Certificates of Insurance
305-591-0090 THIS CERTIflCATE IS ISSUED AS A MATIER or INFORMATION ONLY AND
CONfERS NO R1GHI'S UPON THE CERTlJ'lCATE HOIJ)ER.. THIS CERTlJ'lCATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE An'ORDED BY THE
POT.TClR.'l RRI.OW
PRODUCER
Seitlin & Company
P. O. Box 025220
Miami, FL 33102-5220
COMPANIES AFFORDING COVERAGE
INSURED
COMPANY
A FIREMAN'S FUND INS.
COMPANY
Goldan Leaf Management, Inc.
P.O. Box 523167
Marathon FL 33052
B
COMPANY
c
COMPANY
D
THIS IS TO CERTIIY THAT THE POLICIES 01' INSURANCE LISTED BELOW-HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENl', TERM OR CONDmON 01' ANY CONTRACT OR OTHER DOCUMENI' WITH RESPECT TO WInCH THIS
CERTlJ'lCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE An'ORDED BY THE POLICIES DESCRIBED HEREIN IS SUl\JECT TO ALL THE TERMS,
EXCLUSIONS AND CONDmONS OF SUCH POLICIES. LlMrrs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPIl OJ'INSURANCE
POLICY NUMBER
POLICY En'.
DATE (MMIDDIYY)
POLICY EXP.
DATE (MMIDDIYY)
LIMITS
GENERAL LIABILITY
-
COMM. GENERAL LIABILITY
I CLAIMS MADE D OCCUR
OWNER'S" CONI'RACT'S PROT
I--
Al/I'OMOBILE LIABILITY
I--
A ~ ANY Al1rO
I--
~ IDRED Al1rOS
I--
X NONoOWNED Al1rOS
I--
BIND289840
6/03/97
GENERAL AGGREGATE
PRO~OMPJOP AGG.
PERS. " ADV. INJURY
EACH OCCURRENCE
RRE DAMAGE(Ono J1ro)
MED EXP(Anyone p.......)
COMBINED SINGLE
LIMIT
1000000
I--
6/03/98
ALL OWNED AUf OS
BODILY INJURY
(Per ....-.)
SCHEDULED Al1rOS
BODILY INJURY
(per _denl)
I--
i--
~
ANY Al1rO
".""'r,0'/FD BV f !S.t 'I.t~rolr"T
RY ')\'\ \. ~ 17.w1~
DATE '-' ;\-l.)-Cil
"
PROPERTY DAMAGE
GARAGE LIABILITY
i--
EXCESS LIABILITY
IlUMBRELLA FORM
nOTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYEUS' LlABILrcy
WAIVER:
N/A ./ YES
Al1rO ONLY-EA ACCIDENI'
OTHER THAN Al1rO ONLY: j:jtrrrrrrrIrrjtttttttj
EACH ACCIDENI'
AGGREGATE
EACH OCCURRENCE
AGGREGATE
THE PROPRIETOR!
PARTNERSlEXECUfIVE
omCERS ARE:
nlNCL
nEXCL
In ATl1rORY LIMrrs
EACH ACCIDENI'
DISEASE-POLICY LIMn'
DISEASE-EACH EMPL.
f~~~iif!t1t~i1fi!~~!;i~~~i~I1~~iii!mmitttf1
OTHER
DESCIUI'TION or OPERATIONSILOCATIONSIVEIDCLESISPBClAL rrBMS
CERTIFICATE HOLDER IS ADDITIONAL INSURED ON THE AUTO POLICY A.T.I.M.A.
ro",
I
i L
I
, :-7/;':r~:;,'
}!riiRiritiitMtJiii'ltoLDBRitttt:}!:}!:!:}!:!i}!::t:}tj@}@tt!:!tt:jt:i:!:ttmWjW@!i:li:tW~!ttt:ji!:@\~Eit~fuJriN}t@}Hitt:tjij:}nWn!:tjtiji}tl}iWjt:nWtmn:MMilt!:ttttntt@jlm!il:lWliiWttit
SHOULD ANY OF THE ABOVE DESCIUBED POLICIES BE CANCBLLED BBFORE THE
MONROE COUNTY AND THE MONROE BXPIRATlON DATETHEREOr, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRrITKN NOTICE TO THE CERTlJ'lCATE HOIJ)ER NAMED TO THE
COUNTY SCHOOL BOARD LEIT, Bl1r rAlLURE TO MAIL SUCH NOTICE SHALL IMPOSB NO OBLIGATION OR
5100 COLLEGE ROAD LIABILITY OJ' ANY KIND UPONTHECOMPANY,rrs AGENI'S OR REPRIlSENI'ATIVIlS.
" AtrrHO~O~E~ATIVE ~._.1 _
KEY WEST, FL33040 I.I~ ~ {,~.
