Certificate of Insurance
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PRODUCER (305)247-5121 FAX (305)248-8543
.R. Jones & Company
1780 North Krome Avenue
Homestead, FL 33030
DATE (MM/DDIYY)
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
COMPANIES AFFORDING COVERAGE
Monticello Insurance co
Attn: Jerri Moor
INSURED
Ext:
272
COMPANY
A
Keys Communication
Theatre Key West
PO Box 992
Key West, FL 33041
Group, Inc.
COMPANY
B
COMPANY
C
COMPANY
D
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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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
: POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DDIYY)
LIMITS
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
A CLAIMS MADE X OCCUR MCL372617
OWNER'S & CONTRACTOR'S PROT
GENERAL AGGREGATE $ 2 000,000
PRODUCTS - COMP/OP AGG $ Included
09/22/1999 09/22/2000 PERSONAL & ADV INJURY $ 1,000,000
EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 50,000
MED EXP (Anyone person) $ Excluded
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
\1li.D.c- '.
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
TORY LIMITS ER
EL EACH ACCIDENT $
EL DISEASE - POLICY LIMIT $
EL DISEASE - EA EMPLOYEE $
GARAGE LIABILITY
ANY AUTO
W','\lfP'
,. ; '""..
~,;. ...LYES
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
DESCRIPTION OF OPERATlONS/LOCATIONSN HICLESlSPECIAL ITEMS
ertificate Holder is named as Additional Insured:
Monroe County Board of County Commissioners
5100 College Road
Key West, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE 7. ' !:r 9 . '
.'.. .................................0~Jjj0~.<~t(j~J,E.~J~~~q9RP~~=~
INITI^L
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PRODUCER (305)24'7~5i2'1' "FAX (305')248-8'5'43" ., THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
. R. Jones & Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1780 North Krome Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Homestead, FL 33030 COMPANIES AFFORDING COVERAGE
COMPANY'" ... 'Montlcel'lo.. Insur ance"'co.'.
A
Attn: Jerri Moor
........ .........
INSURED .,
Keys Communlcatlon
Theatre Key West
PO Box 992
Key West, FL 33041
Ext:
272
Group, Inc.
COMPANY
B
COMPANY
C
COMPANY
D
:!~~RA~~'j'tj:::t:::t:mmm::tm:rm:ttttt:t::::tm:::t::i:i::::mmmm:m:::::::::::tmmt:::::t:mr:tmrmmmmt:::::i:t:::::::::rrrm::::i:i:::ti:i:'t::rmtirtmi:tt:::r:mr::::::::t:::::::::t::::::::::::m:::::::ttj:i:it::ttr::,::::::t:rr:ti:i::tm::t::t'::::::r::::"""""
THIS IS TO CERTIFY THAT 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
: POLICY EFFECTIVE: POLICY EXPIRATION
. DATE (MMIOOIYY) . DATE (MMlDOIYY)
LIMITS
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GENERAL AGGREGATE $ 2 000,000
PRODUCTS - COMP/OP AGG $ Included
09/22/2000 09/22/2001 PERSONAL & ADV INJURY $ 1,000,000
EACH OCCURRENCE $ 1 000 000
FIRE DAMAGE (Any ane fire) 50,000
MED EXP (Anyone person) Excluded
IlCt.\,-4l\) COMBINED SINGLE LIMIT $
BODILY INJURY
- (Per person) $
~C\~ ,
BODILY INJURY $
~",~C;\~(i (Per accident)
PROPERTY DAMAGE $
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
A CLAIMS MADE: ,,: OCCUR MCL372617
OWNER'S & CONTRACTOR'S PROT '
['r,7E
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
c,Y
EACH OCCURRENCE
AGGREGATE
THE PROPRIETOR!
PARTNERs/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
, -
, . TORY LIMITS ER :::;::::"::,:"::,:::::,:,:",',.,,,.,,,
~ vrS --,----- HE~E~C~ACC;DENT : $
" /YJ () )ELDISEASE -POLICY LIMIT . $
. lJ&.Cb/E~DISEASE:E~EMPLOYEE $
1,1,(" "':r;.
DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLES/SPECIAL ITEMS
ertificate Holder is named as Additional Insured:
~~1t~~\~~1B)mf.q,~'-!::r::::::m:m:::::::::::::::::::::r::':':':':':':':':':':"i'f:':%%':%':':'f:'mmm':::'f:':'i':'m"i'i'i::'i'f:'fm:i'i'i':mtm:i:i':"fffi:fi~il;iH~!lm:::j'j:::i:::m
::::.:::::.:::.........::::;::::=::::::::......... . .
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Mon roe County Board of County Commi 5si oners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
5100 Co 11 ege Road OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES,
'd'd""""""~~~"~~,~,~.,,,,,~,L 33040 . ;~T;:::D:~PRJE:~;:TI~Er. ?~~ct;d C) C(PVD~,
:AP9RQ::U:~::l.1tMgtt"':':":::::t::'mt'fi'fj"'j'tfj'j'i'tfit'i:':i'j:i'j=ffffff't:':i:f'rt:fitt:i:'ttmffffitt:i:i:ff:{mmmti'fmmmmmmmt:fi:firfi{r':'i:i'i{{{'ffi{'{':"f::'i':j':{':":"f::'i:~A~A~PPP~~~N~~.