01/02 11/01/03 AGGREGATE $1,000,000
$
~ DEDUCTIBLE $
X RETENTION $ 10,000 $
WORKERS COMPENSATION AND I TORY LIMITS I X IUE~.
A EMPLOYERS' LIABILITY 21WBGG1535 12/31/02 12/31/03
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE. EA EMPLOYEE $1,000,000
E. L DISEASE. POLICY LIMIT $ 1,000,000
OTHER
A PROP:\l:R'!'Y 21UUl'fLKI085 I 11/01/02 11/01/03 I CONTENTS 170,000
DESCRIPTION OF OFERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Certificate Holder named as Additional Insured in regards to the General
Liability, Auto and Umbrella.
CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION
MONR01H SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
Monroe County Board of NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
County Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
500 Whitehead Street REPRESENTATIVES.
Key West FL 33040 AUTHORr '-cNTATIVE
I
ACORD 26-5 (7/97)
@ACORDCORPORATION 1988
CHILLED WATER SYSTEM - PHASE II
Request For Waiver
of
Insurance Requirements
_ROE~~nlftW
(',01I1ftUCl\ON JMIVW1"',,1:.l'1
.\Ul 1 .
.8\
MONROE COUNTY, FLORIDA
It is requested that the insurance requirements, as specified in the County's Schedule of Insurance
Requirements, be waived or modified on the following contract:
Contractor:
Weathertrol Maintenance Corp.
Contract for:
Chilled Water System - Phase II Courthouse Annex
7250 NE 4th Avenue
Address of Contractor:
Miami, FL 33138
Phone:
305-908-1000
Scope of Work:
HVAC & Electric
Reason for Waiver:
Please refer to the attached letter sent to Gay Curry
dated 7/16/2003.
Policies Waiver
will apply to:
Cl
0(\1'1
60 e vf).
7 1(,163
Signature of Contractor:
Not Approved
Risk Management:
Date:
/'/7.03
County Administrator appeal:
Approved
Not Approved
Date:
Board of County Commissioners appeal:
Approved
Not Approved
Meeting Date:
Adminstration Instruction
#4709.3
5/8/03
INSURANCE REQUIRMENTS AND FORMS
00400-14
weathertrol
MAINTENANCE CORPORATION
MII.JONROE COUtm
WlWIRUcnON MANAtIMfNT
JU
L.
16 July 2003
Construction Manager
Department of Construction
Construction Management
110 Simonton Street
Key West, FL 33040
Attn: Ms. Gay Curry
RE: Jackson Square Chill Water System Ph 2
Dear Ms. Curry:
First, let me apologize on behalf of our company for the delays in resolving the matter ofthe Builders
Risk Certificate ofInsurance. Part of the problem is due to our Insurance Company and part ofthe
problem is due to our personnel. This matter should have been brought to my attention earlier. There
were several factors involved in this matter that my personnel on good faith tried to resolve on their
own. Let me list the problems we are facing.
1- At the time of bid, our Estimating Department did allow for a cost to obtain the Builder's Risk
Insurance. We, as subcontractors, normally do not issue this type of coverage because the entities
that issue this coverage are the owner or the General Contractor. In this case, however, we are
acting as prime Contractors. Therefore, they assumed a cost ofthe policy based on our limited
experience on this item and furthermore, they failed to realize because of the location ofthe job,
that the companies that issue this type of insurance classify your area as "very hazardous". When
this office received the initial preliminary quotes, they panicked and instead ofletting me know,
they attempted to solve the problem on their own.
2- The second problem has to do with the methodology ofthe Insurance companies in issuing such
coverage. I am enclosing a copy ofthe e-mail received from our Insurance carrier. As you can
see, they break the quotation in two parts, one is for all coverage except wind and flood and the
other to cover these last two items. Notice that they will not bind the policy until there is a permit
issued.
3- Here we fall in a "chicken & egg" situation. The company will not issue the final bind until we
produce a building permit, and we cannot produce the permit until we have contract with the
County.
4- We definitely did not consider the extremely high cost ofthe premiums. Nonetheless, ifrequired,
we will fulfill our contractual obligations and produce the referred Insurance Certificate.
However, we would like to explain the following:
MECHANICAL CONTRACTORS
7250 N.E. 4th Avenue . Miami, FL 33138 . Tel 305-908-1000 · Fax 305-908-1039 · E-mail wtrol@wtrol.com
CMC 008210
Page Two
Ms. Gay Curry
July 16, 2003
4.1- A Builder's Risk coverage is normally issued when the time involved in completing the
job is long. It is obvious that no one can forecast what can happen when a job takes a
long time to complete and the owner wants to be covered.
