Certificates of Insurance
ACORDN CERTIFICATE OF LIAB'LITY INSURANC~~:.~o T DATE (MM/DDIYY)
12/06/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Key West FL 33041-5548 INSURERS AFFORDING COVERAGE
Phone: 305-294-7696 Fax: 305-294-7383
INSURED INSURER A: TIG
INSURER B:
Ke~ West Botanical Garden Soc. INSURER C:
P. . Box 2436 INSURER D:
Key West FL 33045-2436
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.
LTR
TYPE OF INSURANCE
POLICY NUMBER
DATE MM/DDlYY
LIMITS
GENERAL LIABILITY
A X COMMERCIAL GENERAL LIABILITY T70003796963100
~ ~,.,"'"' [liJ ="' I
~'L AGGREGATE LIMIT APPLIES PER:
POLICY ~~8;: LOC
AUTOMOBILE LIABILITY
~ ANY AUTO
. i ALL OWNED AUTOS
i---i
: I SCHEDULED AUTOS
11 HIRED AUTOS
NON-OWNED AUTOS
07/13/99
07/13/00
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
$ 1000000
$ 300000
$ 5000
$ 1000000
$0
$ 5000000
.IlJE
" -
fl!,':~
COMBINED SINGLE LIMIT $
(Ea accident)
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
(per accident)
AUTO ONLY - EA ACCIDENT $
EA ACC $
AGG $
OCCURRENCE $
AGGREGATE $
$
\
\
GARAGE LIABILITY
ANY AUTO
!
V
L' '
EXCESS LIABILITY
OCCUR 0 CLAIMS MADE
l',",''!ER:
DEDUCTIBLE
RETENTION $
, WORKERS COMPENSATION AND
I EMPLOYERS' LIABILITY
OTHER
o
..."
;:0
~ ;:0
l'I1
.. 0
en" ~
\
\
DESCRIPTION OF OPERATIONSIlOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Buildings/Premises- Bank or Office NOC
CERTIFICATE HOLDER
Y ADDITIONAL INSURED; INSURER LETTER:
CANCELLATION
Monroe County Board of County
Commissioners
Cindy Sawyer fax305-295-3672
5100 College Rd
Key West FL 33040
MCBCOMM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE N LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRES NTAT E .
TION 1988
D^T
ACORD 25-5 (7/97)
INITIAL
ACORD.. CERTIFICATE OF LIABILITY INSURANC~~~~o I DATE (MM/DDrfY)
08/28/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW"
Key West FL 33041-5548 INSURERS AFFORDING COVERAGE
Phone: 305-294-7696 Fax: 305-294-7383
INSURED INSURER A: TIG
INSURER B:
Ke~ West Botanical Garden Soc. INSURER C:
P. . Box 2436 INSURER D:
Key West FL 33045-2436
I INSURER E:
COVERAGES
THE POUClES OF INSURANCE USTED 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.
L TIt TYPE OF INSURANCE
OEN!RAL LIABILITY
A X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [i] OCCUR
POlICY NUMBER
LIMITS
T70003796963102
07/13/00
07/13/01
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone pel1lOn)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS. COMPIOP AGG
$ 1000000
$ 300000
$ 5000
s 1000000
$0
$ 5000000
LOC
DEDUC11BlE
RETENTION $
WORKI!RS COMP!NSATION AND
EMPLOYERS' LIABILITY
COMBINED SINGLE LIMIT $
(Ea accidenl)
BODlL Y INJURY $
(Per person)
BODlL Y INJURY $
(per accident)
PROPERlY DAMAGE $
(per accident)
AUTO ONLY. EA ACCIDENT $
OTHER THAN EIIACC $
AUTO ONLY: AGG $
EACH OCCURRENCE $
AGGREGATE $
$
$
$
$
E.L DISEASE. Ell EMPLOYE $
E.L, DISEASE. POLICY LIMIT $
EXcess LlABlUlY
OCCUR D CLAIMS MADE
{( ".
~ {f}~
'0' .
