Certificate of Insurance
1996 Edition
MONROE COUNTY, FLORIDA
Re
quest For Waiver
of
Insurance Requirements
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:Reef Environmental Education Foundation, Inc.
Co
ntract for:REEF Outdoor Oasis
Address of Contractor:98300 Overseas Highway Key Largo Fl 33037
Phone:(305)852-0030
Scope of Work:Improvements to REEF
Reason for Waiver:
Waiver of Auto Insurance requirement:REEFdoes not have any
automobiles
Policies Waiver will
apply to: Auto
Signature of Contractor: ________________________________________________________________
Approved ________________Not Approved ________________
Risk Management: _____________________________________________________________________
Date:______________________________________________________________________________
County Administrator Appeal:
Approved ________________Not Approved ________________
Date:______________________________________________________________________________
Board of County Commissioners Appeal:
Approved ________________ Not Approved ________________
Meeting Date: ________________________________________________________________________
Administration Instruction
#4709.2