Certificates of Insurance
ACORQu CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDlYV)
02/14/2003
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
WORKERS' COMPENSATION GROUP, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO BOX 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
BOCA RATON FL 33429-0410 INSURERS AFFORDING COVERAGE
561-392-3300
INSURED FLORIDA KEYS WILD BIRD INSURER A: ZENITH INSURANCE COMPANY
REHABILITATION CENTER, INC. INSURER B:
93600 OVERSEAS HIGHWAY INSURER c:
TAVERNIER, FL 33070 \.: INSURER 0:
I INSURER E:
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,
II~SR TYPE OF INSURANCE POLICY NUMBER ~~~I;rM~~~~E POLICY EXPIRATION LIMITS
TR . nA T" IMMln"lYvl
GENERAL LIABILITY EACH OCCURRENCE $
~
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone lire) $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
I--
I-- GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COM~OPAGG $
II POLICY'" H ~~,9T n LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
~
I-- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
I-- ~~A~~E
I-- HIRED AUTOS ~~~~B_~ ~1 BODILY INJURY
J.'1,u b (Per accident) $
NON.OWNED AUTOS
~
I-- ~ Q I()~ PROPERTY DAMAGE $
._~ (" - (Per accident)
~Jf"\l ... "'~.-- C- YES .,,-
RAGE LIABILITY AUTO ONLY. EAACCIDENT $
WA1VEPi N/Ao ~~
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X I T'6~~r~J;~s I 10TH.
ER
EMPLOYERS' LIABILITY Z048230501 05-25-02 05-25-03 $100,000
E.L EACH ACCIDENT
A E.L DISEASE. EA EMPLOYEE $100,000
E.L DISEASE. POLICY LIMIT $500,000
OTHER
DESCRIPTION OF OPERATlONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
MONROE COUNTY BOARD OF COUNTY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL --1Q DAYS WRITTEN
COMMISSIONERS & TDC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
1100 SIMONSON STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
KEY WEST FL 33040 REPRESENTATIVES. I
AUTHORIZED REPRESENTATIVE
I
ACORD 25-S (7/97)
(;) ACORD CORPORATION 1988
ACOBQM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYVY)
02/14/2003
PROD.UCER (305)852-3234 FAX (305)852-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Regan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
90144 Overseas Hwy. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tavernier, FL 33070
INSURERS AFFORDING COVERAGE NAlC#
INSURED Fl Keys Wild Bird INSURER A: Nautilus Ins Co.
Rehab Ctr Inc INSURER B: The Hartford
93600 O/s Hwy INSURER C:
Tavernier, FL 33070 INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN'
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.
I~i': ~o,.~~ TYPE OF INSURANCE POLICY NUMBER P~H~Y EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY NC138484 03/13/2002 03/13/2003 EACH OCCURRENCE $ 1000000
- DAMAGE TO RENTED 5000(J
X COMMERCIAL GENERAL LIABILITY $
I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ excl uded
A PERSONAL & ADV INJURY $ 1000000
GENERAL AGGREGATE $ 1000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ included
I 'nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY 21UECLC5334 12/22/2002 12/22/2003 COMBINED SINGLE LIMIT
I--- (Ea accident) $ 30000(J
ANY AUTO
i---
ALL OWNED AUTOS BODILY INJURY
~ $
SCHEDULED AUTOS (Per person)
B
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
==i ANY AUTO ,(S\< MAN~~E~ OTHER THAN EA ACC $
"- ....." rn<I EN1 AUTO ONLY: AGG $
EXCESs/UMBRELLA LIABILITY ;~' 7\11,-= ',.I I .I ~ -' EACH OCCURRENCE $
:J OCCUR 0 CLAIMS MADE ri-\Iq I D') AGGREGATE $
V" -
DATE _._.__00" ./ YES-- $
==i DEDUCTIBLE WAIVER NIII - $
RETENTION $ ---,,-,,-.,,"""",..,-'"'"
$
WORKERS COMPENSATION AND I WCSTATU- I IOJbl-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If ~es, describe under
S ECIAL PROVISIONS below E,L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
ertificate holder is shown as an additional insured
Monroe County BacC & TDC
1100 Simonton 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
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
ACORD 25 (2001108)
@ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)