\~.. \
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
\:l",:',,'r?:
GARAGE LIABILITY
ANY AUTO
OTHER
DESCRIPTION OF OPERATIONSIlOCATIONSNatICLESlEXCLUSlONS ADDeD BY ENOORSEMENTISPS:IAL PROVISIONS
ADDNL INSmam LISTED AS: MONROE COUNTY BOARD OF COUNTY CoteaSSIONBRS
CERTIFICATE HOLDER
Y AOOITIONAL INSUReD; INSURER LETTER:
CANCELLATION
Monroe County BOCC
fax'305-295-3672
3583 S Roosevelt Blvd
Key West FL 33040
MCFACIL SHOULD ANY OF THE ABOVE Dl!SCRleeD POLICIES BE CANCELLED BeFORE THE EXPIRA
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTI!!N
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHAI.L
IMPOSe NO O8LIGATlON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS ENTS OR
REPRESENTATIVES.
Horan
A~nRn ?1I_c; I'7/Q."
ACORD. CERTIFICATE OF LIABILITY INSURANCez~~ocH I DATE (MMIDDNY)
08/31/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
A'tlan'tic Pacific-Key Wes't HOLDER. THIS CERTIFICATE DOES NOT AMEMl, EXTEND OR
P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Key Wes't FL 33041-5548 INSURERS AFFORDING COVERAGE
Phone: 305-294-7696 Fax: 305-294-7383
INSURED INSURER A TIG
INSURER B:
Keg Wes't Bojrical Garden Soc. INSURER c:
P. . Box 24 INSURER 0:
Key W.s't FL 33045-2436
I INSURER E:
~
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUI!:D TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING
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 LMTS SHOWN MAY HAVE BEI!:N REDUCED BY PAID CLAIMS.
~ TYPE OF INSURANCE POLICY NUMBER ~(~ DATE UMITS
GeNERAL LIABILITY EACH OCCURRENCE S 1000000
- 07/13/02
A X COMMERCIAL GENERAL LIABILITY T70003796963103 07/13/01 ARE DAMAGE (Anyone fire) S 300000
I CLAIMS MADE ~ OCCUR MEO EXP (Anyone pe<son) S 5000
PERSONAL & ADV INJURY S 1000000
-
- GENERAL AGGREGATE sO
GEN'L AGGREn LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO S 5000000
"/ POLICY ~ n LOC
~OMOBILE LlA8lLlTY COMBINED SINGLE LIMIT S
At-N AUTO lEa acadent)
-
- All OWNED AUTOS ElOOIL Y INJURY
(Per person) S
SCHEDULED AUTOS
- APP- .. ,~ ~~ 0Ii'1 aiAG!t.AiNT
HIRED AUTOS BODILY INJURY
- It ~~' s
NON-oWNED AUTOS BY \J \ ~ ~ (Per ac:cident)
- ;- r)/
- ../.,.$ PROPERTY DAMAGE s
DATE (per accident)
GARAGE UA8lLlTY WAIVER N/A /' JES AUTO ONLY - EA ACCIDENT S
~ ANY AUTO OTHER THAN EAACC S
^ AUTO ONLY: AGG $
EXCE$SLIABILlTY ovt" lUOII~ EACH OCCURRENCE $
=:J OCCUR o ClAIMS MADE AGGREGATE S
Z~ s
=l OEDUC1lBLE C~', S
RETENTION S 'I,.. '""-..... S
WORKERS COMPENSATION AND r l{j I TORY LIMITS I IVER
EMPLOYERS' LIABILITY E{L, EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEE S
E,L DISEASE - POlICY LIMIT S
OTHER
DESCRIPTION Of OPERATlONM.OCATIONSIVl!HICLESCL~S ADDED 8Y ENDORSEMENTISPECIAL PROVISIONS
ADDNL INSUEUm LISTED AS: MONIlOE COUNT!' BOJUU) OF COUNTY COMMISSIONERS
CERTIFICATE HOLDER I y I ADDITlONAL INSURED; INSURER LETTER:.%. CANCELLATION
MCBCOldN SHOULD Nf'( Of THE ABOVE DESCRI8EO POLICIes BE CANCELLED BEFORE THE EXPIRATION
Monroe Coun1:y Board. of County DATE THEREOf, THE IS$UING INSURER WILL ENDEAVOR TO MAIL ...1.0- DAYS WRITTEN
CODlID:issioner. NOTICE TO THE CERTIFICATE HOLDEFl NAMED TO THE LEFT. BUT FAILURE TO DO so SHALL
fax'305-295-3672 IMPOSE NO 08L1OA.' T Of ANY KIND UPON THE INSURER,,,.S AGENTS OR
5100 Colleqe Rei REPReseNTATIVES. Q I, ~ I
Key wes't FL 33040
AUTHORIZED RI!PRES~ l~~~
