Certificates of Insurance
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
12
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.
INSURERS AFFORDING COVERAGE
ALAN R. MOTT AGENCY, INC.
PO BOX 1925
184 EAST MAIN STREET
INSURED
SPIRIT MARINE
D/B/A SEA TOW FLORIDA KEYS
911 WEST INDIES DRIVE
RAMROD KEY, FL 33043
INSURER A:
INSURER B:
INSURER C:
INSURER D:
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.
INSR TYPE OF INSURANCE POLICY NUMBER ';.,O"I"l~YME~~~gX!~f P~k'fE~~>gmf}JJS~ LIMITS
TR
GENERAL LIABILITY EACH OCCURRENCE $
f--
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone firel $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
~
~ GENERAL AGGREGATE $
~'L AGGREFl LIMIT APn PER: PRODUCTS. COMP/OP AGG $
POLICY ~~,9T LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
f--
ALL OWNED AUTOS BODILY INJURY
f-- $
SCHEDULED AUTOS (Per person)
f--
f-- HIRED AUTOS ,y r\ffQRrht ~ BODILY INJURY
$
NON-OWNED AUTOS (Per accident)
f---
u . PROPERTY DAMAGE
, "......- ---. ^' (Per accident) $
D~TE ~ . ,"7. a ~
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
R ANY AUTO \tJ.',,'\'rp: ".. ,/ _ VF~ OTHER THAN EA ACC $
~''.,;'' ..'......- AUTO ONLY:
AGG $
EXCESS LIABILITY EACH OCCURRENCE $
o OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE .. $
RETENTION $ $
WORKERS COMPENSATION AND I T"j,~~T~I,~~ I IOl~'
EMPLOYERS' LIABILITY
E,L, EACH ACCIDENT $
E,L, DISEASE. EA EMPLOYEE $
E,L, DISEASE. POLICY LIMIT $
A OTHER 11/10/2000 11/10/2001 500000
POH222891
PROTECTION & INDEMNI'
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
2 PAID CREW
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION, /l_n.llV ".,.,D "T"'''T_ t'lll' DD Il'M
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
MONROE COUNTY BOARD OF COUNTY DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAil J.-O-- DAYS WRITTEN
ADDITIONAL INSURED NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
COMMISSIONERS ATT: KIM MCGEE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
5100 COLLEGE ROAD REPRESENTATIVES, ".,
KEY WEST, FL 33040 AUTHOR\ RE~# ~ l ~ h ~
I !>,......
ACORD 25-S (7/97) , I / <Q ACORD CORPORATION 1988
ACORD,. CERTIFICATE OF LIABILITY INSURANC~fT~1 I DATE (MM/DDIYYI
05/10/00
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 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 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,
INSR TYPE OF INSURANCE POLICY NUMBER b2~~rM~btmYE P~l-+~~,j~r6~J.}?N LIMITS
lTR
GENERAL LIABiliTY EACH OCCURRENCE $300,000
I--
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 - COMP/OP AGG $ excluded
I n PRO- nlOC
POLICY JECT
AUTOMOBilE liABiliTY COMBINED SINGLE liMIT
- $
ANY AUTO (Ea accident)
~
All OWNED AUTOS BODilY INJURY
~ $
SCHEDULED AUTOS 4~'nc n ( P1A~.' (Per person)
I--
HIRED AUTOS BODilY INJURY
I-- ..Y . $
NON-OWNED AUTOS (Per accident)
- a-a -
i---- D,HE (,-0 I PROPERTY DAMAGE $
-- (Per accident)
GARAGE liABiliTY tt,t','I,lrq: :<,'~.L YFS AUTO ONLY. EA ACCIDENT $
==1 ANY AUTO ' .f ~ - "
- OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABiliTY EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I TORYlIMrrsl IOJ~-
EMPLOYERS' LIABiliTY
E,l. EACH ACCIDENT $
E.l. DISEASE - EA EMPLOYE $
E,l, DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/lOCATIONSNEHIClES/EXClUSIONS ADDED BY ENDORSEMENT/SPECIAL 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 EXPIRATIOP
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 REPRESENTATIVES.
I J~d /.. /r-l_
rr7"
ACORD 25-S (7/97) ./ .. ".,.., -, ~CORD CORPORATION 1988
ACORDTM CERTIFICA TE OF LIABILITY INSURANCE I DATE
n1/1"/"'HH
PRODUCER 12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ALAN R. MOTT AGENCY, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
PO BOX 1925 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
184 EAST MAIN STREET INSURERS AFFORDING COVERAGE
7JV 117.!7
INSURED SPIRIT MARINE INSURER A: Pf"lVlI T, TMC! r"f"l f"lll'
D/B/A SEA TOW FLORIDA KEYS INSURER B:
911 WEST INDIES DRIVE INSURER C:
RAMROD KEY, FL 33043 INSURER D:
I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REOUIREMENT, 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
LTR
TYPE OF INSURANCE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
POLICY NUM BER
POLICY EFFECTIVE
DAT M Y
LIMITS
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
COMBINED SINGLE LIMIT
lEa accident!
