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Certificates of Insurance At~ttlll.~ ISSUE DATE (MM/DDIYY) 07/09/99 Leatzow & Associates, Inc. 247 Bryant Avenue Glen Ellyn, IL 6013~ 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 PRODUCER f~T~~~NY A Legion Insurance Company INSURED f~T~~~NY B ,,'r'{\'C!' '1" '>i'~' ... :',-, ", Jo % aJJJr .~ " L.L_._ ~ rWF ___ t~ql _. [( I, \'"'' 'rn ../ t1.^ -it-II fY7 "[.': i~, " "~ YFS '4.,,-~.u..e.X..x.R)'{1 The Craig Company P.O. Box 372 Key West. FL 33041-0372 f~T~~~NY C f~T~~~NY D 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. DOES NOT APPLY GENERAL AGGREGATE $ PRODUCTS-COM PlOP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ OWNER'S & CONTRACTOR'S PROTo MED. EXPENSE (Anyone person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY DOES NOT APPLY COMBINED SINGLE $ LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM DOES NOT APPLY AND DOES NOT APPLY STATUTORY LIMITS EACH ACCIDENT DiSEASE-POLICY LIMIT $ $ WORKER'S COMPENSATION EMPLOYERS' LIABILITY DISEASE-EACH EMPLOYEE $ OTHER A Professional Liability DP6-090073 04/01/99 04/01/00 $250,000 each claim & aggregate DESCRIPTION OF OPERATlONS/LOCATIONSIVEHICLES/SPECIAL ITEMS Re: DATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL -1-0- 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. County of W~,TA'\Lo Monroe County Risk Management 5100 College Road Key West, FL 33040 Attn: Maria del Rio ACORD 25-S (7/90) Leatzow & Associates,Inc 55TN8 07-19-1999 DECLARATIONS PAGE - 1 OF 2 MATCH 01206 A STATE FARM MUTUAL AUTOMOBILE, INSURANCE COMPANY 7401 CYPRESS GARDENS BOULEVARD WINTER HAVEN FL 33888 STATE FARM INSURANCE _ 12 11 10 *** *C* *0* *p* *Y* *** )aMI>: DGUIltl 01206 59-2418-552T MONROE COUNTY BOARD OF COUNTY COMMISSIONERS C/O RISK MANAGEMENT 5100 COLLEGE ROAD KEY WEST FL 33040-4319 POLICY NUMBER D02 80 16-B04- 59D -iI. POLlCYPERIOIjUL 14 1999 TOFEB 04 2000 _1. NAMED INSURED: CRAIG, DONALD & SUSAN DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE.-- DESCRIBED YEAR MAKE MODEL VEHICLE 1994 ISUZU TROOPER COVERAGES (AS DEFINED IN POLICY) SYMBOL-PREMiUM.COVERAGE NAME-LIMITS OF LIABILITY BODY STYLE VEHICLE IDENTIFICATION NUMBER SPORT WG JACDH58W3R7905335 CLASS 6B3H301 A $133.11 BODILY INJURY/PROPERTY DAMAGE LIABILITY LIMITS OF LIABILITY-COVERAGE A-BODILY INJURY EACH PERSON, EACH ACCIDENT 100,000 300,000 LIMITS OF LIABILITY-COVERAGE A-PROPERTY DAMAGE EACH ACCIDENT 50,000 NO-FAULT (SEE POLICY SCHEDULE FOR LIMITS.) MEDICAL PAYMENTS LIMIT OF LIABILITY-COVERAGE C $100 DEDUCTIBLE COMPREH:~~~e~~RSON "~?l' '..';'1G7C=} $250 DEDUCTIBLE COLLISION . EMERGENCY ROAD SERVICE CAR RENTAL AND TRAVEL EXPENSES UNINSURED MOTOR VEHICLE LIMITS OF LIABILITY-U P10 $48.36 C $46.87 D100 $48.03 G250 $110.29 H $1.90 R2 $9.83 U $80.20 EACH PERSON, EACH ACCIDENT 100,000 300,000 $478.59 TOTAL PREMIUM FOR