Certificates of Insurance
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ACORD~ LIABILITY INSURANCE DATE (MM/DDNYYY)
CERTIFICATE OF 7/28/2003
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Paul Lynch & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3388 NE Sugarhill Ave., Suite 201 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Jensen Beach, FL 34957
772-232-2552 INSURERS AFFORDING COVERAGE NAIC#
INSURED ASAP, Inc. INSURER A: Llovds of London
INSURER B: Zenith Insurance Company
Post Office Box 804 INSURER c: New York Marine & General
Tavernier, FL 33070 INSURER D:
1(305) 852-4554 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 'L
L TR NSRD
TYPE OF INSURANCE
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE ~I OCCUR
POLICY NUMBER
LIMITS
A X
5030799
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurence)
MED EXP (Anyone person)
06/09/03 06/09/04 PERSONAL &ADV INJURY
$ 1,000,000
PRODUCTS - COMPIOP AGG
$ 2,000,000
$ 1,000,000
GENERAL AGGREGATE
LOC
AUTOMOBILE LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
WORKERSCOMPENSATIONAND
EMPLOYERS' LIABILITY
Z04876380
(incl. USL&H)
EA ACC
HIRED AUTOS
NON.OWNEDAUTOS
GARAGE LIABILITY
ANY AUTO
AGG
EXCESS/UMBRELLA LIABILITY
I OCCUR CI CLAIMS MADE
DEDUCTIBLE
RETENTION
ANY PROPRIETOR/PARTNER/EXECUTIVE
B OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
OTHER
E.L. DISEASE. EA EMPLOYEE
$ 1,000,000
$ 1,000,000
1 000 000
E.L. DISEASE - POLICY LIMIT
Ic
MEL (Jones Act)
Excess: $10 000
0-26253ML202
08/16/02
08/16/03 I Limit:
$990,000
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Regarding General Liability Insurance, Monroe County Board of County
Commissioners is listed as additional insured with respect to work performed
by the insured.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Monroe County Board
of County Commissioners
1100 Simonton Street
Key West, Florida 33040
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ 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
ACORD25(2001/08)
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c.c:.#~
ACORD... CERTIFICATE OF LIABILITY INSURANCE \ DATE (MMIODIYYYY)
8/19/2003
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Paul Lynch & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3388 NE sugarhill Ave., suite 201 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
Jensen Beach, FL 34957
772-232-2552 INSURERS AFFORDING COVERAGE NAIC.
INSURED ASAP, Inc. INSURER A:. Lloyds of London
INSURER B: Zeni th Insurance Company
Post Office Box 804 INSURER C: New York Marine , General
Tavernier, FL 33070 INSURER D:
1(305) 852-4554 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.
IN.R ~O'l. TV""nc POLICY NUMBER b9.wrJtb59J.}YE P8k~lVJ:6rr~~N LIMITS
LTR NaRD
~NERAL LIABILITY EACH OCCURRENCE $ 1 000,000
~ ~r;wERCIAL GENERAL LIABILITY PREMISES lEe oc:curence\ $
_, CLAIMS MADE ~I OCCUR MED EXP (Anyone person) $
I-- !M5030799 06/09/03 06/09/04
A X PERSONAL & ADV INJURY $
GENERAL AGGREGATE $ 2.000,000
I--
ril'L AGG~l~i LIMIT AP~t PER, PRODUCTS-COM~OPAGG $ 1,000,000
X POLICY ~:8i LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ee 8CCident)
-
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
SCHEDULED AUTOS
I-- MANd~Et' ~
I-- HIRED AUTOS ~.~ ~~~ BODILY INJURY
$
NON-<lWNEDAUTOS (Per 8CCident)
I-- t" _-- ,.....
I-- P.V'n f" I\-r ( ^\.-:~ PROPERTY DAMAGE $
(pereccldenl)
==IGE LIABILITY foI. \ .-........ AUTO ONLY- EA ACCIDENT $
ANY AUTO O~iE - "- yES - EAACC $
... ''-R NIA.- ~_,. I;; l OTHER THAN
AUTO ONLY, AGG $
EXCESS/UMBRELLA LIABILITY ~U~ Yl,..; EACH OCCURRENCE $
::=:1 OCCUR [] CLAIMS MADE Q;J. AGGREGATE $
. \1' $
F\ DEDUCTIBLE u ".... m Ch a7 $
'r~/'
RETENTION S . /{I,/' $
~ \V '-' l-ro'ti~tl -I 10~-
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY Z04876380 08/16/03 08/16/04 E.L. EACH ACCIDENT S 1,000 000
t>Hf PROPRIeTORJPARTNER1EXECUTlVE
B OFFICERiMEMIlER EXCLUDED? ( inc1. USL&H) E.L. DISEASE - EA EMPLOYE $ 1.000 000
~re'cl':t.~~=NS below E.L DISEASE - POLICY LIMIT $ 1,000,000
OTHER
C MEL (Jones Act) ~O-26253ML203 08/16/03 08/16/04 Limit: $990,000
Excess: $10 000 I
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Regarding General Liability Insurance, Monroe County Board of County
Commissioners is listed as additional insured with respect to work performed
by the insured.
CERTIFICATE HOLDER
COVERAGES
Monroe County Board
of County Commissioners
1100 Simonton Street
Key West, Florida 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
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
@ACORDCORPORATION 1988
ACORD 25 (2001/08)
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