Certificates of Insurance
~AlIstate.
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CERTIFICATE OF INSURANCE
EFFECTIVE DATE
OF CERTIFICATE
02/02/01
_STATE INSURANCE COMPANY
ME OFFICE - NORTHBROOK, IL 60062
-eby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
BLUEWATER MARINE SERVICE 049828888 BAP
DBA TOW BOAT US S DADE
PO BOX 901716
HOMESTEAD, FL 33090-1716
e person or organization designated below is described in the policy as:
MONROE COUNTY BOARD OF
5100 COLLEGE RD WING 1V
KEY WEST, FL 33040-4319
POLICY PERIOD
02/02101 TO 02102102
AT 12:01 A.M. STANDARD TIME
~ LIENHOLDER (Loss Payable Clause)
ADDITIONAL INTERESTED PARTY
X ADDITIONAL INSURED
CERTIFICATE HOLDER
~verages designated are afforded as stated below:
LIABILITY: $300,000 EACH ACCIDENT
1985 FORD TRUCK F100 SERlE
1 FTCF 15F5FNA 10694
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'0 the person or organization stated above:
'his policy, as respects the interest of the loss payee, additional Interested party, additional insured or certificate holder
lamed herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days
vritten notice at Its last address known to the Company.
)roof of such mailing is deemed sufficient proof of such nc:ice.
rhis Certificate of Insurance neither affirmatively nor nega'.ively amends. extends or alters the coverage afforded by the policy
"eferred to above.
3U138o-1
PAGE 1 OF 1
BUl14.2
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- Client#: 9682 BLUEWAT
ACORn". CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYY)
.. 04/19/01
PRODUCER TIllS CERTIFICATE IS ISSUED AS A MATfER OF INFORMATION
Starkweather & Shepley ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Insurance Brokerage, Inc. HOLDER. TIllS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
60 Catamore Blvd.
East Providence, RI 02914-1226 INSURERS AFFORDING COVERAGE
INSURED INSURER A: New Hampshire Insurance
Blue Water Marine Services INSURER B: Environmental Pollution Group
16015 S.W. 298 Terrace -~ ~~
INSURER c:
Homestead, FL 33033 , INSURER D:
I' INSURER E: -..-
j
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED 0
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUC
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
~ ' TYPE OF INSURANCE POLICY NUMBER "g~\<i:Y EtI~<i>~~E I~If.fl E~~;VON LIMITS
GENERAL LIABILITY 6082267 12/20/00 112/20/01 1 EACH OCCURRENCE i $I 000,000
~.x I COiMERCIALGENE~lABlLITY ~~J!l.~DAMAGE (Any lJlle..!ir~L $_~ 000
, 1 , CLAIMS MADE ; X i OCCUR : MED EXP (Anyone person) $ 5 000
---~r---'~ -.-- r-----.- .-------- ..-.. ... _"'_._____... _. --or ..... __".. __u_." __"_U"_.,.,
I~ ~ERSOIlj~~ ADV INJUR'\'~L_O 0 O.LQ 0 0
~~,L~~':'~UMrr~".';'" I, li:~;::OG=,~~-.;:OG f:~: ggUgg
POLICY i r:a- , LOC
q' AUTOMOBILE LIABILITY I
I COMBINED SINGLE LIMIT I $
ANY AUTO I (Ea accident) I
i , ALL OWNED AUTOS ~ODIL Y I~JURY ~--~---r:
~~ SCHEDULED AUTOS i (Perperson)__~__._~___l__~.____
, i
L._ HIRED AUTOS I' BODILY INJURY
,- i $
[j NON~WNED AUTOS <,v i-:::~;:::)D~~~~--'+------------
i i (Per accident) I $
hARAGE LIABILITY
f--j ANY AUTO
,
AUTO ONLY. EA ACCIDENT I $
I ~THER~;HA~ ~A ACC-j;----=---=---=-__=__
I AUTO ONLY: AGG $
EACH OCCURRENCE
AGGREGATE
\P~".TQ:
','" -;... ~S!
.. ~vf I
EXCESS LIABILITY
OCCUR 0 CLAIMS MADE '
AIOfHERP&I
A Pollution Liab.
CV303070313721
0103839
$
$
$
, I' WC STATU- [' r'OTH- i
1 .TORY LIMITS. . ER I
LE.l:.:.~~..<:.'!.~CCID~",~_.__l.~_~~___
; E.L.DISEASE -EA EMPLOYEE I $
E.L. DISEASE - POLICY LIMIT' $
112/20/00,12/20/01 $500,000
01/28/01101/28/02 1$1,000,000
I
DEDUCTIBLE
RETENTION
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONSILOCATIONSNEillCLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER LISTED BELOW IS NAMED AS ADDITIONAL INSURED
P & I includes Jones Act, Collision, Tower's and Salvor's Liability
Vessels: 2000 45x25 Barge, 220 LC3 Komatsu,1999 55x25 Barge, 2000 25'9"
Silvership, 1994 26' Silvership, 1998 25'9" Madison, 1998 24' Silvership, 26'
Baycat & 20' Shamrock
CERTIFICATE HOLDER
ADD lIDNALl'<lSURED . INSURER IJ;;TIER:
CANCELLATION
Monroe Cty Board Of Commissioner
Marine Projects
Attn: Kim McGee
5100 College Road, Rm #410
Key West, FL 33040
SHOUIJl ANYOF1HE ABOVE DESCRBED POLJ:;IES BE CANCELLED BEFORE 1HE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILLENDEA VOR TOMAILlQ___ DAYS WRIrIEN
NOIX:ET01HE CER11FK:A~'~~rvoDOSOSHAU..