4.2- In our case, and because of the location of the job, we cannot afford to start the job until
we have all the components on hand and ready to be installed (chiller, tower, pumps,
controls and piping).
4.3- Once we have all the needed items to complete the job, we will then move in. The
placing on site of the equipment and securing it to the building structures should not
exceed more that three working days. Once this is done and with most ofthe piping
prefabricated, we can safely say that the system would be operational in no more than
two weeks.
4.4- With this in mind, let us analyze the following:
4.4.1- We have in our regular liability coverage a floater clause that covers any
damages, theft, etc for all the equipment and materials on site that are not affixed
to the existing structures. We also have under our liability coverage a maximum
of three million combined limits that would cover any damages to the new
equipment as well as any existing equipment or building that could be attributed
to the negligence of our personnel.
4.4.2- Once the equipment is affixed to the existing building structure, we suspect that
the County has flood and windstorm insurance and these items can be made part
of this coverage. It is obvious that immediately after the job is finished, even if
the builder's risk is issued, the County will have to do this.
4.4.3- If you then agree to waive the Builder's Risk Insurance, we will give you a credit
of$1,660.00 that represents the monies we had allowed for this coverage.
If you still want that we issue the Builders Risk coverage, we have to solve the problem posed by our
Insurance Co about having a permit issued.
Please contact me directly to solve this matter. You may contact me thru our regular phone lines or thru
my cellular phone 305-979-5244.
Sincerely yours,
CB/md
enc1.
Page 1 of2
Isidro Borja
From: Xiomara A Rodriquez [xrodriquez@hbains.com]
Sent: Wednesday, July 16, 2003 9:20 AM
To: Isidra Borja
Subject: FW: Builders Risk Policy
MONROE COUNlY
CONSTRUCTION MANAGEMENT
liME:
RECElV!D BY:
-----Original Message-----
From: Xiomara A Rodriquez
Sent: Tuesday, July 15, 2003 5:07 PM
To: Xiomara A Rodriquez
Cc: Alfredo Andrial
Subject: RE: Builders Risk Policy
Vivian:
Following is the Builders Risk quote:
Project: 500 Whitehead St Key West FI 33040
Amount: 248,400
Description: Chilled Water System- Phase II (renovation of the AlC system)
Builders Risk (Inland Marine form)
Company: L10yds of London
Premium: $5,428.22
Deductible: $1,000
Excluding Windstorm and Flood Coverage
Warrant: smoke detector and security guards
Windstorm Coverage only
Company: Citizens Property
Premium: $3,365
Deductible: 3%
Subject to: Signed application and copy of Building Permit at time of binding
Please note that Flood coverage is not included however this coverage is required on
your contract with Monroe County. In order to quote Flood coverage we need copy of
the Flood Elevation Certificate of the Building.
Please advise in writing how to proceed.
Thank you,
Xiomara.
7/16/2003
O~~TTY ~O~~~E
(305) 294-4641
BOARD OF COUNTY COMMISSIONERS
(_._~ Mayor Dixie M. Spehar, District 1
_ Mayor Pro Tern Murray E. Nelson, District 5
_.rN ",,:'" George Neugent, District 2
, Charles "Sonny" McCoy, District 3
David P. Rice, District 4
.
MEMORANDUM
TO: Stephanie Coffer
Construction Management
FROM: Bill Grumhaus
Risk Management
DATE: 7/17/03
SUBJECT: Builders Risk Insurance
-----------------------------------------------------------------------------------------------------
Stephanie.. . attached is a letter from our insurance consultant which I concur with completely. It is
acceptable to waive the Builders Risk Insurance requirement for the Jackson Square Chiller project.
This memo will serve as authorization from Risk Management to waive the Builders Risk insurance
requirement on this project.
INTERISK
CORPORATION
Risk Management
Employee Benefits
1111 North Westshore Boulevard
Suite 208
Tampa, FL 33607-4711
Phone (813) 287-1040
Facsimile (813) 287-1041
Consultants
July 17, 2003
Mr. William R. Grumhaus ARM
Risk Manager
Monroe County
1100 Simonton Street
Suite 268
Key West, Florida 33040
Subject: Builders Risk Insurance for the Jackson Square - Chilled Water System - Phase II Project
Dear Bill:
Based on the Scope of Work contained in the Request for Proposals for the Chilled Water System at
Jackson Square (Phase II), requiring the successful bidder to purchase Builders Risk insurance will not
enhance the County's protection. Builders Risk insurance is designed for construction projects that involve
the structural integrity of a building. As understood, this project involves the installation of an air
conditioning chiller and associated equipment on top of a building located at Jackson Square. It is also
understood that this project does not involve the modification or alteration of any structural supports of the
building.
