Certificates of Insurance
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ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDNY)
09/07/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ARTHUR J GALLAGHER & CO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
8200 NW 41ST STREET, SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
MIAMI, FL 33166
305 592-6080 INSURERS AFFORDING COVERAGE
INSURED INSURER A: UNI TED NATIONAL INSURANCE CO.
CATHOLIC CHARITIES INSURER B: TNCRRG
ARCHDIOCESE OF MIAMI INSURER c: SAFETY NATIONAL INSURANCE CO.
9401 BISCAYNE BOULEVARD INSURER D:
MIAMI, FLORIDA 33138 INSURER E:
I
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 Pgk~l(~~%~~~ P%~~~ (FflJJC~~~ LIMITS
LTR
A GENERAL LIABiliTY CP65197 04/01/01 04/01/02 EACH OCCURRENCE $1, 000 000
-
& JL COMM ERClAl GENERAlllAB IllTY 1048-02 04/01/01 04/01/02 FIRE DAMAGE (Anyone fire) $INCLUDED
B tJ CLAIMS MADE [XJ OCCUR MED EXP (Anyone person) $NIL
f----
PERSONAL & ADV INJURY $I 000 000
I-- $N/A
GENERAL AGGREGATE
I--
GEN'l AGGREn lIM IT APAS PER: PRODUCTS - COMP/OP AGG $1 000,000
n POLICY ~~& lOC
A AUTOMOBILE LIABiliTY CP65197 04/01/01 04/01/02 COMBINED SINGLE LIMIT $1,000,000
-
& 1l ANY AUTO 1048-02 04/01/01 04/01/02 (Ea accident)
B .x All OWNED AUTOS BODilY INJURY
$
.K. SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODilY INJURY
- $
.K. NON-OWNED AUTOS (Per accident)
APPRp'~ BY' SK1tv\ANAGEM NT PROPERTY DAMAGE $
hI lIAr, "' (Per accident)
~RAGE liABILITY BY I \I AUTO ONLY. EA ACCIDENT $
ANY AUTO DATE ~ \ Q-O( OTHER THAN EA ACC $
, "-L
.-... AUTO ONLY: AGG $
EXCESS liABILITY un. y .... N/'" f-+- EACH OCCURRENCE $
[] OCCUR 0 CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
A WORKERS COMPENSATION AND CP65197 04/01/01 04/01/02 X IT~~$'m,Ws I 10TH-
ER
& EMPLOYERS' LIABILITY SP4329-FL 04/01/01 04/01/02 $1, 000 000
E.l. EACH ACCIDENT
C I E,l. DISEASE - EA EMPLOYEE $1, 000 000
E,l. DISEASE - POLICY LIMIT $1 000 000
A OTHER PROPERTY CP65197 04/01/01 04/01/02 SEE BELOW
SPECIAL FORM
DESCRIPTION OF OPERATIONSlLOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: PROPERTY LEASING. CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED
AS RESPECTS THE USE OF FACILITIES FOR THE WAREHOUSE (682 S/F) LOCATED AT
300 MAGNOLIA STREET/KEY LARGO/FL, FOR STORAGE OF SUPPLIES AND RELIEF ITEMS
FOR USE IN THE EVENT OF A HURRICANE OR OTHER DISASTER.
CATHOLIC CHARITIES, 9401 BISCAYNE BLVD. , MIAMI, FL 33138
CERTIFICATE HOLDER I I ADDmONAlINSURED;INSURERlETTER: CANCELLATION
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE TH E EXPIRATION
MONROE COUNTY BOARD OF COUNTY DATE THEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAlllO- DAYS WRITTEN
COMMISSIONERS NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE lEFT. BUTFAllURE TODOSOSHALl
C/O RISK MANAGEMENT IMPOSE NO OBLIGATION OR lIABllm;r<'} lO;'IJ.NSURER,ITSAGENTSOR
5100 COLLEGE ROAD REPRESENTATIVES, I I /J, . .I.:
KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE - .....~.. -
I
ACORD 25-5 (7/97) 1 0 f 2
#S24762/M23379
IXP @ ACORD CORPORATION 1988
COVERAGES