Certificate of InsuranceAOIND. CERTIFY
PRODUCER
Riedman Insurance
2424 N Jenks Avenue
Panama City, FL 32405
INSURED
General Kantrax, Inc
123 Gwyn Drive
Panama City Beach, FL 32408
f'iy � �" DATE (M M/D D/YY)
10/22/99
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY CONFERS NOTHE CERTIFICATE
OLDER. NTHIS CERTIFICATE I GHTS DOES NOTNAMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDIUr. MVRQAf2C
COMPANY
ASouthern-Owners Insurance
COMPANY
BAuto Owners Ins.
COMPANY
C
COMPANY
D
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
LTq TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE LICY EXPIRATION
DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
A GENERAL LIABILITY 97462238068738 09/03/99 09/03/00 GENERAL AGGREGATE $1 000 000
X OMMERCIAL GENERAL LIABILIT
CLAIMS MADE OCCUR PRODUCTS-COMP/OP AGG $1 0 0 0 000
WNER'S & CONTRACTOR'S PRO PERSONAL & ADV INJURY $1 O 0 0 0 0 0
EACH OCCURRENCE $1 000 000
FIRE DAMAGE (Any one fire) $5 0 000
AUTOMOBILE LIABILITY MED EXP (Any one person) $5 , 000
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
I ANY AUTO
B EXCESSLIABILITY
X UMBRELLAFORM
OTHER THAN UMBRELLA FOR&
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
OTHER
COMBINED SINGLE LIMIT $
J
(Per ersin)LY $
I
BODILY INJURY
(Per accident) $
PROPERTY DAMAGE $
AUTO ONLY -EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACHACCIDENT $
98212238081517 09/03/99 09/03/00 EACH
LIM
LI
111U.111
111 111
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/ L ITEMS
Monroe County Board of County Commissioners to be included as additionally
nsured as to the General Liability and Excess Liability Insurance for the
Marathon Community Park Job for the time of 11/1/99 throu
CiRTFYIgh 11/1/00.
[ aT l.lA[ nrea :I: r; _
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Monroe County Board of County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Commissioners, Purchasing Dept ,] DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Public Service Building, Room BUTFAILURETOMAILSUCHNOTICE SHALL IMPOSE NOOBLIGATION ORLIABILITY
# 0 0 2 , 5100 College Road OF ANY PON •THE COMPAOR REPRESENTATIVES.
Stock Isl AUIM ZED ESEN TIVE
NY ITS' AGENTS
Key West., FL 33040 ��. a*