Certificates of Insurance
ACORDN CERTIFICATE OF LIABILITY INSURANC~E~T~l DATE (MM/DDIYY)
06/11/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Rogers Atkins Gunter & Assoc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P o Box 25598 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tampa FL 33622-5598 COMPANIES AFFORDING COVERAGE
H B (Josh) Forehand COMPANY
Phone No. 813-876-5555 Fax No. 813-876-5855 A Union America Insurance CO
INSURED COMPANY
B
Duke H Pontin, Spirit Marine d-'6'1 COMPANY
Towing & Assistance C
911 W Indies Drive COMPANY
Ramrod Key FL 33042 0
COVERAGES
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 POl!CIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION liMITS
lTR DATE (MM/DDIYY) DATE (MM/DDIYY)
GENERAL liABiliTY GENERAL AGGREGATE $1,000,000
-
A X COMMERCIAL GENERAL LIABILITY PU91267 04/10/99 04/10/00 PRODUCTS - COMP/OP AGG $ excluded
I ClAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ excluded
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
-
- FIRE DAMAGE (Anyone fire) $ excluded
MED EXP (Anyone person) $ excluded
AUTOMOBilE liABiliTY
- V "m~U(~; .~ "f COMBINED SINGLE LIMIT $
ANY AUTO
-
All OWNED AUTOS 1\ BODilY INJURY
- ~~ (Per person) $
SCHEDULED AUTOS ~UE ' {n T ((0 q' 6
- ~
HIRED AUTOS ~'2o BODilY INJURY
f- $
NON-OWNED AUTOS (Per accident)
I-- a.
f-- W!,'VER: ~.~ n~FS PROPERTY DAMAGE $
,.. ....,.
GARAGE liABILITY ~V mm(~ AUTO ONLY- EA ACCIDENT $
I--
ANY AUTO OTHER THAN AUTO ONLY:
f--
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
R UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND I WC STATU- I 10TH-
TORY liMITS ER
EMPLOYERS' LIABiliTY El EACH ACCIDENT $
THE PROPRIETOR! RINCl El DISEASE - POLICY liMIT $
PARTNERSlEXECUTIVE
OFFICERS ARE: EXCl El DISEASE - EA EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONSlLOCATlONSNEHIClESlSPECIAL ITEMS
Certificate Holder is Additional Insured - Premises Liability - does not
provide coverage for towing and salvage
CERTIFICATE HOLDER CANCELLATION
MONRC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY Will ENDEAVOR TO MAIL
Monroe County Board of tJ;l)/Qq ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT,
Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHAll IMPOSE NO OBLIGATION OR LIABiliTY
5100 College Road
Key West FL 33040ATE OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
INITIAL { X AUTHOR~~~~ L "~~D CORPORATION 1988
./~ ./ ~~Y -
ACORD 25-5 (1/95) - ,
ACORD. CERTIFICATE OF LIABILITY INSURANC~~fT~l DATE (MMlDDNY)
10/14/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Rogers Atkins Gunter & Assoc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
POBox 25598 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tampa FL 33622-5598 COMPANIES AFFORDING COVERAGE
H B (Josh) Forehand COMPANY
A Union America Insurance Co
Phone No. 813-876-5555 Fax No. 813-876-5855
INSURED COMPANY
B
Duke H pon.t.in, Spirit Marine COMPANY
Towing & Al!Isistance C
911 W Indies Drive COMPANY
Ramrod Key FL 33042 D
COVERAGES
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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
lTR DATE (MMlDDNY) DATE (MMlDDNY)
GENERAL LIABILITY GENERAL AGGREGATE $ 300,000
I--
