Certificate of Insurance
PRODUCER
JOHNSONSINS.AGCY(MARATHON)
13361 Overseas Highway
P.O. Box 2346
Marathon, FL 33052
DATE (MMlDD/VY)
6/24/1999
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
COMPANY
A SCOTTSDALE INSURANCE COMPANY
INSURED
Coconut Cove Resort & Marina
C/o Paul E Bates~avier Rosique
84801 Old Hwy
Islamorada, FL 33036
COMPANY
B
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
THE PROPRIETOR!
PARTNERs/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMrrs
DATE (MMlDD/VY) DATE (MMlDD/VY)
GENERAL AGGREGATE $ 2,000,000.00
PRODUCTS. COMP/OP AGG $ 2,000,000.00
CLS601786 4/7/1999 4/7/2000 PERSONAL & ADV INJURY $ 1,000,000.00
EACH OCCURRENCE $ 1,000,000.00
FIRE DAMAGE (Anyone fire) $ 50,000.00
MED EXP (Anyone person) $ 5,000.00
COMBINED SINGLE LIMIT $ EXCLUDED
BODILY INJURY $ EXCLUDED
,.'r(",.rr Q" . (Per person)
-, . "
.,v --'!fL . BODILY INJURY $ EXCLUDED
(Per accident)
PROPERTY DAMAGE $ EXCLUDED
AUTO ONLY. EA ACCIDENT $ EXCLUDED
V,,'!.,'\}[R: I~j :~ OTHER THAN AUTO ONLY:
EACH ACCIDENT $ EXCLUDED
AGGREGATE $ EXCLUDED
EACH OCCURRENCE $ EXCLUDED
AGGREGATE $ EXCLUDED
$ EXCLUDED
$ EXCLUDED
EL DISEASE. POLICY LIMIT $ EXCLUDED
EL DISEASE. EA EMPLOYEE $ EXCLUDED
TYPE OF INSURANCE
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [R] OCCUR
OWNER'S & CONTRACTOR'S PROT
A
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATlONSIlOCATlONSlVEHICLESlSPECIAL ITEMS
FOR- DOPLHIN TOURNAMENT FOR AMERICASN CANCER SOCIETY -JUNE 25TH ,26TH & 27TH
CERTIFICATE HOLDER IS SHOWN AS ADDITIONAL INSURED
MONROE BOARD OF COUNTY COMMISSIONERS
5100 COLLEGE ROAD
KEY WEST, FL 33040-
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
OF ANY KIND UPON THE
AUTHORIZED REPRESENTATIVE