Certificates of Insurance
ACORD~ CERTIFICATE OF LIABILITY INSURANCE OPID JR , DATE (MMlDD1YYYY)
WBATH-1 10/31/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
InSource, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
9500 South Dade1and Blvd. ,#200 HOLDERi"yHIS C~~r~~C::: DOES NOT AMEND, EXTEND OR
P.O. Box 561567 ALTER TH COVE FORDED BY THE POLICIES BELOW.
Miami FL 33256-1567 f ~~.\LF. n
Phone. 305-670-6111 Fax.305-670-9699 NGC VERAGE NAlC#
INSURED INSURER A: Brid.gef eld. IbI loyar. 1111. Co.
Nk~~URER1t ~I COl1ll ercial Ins. Co.
Weathertrc,l Maintenance Corp. 1'r-r~SURER b: Nation. Tru.t Inlur&nce Co.
7250 NB 4th Ave I INSURER 0:
Miami FL 33138
COVERAGES RISK MANAGEMENT
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 )\FFOROED 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 INSR TYPE OF INSURANCE POLICY NUMBER I ~~~r,iltJD~E I'Dk~<<it,~~~N LIMITS
I GENERAL LIABILITY 11/01/08 ! EACH OCCURRENCE $ 1000000
-
BIX ~ ~_OMMERcrAL GEt\IERAL LIABILITY GLOO07877 11/01/09 PRE'MISES lEa ~~~nce) . 100000
I ~
CLAIMS MADE L!J OCCUR , MED EXP (Anyone person) $ 5000
I PERSONAL & ADV INJURY $1000000
,
GENERAL AGGREGATE '2000000
f--
GEN'L AGG~EGflE LIMIT APnSI PER: PRODUCTS - COMP/OP AGG $ 2000000
n PRO-
POLICY X JECT LOC
~TOMOBllE lIABILITY COMBINED SINGLE LIMIT $1000000
B X ANY AUTO CAOO12164 11/01/08 11/01/09 (Eaaccidenl)
-
ALL OWNED AUTOS BODrl Y INJURY
- .
SCHEDULED AUTOS IJQ (Per person)
- ..~ '-J.L
~ HIRED AUTOS SODIL Y INJURY
(Peracddenl) $
~ NON-OWNED AUTOS I
. . IT/a -oK PROPERTY DAMAGE .
(Per accident)
GARAGE lIABILITY .. "- AUTO ONLY- EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA liABILITY EACH OCCURRENCE $ 5000000
B :!J OCCUR D CLAIMS MADE UMBOO07808 11/01/08 11/01/09 AGGREGATE . 5000000
(Cku $
~ OEDUCTISLE ~: $
X RETENTION HOOOO .
WORKERS COMPENSATION AND V X ITORYLlMm; liVER"
EMPLOYERS' LIABILITY
A ANY PROPRIETOR/PARTNER/EXECUTIVE 830-31010 09/10/08 12/31/08 E.L. EACH ACCIDENT . 1000000
OFFICERlMEMSER EXCLUDED? ,00 E.l. DISEASE - EA EMPLOYEE $ 1000000 --
~~I~~~~vl~1~~s below III E.l. DISEASE - POLICY LIMIT $1000000
OTHER n .r ;)." m
L 'I' .;fi ,I'.
DESCRIPTION OF OPERATIONS f lOCj'-TIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
HVAC Contractor. /*:LO Days Cancellation applies for Non-payment of premium.
Certificate holder is included as Additional Insured under for.m
#CGL055 (12/05) as "equired by written contract.
CERTIFICATE HOLDER
CANCELLATION
MONRO 10 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 3 0 DAYS WRITTEN
Monroe County Board Of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAILURE TO DO SO SHALL
Commissioners IMPOSE NO OBLIGATION OR lIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
50 Whitehead Street
Key ,est FL 33040 REPRESENTATIVES,
C.L;~z. Ar'14ED ,;::::::;'NE
ACORD 25 (2001/08)
@ACORDCORPORATION1988
~~fj
PRODUCER
InSource, Inc.
9500 South Dadeland Blvd.,#200
P.o. Box 561567
Miami FL 33256-1567
Phone:30S-670-6111 Fax:30S-670-9699
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMlDDNYYY)
OP 10 JR
WEATH-l 12 17/09
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
r--'-~~---.__. __ .QNL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
f.\ - .HOLC>~.,;lHTS~CERTIFiCATE DOES NOT AMEND, EXTEND OR
~ " {A .~ ~ijli COVERAGE AFFORDED BY THE POLICIES BELOW.
Weathertrol Maintenance Corp.
7250 N.E. 4th Avenue
Miami FL 33138
., ~
I~.~_~RERS AFFORDING f~VERAGE ___..___d____
~~ ,fNSU~~:A_CCI In~u_~a~-q-~__ Company__...._.n._
INSURE~ B: Natianal T~~ Insurance Co.
NAIC #
-----------
10178
*-------
20141
INSURED
. -tNSURERC;, _S~.~ Pau
r lNSO~E~rb\!{ FCCI Co
. , ,,'. :'..i.._ 1 r I I I .
..tNSURERE;" I I
Fire & Marine
ercial Ins. Co.
33472
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.
TYPE OF INSURANCE POLICY NUMBER
GENERAL LIABILITY
D X X COMMERCIAL GENERAL LIABILITY GL 0007 8772
CLAIMS MADE X OCCUR
11/01/09
LIMITS
EACH OCCURRENCE $ 1000000
A'MAGETCJREf\ITE[)'-' n'
.!:~_~~~~~~~~..9ccurenc~L._._ __~_ .~Q.9.Q 0 0 ___.____..
MED EXP (Anyone person) '$ 50 Q..9______________
PERSONAL & ADV INJURY $ 1000000
---_.- -...-"..----..-.---.- ----~-----_._-_.-
GENERAL AGGREGATE $ 2000000
PRODUCTS - COMP/OP AGG $ 2 0 0 0 0 0 0
LOC
B X ANY AUTO CAOO12164
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
----------_.~.---~.-~---_..._-
GARAGE LIABILITY
ANY AUTO
EXCESS / UMBRELLA LIABILITY
C X OCCUR CLAIMS MADE QK06803446
11/01/09
COMBINED SINGLE LIMIT
11/ 0 1/10 (Ea accident)
$ 1000000
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
11/01/09
11/01/10
AUTO ONLY - EA ACCIDENT $
_._-_._~_._-.._-_._,..._.__..-
EA ACC $
_._-----_.._-~--
AGG $
$ 5000000
$ 5000000
EACH OCCURRENCE
.~
OTHER THAN
AUTO ONLY:
AGGREGA TE
A
DEDUCTIBLE
X RETENTION $10000
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETOR/PARTNE,RlEXECUT:\/O
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
~~~tl~tS~~~v~S?O~S below
OTHER
07~j ~
$
$
$
x
o 0 J.1;\fC 0 9 A6 3 07 4
E.L. EACH .A.CCIDENT $ 1000000
E.L. DISEASE - EA EMPLOYEE $ 10 0 0 0 0 0
E.L. DISEASE - POLICY LIMIT $ 1000000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
HVAC Contractor./*10 Days Cancellation applies for Non-payment of premium.
Certificate holder is included as Additional Insured under form
#CGL084 (11/08) as required by written contract.
L C .' r:::; ~7 t:i.. r} L e......
CERTIFICATE HOLDER CANCELLATION
Monroe County Board Of County
Commissioners
50 Whitehead Street
Key West FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
~~
@ 1988.2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
MONRO 10
ACORD 25 (2009/01)