Horan Insurance I r-ru ........-y
ACORD 21-8 f7l971 @ACORDCORPORATION1988
RAM
CERTIFICATE OF INSURANCE ISSUE DATE (MM/DDIYY)
0829278 8/13/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
K & K Insurance Group, Inc. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
1712 Magnavox Way CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
P.O. Box 2338 COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Wayne, In 46801
COMPANIES AFFORDING COVERAGE
INSURED COMPANY A
LETTER GREAT AMERICAN ASSURANCE COMPA
KEY WEST BOTANICAL GARDEN SOCIETY
PO BOX 2436 COMPANY B
KEY WEST, FL 330452436 LETTER
COMPANY C
LETTER
COVERAGES
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. TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION
LTR POLICY NUMBER DATE (MMIDDIYY) DATF f!No/DDNY} LIMITS (in thousands)
General Liability 12:01AM 12:01AM General Aggregate $ NONE
A IX] Commercial General Liability PAC0590763900 7/13/02 7/13/03 Products-Comp/Ops Aggregate $ 5000
D Claims Made 1iU0ccur. Personal & Advertising Injury $ 1000
DOwner's & contractors Prot. Each Occurrence $ 1000
D Fire Damage (Anyone fire) $ 300
Medical Expense (Anyone person) $ C;
Participant Legal Liability $ N/A
Automobile Liability Combined
D Any auto Single $
Limit
D All owned autos Bodily
D Scheduled autos Injury $
(";er nerson)
D Hired autos Bodily
D Non-owned autos Injury $
i':er accident'
D Garage Liability Property
D Damage $
Excess Liability Each Aggregate
D Occurrence
D Other than Umbrella form APP,V' 'U B~ ~ MANA~~N' $ $
Workers' Compensation BY \\ ~ \ ... b '/1 ~ " IlL/" Statutory
and v I X lq( ur:;:r $ Each Accident
DATE
Employers' Liability /V~~ $ Disease-Policy Limit
\M'.l\f:::~ :,:/, $ Disease-Each Employee
AD&D $
Participant Primary Medical $
Accident Excess Medical $
Weeklv Indemnity $ X
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS
THE CERTHOLDER LISTED IS ADDITIONAL INSURED, BUT ONLY WITH RESPECT TO
LIABILITY ARISING FROM THE ACTIVITIES OR OPERATIONS OF THE NAMED INSURED.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE
CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE
MONROE COUNTY BOARD OF ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS
COUNTY COMMISSIONERS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
1100 SIMONTON ST. THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE
KEY WEST, FL 33040 NO OBLlGA nON OR LIABILITY OF ANY KIND UPON THE
COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRI<z"wE ~ ? ~lt
~ , r j 4~ 4AfJ1I1I"
SL39 ( I' / 1-92
1996 Edition
MONROE COUNTY, FLORIDA
Request For Waiver
of
Insurance Requirements
It is requested that the insurance requirements, as specified in the County's Schedule ofInsurance
Requirements, be waived or modified on the following contract.
, . C~"
Contractor: \l~ \.U2Js-t ~CaJ! ~~ J7ae,,*1
Contract for: ~ U)lS.t ~I{~ T1x Gv"~
Address of Contractor: -:Po~')( 2 t.{.-?,(p
{~LULS+{~L 33o\{o
Phone: ~305 2q fo i5Df- - ~S; 5f;Ul./iCL 1q S'"' (lS5 ~~ ~
Scope of Work: (f1'5f-af(a,fLov! 0( Abk'~ J ~fe..t1~~
~Q..{aII,St--fti~1 ~ i ~ ~
Reason for Waiver:
to autos I ~O~pl~Rf:.S
~-
,
~,
..
Policies Waiver will
apply to: Cum~e."'e..nSt~e a.vto [uth ~ I tlSJJIQ,J(CL
W6WS CVV'Y\ f'€A\~
SignatureofConiractoe: ~ ~
Approved . V---, " Not Approved
Ri,'Management: /5;#-;:;I/----
Date: 8/8'/03
ir
~:
d.