It is therefore believed that the County can waive the requirement for the contractor to purchase Builders
Risk insurance without affecting the level of protection being provided to Monroe.
As always, please do not hesitate to call if you have any questions.
Cordially,
INTERISK CORPORA nON
) /j
0~.
Sidney G. Webber
CPCU, ARM
Transmitted by E-Mail 7/17/03
ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP ID 1~ DATE (MMIDDIYYYY)
WEAT-01 10/31/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTlFICA TE
HBA Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2500 NW 79th Ave Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Miami FL 33122
Phone: 305-714-4400 Fax: 305-714-4401 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: HARTFORD INSURANCE COMPANY
INSURER B: Twin Citv Fire
Weathertrol Maintenance Corp. INSURER c:
7250 HE 4TH AVENUE INSURER D:
MIAMI FL 33138
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
At('( REQUIREMENT, TERM OR CONDITION OF At('( 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.
LTR NSRI TYPE OF INSURANCE POLICY NUMBER DATE IMMIDDrlv"f DATE MMlDDIYY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
-
A X COMMERCIAL GENERAL LIABILITY 21UUNLK1085 11/01/03 11/01/04 ~~~~S rEa occurence) $ 300,000
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 10,000
X Contractual Liab PERSONAL & ADV INJURY $1,000,000
Included GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000
I POLICY Tx ~~8-r n LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $1,000,000
B X At('( AUTO 21UUNLK10B5 11/01/03 11/01/04 (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
X HIRED AUTOS BODILY INJURY
- $
~ NON.OWNED AUTOS (Per accident)
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACe $
AUTO ONLY: AGG $
EXCESSlUMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000
A ~ OCCUR D CLAIMS MADE 21XHUIN8629 11/01/03 11/01/04 AGGREGATE $1,000,000
$
~ DEDUCTIBLE $
X RETENTION $10,000 $
WORKERS COMPENSATION AND I TORY LIMITS 1 X I U ~~.
A EMPLOYERS' LIABILITY 21WBGG1535 12/31/02 12/31/03 $1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICERlMEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $ 1,000,000
If ~s, describe under $ 1,000,000
S CIAL PROVISIONS below E.L. DISEASE. POLICY LIMIT
OTHER
A Inland Marine 21UUNLK1085 11/01/03 11/01/04 Leased/ $50,000
Rented Eq
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate Holder named as Additional Insured in all policies except in the
Workers Compensation policy.
C C P:.l : o 1>'\ " r1. C c....
CERTIFICATE HOLDER
CANCELLA TlON
MONR01H SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TlO~
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
Monroe County Board of NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL
County Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
500 Whitehead Street REPREseNTATIVES.
Key West FL 33040 AUTHOr '-r7'tfI'ATWE
-
ACORD 25 (2001/08)
@ ACORD CORPORA TlON 1988
ACORD.
CERTIFICATE OF LIABILITY INSURANCE
PROOUCER
DATE (llMlDDM'YY)
07 31 06
C I 151 AMA 0 MA
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW
11M Xn8UJ:aDOII Group, :Ine.
2!l00 Hlf 79~h Av.,. SU.1U 101
Mi.mi I'L 33122
PhoDe:30!l-714-4400 rax:30!l-714-4401
INlURED
INSURERS AFFORDING COVERAGE
INSURER A.: Baz:'tford l';Lre :Insurance CO
INSURER B: Bd.~ield &:awJ.oFer. J:n. Co
INSURER c:
INSURER D:
tNSURER E:
...thert.J;o1 Mai.nt.enance COzp.
72!l0 111I 4TH AVBWB
MDMI rL 33138
COVERAGES
NAlCII
10701
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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXQ.USIONS AND CONDITIONS OF SUQ1
POLICIES. AGGREGATE LIMITS SHO\NN MAY HAVE BEEN REDlICED BY PAlO QAIMS.
