Certificates of Insurance
ACORD", CERTIFICATE OF LIABI~ITY INSURANCE T DATE (MMlDDIYY)
11/07/2002
PRODUCER (478)474-6468 FAX (478)474-0116 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Allen & Lambert, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1760 Bass Rd., Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 28410 INSURERS AFFORDING COVERAGE
Macon, GA 31221-8410
INSURED laco Airfield Construction, Inc. INSURER A: Xl Sped a 1 ty
1071 Greensboro Road INSURER B: Auto Owners Insurance
Eatonton, GA 31024 INSURER c: National Trust Ins. Co.
INSURER D: Peerless Ins. Co.
I INSURER E: Arch Specialty Insurance Co.
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.
INSR TYPE OF INSURANCE POLICY NUMBER P8k+1~~U'g8m~ P~~!fll~~~~N LIMITS
LTR
~ERAL LIABILITY f<[AF3010666 11/07/2002 11/07/2003 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 100,000
I CLAIMS MADE [I] OCCUR MED EXP (Anyone person) $ 5,000
A PERSONAL & ADV INJURY $ 1,000,000
- GENERAL AGGREGATE $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000
h-nPRO-n
POLICY JECT LOC
~OMOBILE LIABILITY 43919176-00 07/11/2002 07/11/2003 COMBINED SINGLE LIMIT
~ ANY AUTO (Ea accident) $ 1,000,000
>-- ALL OWNED AUTOS BOD~ttr
D.~~SK:tllf ,~8 $
B - SCHEDULED AUTOS APPBcrf
HIRED AUTOS HIRED PHYSICAL DAMAGE "
--I \ ~, J. J
NON-OWNED AUTOS LIMIT $50,000; $100 BY . (Per accident) $
----1 V '\ \i~l~
OEDUCTIBLE COMPREHENSION, DATE -'-
1---1 PROPERTY DAMAGE $
)500 DEDUCTIBLE COLLISION .- ~J' V d~\lr accident)
.--...
~GE LIABILITY '4,,'\1 v..... AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY 32ULP1289900 11/07/2002 11/07/2003 EACH OCCURRENCE $ 4,000,000
"TI' OCCUR 0 CLAIMS MADE AGGREGATE $ 4,000,000
E $
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND OlO-WC02A-51405 07/01/2002 07/01/2003 I TORY LIMITS I IOJ~-
EMPLOYERS' LIABILITY 1,000,000
C E.l. EACH ACCIDENT $
E.l. DISEASE - EA EMPLOYEE $ 1,000,000
E.l. DISEASE - POLICY LIMIT $ 1,000,000
OTHER 1M 9611738 07/01/2002 07/01/2003
D
fcESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ob: Airfield Guidance Signs and West Apron Lighting Plan, Key West International Airport-lACO project
110. FL47.
~onroe County Board of Commissioners is additional insured with regard to this project.
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~~ MAIL
Monroe County Board of Commissioners ...1!L.. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Purchasing Office ~~X.)(~.l,ICI)0@tO~i{XX
1100 Simonton St., Room 2-213 ~JooOOt~)Ot~0(1~~)(jOO(*)0OO{XXXXXXX
Key West, FL 33040 AUTHORIZED REPRESENTATIVE ()
12_ n ~
ACORD 25-5 (7/97) ~@jACORD Co~RATION 1988
COVERAGES