GV
BODILY INJURY
iPer person)
BODilY INJURY
{Per accident}
DATE
-~
ROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
ANY AUTO
,~l' ~l:ro.
AUTO ONLY - EA ACCIDENT
OTHER THAN
AUTO ONLY:
EA ACC $
AGG
EXCESS LIABILITY
OCCUR [] CLAIMS MADE
EACH OCCURRENCE
AGGREGATE
DEDUCTIBLE
RETENTION
WORKERS COMPENSATION AND
EM PLOYERS' LIABILITY
OTH.
E,L. EACH ACCIDENT
E,L. DISEASE - EA EMPLOYEE
E,L, DISEASE ?OLlCY LIMIT
A
OTHER
POH222891
11/10/2000 11/10/2001 500000
PROTECTION & INDEMNI
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
2 PAID CREW
CERTIFICATE HOLDER
ADDITIONAL INSURED; INSURER LETTER:
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
MONROE COUNTY BOARD OF COUNTY
ADDITIONAL INSURED
COMMISSIONERS ATT: KIM MCGEE
5100 COLLEGE ROAD
KEY WEST, FL 33040
@ACORD CORPORATION 1988
ACORD 25-S (7/97)
. .' ..... ,';-~,,".-.'
Professronal Insur~nce
2003 W Kennedy Blvd,
Tampa, Florida 33606
CERTIFICATE OF LIABILITY INSURANCE I / DATE
3 6/2001
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
~
ACORD",
PI100UCER
Center
Spirit Marine
DBA Duke Pontin
PO Box 244
"Q ~ ~ n ~ TT
.'~J
INSURER A:I n t ego n Ins u ran c e CO
INSURER B:
INSURER C:
INSURED
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 DiE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
~~
~
~ ~ ~ . ~
~~v oJ
etrO,.nn
INSURER 0:
INSURER E:
LIMITS
-GENERAL liABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE DOCCVR
EACH OCCURRENCE
FlRE DAMAGE [Anyone fire)
M EO EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS. COMP/OP AGG
LOC
A
,'l.UTOMOBILE LIABILITY
ANY A\ITO
All OWNED A\ITOS
SCHEDULED AUTOS
HIRED A\ITOS
NON-OWNED AUTOS
COMBINEO SINGLE LIMIT
IE. .ccldent!
$ 500 000
CFL3961183
02/04/01
08/04/01
BODilY INJVRY
(Per penonJ
BOOll Y INJURY
{Per accidencJ
PROPERTY OAMAGE
(Per accident)
EXCESS liABILITY
OCCUR ~ CLAIMS MADE
AUTO ONLY. EA ACCIOENT
GARAGE LIABILITY
ANY AUTO
OTHER THAN
AUTO ONLY:
EA ACC $
AGG $
EACH OCCURRENCE
AGGREGA TE
OEDUCTIBLE
RETENTION
WORKERS COMPENSATION ANO
EMPLOYERS' liABILITY
\~,r~ '\T~:
OTH-
E.L OISEASE - EA EMPLOYEE .
E,l. OISEASE - POLICY liMIT $
OTHER
DESCRIPTION OF OPERATIONS/lOCATIONSiVEHICLESiEXClUSIONS AO,DEO BY ENDORSEMENT/SPECIAL PROVISIONS
1979 GMC Dump Truck SNT16DA9V601349
Marine Contracting-Channell Marker/Removal Of Derelict Vessels Buoy
-Installation/Repair
CeRTIFICATE HOLDER
ADDITIONAL INSURED: INSURER LETTER:
CANCELLA TION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE EXPlRA nON
DATE THEREOF. THE ISSUING INSURER WIll ENDEAVOR TO MAIL .-:.LDOAYS WRmEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHAlL
TION OR UABIUTY OF ANY KINO UPON THE INSUREil. ITS AGE."ITS OR
Monroe County Board Of
County Commissioners
5100 College'Road
Key West FL 33040
ATTN: Kim McGee
I
cO ACORD CORPORATION 1988
'\ ,....,.-,C',.,...,::: ~ ':,'07'
A GORO_ CERTIFICATE OF LIABILITY INSURANC~~R~2 I DATE (MM/DDIYY)
05/14/01
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 INSURERS AFFORDING COVERAGE
Phone: 813-876-5555 Fax: 813-876-5855
INSURED INSURER A: Terra Nova Insurance
INSURER B:
Duke Pontin DBA: Spirit Marine INSURER c:
POBox 244 INSURER 0:
Big Pine Key FL 33043
I 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,
INSR TYPE OF INSURANCE POLICY NUMBER b~~~rMi&bBmYE P2.lIC:~~E~P.!RA T}?N liMITS
lTR DATE MM/DDIYY
GENERAL liABiliTY EACH OCCURRENCE $300,000
- 04/10/01 04/10/02
A X COMMERCIAL GENERAL LIABiliTY PU96661 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. COMP/OP AGG $ excluded
I ,nPRO. nlOC
POLICY JECT
AUTOMOBilE liABiliTY COMBINED SINGLE lIMIT
- $
ANY AUTO (Ea accident)
-
All OWNED AUTOS BODilY INJURY
- $
SCHEDULED AUTOS '1: ), (Per person)
-
HIRED AUTOS BODilY INJURY
- $
NON.OWNED AUTOS ~._- (Per accident)
- ,
PROPERTY DAMAGE $
- (Per accident)
GARAGE LIABiliTY ,- AUTO ONLY. EA ACCIDENT $
==l ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS liABiliTY EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
~Cn rff'~"~'
==l DEDUCTIBLE ,-. - - , ,., - .."" I, , ",";. $
t-t. " ~ ~T/)
RETENTION $ \ - /,.... ^ $
WORKERS COMPENSATION AND v I (51f5''' f~ hJIL ....... I TORY lIMrrsl IUJ~'
EMPLOYERS' liABiliTY ;.,TEi t c,\ ~ )\lat--
E.l. EACH ACCIDENT $
CC', ~ E.l. DISEASE. EA EMPLOYE $
;~l' "rt'"O. 0;... ,"!. ~ vet) E.l. DISEASE. POLICY LIMIT $
OTHER ~ ~rn(~
DESCRIPTION OF OPERATIONS/lOCATIONSNEHIClESlEXClUSIONS ADDED BY ENDORSEMENT/SPECIAL 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 -
Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAilURE TO DO SO SHAll
5100 College Road IMPOSE NO OBLIGATION OR LIABiliTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Key West FL 33040 REPRESENTATIVES.
