Certificate of Insurance
ACORDTM . CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYYI
10/01103
PRODUCER THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION
ARTHUR J GALLAGHER-BOCA RATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
2255 GLADES RD SUITE 400E
Boca Raton, FL 33431-7379 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A United National Insurance Co.
City of Key West INSURER B:
PO Box 1409 INSURER C
Key West, FL 33040 INSURER D:
INSURER E:
Client#" 25
KEYWESTCITY
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.
LTR NSR[ TYPE OF INSURANCE POLICY NUMBER PJ'k~1:~~~8~r P~~il,~XJ;~~N LIMITS
A GENERAL LIABILITY CP0065480 10/01103 10/01/04 EACH OCCURRENCE $1 000 000
- ~~~~*~~9F~Eo~~~~ence\
X COMMERCIAL GENERAL LIABILITY $
:=.J CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $
--
Including SIR PERSONAL & ADV INJURY $
I--
I-- of $100,000 GENERAL AGGREGATE $
n'L AGGREAE LIMIT APnS PER: PRODUCTS. COMP/OP AGG $
POLICY j~8T LOC
A ~TOMOBILE LIABILITY CP0065480 10/01103 10/01/04 COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) $1,000,000
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
including SIR ~: '1 EMENI PROPERTY DAMAGE $
of $100,000 - '1 ;H\ :"'A~tA (Per accident)
\ ,
~GE LIABILITY 8 Y ( ) ~ '"" \\J)//II ~ ./ AUTO ONLY. EA ACCIDENT $
ANY AUTO ~. A"--.V 0'"
~ \ __lk~~ OTHER THAN EA ACC $
DATE---..... AUTO ONLY: AGG $
OESS/UMBRELLA LIABILITY WAIVEF IIA. 'f... YI=(, EACH OCCURRENCE $
OCCUR 0 CLAIMS MADE ",.,. ~ ...-.. "- ,.. ,,-.,---<
AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T'f!.gNt.~~;" I IOJ~'
EMPLOYERS' LIABILITY
ANY PROPRIETOR!PARTNER!EXECUTIVE EL EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L DISEASE. POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Improvements to the 11th street Boat Ramp as coinsured for the project
COVERAGES
Monroe County Board of
Commissioners
5100 College Road
Key West, FL 33045
cC)/' ,., S '.
~a,..,t::.~
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .....30.... DAYS WRITTEN
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
~
BJG
-
CERTIFICATE HOLDER
€J ACORD CORPORATION 1988
ACORD 25 (2001/08) 1 of 2
#S20106/M19946