Certificates of Insurance
MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
CHI-000953912-01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
800 Market Street, Suite 2600 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
St. Louis, MO 63101-2500 AFFORDED BY THE POLICIES DESCRIBED HEREIN,
Alln: Alfred A. Peterfeso COMPANIES AFFORDING COVERAGE
COMPANY
013807 -M M-C&P-03/04 21 02 N A ST. PAUL GUARDIAN INS CO
INSURED COMPANY
Hellmuth, Obata + Kassabaum, Inc. B HARTFORD FIRE INSURANCE CO
211 North Broadway COMPANY
Suite 600
SI. Louis, MO 63102 C N/A
COMPANY
D
COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 1
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DD/YV) DATE (MM/DD/YY)
A GENERAL LIABILITY CK01205519 01/01/03 01/01/04 GENERAL AGGREGATE $ 2,000,000
~
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 2,000,000
L- J CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1,000,000
L- OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire\ $ 1,000,000
MED EXP (Anv one oerson\ $ 10,000
A AUTOMOBILE UABILlTY CK01205519 01/01/03 01/01/04 $ 1,000,000
- COMBINED SINGLE LIMIT
X ANY AUTO
-
- ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
-
~ HIRED AUTOS BODILY INJURY $
~ NON-OWNED AUTOS (Per accident)
X !comprehensive: $500 PROPERTY DAMAGE $
X ollision: $500 Deductible
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
-
'--- ANY AUTO OTHER THAN AUTO ONLY:
'--- EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
==1 UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
B WORKERS COMPENSATION AND 83WEKB0359 01/01/03 01/01/04 I WC STATU- I 10TH
EMPLOYERS' LIABILITY X TORY LIMITS ER
~::PF:,CYr\ ~ ~KMA~ ~MENT EL EACH ACCIDENT $ 1,000,000
THE PROPRIETOR! ~INCL EL DISEASE-POLICY LIMIT $ 1,000,000
PARTNERS/EXECUTlVE ~ .,. \...
OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE $ 1,000,000
OTHER' OJ grGl ~
DATE ~/A_._/{E~ ../
WAIVER
DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlSPECIAL ITEMS
RE: Big Pine !<ey.prolect - ~.e Monroe County Board of County. Commissioners a~e included as ~~ditionallnsured to the above reference General Liability
and Automobile lIabllty poliCies as respects the referenced proJect. Subject to policy terms conditions and exclusions,
CERTIFiCATE HOLDER CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ---311- DAYS WRITTEN NOTICE TO THE
Monroe County Board of CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Coutny Commissioners
Monroe County Florida llABlllTY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
1100 Simonton Street ISSUER OF THIS CERTIFICATE
Key West, FL 33040 MARSH USA INC,
BY: Alfred A. Peterfeso ~o..O~
MM1(3/02) VALID AS OF: 01/17/03