Certificates of Insurance
ACORDTM CERTIFICA TE OF LIABILITY INSURANCE I DATE
01/14/2002
PRODUCER 13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ALAN R. MOTT AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
PO BOX 1925 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
184 EAST MAIN STREET
HUNTINGTON, NY 11743 INSURERS AFFORDING COVERAGE
INSURED SPIRIT MARINE INSURER A: ROYAL INSURANCE CO. OF AMERICA
D/B/A SEA TOW FLORIDA KEYS INSURER B:
P.O.BOX 244 INSURER C:
BIG PINE KEY, FL 33043 INSURER D:
I SEATO 1 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,
II~t: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRA TION LIMITS
~ERAl LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
I POLICY n P'~fT n LOC
~TOMOBILE LIABiliTY COMBINED SINGLE LIMIT $
ANY AUTO I E a accident)
-
f-- ALL OWNED AUTOS ~:~ BODILY INJURY
$
SCHEDULED AUTOS (Per person)
I-- ANAGEMENT
HIRED AUTOS APP~,?)~S~ BODILY INJURY
- $
NON-OWNED AUTOS C;'\ {Per accidentl
- ~c.~
- BY" - \ _ ~f tt- {)..r - PROPERTY DAMAGE $
II AAr '- (Per accident)
~RAGE liABILITY 1)1"\1'- - N I A .-:::::::. ~YES - I-\, VYT\ III-~ AUTO ONLY - EA ACCIDENT $
ANY AUTO WAIVER OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABiliTY EACH OCCURRENCE $
.==J OCCUR D CLAIMS MADE AGGREGATE $
$
=1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSA TIONAND I T'6~~r~~s I IOJ~-
EMPLOYERS' LIABiliTY
E,L, EACH ACCIDENT $
E,L, DISEASE. EA EMPLOYEE $
E,l. DISEASE - POLICY lIM IT $
A OTHER P20H222891 11/10/2001 11 10/2002 500000
PROTECTION &INDEMNIT
DESCRIPTION OF OPERA TIONS/lOCA TIONSNEHICLES/EXClUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS
2 PAID CREW
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION lO-DAY NOTICE FOR NON-PAYMENT OF PREM
MONROE BOARD COUNTY OF COMM. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
MARIA DEL RIO DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAil ~ DAYS WRITTEN
A!J'Dl'2'IONAL INSUR1!D NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT. BUT FAILURE TO DO SO SHALL
1100 SIMONTON STREET IMPOSE NO OBLIGATION OR liABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
KEY WEST, FL 33040 REPRESENTA TIVES. ~ I
AUTHORIZED REPRESENTATIVE -K JlJ /). ..I~.
I ,.- d I'F HW
ACORD 25-S (7/97)
@ ACORD CORPORATION 1988
<6
IMPORT ANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon,
ACORD 25-8 (7/97)
A CORD", CERTIFICATE OF LIABILITY INSURANCE I DATE
2/27/2002
PRODUCER ,- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
. "
Professional Insurance Center ONL Y 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, Florida '33606 INSURERS AFFORDING COVERAGE
.
1/',SURED ;:;.f/1 INSURER A: .tnteg~atlonal Insuranc e-
Duke Pontin INSURER B:
Spirit Marine INSURER C:
PO Box 244 INSURER D:
Bi9 Pine, FL 33043 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 POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL liABilITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
EACH OCCURRENCE
FIRE DAMAGE IAny one tI,e)
MEO EX? {Anyone person}
GEN'l AGGREGA TE liMIT APPLIES PER:
PRO-
PERSONAL <It ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
lOC
"
i
:~
A
AUTOMOBilE liABiliTY
ANY AUTO
ALL OWNED AUTOS
X SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEO AUTOS
COMBINED SINGLE liMIT
tEa accident)
500,000
FLC
3961183
06
02/04/02
08/04/02
BODilY INJURY
(Per person)
BOOIl Y INJURY
(Per accidentJ
1
-j
;~
;M
PROPERTY DAMAGE
(Per accident!
GARAGE liABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN
AUTO ONLY:
EA ACC $
i!
j
t~
f
.1~
Q
'~
AGG $
EXCESS liABILITY
OCCUR 0 CLAIMS MADE
EACH OCCURRENCE
AGGREGATE
-
DEDUCTIBLE
RETENTION
WORKERS COMPENSATION ANO
EMPLOYERS' LIABILITY
;
.
\
:.~
J
:j
'(
:j'
i
l
j
,i
.~
;~
E.l, EACH ACCIDENT
E.l, DISEASE. EA EMPLOYEE $
E.l, DISEASE, POLICY liMIT $
OTHER
~
DESCRIPTION OF OPERATIONS/lOCATIONSNEHICLES/ExCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS
1979 GMC Dump Truck SN#T16UA9V601349
1978 GMC SN#TME678V610648
!
