Certificates of Insurance
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
Aon Risk Services
1001 Brickell Bay
Suite 1100
Miami. FL 33131
305-372-9950
of Florida
Dr
COMPANY
A
NATIONAL UNION FIRE INS CO
INSURED
Community Asphalt Corp.
14005 NW 186th Street
Hialeah, FL 33018
COMPANY
B Ins. Co of the State of PA
COMPANY
C
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 WITHRESPECT 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 (MM/DDIYY) DATE (MM/DDIYY)
LIMITS
x
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
2000000
2000000
1000000
1000000
100000
10000
GENERAL LIABILITY
A X COMMERCIAL GENERAL LIABILITY GL93 3 - 0 5 -74 RA
CLAIMS MADE [!] OCCUR
OWNER'S & CONTRACTOR'S PROT
7/01/99
7/01/00
GENERAL AGGREGATE
PRODUCTS - COMP/DP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
A
AUTOMOBILE LIABILITY
X : ,\NY AUTO
8260366
7/01/99
7/01/00
, COMBINED SINGLE LIMIT
1000000
1 - --
I ALL O'vVNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
X Physical Damage
COMPo AND COLLISION
BODILY INJURY
(Per person)
DEDUCTIBLES $1,000
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
*SPECIFIED VEHICLES
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE
AGGREGATE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
7083190
7/01/99
7/01/00
EL EACH ACCIDENT
EL DISEASE - POLICY LIMIT
EL DISEASE - EA EM PLOYEE
1000000
1000000
1000000
B
B
THE PROPRIETOR/ X
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
DESCRIPTION OF OPEP..I\TIONSIlOCATIONS/VE!lICLESfSPECIALITEMS
Re: Sugarloaf Blvd. Paved Pathway {''':l?: .,.
CAC #4184
Certificate holder is additional insured on the eneral 1iabi1it
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. . . . .. .... . . ... . . . . . . . . . .. . .
~:~:::::::~:~:~:??~t~~~f???~tt:~:..}m~ffrmmrmltrttrt~~t:mr:~:??
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\:~:tt:\tI:~:~:~:~ ::;::~~~f::::::~:::::::::::\tl?~Irti:~~i~~tt:::::::.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
A HO ED REPRESENTATIVE ~ ~ 012917000
J??II:~~:J:??':":i;:~;J~~j~'~J::,~:t':??t??'tt't'trmt:::m?:J~U~ij(nn~~ij&MiiQI~tjjijjf
Monroe County
Board of County Commissioners
5100 College Road
Key West, FL 33040
A CORDTM ..........I:IIIII'IIII...:::liiliig~I'II...'illiliill.I:.............................................::::..............................................
DATE IMM/DD/YY)
Aon Risk Services
1001 Brickell Bay
Suite 1100
Miami, FL 33131
305-372-9950
INSURED
of Florida
Dr
3/27/00
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
COMPANY
A
NATIONAL UNION FIRE INS CO
Community Asphalt Corp.
14005 NW 186th Street
Hialeah, FL 33018
COMPANY
B Ins. Co of the State of PA
COMPANY
C
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 IMM/DDIYY) DATE IMM/DDIYY)
L1M ITS
x
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
2000000
2000000
1000000
1000000
100000
10000
GENERAL LIABILITY
A X COMMERCIAL GENERAL LIABILITY GL933 -05 -74RA
CLAIMS MADE [iJ OCCUR
OWNER'S & CONTRACTOR'S PROT
7/01/99
7/01/00
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
7/01/99
7/01/00
COMBINED SINGLE LIMIT
,
I $
1000000
AUTOMOBILE LIABILITY
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE
AGGREGATE
GARAGE LIABILITY
ANY AUTO
B
B
7083190
7/01/99
7/01/00
OTH.
ER
"HE
EL EACH ACCIDENT
EL DISEASE - POLICY LIMIT I $
I EL DISEASE - EA EMPLOYEF. i $
1000000
1000000
1000000
THE PRDPRIETOR/ X
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
~
"Y
%'.~
...
C c (Yt-LOG
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Re: Sugarloaf Blvd. Paved Pathway
CAC #4184
Certificate
Monroe County
Board of County commiS.S.1.." on er S,. ,.,U
5100 College Road ~ ~
Key West, FL 33040 ~;,\TE_____-=-::--
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
. ..... ..:HO~~ED~R~~VE~ M);f~ 012917000
<<~ACQQPCQQPQRAtIQNj:$.
A&.QRPZ~~~M(ij~F.'.'."""."'.'.'.'......... .