:i;:::AOOm:l5*SJj~tf:I::t:ji:t:iiti:ij:::!:fitttI::::i::j:jif:@riiitttt:ti::i:::i:t:fff:t~*:i:jS:t:f!r~ifi:i:i:jitf:::~::#::::::::i::i::t:ti:i:i:tjif:itftfi:it:::i:imi:@::.::i::imjt@t:i:ili:~l@::::::t:iit:i::::ii:::~::ii@:tii:t@::i:::::f:i::fif:tt::::iiiiit:::~f:~:::nittt::::;:@::ii:!::ji:::;
>::::i::::;::-," :n:~I~III!I~!I)' ~IY ,,,,~~~~!;:::::::::'.......'" ."'"
. . . . . .. .. . . . . .
..................
.................
..................
DATE (MMIDDIYY)
6/08/98
PRODUCER
954-938-8788
THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFlCATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
Seitlin
6301 N.W.5TH Way
Ft. Lauderdale, FL 33309
COMPANIES AFFORDING COVERAGE
Golden Leaf Management, Inc.
Attn: Theresa Cleveland
3300 PGA Blvd, Ste 330
Palm Bch Garden FL 33410
COMPANY
A ADMIRAL INS.CO.lTRI-CITYl
J COMPANY
B FIREMAN'S FUND INS.CO.
COMPANY
C GULF INS.CO.(CRCl
COMPANY
D CONNECTICUT INDEMN.(EBI)
INSURED
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITIISTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WlTII RESPECT TO WIllCH THIS
CERTIFlCATE 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.
POLICY EFF. POLICY EXP.
DATE (MMIDDIYY) DATE (MMIDDIYY)
CO TYPE OF INSURANCE POLICY NUMBER
LTR
GENERAL LIABILITY
A COMM. GENERAL LIABILITY A98CB05220
CLAIMS MADE [2U OCCUR
OWNER'S & CONTRACT'S PROT
AUTOMOBILE LIABILITY
B X ANY AUTO BIND330373
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
uY
LIMITS
6/03/98
6/03/99
GENERAL AGGREGATE
PROD-COMP/OP AGG.
PERS. & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE(o... Fire)
MED EXP(Any one person)
COMBINED SINGLE
LIMIT
10000
o
6/03/98
6/03/99
1000000
BODILY INJURY
(Per person)
ANY AUTO
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
W!;!VfR:
iIl,~~
AUTO ONLY-EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
GARAGE LIABILITY
EXCESS LIABILITY
C X UMBRELLA FORM
X OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
BIND330379
6/03/98
6/03/99
EACH OCCURRENCE
AGGREGATE
5000000
5000000
378584
1/18/99
X STATUTORY LIMITS
EACH ACCIDENT
DISEASE-POLICY LIMIT
DISEASE-EACH EMPL.
D
1/18/98
100000
500000
100000
THE PROPRIETOR!
PARTNERSIEXECUTIVE
OFFICERS ARE:
INCL
X EXCL
OTHER
*30 DAYS CANCELLATION
FOR WORKERS COMPo
DESCRlPfION OF OPERA TIONSILOCA TIONSNEffiCLES/SPECIAL ITEMS
CERTIFICATE HOLDER IS ADDITIONAL INSURED ON THE AUTO POLICY A.T.I.M.A.
:ciihn6.liifabitiiij,: . ,. ,. ,..
. . . . . . . . . . . . . . . . . . . . . . . . .
.........................
..... .........................
......................
::m::!'Jt.iNe.tWifl6.M:mm
~~f]~~~~~:~]~]~;~:~t~;~~~:gm~;~~r~f:~{mmtf~mrmrt ...
.................
.................
.................
.................
.................
.................
MONROE COUNTY AND THE MONROE
COUNTY SCHOOL BOARD
5100 COLLEGE ROAD
KEY WEST, FL 33040
DATE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
ORlZED REPRESENTATIVE
-
::AcoRitt$.-S/jJ.J,'. ,.,
.........................:.;.:.;.;=:=;=;=:=;:;.:.;.;.;.:.;.:.;.;.:
..
...... ....
..
.. . . . . . . . . . . . . . . . .
.................