~
"
CERTIFICATE HOLDER
ADDITIONAL INSURED: INSURER LETTER:
CANCELLATION
SHOULD ANY OF THE ASOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE EXPIRATION
DATE THEREOF. THE ISSUING INSURER Will ENDEAVOR TO MAil -.!..Q.. DAYS WRITTEN
NOTICE TO THE CERTlFICATE HOlOER NAMED TO THE lEFT. BUT FAILURE TO 00 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER. ITS AGENTS OR
f.
.\
Monroe County
Board Of County Commissioners
1100 Simonton Street
Key West, FL 33040
oQ ACORD CORPORATION 1988
,
,
"
ACORD 25-$ (7/97)
d"PRODUCER' - , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
YANOFF SOUTH INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3825 Henderson Blvd. 11401 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tampa, Florida 33629 COMPANIES AFFORDING COVERAGE
COMPANY
A SCOTTSDALE INSURANCE COMPANY
INSURED
DUKE PONTIN DBA SPIRIT MARINE
P.O. Box 244
Big Pine Key, Florida 33043
! COMPANY
B
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSLJRED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOlWlTHSTANDING ANY RI=QUIPEMENT, 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'
I
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMlDDIYY) DATE (MMlDDIYY)
LIMITS
lGEi~:~~~:~:VGENERAllIABllITY
lidl 1 CLAIMS MADE _ X>CCUR
I X I OWNER'S & CONTRACTOR'S PROT
r----I
I I
H
I 1
~OMOBILE LIABILITY
i I ANY AUTO
r-----o
: : All OWNED AUTOS
I-
i ! SCHEDULED AUTOS
~
H HIRED AUTOS
i I NON-OWNED AUTOS
II
I I
f----1
I
i GENERAL "GGREGATE
CLS0764956
04-10-02
04-10-03
: GARAGE lIABILITY
r---;
U ANY AUTO
I FIRE DAMAGE (Anyone fire)
,
, MED EXP (Anyone person)
COMBINED SINGLE liMIT
i BODilY INJURY $
I (Per person)
I BODilY INJURY $
i (Per accident)
I
i PROPERTY DAMAGE
AUTO ONLY - EA ACCIDENT
! OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
WC STATU- OTH-
TORY lIMJIL_ER
El EACH ACCIDENT $
El DISEASE - POLICY LIMIT $
El DISEASE - EA EMPLOYEE $
THE PROPRIETOR!
PARTNERs/EXECUTIVE
OFFICERS ARE:
OTHER
INCl
EXCl
~p
aV I OC--,
~I~~R--il~~ --
C0'~
Ur) ((}CCoeR-
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABiliTY
DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlSPECIAL ITEMS
**PRODUCTS/COMPLETED OPERATIONS ARE SUBJECT TO THE GENERAL AGGREGATE LIMIT
ADDITIONAL INSURED
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
5100 COLLEGE ROAD
KEY WEST, FLORIDA 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 KI
AUTHORIZED R
ACORD 25-S (1/95)
-------- _.-_._------_._-,--~._------
PRODUCER
3
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.
ACORDTM CERTIFICATE:. OF LIABILITY INSURA~",E
PROFESSIONAL T.NSURANCE CENTER,
2003 W. KBRNKDY BLVD.
TAMPA, FL 33606
INSURERS AFFORDING COVERAGE
INSURED
SPIRIT MARINE
DBA: DUKB PONTIN
PO BOX 244
BIG PINE KBY, FL 33043
INSURER A:
INSURER B:
NAIC#
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 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.
I,N:: r.p.,~'~ POLICY NUMBER POLICY efFECTIVE POLICY EXPIRATION LIMITS
~ERAl LIABilITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABiliTY ~~~~~:ST~:~~~';~ncel $
I-- =:J CLAIMS MADE D OCCUR
I-- M ED EXP (Anyone person) $
f--- PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
1---
GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
n POLICY n ~~8T n lOC
A I~TOMOBILE LIABILITY FLC3961183 08/04/2002 02/04/2003 COMBINED SINGLE LIMIT $
ANY AUTO lEa accident) 5DD DDn
t--
t-- All OWNED AUTOS BODilY INJURY
$
~ SCHEDULED AUTOS (Per person)
HIRED AUTDS BODilY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
- ~-n-:Jl.~) PROPERTY DAMAGE $
~ .. (Per accident)
GARAGE LIABILITY /' ~ ~:M ~ met ~ AUTO ONLY - EA ACCIDENT $
=i ANY AUTO AP,,\ ~ \ ~~ " ; { EA ACC $
OTHER THAN
BY ,.... \ r 1/1 AUTO ONLY: AGG $
\ \ I
EXCESS/UMBRELLA LIABilITY DATE - EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE N/A--?- ES - AGGREGATE $
WAIVER h ..ooJ $
=i DEDUCTIBLE W t $
RETENTION $ $
WORKERS COMPENSATION AND C U' kL ~rf<<WJ I WCSTATU- I IOl~-
EMPLOYERS' LIABIlITY <:
ANY PROPRIETOR/PARTNER/EXECUTIVE ./' E,l. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? , e,l. DISEASE - EA EMPLOYEE $
If yes. describe under
SPECIAL PROVISIONS below I E,l. DISEASE - POLICY LIMIT $
OTHER I '\}Ji rvt I 't "
DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
1979 GMC DUMP TRUCK VIN# T16DA9V601349 MARINE CONTRACTING-- CHANNELL MARKER/ REMOVAL OF DERELIC~
VESSELS/ BUOY INSTALLATION/ REPAIR
CERTIFICATE HOLDER
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
ATTEN: KIM MCGEE
5100 COLLEGE ROAD
KBY 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 3-0-- 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
ACORD 25 (2001/0~
c.c.,~
PIC
Professional Insurance Center, Inc.