POLICY PERIOD JUL 14 1999 TO FEB 04 2000 $423.01 CURRENT 6 MONTH PREMIUM FOR AUG 04 1999 TO FEB 04 2000 ------------------------------------------------------------------------------ FOR QUESTIONS, PROBLEMS OR TO OBTAIN INFORMATION ABOUT COVERAGE CALL: (305) 233-4242 ------------------------------------------------------------------------------ EXCEPTIONS AND ENDORSEMENTS FINANCED- CHRYSLER FINANCIAL CORP, POBOX 207001, STOCKTON CA 95267-9501. 6028E.5 ADDITIONAL INSURED-MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, C/O RISK MANAGEMENT 5100 COLLEGE ROAD, KEY WEST FL 33040-4319. 6037F.11 CERTIFICATE OF INSURANCE-MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, C/O RISK MANAGEMENT 5100 COLLEGE ROAD, KEY WEST FL 33040-4319. 6038NN.1 6893N AMENDATORY ENDORSEMENT: CHANGES - DEFINED WORDS; INSURED'S DUTIES; COVERAGES; CONDITIONS. CAR RENTAL AND TRAVEL EXPENSES - COVERAGE R2. THIS IS YOUR DECLARATIONS PAGE. PLEASE ATTACH IT TO YOUR AUTO POLICY BOOKLET. YOUR POLICY CONSISTS OF THIS PAGE, ANY ENDORSEMENTS, AND THE POLICY BOOKLET, FORM 9810 . 6 REPLACED POLICY D028016-59C MUTL VOL CONTINUED 9 PLEASE KEEP TOGETHER 155-4976 DECLARATIONS PAGE STATE fARM A -. INSURANCE 12 11 10 *** *C* *0* *p* *Y* *** 7401 CYPRESS GARDENS BOULEVARD WINTER HAVEN FL )GM~DOUiltl POLICY NUMBER D 02 80 16-B04- 59D 01206 59-2418-552T MONROE COUNTY BOARD OF POLlCYPERIOOUL 14 1999 TOFEB 04 2000 COUNTY COMMISSIONERS C/O RISK MANAGEMENT 5100 COLLEGE ROAD KEY WEST FL 33040-4319 DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE.-- DESCRIBED YEAR MAKE MODEL VEHICLE 1994 ISUZU TROOPER COVERAGES (AS DEFINED IN POLICY) SYMBOL-PREMIUM-COVERAGE NAME-LIMITS OF LIABILITY BODY STYLE VEHICLE IDENTIFICATION NUMBER SPORT WG JACDH58W3R7905335 CLASS 6B3H301 NAMED INSURED- CRAIG~ DONALD & SUSAN 1317 OLIVIA ST KEY WEST FL 33040-7222 V.'.'."Tq: ~,;:. ..~ .---vrs .~ ~. 'ilk CL, ~ rfl~ COUNTERSIGN~_ _. _7j;;nl :11'_ _ _ _ THIS IS YOUR DECLARATIONS PAGE. j .\ PLEASE ATTACH IT TO YOUR AUTO POLICY BOOKLET. B Y ~ _ _ _ ... ~~OA..:::!?_ _ _ _ _ _2418 _ 5 99 YOUR POLICY CONSISTS OF THIS PAGE, ANY ENDORSEMENTS, AND THE POLICY BOOKLET, FORM 98 1 0 . PLEASE KEEP TOGETHER REPLACED POLICY D028016-59C MUTL VOL 155-4976 A' DECLARATIONS PAGE STATE FARM _12 11 10 7401 CYPRESS GARDENS WINTER HAVEN FL INSURANCE HMIXOOOIltJ POLICY NUMBER DO 2 80 15 - F 07- 59 D *** *C* *0* *p* *Y* *** 01208 59-2418-552T MONROE COUNTY BOARD OF COUNTY COMMISSIONERS C/O RISK MANAGEMENT 5100 COLLEGE RD KEY WEST FL 33040-4319 ...- POLlCYPERIO!;lUL 14 1999 ToDEC 07 1999 5 -- NAMED INSURED: CRAIG, DONALD & SUSAN DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE.- _ DESCRIBED YEAR MAKE MODEL VEHICLE 1996 VOL K S WAG E N CAB RIO COVERAGES (AS DEFINED IN POLICY) SYMBOL,PREMIUM-COVERAGE NAME-LIMITS OF LIABILITY BODY STYlE CONV VEHICLE IDENTIFICATION NUMBER WVWBB81E6TK023481 CLASS 6B30401 A $88.02 BODILY INJURY/PROPERTY DAMAGE LIA8ILITY LIMITS OF LIABILITY-COVERAGE A-BODILY INJURY EACH PERSON, EACH ACCIDENT 100,000 300,000 LIMITS OF LIABILITY-COVERAGE A-PROPERTY DAMAGE EACH ACCIDENT 50,000 NO-FAULT (SEE POLICY SCHEDULE FOR LIMITS.) MEDICAL PAYMENTS LIMIT OF LIABILITY-COVERAGE C EACH PERSON 20,000 $100 DEDUCTIBLE COMPREHENSIVE $250 DEDUCTIBLE COLLISION EMERGENCY ROAD SERVICE CAR RENTAL AND TRAVEL EXPENSES UNINSURED MOTOR VEHICLE LIMITS OF LIABILITY-U EACH PERSON, EACH ACCIDENT 100,000 300,000 DEATH, DISMEMBERMENT AND LOSS OF SIGHT PERSONS INSURED-COVERAGE S AMOUNT CRAIG, DONALD $10,000 CRAIG, SUSAN $10,000 $293.19 TOTAL PREMIUM FOR POLICY PERIOD JUL 14 1999 TO DEC 07 1999 $369.25 CURRENT 6 MONTH PREMIUM FOR JUN 07 1999 TO DEC 07 1999 P10 $23.30 C $23.74 D100 $24.85 G250 $64.12 H $1.35 R2 $6.99 U $57.01 S $3.81 ------------------------------------------------------------------------------ FOR QUESTIONS, PROBLEMS OR TO OBTAIN INFORMATION ABOUT COVERAGE CALL: (305) 233-4242 '\ ,.~~, t1!'1f9 THIS IS YOUR DECLARATIONS PAGE. PLEASE ATTACH IT TO YOUR AUTO POLICY BOOKLET. YOUR POLICY CONSISTS OF THIS PAGE, ANY ENDORSEMENTS, AND THE POLICY BOOKLET, FORM 98 10 . 6 REPLACED POLICY D028015-59C MUTL VOL CONTINUED PLEASE KEEP TOGETHER 155-4976 55TN8 07-19-1999 DECLARATIONS PAGE - 2 OF 2 MATCH 01208 A STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY 7401 CYPRESS GARDENS BOULEVARD WINTER HAVEN FL 33888 ST-!>Tf fAIM ... INSURANC~. 12 11 10 )OUI)( DQUiKl POLICY NUMBER DO 2 80 1 5 - F 07- 59 D *** *C* *0* *p* *Y* *** 01208 59-2418-552T MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CIO RISK MANAGEMENT 5100 COLLEGE RD KEY WEST FL 33040-4319 POLICY PERIOO U L 1 4 1 999 TO D E C 07 1999 5 NAMED INSURED: CRAIG, DONALD & SUSAN DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE.-- DESCRIBED YEAR MAKE MODEL VEHICLE 1996 VOLKSWAGEN CABRIO COVERAGES (AS DEFINED IN POLICY) SYMBOL-PREMiUM.COVERAGE NAME-LIMITS OF LIABILITY BODY STYLE CONV VEHICLE IDENTIFiCATION NUMBER WVWBB81E6TK023481 CLASS 6B30401 EXCEPTIONS AND ENDORSEMENTS FINANCED- VW CREDIT INC C/O PDP SERVICES, 7TH FLOOR EXECUTIVE PLAZA IV, HUNT VALLEY MD 21031. 6028E.5 ADDITIONAL INSURED-MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, RISK MANAGEMENT 5100 COLLEGE RD, KEY WEST FL 33040-4319. 6037F.11 CERTIFICATE OF INSURANCE-MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, C/O RISKE MANAGMENT 5100 COLLEGE ROAD, KEY WEST FL 33040-4319. 6038NN.1 6893N C/O AMENDATORY ENDORSEMENT: CHANGES - DEFINED WORDS; INSURED'S DUTIES; COVERAGES; CONDITIONS. CAR RENTAL AND TRAVEL EXPENSES - COVERAGE R2. ------------------------------------------------------------------------------ NAMED INSURED- CRAIG, DONALD & SUSAN 1317 OLIVIA ST KEY WEST FL 33040-7222 - %.~ (C. ~ (YJaJtI ',~l' ,\.rQ'. COUNTERSIGNED_ - _'?j 2l'!J~'L _ _ _ _ _ THIS IS YOUR DECLA'RATIONS PAGE. J "\ \ PLEASE ATTACH ITTO YOUR AUTO POLICY BOOKLET. BY - _ ~ ~ _ _ _ _ _ _ _2418-599 YOUR POLICY CONSISTS OF THIS PAGE, ANY ENDORSEMENTS, AND THE POLICY BOOKLET, FORM 9810 . 6 PLEASE KEEP TOGETHER REPLACED POLICY D028015-59C MUTL VOL 155-4976 CERTI:FICA TE OF INSURANCE SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER Will NOT BE CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT IN NO EVENT SHAll THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW, This certifies that: l1;J STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois, or D STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown bel5JW.: Named Insured ~r\(l '\ ~ ~ Si l. ..::~ "-.. ~ OthJ \ 0-- :=;-\.Yf',L+ \ \=l ~~+D Address of Named Insured POLICY NUMBER EFFECTIVE DATE OF POLICY DESCRIPTION OF VEHICLE LIABILITY COVERAGE LIMITS OF LIABILITY a. Bodily Injury Each Person Each Accident b. Property Damage Each Accident c. Bodily lriury & Property Damage Single Urril Each Accident PHYSICAL DAMAGE COVERAGES a. Comprehensive b. Collision EMPLOYER'S NON-OWNERSHIP COVERAGE HIRED CAR COVERAGE L~:r.!\rrp,. ;'~ . ~vrc;_ , ,''-- DNO c.o.bV'"\O DNa DYES D NO DYES D NO 0 t50,ooo YES DNO YES DNa DYES DNO DYES DNO $lOO Deductible $ LOO Deductible $ Deductible $ Deductible YES DNO 00 YES DNO DYES DNO DYES DNO $dSD Deductible $ ,.;l5D Deductible $ Deductible $ Deductible DYES L1;] NO DYES rn NO DYES DNa DYES DNa DYES DYES [yJ NO DYES DNO DYES DNO I~qq Dat ~e~ Title Signatu N e and Address of Certificate Holder I MOl'\~Clt!... ~ ~cl ~ ColJ..t\-\:j G~~\'S<S\O~~ c.( 0 1<.\5 \Z \v\o-.n5 e..rnlj'..;t 5lDD C-ol\~e.. ~ V\~ \Ne-S~I ~l 33D1{..o d~ Agent's Code Number Name and Address of Agent I j, "" \\~""es. ~ -:LrY::U~N"(.e. 0330-6\d. e.,u..-t\-e..r 1<.cl. \~\"r\\ I\=="\ ~~, g 9 I ~eO~' L I DATE INITIAL -1 1- .-J CERTIFICATE HOLDER COPY ACORDTM CERTIFICA. E OF LIABILITY INSURk."CE I DATE (MMlDDIYY) 7. .71.Qq PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION THE PORTER ALLEN COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 513 SOUTHARD STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. KEY WEST, FLORIDA 33040 INSURERS AFFORDING COVERAGE 1-305-294-2542 INSURED INSURER A: r,ENli'lH T fl( 11 ~'I\l'l' CRAIG COMPANY INSURER B: PO BOX 372 INSURER c: KEY WEST, FLORIDA 33040 INSURER D: I 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTI~E POLICY EXPIRATION LIMITS GENERAL LIABILITY A COMMERCIAL GENERAL LIABILITY CLAIMS MADE U OCCUR CPP1212869 00 EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ 4-1-99 4-1-00 MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ : OTHER THAN EA ACC $ i AUTO ONLY: AGG $ : EACH OCCURRENCE $ AGGREGATE $ $ $ $ OTH- ER $ E.L DISEASE - EA EMPLOYE $ E.L DISEASE - POLICY LIMIT $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO " t~:. .-" v . . ~) ( --.