~ TYPEOPINSUIWICE POUCYNUMaER ~ ~
~NERAL UA8lLITY
A X ~ ~MERCIAlGENERAl..LlABtLITY 21UUNL1tl085
_ ---.J CLAIMS MADE ~ OCCUR
X cOD~ract.uU Lbh
J:nc1_d
~AOOR~~~PER:
I flOUCY Ix I JECT I \ LOC
~UT0MD8n..E LWllUTY
~ AHYAUTO
\------ ALL OVVNEO AUTOS
i-- SCHEDULED AllTOS
~ HIRED AUTOS
~ NON-CNI/NEO Al1TOS
!.. C_ Ded $1,000
X Co11 Ded $1 000
GARAGEUABI.J1Y
~'ANYAUTO
excEBSIUERELLA UABlUTY
~'OCCUR [J ClAIMS MADE
I DEDUCTIBLE
xl RErENT10N 010 000
WORKERSCOMPENMT1ON MD
EIFLOYER" UA8IUTY
8 AM' PROPRIETORJPARTNERJEXECUTlVE
OFFICERlMEMBER EXClUOED?
~~~SbelClW
OTHER
A X
A
11/01/0!l
11/01/06
EACH OCCURRENCE
PREMISES(E. ocwrence)
MED EXP (AIry one perwon)
PERSONAL & ArN INJURY
GENBiAlAGGREGATE
PRODUCTS ~ COMPIOP AGG
2111BJl'J!S9793
11/01/0!l
11/01/06
COM8INED SINGLE LIMIT
(Eaeccklenl)
\"
BOOIL Y IN.lJRY
(Perpereon)
-.-<1\ \(), J)y.... ~~:~RY
\lV I '1-A1-~Op d~ 02~1:@_r~DAMAGE
\ ~ .... ..-. J;i}
(I.
AlITOONL y. EAACClOENT
OTHER T><AN
AUTO ONLY:
21X11lT.tH8629
11/01/0!l
11/01/06
EACH OCCURRENCE
AGGREGATE
UOITll
$ 1,000,000
$ 300 000
$ 10.000
$ 1,000 000
$2,000000
$ 2 000 000
$ 1,000 ,000
$
$
.
EAACG
.
.
.
'4
'4
.
.
.
000 000
000 000
AOO
83031010
12/31/0!l
ITORYUMITS I xlvER
12/31/06 E.L. EACHACCIDE'" .1 000 000
EL_DISEASE-EAEMPLOI'EI'1.000.000
E.L.OISEASe>POLICYUMIT $1 000 000
21tnlNLJt108!l
11/01/0!l
11/01/06
Limi~
Ded
A J:IISTlU.LATJ:OH
rLOATml
0E8:R1PIlON OF OPERATIONS I LOCATJO,,/VEHICLDI EJCCLU8ION8ADDED BY lNDanT~ I SPIiCIAI.. PROYlIIONS
RII: COOLJ:IIG TOlIIlllS MOIIROB COUIP.rJ\% DIITIDl'lJ:OII CD1'rIIR (BJ:D 06-066)
CllRTJ:nCATB BOLDIIR J:S LJ:STIID AS ADDJ:~J:OIIlAL msu:RBD w:tTB RIISPllCTS
LJ:ABJ:LJ:TY AND AUTO LJ:ABJ:LJ:TY.
TO GDIBlIAL
CERTIFICATE HOLDER
*:&X1'IICT A 10 DAY IIOTJ:CB or CIlJl'CBLLAT1:OII lPOll 11011 PADGlft or PlIIlMJ:IlM
CANCELLATION
$100,000
$1 000
MOlfRO-l lIHOUI.D Nf'( OF THE ABOVE DE8CR111EiD POLICIES BE CANCELLED BEFORE THE SPIRA
DATE THEREOF, THE I8IIJIIIG DBIR_ WLL ENDEAVOR TO M\lL · 30 DAYS WRITTEN
NOl1CE TO THE CERTIFlCA1E HOLDER NAIED TO THE LEFT, BUT FAILURE TO DO eo 8HALL
M'08ENO 08LJGATIONOR LIA8tUTY OFAHY KlMDUPONTHEINlURER. rrsAGEN180R
REPRESENTA11YE&
HD1I1lOB COllllTY BOJl1U) or COllllTY
CCNa SSJ:01III1UI
5501 COLLBGII 1lOAD
OY WBST I'L 33040
ACORD 25 (2001108)
c.c..~....c..c......
,,1M!
