Certificate of Insurance
CERTIFICATE OF COVERAGE
Certificate Holder
STATE OF FLORIDA DEPARTMENT
OF COMMUNITY AFFAIRS
FLORIDA DIVISION OF
EMERGENCY MANAGEMENT
2555 SHUMARD OAK BOULEVARD
TALLAHASSEE, FL 32399 2100
Administrator
Issue Date 3/6/01
Florida League of Cities, Inc.
Public Risk Services
P.O. Box 530065
Orlando, Florida 32853-0065
COVERAGES
THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE 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 COVERAGE AFFORDED BY THE
AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT,
COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST
AGREEMENT NUMBER: FMIT 0386 I COVERAGE PERIOD: FROM 10/1/00 I COVERAGE PERIOD: TO 9/30/01 12:00 Midnight Standard Time
TYPE OF COVERAGE - LIABILITY TYPE OF COVERAGE _ PROPERTY
General liability
[8J Comprehensive General Liability, Bodily Injury, Property Damage and
Personal Injury
[8J Errors and Omissions Liability
[8J Supplemental Employment Practice
[8J Employee Benefits Program Administration Liability
[8J Medical Attendants'/Medical Directors' Malpractice Liability
[8J Broad Form Property Damage
o Law Enforcement Liability
[8J Underground, Explosion & Collapse Hazard
limits of liability
· Combined Single Limit
Deductible N/A
Automobile liability
[8J All owned Autos (Private Passenger)
[8J All owned Autos (Other than Private Passenger)
[8J Hired Autos
[8J Non-Owned Autos
limits of liability
. Combined Single Limit
Deductible N/A
Automobile/Equipment - Deductible
[8J Physical Damage
Per Schedule - Comprehensive - Auto
Per Schedule - Collision - Auto
N/A - Miscellaneous Equipment
Other
o Buildings
o Basic Form
o Special Form
o Personal Property
o Basic Form
o Special Form
o Agreed Amount
o Deductible N/A
o Coinsurance N/A
o Blanket
o Specific
o Replacement Cost
o Actual Cash Value
o Miscellaneous
o Inland Marine
o Electronic Data Processing
o Bond
o
limits of liability on File with Administrator
TYPE OF COVERAGE - WORKERS' COMPENSATION
o Employers Liability
o Statutory Workers' Compensation
o Deductible N/A
o
$1,000,000 Each Accident
$1,000,000 By Disease
$1,000,000 Aggregate By Disease
* The limit of liability is $5,000,000 (combined single limit) bodily injury and/or property damage each occurrence in excess of a self-insured retention
of $ 100,000, This limit is solely for any liability resulting from entry of a claims bill pursuant to Section 768.28 (5) Florida Statutes or liability
imposed pursuant to Federal Law or actions outside the State of Florida.
Description of Operations/LocationslVehicles/Specialltems
RE: Statewide Mutual Aid Agreement
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 AGREEMENT ABOVE.
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DESIGNATED MEMBER
CANCELLATIONS
SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
PROGRAM, ITS AGENTS OR REPRESENTATIVES,
RISK MANAGEMENT
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
5100 COLLEGE ROAD
KEY WEST, FL 33040
~C&~
~MIT-CERT (10/90)
AUTHORIZEO REPRESENTATIVE