Certificates of Insurance
::;::::;;'~;':':';';.>;'i;:':':';':';,; :':':':';':':':':':':';;:-ii;'Z
DATE (MM/DDIYY)
6/12/00
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO
ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFrCA T
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND 0,
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO."
COMPANIES AFFORDING COVERAGE
COMPANY Scottsdale Insurance Co
A
PRODUCER
Crump Insurance Services of FI, Inc
1211 Sermoran Blvd., Suite 227
Cassleberry, FI 32707
INSURED
Organized Fishermen of Florida
POBox 1064
Marathon FL 33050
COMPANY
B
COMPANY
C
COMPANY
D
,')i.l~""1!i"
:;~$*:~:~. '~"
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
LTR
POLICY NUMBER
POUCY EFFECTIVE POUCY EXPIRATION
DATE (MM/DDIYY) DATE (MMlDDIYY)
TYPE OF INSURANCE
A
GENERAL LIABILITY
X COMMERCIAL GENERAL UABILlTY
CLAIMS MADE [;z] OCCUR CLS0644742
OWNER'S & CONTRACTOR'S PROT
4/22/0 I
4/22/00
AUTOMOBILE UABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
';ill' 't"'"''~''OOJ;;j)''' ";-:, ,'-,: 'f " -
i c5'1A\'
::~:~I~~~{) -- u'
. -- - lo-.._- Cc .
"","rp, i\;,~:L ",- fyl.
GARAGE UABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELlA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOAl INCL
I PARTNERSlEXECUTIVE
OFFICERS ARE: EXCL
OTHER
DESCRIPTION OF OPERATIONS/l.OCATlONSlVEHICLESlSPECIAL ITEMS
Certificate holder named as additional insured.
UMITS
GENERAL AGGREGATE
PRODUCTS - COMP/oP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone lire)
MED EXP
$ 1,000,000
$ excluded
$ excluded
$ 1,000,000
$ excluded
$ excluded
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per pelBOn)
BOOILY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONlY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
EL EACH ACCIDENT $
EL DISEASE - POLICY LIMIT $
EL DISEASE - EA EMPLOYEE $
. '. ~.~..:;::::::::~:&J~f:~~~~ri
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
5100 COLLEGE ROAD
KEY WEST FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE I8SUING COMPANY WILL ENDEAVOR TO MAli
12- DAYS WR NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
L SUCH NOTICE SHAL IMPOSE NO OBUGATlON OR L1ABII.m
. ITS AGENTS OR REPRESENTATIVES
ACORD", CERTIFICATE OF LIABILITY INSURANCE I: DATEIMMlDOIYYYY)
3/7/2002
PROOUCER Admiralty Insurance, Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAnON
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
6353-1 Argyle Forest Blvd. HOLDER. THIS CERnFICATE DOES NOT AMEND, EXTEND OR
Jacksonville, FI 32244 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAlC#
INSURED INSURER A: Scottsdale Insurance Co
Organized Fishermen of Florida t6 (p INSURER B:
POBox 1064 INSURER c:
Marathon FL 33050 INSURER D:
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
POUCIES. AGGREGATE lIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY NUMBER POLICY EFFI!CTlVE POI-ICY I!XPIRATION UMITS
,.!!NI!RAL UAIIIUTY I ~i~rRENCE $ 1,000,000
COMMERCIAL GENERAL LIABILITY PR M &c",'cu $ excluded
I CLAlMS MADE IZI OCCUR MEDEXP(Anv~~~j $ excluded
A 4/22/0 I 4/22/02 PERSONAL &ADV INJURY $
t-- CLS0644742
GENERAL AGGREGATE $
I-- $ excluded
~'LAGG~nELIMITAPnPER: PRODUCTS. COMPIOP AGG
POLICY ~~Rr LOC
~OMOIIILE UAIIIUTY COMBINED SINGLE LIMIT $
ANY AUTO lEa aead",,')
-
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
-
- HIRED AUTOS BODILY INJURY
(Per accident) $
- NON.()WNEOAUTOS
PROPERTY OAMAGE $
....... (Per lICCld8l1t)
ROB UAIIIUTY ........... "- ItRI ~r~.A ENT AUTO ONLY. EAACCIDENT $
ANY AUTO :~(\ , It') OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCEIllUMBRELLA UAIIIUTY '...-I: I \\~ ') rJ-_ EACH OCCURRENCE $
o OCCUR D CLAIMS MADE DATE N/A VYE AGGREGATE $
WAIVER $
q DEOUCTlBLE 6V~;n hA~ $
RETENTION $ $
WOfIKI!RS COllfltENlATION AND U~ DJ;? I WCSTATlJ- I 10J:
....LOYERS. UA8/UTV
AI('( PROPRIETORIPARTNERlEXECUnVE C2t ~f~ E,L. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? E.L. OISEASE. EA EMPLOYEE $
~~~=NSbelow E.L. DISEASE. POLICY UMIT $
OTHER
Ill!ICRI'TION Of' OPI!RATIONS / LOCATIONS/VEHICLES IEXCLUIIOHS ADDED BY ENOORSEMENT / SPECIAL PROVISIONS
Certificate holder named as additional insured.
