Loading...
COI Expires 07/06/1998 ) Ai "':" \VC\\ �CE •\�o iHi % DATE MWDDNT\k iC � 7/2/97 PRODUCER 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 EASTMAN INSURANCE AGENCY, INC ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4201 N FEDERAL HWY, SUITE E COMPANIES AFFORDING COVERAGE LIGHTHOUSE POINT, FL 33064 COMPANY (954) 941-5090 FAX: 941-0442 A FIREMAN'S FUND INSURANCE COMPANY INSURED COMPANY HYATT & HYATT INC B DBA BENIHANA RESTAURANT COMPANY AND MARTHA'S RESTAURANT C / 3591 SOUTH ROOSEVELT BOULEVARD COMPANY IKEY WEST FL 33040 D COBEkADDB A `J\.n.a ,,, ye , 3 a ;`AT- . _ ,, . INSURED THIS INDICATEDIS TO NOIWITHSATTHN NYIRE OF I EMENT TE LISTED ONDW HNO BEEN ISSUED C THE INSURED CUMEN ABOVE FOR ECT POLICY PHTIHIS CERIFICA NOTWITHSTANDING IDG ANY PERTAIN REQUIREMENT TERM OR CONDITION N ANYE CONTRACT OR OTHEB HER ENT WITH RESPECT TOT TO T WHICH THIS CERTIFICATE MAY ISSUED MAYUPERTAIN THE INSURANCEWAFFORDED BEN R E DESCRIBEDIDCLAIMS HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.UMRS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POIICYEXPIMTIOX LIMITS LTR DATE(MwOO/W) DATE(MwOD/W) GENERAL LIABILITY GENERAL AGGREGATE $2,000, 000 X COMMERCIAL GENERAL UANUTY PRODUCTS-COMP/OP AGG $2,000, 000 CLAIMS MADE X OCCUR PERSONAL Z.ADV INJURY s1, 000,000 A OWNERS SCONTRACTORB PROT S15MZX806769798 7/6/97 7/6/98 EACHOCCUPHENCE sl, 000,000 FIRE DAMAGE(Any one PIN $50, 000 MED DM(Any one person) $5, 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO ALL OWNED AUTOS FLIT BODILY INJURY SCHEDULED AUTOS APPROVED 3Y,RISK TM\Ip(;FF N � (Per person) $ HIRED 1�Lu� (i BY - BODILY INJURY NON OWNED AUTOS Ira $ nSTT /1 -S.T a� PROPERTY DAMAGE $ GARAGE UABIUTY p¢O NIA/ AUTO ONLY Ell ACCIDENT $ ANY AUTO OTHER TON AUTO ONLY EACH ACCIDENT AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE S DRIER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND STATUTORY LIMITS _. EMPLOYERS UABIUTY EACH ACCIDENT $ THE PROPRIETOR/ INCL DISEASE POLICY LIMIT $ PARTNEI / ECUTIVE OFFCERS ARE. EXCL DISEASE EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECBLL ITEMS THE CERTIFICATE HOLDER BELOW IS NAMED AS AN ADDITIONAL INSURED. PARKING LOT LEASE AGREEMENT--PREMISES AT SOUTH ROOSEVELT BLVD, KEY WEST, FL CERTIFICATE HOLDER,;; ,"::. ' ';,xis£`..... .. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE COUNTY OF MONROE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 5100 COLLEGE ROAD /� ID_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, KEY WEST, FLORIDA 33040 J_ / I-- �BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIOATIOX OR LIABILITY .'L�/lI(�Uyy�/ OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES ATT. KAY MILLER AUTHORIZED REPRESENTAT /1 )FAX: 305 292 4564 /��et--1LM_r - A"dOIN:2541418,5? , `: "z , . .. _ .,,_,,. ... ®ACGRDCOAPOHATIONY$BS_.: