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