CERTIFICATE HOLDER
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
5100 COLLEGE ROAD
KEY WEST FL 33040
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLEO BEFORE THE EXPIRATION
DATE THERI!OF, THE ISSUING INSURER W1I-L ENDEAVOR TO MAIL .!.2.- DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
RE NTATIVE .
AUTHOR ENTATIVE
RPORATlON 1988
ACORD 25 (2001108)
,." .AcoRii'~!;;~;~l'=I:III:lliili:::::4>:I::;:;IIII:liii:II~~:::J:~I:csl:III.:I::::~::~:::::::~:::~::~::::!~:::::::::!~::~:::~:~~:::':::';':;:. ,."Do~Ti1i~f&~Di:J..,..".,'
::::::::.... . ............:.....................:.....:....~.......:..:~~~!:..::.i::;::~:....:.:....\. /..:/..:/{..::::::..... ::::.. :.::. \......... .<:~~.:.:~..~..~::~~....:.::;.:...:......t... ,', ....:.~:: ':'::' .;:;;;,: :':=:::..: ii:t:.t,::::: :~::.;" ::'. :t.:'::::{: ::"': ':' :.::l@~::::;::::.;}::::~:t:~~~~:t~::~:r::~~~~~?~:~.:~~. :" :
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
Crump Ins Svc of FL, Inc.
1211 Semoran Boulevard
Suite 227
Casselberry
FL
32707
COMPANY
A
SCOTTSDALE INS CO
INSURED
ORGANIZED FISHERMAN OF FLORIDA
PO BOX 1064
MARATHON, FL 33050
COMPANY
B
COMPANY
C
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 PAlO CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DDIYY)
A GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 00 OCCUR
OWNER'S & CONTRACTOR'S PROT
CLS0644742
04/22/02
04/22/03
LIMITS
GENERAL AGGREGATE $ 1 000 000
PRODUCTS - COMP/OP AGG $ EXCLUDED
PERSONAL & ADV INJURY $ EXCLUDED
EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ EXCLUDED
MED EX? (Anyone person) $ EXCLUDED
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
APP.
BY
DATE
WAIVER
PROPERTY DAMAGE
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY. EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
$
EL DISEASE - POLICY LIMIT $
EL DISEASE - EA EMPLOYEE $
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/SPECIAL ITEMS
THIS CERTIFICATE SUPERCEDES ALL PREVIOUSLY ISSUED CERTIFICATES TO THIS CERTIFICATE HOLDER.
CERTIFICATE HOLDER NAMED AS ADDITIONAL INSURED.
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.. . .. .
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...... ... ........................................
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.........
..................
...................
..................
...................
..................
...................
..................
...................
.................
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
5100 COLLEGE ROAD
KEY WEST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEUED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
19-- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
..,.."""""" ,.".,., I""".".,.,
~Aq9~!>~$]U~$}
.................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.................................
.................................
.................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
............. ..... .............
KIND UPON THE
,. .,'.' ".',.,................'.. '..,.'....,','...' '.. '.........'...........'.....,.,..........."."."': :::::::~:~:)
:::,:,,:,.::::,:,::~~:1\::::,::,
TS AGENTS OR REPRESENTATIVES.
. A c.;ORQy CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIVY)
03/04/2003
PRODUCER (305)743-0494 FAX (305)743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Keys Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 500280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Marathon, FL 33050-0280 INSURERS AFFORDING COVERAGE
Kevin Martin-Vegue
INSURED Greater Marathon Chamber of COl1ll1erce INSURER A: Burlington Ins. Co
12222 Overseas Highway INSURER B:
Marathon, FL 33050 INSURER c:
INSURER D:
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,
I~: TYPE OF INSURANCE POLICY NUMBER Pg}~~~~~~g8~E
~NERAL LIABILITY 535BOOl112 12/21/2002
X COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE 0 OCCUR
P8i!fl/~~~~N
12/21/2003
LIMITS
EACH OCCURRENCE
l,OOO,OOC
100,OOC
5,OOC
1,000,000
2,000,000
1,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER:
-=,[-"-,- PRO- n
I POLICY I I JECT LOC
~TOMOBILE LIABILITY
ANY AUTO
$
$
$
$
$
PRODUCTS - COMP/OP AGG $
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
A_
PERSONAL & ADV INJURY
GENERAL AGGREGATE
-
)~ ^ .'-'~K MA~(~Y-AEN1
A~P. ~\~ l'l' ~,ul};; __
BY-'Q" ~ ..Q2._--
CAlef--'" ....J..