2003 W. Kennedy Blvd.
Tampa, FL 33606
813-251-4900. FAX 813-253-2676
JUNE 11, 1999
MARIA DEL RIO
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
5100 COLLEGE RD.
RM.203
KEY WEST, FLORIDA 33040
RE: SPIRIT MARINE
POLICY #CFL3961183
DEAR MARIA:
TIllS LETTER IS TO INFORM YOU THAT THE COMPANY INTEGON NATIONAL
INSURANCE COMPANY HAS INFORMED OUR AGENCY THAT THEY CAN NOT
ADD (MONROE COUNTY BOARD OF COUNTY COMMISSIONERS) AS
ADDITIONAL INSURED TO THE ABOVE INSURED'S POLICY, DUE TO THE
FACT MONROE COUNTY BOARD OF COUNTY COMMISSIONERS HAS NO
INTEREST IN THE INSURED'S VEHICLE.
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CAN BE LISTED
AS A CERTIFICATE HOLDER (SEE COPY ATTACHED).
SHOULD YOU HA VB ANY QUESTIONS PLEASE DON'T HE SIT ATE TO
CONTACT OUR OFFICE.
SINCEREL Y,
A.,
TER, INC.
,/ .
Cc.'~
gn+-LP ) LOJ at!
ACORDTM CERTIFICA TE OF LIABILITY INSURANCE I DATE IMM/DDIYYYYI
.. /". /"nn"
PRODUCER 13 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
I\JV "74.~ INSURERS AFFORDING COVERAGE NAIC#
INSURED SPIRIT MARINE INSURER A: DnV.Il T. "n nil'
D/B/A SEA TOW FLORIDA KEYS INSURER B:
P.O.BOX 244 INSURER C:
BIG PINE KEY, FL 33043 INSURER D:
~_..'"". INSURER E:
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~~: ~~'~ POLICY NUMBER ':..(~N~Y..E~~5gJ,J~~ P!?k!fEV,~~f1~~JJ~~ LIMITS
~NERAL LIABILITY EACH DCCURRENCE $
COMMERCIAL GENERAL LIABILITY g~~~~g~:~~J~~ncel $
I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
~'l AGGREA LIMIT APn PER: PRODUCTS - COMP/OP AGG $
POLICY ~~,QT lDC
~TOMOBllE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
>---
I- ALL DWNED AUTOS BODilY INJURY
$
SCHEDULED AUTOS (Per person)
>---
I- HIRED AUTOS BODilY INJURY
$
NON-OWNED AUTOS A~!r~~)~ ~Atf;EMEN (Per accident)
>---
- BY ...,h PROPERTY DAMAGE $
\lV.,- ,"-, (Per accident!
=1AGE LIABILITY UATE _ L- -,~ I (Jj- AUTO ONLY - EA ACCIDENT $
ANY AUTO WAIVER N/A~ - OTHER THAN EA ACC $
YES AUTO ONLY: AGG $
:==JESS/UMBRELLA LIABILITY 6ve) ." ("UJA 1. EACH OCCURRENCE $
OCCUR 0 CLAIMSMADE ~ AGGREGATE $
$
R DEDUCTIBLE CC .rf}(L /Yl $
RETENTION $ .1 '"- $
WORKERS COMPENSATION AND ~(;YtU U I V ""-' I :;'~~T ~r,~~ I IOJ~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E,L, EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E,l. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS beiow E,l. DISEASE - POLICY LIMIT $
A OTHER 11/10/2002 11/10/2003 500000
P20H222891
PROTECTION &INDEMNITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
2 PAID CREW
COVERAGES
CERTIFICATE HOLDER
MONROE BOARD COUNTY OF COMM.
MARIA DEL RIO
ADDITIONAL INSURED
1100 SIMONTON STREET
KEY WEST, FL 33040
CANCELLATION
ACORD 25 ~08)
.: c. : ~1' <.",,-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAil U- 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,
AUTHORI(k;{;;~W~ ) ~
@ACORD CORPORATION 1988