A CORD,_ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY)
7/13/2007
PRODUCER (305) 714-4400 FAX: (305) 714-4401 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HBA INSURANCE GROUP, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2500 NW 79th AvenUE~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite# 101
Miami FL 33122 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Hartford Insurance Greue 38261
Weathertrol Maintenance Corp. INSURER B: BridaeField Emnlovers Ins 10701
7250 N.E. 4th Avenue INSURER C
INSURER 0
Miami FL 33138 INSURER E
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER!OD 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.
N-:.r REGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM'::::
I~~: I~~~'~ TYPE OF INSURANCE POLICY NUMBER P~l-+~~~~~6g~~r Pg~lfJ {~~,~D'~!gN LIMITS
~NERAL LIABILITY EACH OCCURRENCE $ 1,000,000
X COMMER.CIAL GEN~:R.AL LIABILITY ~~~~~~J9E~~~Jir~encel $ 300,000
A X I CLAIMS MADE ~ OCCUR 21UUNLK1085 11/1/2006 11/1/2007 MED EXP IAn" one nerson\ $ 10,000
0- Contractual Liab PERSONAL & ADV INJURY $ 1,000,000
e- Included GENERAL AGGREGATE $ 2,000,000
n'L AGG~E@E ILlMI"" AFlES PER PRODUCTS. C"MP/OP AGG $ 2,000,000
POLICY X ~b"-P-i LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
0- ANY AUTO (Eaaccident)
A f- ALL OWNED AUTOS 21UENTS9793 11/1/2006 11/1/2007 BODILY INJURY
(Per person) $
f- SCHEDULED AUTOS -\~
0- HIRED AUTOS BODILY INJURY
\\\'v SQ- (Per accident) S
~ NON-OWNED AUTOS
X Comp Ded $1,000 ' 1
::r< PROPERTY DAMAGE $
X ColI Ded $1 000 (Peraccident\
GARAGE LIABILITY ~" \'-"\ AUTO ONLY - EA ACCIDENT $
~ANY AUTO
OTHER THAN EAACC I
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY C^CU $ 4,000,000
~ OCCUR 0 CLAIMS MADE AGGREGATE S 4,000,000
$
A ~ DEDUCTIBLE 21XHUIN8629 11/1/2006 11/1/2007 s
X RETENTION 't 10,000 FOLLOWING FORM
B WORKERS COMPENSA nON At-ID I T~~~TfUl~~ i X IOJ~-,
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E-L. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED~ 83031010 12/31/2006 12/31/2007 E-L. DISEASE - EA EMPLOYEE $ 1,000,000
If yes, describe under 1,000,000
SPECIAL PROVISIONS below E-L. DISEASE - POLICY LIMIT ,
A OTHER
Installation 21UUNLK1085 11/1/2006 11/1/2007 Limi t $100,000
Floater Ded $1,000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER IS J~SO NAMED AS ADDITIONAL INSURED IN REGARDS TO THE GENERAL LIABILITY COVERAGE AND AUTO
LIABILITY.
EXCEPT 10 DAYS NOTICE OF CANCELLATION DUE TO NON-PAYMENT OF PREMIUM,
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONROE COUNTY BOARD OF COUNTY COMMMISSION EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
50 WHITEHEAD ST. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
KEY WEST, FL 33040 -
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURER, ITS AGENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE c:I/
H INSURANCE CROUP/CIH
--.--.--.-- .---
ACORD 25 (2001108)
INS025 (0108)08a
@ACORDCORPORATION 1988
Page 1 012
IMPORT ANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed, A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an
endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such
endorsement( s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing
insurer(s), auttlOrized representative or producer, and the certificate holder, nor does it affirmatively or negatively
amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)
INS025 (0108)08a
Page 2 of2
rRFX~RTVEI .'
\10 I ;) 2008
ACORDN CERTIFICATE OF LIABILITY INSURANCE L'='_'.. ..J ~
PROOUCER (305) 714-4400 FAX: (305) 714-4401 THIS CERTIFICATE IS ISSUED AS A MATTER riF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HBA INSURANCE GROUP, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2500 NW 79th Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite' 101
Miami.
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO 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.I
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
LIMITS. 'HClWN~ , ov p'''n~' ""0
I~~:~~D'L TYPE OF INSURANCE POUCY NUMBER "CAL.Ii~rf~~E Pglfl(Efr.&b~N UMITS
X ~NERAL UABIUTY I EACH OCCU EN"e $
X COMMERCIAl GENERAL. LlABIL.ITY ~AMAFE TO RENTED $
I CLAIMS MADE ~ OCCUR 21U'tlNL!C1085 11/1/2007 11/1/2008 MEDEXP(An one....rsonl $
PERSONA .