I J~..4 L /c:::::::1.._
ACORD 25-S (7/97) ./ .. ~ .~, - @'ACORD CORPORATION 1988
I
ACORD". CERTIFICATE OF LIABILITY INSURANCE T 11/ 2rayE2 001
.
I~'ODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
" ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Professional Insurance Center HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2003 W Kennedy Blvd AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
Tampa Florida 33606
INSURERS AFFORDING COVERAGE
INSURED INSURER A: Integon Insurance Co
Duke Pontin INSURER s:
--
Spirit Marine INSURER c:
PO Box 244 INSURER 0:
Big P ~ne FL 33043 CUOTnn 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: TYPE OF INSURANCE POLICY NUMSER POLICY EFFECTIVE POLICY EXPIRATION
LIMITS
~ u,,,un EACH OCCURRENCE ,\
COMMERCIAL GENERALlIASllITY FIRE DAMAGE' (Anyone fire) \
CLAIMS MAOE 0 OCCUR MEO EXP (Anyone person! \
~c ^""''^,, u"" ^'",,, '" PERSONAL & ADV INJURY \
0E~IEnAl AGGREGATE \
-------
PRODUCTS - COMP/OP~GG $
n POLICY -h ~~9.;. n LOC
~O""'" u,,,un COMBINED SINGLE LIMIT 500,000
lEa accident) \
ANY AUTO
ALL OWNEO AUTOS SODIL Y INJURY
FLC 3961183 08/04/01 02/04/02 lPer person) \
.X SCHEDULED AUTOS
A HIRED AUTOS
f-- SODIL Y INJURY \
NON-OWNED AUTOS {p~r accldent)
f--
I--- PROPERTY DAMAGE \
(P9f accjd~ntJ
GARAGE LIABILITY AUTO ONLY, EA ACCIDENT \
R ANY AUTO l~\(" J\. '''e.M' OTHER THAN EA ACC \
NT --
..Jt.... aV"Q AUTO ONL Y: AGG \
l=JESS L1ASILlTY I nr' ~(\\ \ ~l I{j\!f ,j 1 ') EACH OCCURRENCE I \
OCCUR D CLAIMS MADE BY JJ-,I nl f-----'
~ T ',I:~ I AGGREGA TE \
DATE [.6ES \
R DEDUCTIBLE N/A $
RETENTION \ WAIVER ,- " \ \
t6' l,#.A ,Y L~:STATU.LD'~'
. WORKERS COMPENSATION AND mlML1.S ,
EMPLOYERS' lIASILITY E,L, EACH ,~CCIDENT \
'~t. '-0 /1/ E,l. OISEftSE . EA EMPLOYEE \
L . ~- -", I' I E.l. DISEASE, POLICY LIMIT 1\
~ Kt"M (1[" L/~(..
OTHER ;-""
'"'
. /'
..
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESiEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
1979 GMC Dump Truck SNT16DA9V601349
Marine Contracting~Channell Harker/Removal Of Derelict Vessels
Buoy Installation/Repair
Add'i t ional Insured: Honroe County Board Of County Commis:3 ioner s
CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: CANCELLA TION
Monroe County Board Of SHOULD ANY DF THE ASOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATiON
, 10
County Commissioners DATE THEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAIL _ DAYS WRITTEN
1100 Simonton Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, SUT FAILURE TO DO SO SHALL
Key West, ,_,Florida 33040 IMPOS;ZATION OR L1ASIlITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRES IVES, ~~ .........
A~~~ /~ TO
I
ACORD 25-S (7197) , .~ / /'"~ "ACORD CORPORA nON 1988