IMPOSE NO OBLIGATION ~~ ,~,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIV
ACORD 25-S (7/97) 1 of 2
#S27955/M27951
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 WANED, 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.
ACORD2S-S(7/97) 2 of 2 #S27955/M27951
~AlIstate.
You're in good hands.
POLICY NUMBER 049828888 BAP
COMMERCIAL AUTO
CA 20 01 10 01
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LESSOR - ADDITIONAL INSURED AND LOSS PAYEE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is in-
dicated below.
Endorsement Effective FEBRUARY 02, 2004 Countersigned By:
Named Insured:
BLUEWATER MARINE SERVICE
DBA TOW BOAT US S DADE (Authorized Representative)
SCHEDULE
Insurance Company ALLSTATE INSURANCE COMPANY
Policy Number 049828888 BAP
Effective Date FEBRUARY 02, 2004
Expiration date FEBRUARY 02, 2005
Named Insured BLUEWATER MARINE SERVICE DBA TOW BOAT US S DADE
Address PO BOX 901716
HOMESTEAD, FL 33090-1716
Additional Insured (Lessor) MONROE CNTY RISK MAN
Address 1100 SIMONTON STREET
KEY WEST, FL 33040-3110
Designation or Description of "Leased Autos"
AS THEIR INTEREST MAY APPEAR
C- C f>J (:. Vl.. a... t1.... c:;. e-
CA 20 01 10 01
Copyright, ISO Properties, Inc., 2000
Page 1 of 2
BU114-2
~
Coverages Limit Of Insurance
Liability
$300,000 EACH "ACCIDENT
Personal Injury
Protection (or equivalent
no-fault coverage) $
Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS:
$ For Each Covered "Leased Auto"
Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS
$ For Each Covered "Leased Auto"
Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS
$ For Each Covered "Leased Auto"
(If no entry appears above, information required to complete this endorsement will be shown in the Declara-
tions as applicable to this endorsement.)
1. Any "leased auto" designated or described
in the Schedule or in the Declarations will
be considered a covered "auto" you own
and not a covered "auto" you hire or bor-
row. For a covered "auto" that is a "leased
auto" Who Is An Insured is changed to in-
clude as an "insured" the lessor named in
the Schedule.
3. If we make any payment to the lessor, we
will obtain his or her rights against any
other party.
A. Coverage
C. Cancellation
1. If we cancel the policy, we will mail notice
to the lessor in accordance with the Can-
cellation Common Policy Condition.
2. The coverages provided under this
endorsement apply to any "leased auto"
described in the Schedule until the expira-
tion date shown in the Schedule, or when
the lessor or his or her agent takes pos-
session of the "leased auto", whichever
occurs first.
2. If you cancel the policy, we will mail notice
to the lessor.
3. Cancellation ends this agreement.
D. The lessor is not liable for payment of your
premiums.
B. Loss Payable Clause
E. Additional Definition
1. We will pay, as interest may appear, you
and the lessor named in this endorsement
for "loss" to a "leased auto".
As used in this endorsement:
2. The insurance covers the interest of the
lessor unless the "loss" results from
fraudulent acts or omissions on your part.
"Leased auto" means an "auto" leased or
rented to you including any substitute, re-
placement or extra "auto" needed to meet
seasonal or other needs, under a leasing or
rental agreement that requires you to provide
direct primary insurance for the lessor.
CA 2001 1001
Copyright, ISO Properties, Inc., 2000
Page 2 of 2
WAllstate.
Vou're in good hands.
CERTIFICATE OF INSURANCE
EFFECTIVE DATE
OF CERTIFICATE
02/02/01
ALLSTATE INSURANCE COMPANY
HOME OFFICE - NORTHBROOK, IL 60062 •
hereby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER POLICY PERIOD
BLUEWATER MARINE SERVICE 049828888 BAP 02/02/01 TO 02/02/02
DBA TOW BOAT US S DADE AT 12:01 A.M. STANDARD TIME
PO BOX 901716
HOMESTEAD, FL 33090 -171b�
The person or organization designated below is described in the policy as:
MONROE COUNTY BOARD OF
5100 COLLEGE RD WING 1V
KEY WEST, FL 33040 -4319
LIENHOLDER (Loss Payable Clause)
ADDITIONAL INTERESTED PARTY
X ADDITIONAL INSURED
CERTIFICATE HOLDER
Coverages designated are afforded as stated below:
LIABILITY: $300,000 EACH ACCIDENT
1985 FORD TRUCK F100 SERIE 1 FTCF15F5FNA10694
Q.0).1) (16 "").
L14
M
To the person or organization stated above:
This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder
named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days
written notice at its last address known to the Company.
Proof of such mailing is deemed sufficient proof of such notice.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy
referred to above.
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BU114-2