A X COMMERCIAL GENERAL liABiliTY PU91267 04/10/99 04/10/00 PRODUCTS - COMP/OP AGG $ excluded
I ClAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ excluded
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 300,000
-
FIRE DAMAGE (Anyone fire) $ excluded
-
MED EXP (Anyone person) $ excluded
AUTOMOBilE liABiliTY
- COMBINED SINGLE liMIT $
ANY AUTO ;B)7)( n.~r,~
- " .,.~
All OWNED AUTOS BODilY INJURY
- $
SCHEDULED AUTOS LiY_ (Per person)
- __r -.J D \Y qQ~
HIRED AUTOS BODilY INJURY
- DATE _ $
NON-DWNED AUTOS (Per accident)
- ,~.;: ..~
- ~t.'ti, f\'[ YFS PROPERTY DAMAGE $
GARAGE liABiliTY OUO" { '"0/1 A ()y AUTO ONLY. EA ACCIDENT $
-
ANY AUTO OTHER THAN AUTO ONLY:
- [i'
EACH ACCIDENT $
- rt L
AGGREGATE $
EXCESS liABiliTY ~ -- mCfo EACH OCCURRENCE $
=1 UMBRELLA FORM um AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND 1WC STATU- T IOTH-
TORY LIMITS ER
EMPLOYERS' liABiliTY
El EACH ACCIDENT $
THE PROPRIETOR! RINCl El DISEASE - POLICY liMIT $
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCl El DISEASE - EA EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONSllOCATIONSNEHIClESlSPECIAllTEMS
Certificate Holder is Additional Insured - Premises Liability - does not
provide coverage for towing and salvage. 11-10-99 GL limits reduced.
CERTIFICATE HOLDER CANCELLATION
MONRC-l SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WIll ENDEAVOR TO MAil
Monroe County Board of County ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT,
Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHAll IMPOSE NO OBLIGATION OR LIABiliTY
5100 College Road !()~ f /cf4
Key West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
D^TE .../ ~d
ACORD 25-5(1195) INITIAL ~ - L ./ ~D CORPORATION 1988
)'"f7" ,
" ,/ '"
ACORo'M CERTIFICATE OF LIABILITY INSURANCE I DATE IMM/DDIYY}
01/28/2000
PRODUCER 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PROFESSIONAL INSURANCE CENTER, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2003 W. KENNEDY BLVD. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
TAMPA, FL 33606 INSURERS AFFORDING COVERAGE
INSURED SPIRIT MARINE INSURER A: INTEGON NATIONAL INSURANCE CO
DBA DUKE PONTIN INSURER B:
PO BOX 244 INSURER C:
BIG PINE KEY, FL 33043 INSURER D:
I SPIMOO 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 POLICY EXPIRATION LIMITS
~ERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
:==:=J CLAIMS MADE D OCCUR
A AUTOMOBilE LIABILITY
f--
- ANY AUTO
ALL OWNED AUTOS
-
If... SCHEDULED AUTOS
- HIRED AUTOS
- NON-OWNED AUTOS
f--
CPL3961183
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
02/04/2000 08/04/2000 COMBINED SINGLE LIMIT
(Ea accident) $
f--
GEN'l AGGRE~ LIMIT APPLIES PER:
Ii POLICY I I P'~R.;. n lOC
GARAGE liABILITY
q ANY AUTO
EXCESS liABILITY
L~l OCCUR D CLAIMS MADE
Ii DEDUCTIBLE
I RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABilITY
"~"rlr r: ~Q'2S~~~
r
BODILY INJURY $
(Per person) 500000
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
(Per accident)
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EACH OCCURRENCE $
AGGREGATE $
$
$
$
I WC STATU-.I TOTH-
TORY LIMITS ER
E,L. EACH ACCIDENT $
E,L. DISEASE - EA EMPLOYEE $
E,L. DISEASE. POLICY LIMIT $
onE ,--i~-L:t-W
./
W^.'lJrR: ;..,;~ Io!'" YES