County Administrator Appeal:
Approved
Not Approved
Date:
Board of County Commissioners Appeal:
Approved
Not Approved
Meeting Date:
Administration Instruction
#4709.2
ACORDN CERTIFICATE OF LIABILITY INSURANCE CSR CH I DATE (MMlDDIYYYY)
KEYW-20 07/18/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Key West FL 33045-5548
Phone: 305-294-7696 Fax:305-294-7383 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Century Surety Co. 36951
INSURER B:
KeO West Botanical Garden Soc. INSURER c:
P. . Box 2436 INSURER D:
Key West FL 33045-2436
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
POLiCIE8. AGGREGA TE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
''''')I'~LI
L TRt1!Q"~
~QIJ\iY PQLICY EXPIRAJ.ION
DATE IMMlDDNYI DATE IMMlDDNYI
POLICY NUMBER
TYPE OF INSURANCE
GENERAL LIABILITY
I--
X COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE [!] OCCUR
07/14/03
07/14/04
EACH OCCURRENCE
UAMA\j1:
PREMISES (Ea occurence)
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMPIOP AGG
A X
'............
CCP274604
GEN'L AGGREGATE LIMIT APPLIES PER:
-, nPRO- n
I POLICY JECT LOC
AUTOMOBILE LIABILITY
-
COMBINED SINGLE LIMIT
(Ea accident)
-
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
BODILY INJURY
(Per accident)
-
-
BODILY INJURY
(Per person)
-
-
GARAGE LIABILITY
=l ANY AUTO
. EXCESS/UMBRELLA LIABILITY
~ OCCUR D CLAIMS MADE
I DEDUCTIBLE
I RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
~~~~I~tS~~~~s?6~s below
OTHER
.r.;".r.:-:..""'.... ..- ,,-
;~ 'T)'~':~'7;;l I~'~=-
_ . _ r- '"" <;(' f ,( I nfAj
IoJrI'" ,....
WAIVER N/A -J:-' ES._
PROPERTY DAMAGE
(Per accident)
AUTO ONLY - EA ACCIDENT
OTHER THAN
AUTO ONLY:
EACH OCCURRENCE
AGGREGATE
I TORY LIMITS I I U J~-
E.l. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.l. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Club, Civic, Social - no bldg
CERTIFICATE HOLDER
LIMITS
$ 1000000
$ 50000
$ 2000
$ 1000000
$ 2000000
$ 1000000
$
$
$
$
$
EA ACC $
$
$
$
$
$
$
AGG
CANCELLATION
MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATIO OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRE .
Monroe County Board of County
Commissioners
1100 Simonton St
Key West FL 33040
ACORD 25 (20011OB)
ec.. :~
ACORDN CERTIFICATE OF LIABILITY INSURANCE CSR CH I DATE (MMlDDIYYYYI
KEYW-20 07/18/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Key West FL 33045-5548
Phone: 305-294-7696 Fax:305-294-7383 INSURERS AFFORDING COVERAGE NAlC#
INSURED INSURER A: Century Surety Co. 36951
INSURER B:
Ket) West Botanical Garden Soc. INSURER c:
P . . Box 2436 INSURER D:
Key West FL 33045-2436
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
POi....lClES. AGGR-cGATE LIMiTS 3HOWN MAY nAVE BEEhj R~uUCED BY PAiD CLAIMS.
L TR UI.iRc POLICY NUMBER PD<i'i'E iMMlDDNY P9~LC...,Y/~*PIRA.T.!,~N LIMITS
TYPE OF INSURANCE DATE MMlDDNY
\ 'f-NERAL LIABILITY EACH OCCURRENCE $ 1000000
X COMMERCIAL GENERAL LIABILITY CCP274604 07/14/03 07/14/04 PREMISES (Ea occurence) $ 50000
V I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 2000
- PERSONAL & ADV INJURY $1000000
- GENERAL AGGREGATE $ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=l ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABiLITY EACH OCCURRENCE $
:=J OCCUR D CLAIMS MADE AGGREGATE $
$
=l DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND 1 TORY LIMITS T IOJ~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.l. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE $
~~~MtS~~~v~~f6~s below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Club, Civic, Social - no bldg
CERTIFICATE HOLDER
Monroe County Tourist
Development Council
1201 White St
Key West FL 33040
CANCELLATION
MCTDCO 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGMIf>N OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENT ATIVES/
AUTHORIZED RE~IUOSENT
ACORD 25 (2001/08) ..-'
~~:~