Certificate of Insurance
A CORD_ CERTIFICATE OF LIABILITY INSURANC~~7cH I DATE(MMIDDffY)
10/10/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Key West FL 33043-5548 INSURERS AFFORDING COVERAGE
Phone: 305-294-7696 Fax: 305-294-7383
INSURED INSURER A: Penn-American Insurance CO.
INSURER B:
Clean FL Keys Inc. INSURER C:
PO Box 1528 INSURER D:
Key West FL 33041 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR'rHE 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 DATEIMM/DDIYYI DATEIM~ LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
-
A X COMMERCIAL GENERAL LIABILITY PAC6174711 11/10/01 11/10/02 RRE DAMAGE (Anyone fire) $ 50000
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 5000
PERSONAL & ADV INJURY $ 1000000
-
GENERAL AGGREGATE $2000000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $0
I POLICY n ~~ n LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ea accident)
- APP--' -1') ~('ft~E' T
ALL OWNED AUTOS
- BY Xl L BODILY INJURY $
SCHEDULED AUTOS (per person)
- "" I 01 t6{D I
HIRED AUTOS
- DATE BODILY INJURY $
NON-OWNED AUTOS (per accident)
- .:::::::::YES
WAIVER N/A_ PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
==l ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
:=J OCCUR 0 CLAIMS MADE AGGREGATE $
$
==l DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I fcJ~~ L~r.'.Ws I IUER'
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE. POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATION$lLOCATIONSlVEHICLESlEXCLUSlONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
LISTED AS ADDNL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CERTIFICATE HOLDER I y r ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
MCBCOHN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -1D- DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Monroe County BOCC IMPOSE NO OBLIGATION u~D ~PON THE INSURER, ITS AGENT~
5100 Coll.ege Rd II ~
Key West FL 33040 REPRESENTATIVES.
AUTHORIZED REPRESENTII{ ~([ " 1\1 V,,(~ A I)
I Horan Insuranc
ACORD 2S-S 17/91\ U @ACORD CORPORATION 1988