~'. 0~()y
~ ;:" \~0
t~ Um ('l)C bee
OTHER
DESCRIPTION OF OPERATIONS/lOCATIONSNEHIClES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
1979 GMC DUMP TRUCK SN #T16DA9V601349
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER:
COMMISSIONERS
MONROE COUNTY BOARD OF COUNTY
5100 COLLEGE RD. RM 203
KEY WEST, FL 33040
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil ~ DAYS WRITTEN
iNITIAl -'
, ffi NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAilURE TO DO SO SHALL
n \ ) \ ~ \ I) IMPOSE N~L1GATION OR LIABILITY ~Y KIND UPON THE INSURER, ITS AGENTS OR
d- h RE VES. ~
'C-/ ~~,~2
.- -c/ .-/
TB
@ACORD CORPORATION 1988
-
I
ACORD 25-S (7/97)
D/\TE---
ACORDN CERTIFICATE OF LIABILITY INSURANC~'RT~l I DATE (MMIDDNY)
05/10/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Rogers Atkins Gunte~ & Assoc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
POBox 25598 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tampa FL 33622-5598 INSURERS AFFORDING COVERAGE
Phone: 813-876-5555 Fax: 813-876-5855
INSURED INSURER A: Union America Insurance CO
INSURER B:
Duke Pontin DBA: Spirit Marine INSURER C:
911 W Indies Drive INSURER 0:
Ramrod Key FL 33042
I INSURER E:
COVERAGES
THE PDllCIES 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 b2~kCiM'ij,b~7J~YE P~1-f~~~~r6~~?N liMITS
lTR
GENERAL LIABILITY EACH OCCURRENCE $ 300,000
-
A X COMMERCIAL GENERAL liABILITY PU93744 04/10/00 04/10/01 FIRE DAMAGE (Anyone fire) $ excluded
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ excluded
PERSONAL & ADV INJURY $ excluded
-
GENERAL AGGREGATE $ 300,000
-
GEN'l AGGREGATE liMIT APPLIES PER PRODUCTS. COMPIDP AGG $ excluded
I ,nPRO. n
POLICY JECT lOC
AUTDMOBllE liABILITY COMBINED SINGLE liMIT
I--- $
ANY AUTO (Ea accident)
I---
All DWNED AUTOS BDDll Y INJURY
f-- $
SCHEDULED AUTOS (Per person)
I---
HIRED AUTOS BODilY INJURY
I--- $
NON.OWNED AUTOS (Per accident)
f--
\1)'cr ?1:rn''';-' PROPERTY DAMAGE
'-- , . " ," l'~" $
... (Per accident)
GARAGE LIABILITY L". . U I .,,- Y/lA fUf) _.~._- AUTO ONLY. EA ACCIDENT $
~ ANY AUTO ~ } I ~' ((),Aa
rT~__-5? J(/J '02 B\ OTHER THAN EA ACC $
.' AUTO ONLY: AGG $
EXCESS llABllIT'( :(-p. ~,;-: ,./ vF~ __. 'e ~'rL EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE . ~u ~_.."_ [{', AGGREGATE $
~ ~ ~ $
R DEDUCTIBLE lAu h1 r6)(h.oi $
RETENTION $ $
WORKERS COMPENSATION AND I TORY lIMl"rS I IUIH'
ER
EMPLOYERS' LIABILITY
E,l, EACH ACCIDENT $
E,l. DISEASE. EA EMPLOYE $
E,l. DISEASE. PDlICY liMIT $
OTHER
DESCRIPTION OF DPERATIONSllOCATlONSNEHIClESIEXClUSIONS ADDED BY ENDORSEMENTISPECIAl PROVISIONS
Certificate Holder is Additional Insured - Premises Liability - does not
provide coverage for towing and salvage.
CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER lETTER: CANCELLATION
MONRC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE EXPIRATIO~
DATE THEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAil 10 DAYS WRITTEN
-
Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAilURE TO DO SO SHAll
Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
5100 College Road )~
Key West FL 33040 ~ Q}cU REPRESENTATIVES,
DATE _" ~4 L /c-J.J"
I .......' j'-
ACORD 25-S (7/97) INITIAL 1-/ ./ - ~CORD CORPORATION 1988
l<:S"--