-- - . ;~'n:!. '\:'r~:i'~. ;< EXCESS LIABILITY OCCUR 0 CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS LAND USE DEVELOPMENT OFFICE CERTIFICATE HOLDER X ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS MONROE COUNTY RISK MANAGEMENT 5100 COLLEGE ROAD KEY WEST, FLORIDA 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ---l-O- DAYS WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S (7/97) IN ITIAL .- ACORQu CERTIFICA I E OF LIABILITY INSURkl\lCE I DATE (MMlDDNY) 7-23-99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION THE PORTER ALLEN COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 513 SOUTHARD STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, KEY WEST, FLORIDA 33040 INSURERS AFFORDING COVERAGE INSURED INSURER A: ASSOCIATED INDUSTRIES INS. CO. INC. DONALD CRAIG DBA THE CRAIG COMPANY INSURER B: 600 WHITE STREET INSURER c: KEY WEST, FLORIDA 33040 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~f~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PQ~IE! ,~.~!'.!!l.!'.!!gN I I I I LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ $ $ $ $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY I CLAIMS MADE 0 OCCUR FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) PERSONAL & ADV INJURY - - GEN'L AGGREGATE LIMIT AP~S PER: I POLICY n j~C?,: I I LOC AUTOMOBILE LIABILITY - GENERAL AGGREGATE - ANY AUTO i COMBINED SINGLE LIMIT (Ea accident) $ _ ALL OWNED AUTOS - SCHEDULED AUTOS BODILY INJURY (Per person) $ - - NON-OWNED AUTOS , 'm. 't~(n~ :'".c _1[~_,", 'I ;~-I'j - .. _ 'V...-I...LL...~-+- ... ....L~':'C"\___ BODILY INJURY (Per accident) $ HIRED AUTOS - PROPERTY DAMAGE (Per accident) $ I', AUTO ONLY. EA ACCIDENT $ $ $ $ $ $ $ $ EA ACC GARAGE LIABILITY =l ANY AUTO EXCESS LIABILITY =:J OCCUR 0 CLAIMS MADE RDEDUCTIBLE I RETENTION $ I T l' ~ '\'r- i). OTHER THAN AUTO ONLY: AGG WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ~rft CC~O:=fL ~WJL ""'" EACH OCCURRENCE AGGREGATE A 992321717 7-23-99 7-23-00 XT1 WC STATU- 1 10TH- \.1 TORY LIMITS I ER E.L EACH ACCIDENT $ 100,000 E.L DISEASE - EA EMPLOYEE $ ~ ~ ~ ~ ~ ~ E.L DISEASE _ POLICY LIMIT $ JUU, UUU .LVV,VVV OTHER , , I DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS LAND USE DEVELOPMENT OFFICE CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONROE COUNTY BOARD OF COUNTY COmlISSIO~ Er~ULDANYOFTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBEFORETHE EXPIRATION MONROE COUNTY RISK MANAGEMENT DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ..lO...- DAYS WRITTEN 5100 COLLEGE ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL KEY WEST, FLORIDA 3304.0! IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR L:r n rl ~ REPRESENTATIVES. D^TE '\....u C7) ~ Vrl AUTHORIZED REPRESENTATIVE \~. ~. WILLIAM A FRE~ Iii ,----- @) ACORD CORPORATION 1988 1 ACORD 25-S (7/97) INITIAL - ..........- J