Certificates of Insurance
ACDBaM CERTIFICATE OF LIABILITY INSURANCE \ DATE (MMlDDIYYYY)
08/25/2003
PRODUCER (813)229-8021 FAX (813)229-2795 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
M. E. Wilson Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
300 West Platt Street, Ste 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 373
Tampa, Fl 33601 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Continental Insurance Co. (MOAC- Y)
Coastal Marine Construction, Inc. INSURER B: Amerisure Companies
625 N. Tamiami Trail INSURER C:
Venice, Fl 34292 INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDINI
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.
INSR DD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY Ml0870607 03/17/2003 03/17/2004 EACH OCCURRENCE $ 1,000,00(1
I---
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,00(1
1 CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 5 , 00(]
A X INCl POllUTION PERSONAL & ADV INJURY $ 1,000,00(1
-
(ded 10,000) GENERAL AGGREGATE $ 2,000,00(1
- 1,000,00(1
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $
I POLICY m ~f8T n LOC
AUTOMOBILE LIABILITY CA1318352 03/17/2003 03/17/2004 COMBINED SINGLE LIMIT
I--- $
X ANY AUTO '0 .r\....uENT (Ea accident) 1,000,()()(J
I---
AlL OWNED AUTOS ~\ KM
I--- APPr,;\". ~;, tV BODILY INJURY $
SCHEDULED AUTOS (Per person)
B I-y
HIRED AUTOS BV 'J ~:\ '::l M BODILY INJURY
- - $
X NON-OWNED AUTOS (Per accident)
- O^TE - , /
- W^IVER N/A-f liES - PROPERTY DAMAGE
(Per accident) $
GARAGE UABILlTY AUTO ONLY - EA ACCIDENT $
rl ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EXC117835 03/17/2003 03/17/2004 EACH OCCURRENCE $ 5,000,00(1
t!J OCCUR 0 CLAIMS MADE AGGREGATE $ 5,000,00(1
A $
t, DEDUCTIBLE $
X RETENTION $ 25,00(1 $
WORKERS COMPENSATION AND -r;:-~~T~J~~ I 10J~'
EMPLOYERS' UABILlTY
ANY PROPRIETORlPARTNERlEXECUTIVE EL. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E L. DISEASE - EA EMPLOYEE $
K yes, describe under
SPECIAL PROVISIONS below EL. DISEASE - POLICY LIMIT $
OTHER . HI014729 03/17/2003 03/17/2004 $1,000,000 P&I limit
Protectlon & Indemnity
A Incl Coll & Towers $5,000 deductible
~ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
E: Garrison Bight Bridge Tenders Key West, Monroe County, Fl
Other Coverages:
A: INSTALLATION FLOATER #IMI014730 03-17-2003 03-17-2004 $1,000,000 Special Form ACV
~dditional Insured: The Monroe County Board of County commissioners, its employees and officials
~ertificate holder is named as loss Payee as respects Installation Floater property coverages.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
2!!- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Monroe County Board of County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
500 Whitehead Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
Key West, FL 33040 AUTHORIZED REPRESENTATIVE ~1)~
Janet Dayton, ClC/PJT
COVERAGES
CERTIFICATE HOLDER
CANCELLATION
ACORD 25 (2001108)
@ACORD CORPORATION 1988
ACORD..
l"fI()tltiCEIl
813.229.8749
llA fI! (MWIC(lN't)
at2512003
THl$ CERTIFICATE: IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CO Nr=ERS NO fUG~S UPON THECERTtF1CATE
HOLDER. THIS CERTIF1CATE poes NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
~,..~. COMPANII;!..AffQR,Qlt:l~90VERAGE
!;OMPMiY
A
COMMERCE g INDUSTRY lNSURANCE COMPANY
ME WILSON COMPANY
000 WEST PLATT STREET
TAMPA, FL. 33606
COASTAL MARINE CONSTRUCTION. INC.
625 N. TAMIAMI TRAIL
VENICE. FL 34285
COMPAN'"
B
INStIllED
ntlS IS TO cel'lTIFY THAT THE POLICIES O,F lt4S'URANCE USTEDBELOW HA\lEaeEH ISSUED TO THE I~SfJREO III.AMEtlA80VEU"OR THE POUCY PERIOD
INPICATeD, NOlWlTHSTANOINC.. A~Y MOU1REMENT. TERMOR CONDITION OF /l<WI CONTRACTQR OTHER OOCUMEENT WITH RESPECT TO WHICH THIS
CEl'IT1FICATE MAY ElE ISSUED ()RMAY PEJ1TAll'f. THE lNSiJRAI'4e!ii Al'FOl'lDEO BY THEPOL.ICIES OESCRlBeD HEREIN IS SU1!lJEGT TO ALL TJolE lERMS,
}i:XC1"YSIONS AND GONOmONiSOF st,lC;tlggUC1ES, LIMITS ~tfq'V'(rtM..A.Y HAVE flEEN 5
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01/01/2004
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PROJECT NAME: GARRISON BIGHT BRIDGE TENDERS KEY WEST. MONROE COUNTY. FL
~Eaj1~(Q'~' ,
MONROE COUNT'!' BOARD OF COUNTY
COMMISSIONERS
500 WHITEHEAD STREET
KEY WEST, Fl 3:~040
stI0l.ll.O AlfT OF TilE AlIOVE DE!i-ClIlllll'D POUCIES liE CAAQ'EU,.!1:l SUOA!' lifE
pl'll'l,>.rlOt4 OUE TIlelll!iOI'. TIll! l&l!umo OOMP",nv Will ENDEAVOR TO "'All
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BUf FAlUIllf TO MAlII.. $Veil NOTIce SK"Ll IUPOS! NO OIIl..1GATlON 01'1 U4!11UTY
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