I r.!.l::"U::QA' 4l':ll':lRl::l':lATl:: $
oono"OTS. en"",np'M .
COMBINED SINGLE LIMIT . 1,000,000
(Eaaocld811l)
BODILY INJURY .
(Per person)
BODILY INJURY .
(Peracddenl)
PROPERTY DAMAGE .
(Peracddenl)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPiRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ DAYS WRlnEN NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO SO SHAll IMPOSE NO OBUGAT.ON OR UABIUTY OF ANY KIND UPON THE
INSURER-ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
HBA INSURANCE r-- r ./
FL 33122
INSURERS AFFORDING COVERAGE
INSURER A: Hartford Fire Ins. CO.
INSURER B; Twin Ci tv Fire Ins. Co.
INSURER c: Hartford Casua1.tv Ins.
INSURER D;Bridaefield EDmloyers
NAIC#
19682
29459
29424
10701
INSURED
Weathertrol Maintenance Corp.
7250 N E 4th Avenue
Miami.
FL 33138
INSURER E:
A
x
B
~'L AGGRE~E ;~~~ A~ES PER:
I POLICY f X I J~i J I LOC
X ~TOMOBfLE UAB'UTY
~ ANY AUTO
X I-- ALL OWNED AUTOS
I--- SCHEDULED AUTOS
~ HIRED AUTOS
~ NON..()WNED AUTOS
X $1,000 Oed Camp
X I $1 000 Oed Coll
,,^ , CI',~C).....L..4n-"..n ,
~'~'J"f\:W '\ "D/~ ,. ~
,. '-. V,II -q~ ~q ~O .. I..
L., --- ''';~
1'.._
AUTO ONLY - EA ACCIDENT $
OTHER THAN "'A S
AUTO ONLY: Ar.!.r.!. $
$
2lUEm:'S9793
11/1/2007
11/1/2008
~RAGE LIABILITY
I ANY AUTO
EXCESSlUMBRELLA UABIUTY
~'OCCUR 0 CLAIMS MADE
C X h DEDUCTIBLE
iii Rl=T=NTIOPlJ <<10 000
D WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRJETORlPARTNERJEXECUTIVE
OFFICERlMEMBER EXCLUDED?
I ~~J~~be under
A OTHER Building 211J1lHLKI085 11/1/2007 11/1/2008
Bus Personal Prop 21UUNLKI085 11/01/2007 11/01/2008
Installati.on/Marine 211J1lHLKI085 11/01/2007 11/01/2008
DESCRIPTION OF OPERAnON8ILOCATIONSNEHICLESJEXCLUSIONS ADDED BY ENDORSEMENTfSPECIAI.. PROVISIONS
CERTIFICATE BOLDER IS ALSO HAMED AS ADDITIONAL INSUR.B:D IN REGARDS TO ALL POLICIES EXCEPT WORlC&:RS
AGGREGATE
21XHUIN8629
.
$
I.
X I we ST-'!H!;..' IOJ~-
E.L. EACH ACCIDENT $
11/1/2007
11/1/2008
83031010
12/31/2007 12/31/2008
E.L. DISEASE. EA EMPLOYE S
E.L. DI.clEASE. POLICY LIMIT 1<<
Spec1d
Sp.c1d
SD_cia1
COMPENSATION.
CERTIFICATE HOLDER
MONROE COUNTY BOARD OF COUNTY CDMMMISSION
3583 SOUTH ROAD ROOSEBELT BLVD
KEY WEST, FL 33040
ACORD 25 (2001/08)
lkle;n.,a::,,,.,,,,\,,,,~
1,000,000
300,000
10,000
1,000,000
2,000,000
2,000,000
4,000,000
4,000,000
1,000,000
1,000,000
1,000,000
$470,000
$301,350
$207,208
'" ACORD CORPORATION 1988
PRn..' nf')
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION is WAiVED, subject to the terms and conditions of the policy, certain policies may require an
endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such
endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing
insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively
amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)
INS025 (0108).088
Page2of2
NAME (First Named & OIhar Namad Insurads)
Weathertrol Maintenance Corp.
OFAPPINF
- ---~----'-"----'--"'-
ADDITIONAL NAMED INSUREDS
Corporation
COPYRIGHT 2000, AMS SERVICES IHC