Certificate of Insurance
A'CORDN CERTIFICA. - OF LIABILITY INSUF ~ tNC~OPID ~ DATE (MMlDDIYY)
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- IL-1 07/19/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Haake Companies HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4650 College Blvd.,Suite #300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Overland Park KS 66211-1626 INSURERS AFFORDING COVERAGE
Phone: 913-491-1999 Fax: 913-906-0088
INSURED INSURER A: Chubb Group of Ins. Companies
INSURER B: Chubb Group of Ins. Companies
Freilich, Leitner & Carlisle INSURER C:
1150 One Main Plaza
4435 Main Street INSURER D:
Kansas City MO 64111-7727
I INSURER E:
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,
I~f: TYPE OF INSURANCE POLICY NUMBER !"Q~IfTMEFFI;C;~YE P.9.L!S,~,I;1<.J>IRAT~?N LIMITS
DATE MMlDDIYY DATE MMlDDIYY
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
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A X COMMERCIAL GENERAL LIABILITY 35308303 04/05/01 04/05/02 FIRE DAMAGE (Anyone fire) $ INCLUDED
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $10,000
I-- PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 1,000,000
>----
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1,000,000
h POLICY n ~~8T n LOC .
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $1,000,000
B ANY AUTO 73200746 04/05/01 04/05/02 (Ea accident)
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ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
~ HIRED AUTOS . '?i\D(11~ I~C." BODILY INJURY
$
~ NON-OWNED AUTOS b (Per accident)
I-- V ~ PROPERTY DAMAGE $
o 1 " -r 1...... (Per accident)
GARAGE LIABILITY I rJ.l.1 { }I _' AUTO ONLY - EA ACCIDENT $
R ANY AUTO f1~TE_- .
/yr;( OTHER THAN EA ACC $
\"~''',1rq: ~/? ... -. AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $ 4,000,000
B ~ OCCUR D CLAIMS MADE 79739201 04/05/01 04/05/02 AGGREGATE $ 4,000,000
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X I TORY L1Ml'rS I IU~~-
B EMPLOYERS' LIABILITY 71624118 04/05/01 04/05/02 500,000
EL EACH ACCIDENT $
EL DISEASE - EA EMPLOYEE $ 500,000
E,L. DISEASE - POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS SHALL BE NAMED AS ADDITIONAL
INSURED WITH REGARDS TO THE PROJECT: WIRELESS TELECOMMUNICATIONS ORDINANCE
ANY QUESTIONS.PLEASE CONTACT
JULIET SWAIN
CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION (913) 491 - 1999
MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO~
MONROE COUNTY BOARD OF DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL --1.Q. DAYS WRITTEN
COUNTY COMMISSIONS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
MONROE COUNTY PLANNING DEPT. IMPOSE N~J~ t'TION OR LIABILITY OF ANY 1<11 ulN THE INSURER, ITS AGENTS OR
2798 OVERSEAS HIGHWAY, STE.400
MARATHON FL 33050 REPRESEN ~. .
AUTHOX ~SENTnl1J ~ J/1 I J"
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I Gera
1/1
ACORD 25-5 (7/97)
@ ACORD CORPORATION 1988
COVERAGES