WAIVER NtA "f~" r; h~':?i-~
Oyt' -I~-n-
U " ~-<.Y€
COMBINED SINGLE LIMIT $
(Ea accident)
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
(Per accident)
-
_ ALL OWNED AUTOS
SCHEDULED AUTOS
_ HIRED AUTOS
_ NON.OWNED AUTOS
-
~RAGE LIABILITY
I ANY AUTO
L~Tq~~r Liability BINDER-LIQUOR
A :Coverage
02/18/2003 02/18/2004
AUTO ONLY. EA ACCIDENT $
EA ACC $
AGG $
$
$
$
$
$
I TORY LIMITS I I OJ~-
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
Each Occurrence:
OTHER THAN
AUTO ONLY:
EXCESS LIABILITY
=:J OCCUR D CLAIMS MADE
I DEDUCTIBLE
I RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
EACH OCCURRENCE
AGGREGATE
$1,000,000
DESCRIPTION OF OPERATIONSlLOCATlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Promotes local businesses. Seafood Festival at Marathon Airport includes host liquor liability for the
serving of beer.
C Of~'. C::..."'-tlo..ot',.~
CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: Y
CANCELLATION
Monroe County BOCC
MONRO-6
1100 Simonton Street
Key West , FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY 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
OF ANY KIND UPON THE COMPANY, ITS REPJl6SENTATIVES,
AUTHORIZED REPRESENTATIVE ~ f ~
Kevin Martin-Veaue~ ~~~
\.. ~ACORD CORPORATION 1988
ACORD 25-S (7/97)
ACORQM CERTIFICATE OF LIABILITY INSURANCE
PRODUCER (305) 743 -0494 FAX (305) 743-0582
Keys Insurance Services, Inc.
P.O. Box 500280
Marathon, FL 33050-0280
Mel Montagne
INSURED Greater Marathon Chamber of Comme ce,
12222 Overseas Highway
Marathon, FL 33050
nc UAR
n Fire Insurance Co
NAIC #
26522
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OH 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.
INSR ~~~~ TYPE OF INSURAI\lCE POLICY NUMBER POLICY EFFECTIVE PQL!f)' EXPIRATION LIMITS
LTR n.dTJ=
GENERAL LIABILITY TBA - SPECIAL EVENT 03/13/2009 03/16/2009 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000
- ~ CLAIMS MADE [I] OCCUR DDCr. IC'CC' 'C._ ()(Y~llrAnr.A)
MED EXP (Anyone person) $ 5,000
-
A X PERSONAL & ADV INJURY $ 1,000,000
-
GENERAL AGGREGATE $ 2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ea accident)
-
ALL OWNED AUTOS ~~ BODIL Y INJURY
- . \ (Per person) $
SCHEDULED AUTOS
- ..,-'"
HIRED AUTOS
- ~~ tJ \ BODIL Y INJURY $
NON-OWNED AUTOS (Per accident)
- (7" () q
- PROPERTY DAMAGE $
"---- , II (Per accident)
GARAGE LIABILITY 'C011W AUTO ONLY - EA ACCIDENT $
R ANY AUTO f:} A./ \. OTHER THAN EA AC C $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY VV{) EACH OCCURRENCE $
o OCCUR D CLAIMS MADE ,&:0 AGGREGATE $
(C I ..,
V $
R DEDUCTIBLE 1 -DL $
RETENTION $ $
WORKERS COMPENSATION AND I WC STATU- I IOTH-
EMPLOYERS' LIABILITY TORY LIMITS FR
ANY PROPRIETORiPARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
~eafood Festival to be:gin 3/13/09 - 3/16/09 at the Marathon Community Park
CERTIFICATE H LDER
Monroe County BOCC
1100 Simonton Street
Key West, FL 33040
CANCELLATI N
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
OF ANY KIND UPON THE
AUTHORIZED REPRESE A TIVE
ACORD 25 (2001/08)/ .
Cc. : ~L-<.L
RPORA TION 1988
cc
1996 JoAlititln
MON.ROE COlINTY,FLORIDA
Request For \\1' aiver
of
InsurAnce "Requirements
It is requested that Ule insurancc requirements, as specified in the County's Schedule of insurance
Requirements. be waived or modified on the following contract.
Contractor: Greater Marathon Chamber of Commerce
Name of Entit~.: Greater Marathon Cbamber of COD1D1erCl~
Name of .Event: The Ori2inal Marathon SC;lfootl Festival
Omtract for: 'E.Y~I~1,-~_~~~I.ti.,~i!!it!'U].dJ~I9J]]QtiQ!LS~D!ic..c;~
Address of Contractor:
c/o TDC Att: M.axine
Phone: 305-296-1552
Stope of Work: AdvertisiniJ and Promotion of a Destination Event
Reason for Wah'er: Providing: funds to oromote event onlv. ., Minimal exposure to COlmty
Polide!l Waiver willlq)l)Jy to: h)~\Jr3p.&~J~e.q'y'j.r~m~nt~".Q"ytJjn~..wj.lbiJl.illHWh~4.J~QDtra.~t
-:.:~:~~~;:~~:::~:~~:::~~::.:;,.,.,'~.,.".".
,,'ed
Dale:
County Administrator Appeal:
ApllnWcd ._______ Not ApllnW(.-d __-
Date:
Board of (~oonty ('omnlissionen Appt'.al:
App.'Oved
Not APP,'o,"ed
Met.1ing Date:
Administration InlJtmction
#"709.2
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