Certificates of Insurance
~AlIstate.
You're in good hands.
CERTIFICATE OF INSURANCE
ALLSTATE INDEMNITY COMPANY
HOME OFFICE - NORTHBROOK, IL 60062
hereby 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
The person or organization designated below is described in the policy as:
MONROE CNTY RISK MAN
1100 SIMONTON STREET
KEY WEST, FL 33040-3110
EFFECTIVE DATE
OF CERTIFICATE
10/24/02
POLICY PERIOD
02/02/02 TO 02/02/03
AT 12:01 A.M. STANDARD TIME
. ~ liENHOLDER (Loss Payable Clause)
ADDITIONAL INTERESTED PARTY
X ADDITIONAL INSURED
CERTIFICATE HOLDER
Coverages designated are afforded as stated below:
AS THEIR INTEREST MAY APPEAR
~'. (]1&)
Cc', ~
~o,'T1 fY)C~
A~E~. ..! 1$1< Mmf;MI:N'f
BY f 1<-
DATE . ~c6
WAIVER N/A ~YES
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.
BU1380-1
PAGE 1 OF 1
BU114-2
II
Client#: 9682 BLUEWAT
A1XlBIlM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDNY)
01/08/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Starkweather & Shepley ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Insurance Brokerage, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
60 Catamore Blvd. I
East Providence, RI 02914-1226 I INSURERS AFFORDING COVERAGE
___~_ "~_m_" "------ _.--._--------_._~--_._---------- _ <__" _""__m_______"_"~____"~__"~_____"__~"______
INSURED I INSURER A: THE ST PAUL COMPANIES, INC.
Blue Water Marine Services -- -0-____- - ~ - -- ~-- - - -- - - -- ------
INSURER B:
P.O. Box 901716 ___._"__"_n__m_"..._______"__"._._._."_"~_""_~_____
INSURER c,
Homestead, FL 33090 ------.-------...-...---..----...-..~_._--___.__._______...._____u.____.._
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 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 -~----~-~_. POLICY EFFECTIVE
LTR TYPE OF INSURANCE POLICY NUMBER DATE MMlDDNY DATE MMlDDNY
12/20/01 12/20/02 E~HOCCURRENC~
A GENERAL LIABILITY
XhMMERCIAL GENERAL LIABILITY
--~_I ~ CLAIMS MADE [XJ OCCUR
I
_J ~_~=---=-_-=~~
BINDERll1972
LIMITS
GEN'L AGGREGATE L1M IT APPLIES PER:
--- ~~ PRO-
POLICY JECT
[AUTOMOBILE LIABILITY
-=1 ANY AUTO
1 ALL OWNED AUTOS
SCHEDULED AUTOS
I 1 HIRED AUTOS
~. ~- NON-OWNED AUTOS
!- --------~-~--
PRODUCTS - COMP/OP AGG
$~O~~
$50 000__
$5 000 _~
$1, O_~OO
~2 , 0 O~Q_Om
~Q_~OO _
FIRE DA"'-AGE (AnLone fire) . _
, MED EXP (Any ol'le person)___
PERSONAL & ADV INJURY
GENERAL AGGREGATE
LOC
APP
BY
DATE
WAIVER
COMBINED SINGLE LIMIT $
(Ea accident) -~---t-----~-------~
BODILY INJURY I $
(Per person)
.__.~-L___~_____
BODILY INJURY I
(Per accident) : $
-------I~------
PROPERTY DAMAGE I $
(Per accident) .
GARAGE LIABILITY
~~ ANY AUTO
EXCESS LIABILITY
~ ~ OCCUR r-l CLAIMS MADE
_ml DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
I EMPLOYERS' LIABILITY
I
I
AUTO ON_L~ - EA !\CCIDEN!--tL_~_______
OTHER THAN EA ACC i ~_~____ "
AUTO ONLY:
A OTHERp & I
i
I
BINDERll1947
12/20/01,12/20/02
I
I
I
I
AGG $
EACH OCCURRENCE , $
-----.-j-'-------..----
~^"""G::-~ .~~.l!~ .-_-
1$
WC STATU- I 10TH-
IORYLlMITS I--LE.B-l-------~
!:-,=_EACHACCID~N~ ----P'~------
I E.L. DISEASE - EA EMPLOYEE' $
'E.L. DISEASE ~-POLlC;~~$---~
$500,000
Monroe County Board Of
Commissioners
Marine Projects Section
5100 College Road
Key West, FL 33040
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS 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: 1994 26' Silvership, 1998 25'9" Madison, 1998 24' Silvership,
Baycat, 2000 45'x 25' Barge, 220 LC3 Komatsu, 1999 55'x 25' Barge, 2000
Silvership, 1999 Kobelco #SK220 & 2001 28' Silvership
CERTIFICATE HOLDER ADDmONALINSURED;INSURERLETTER: CANCELLATION
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL1D___DAYSWRITTEN
NOTICE TOTHE CERTIFICATE HOLDERNAMEDTOTH~ LEFT,~UTF~.~!'f!f?flOSHALL
1M POSE NO OBLIGATION OR LIA~!4!,(9FANV'~ q~n+E'~,R'M~ENTS OR
REPRESENTATIVES. "",c/' 'Atrorne
AUTHORIZED REPRESENTATIVE
26,
25'9"
ACORD 25-S (7/97) 1 0 f 2
#S46792/M46780
CERTI~TE OF INSURANCE
o ALLSTATE INSURANCE COMPANY ~LLSTATE INDEMNITY COMPANY 0 ALLSTATE TEXAS LLOYD'S
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFI.
CATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
CERTIFICATE HOLDER NAMED INSURED
Name and Address of Party to Whom this Certificate is Issued Name and Address of Insured
MONROE COUNTY BOARD OF COUNTY BLUE WATER MARINE SERVICES INC.
COMMISSIONERS PO BOX 901716
MONROE COUNTY RISK MANAGEMENT HOMESTEAD, FL. 33090
1100 SIMONTON ST
KEY WEST, FL. 33040
This is to certify that policies of insurance listed below have been issued to the insured named above subject to the expiration date indicated below,
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.
TYPE OF INSURANCE AND LIMITS
Policy
Number
Limit
GENERAL AGGREGATE LIMIT Other than Products - Com leted Operations
PRODUCTS COMPLETED OPERATIONS AGGREGATE LIMIT
PERSONAL AND ADVERTISING INJURY LIMIT
EACH OCCURRENCE LIMIT
PHYSICAL DAMAGE LIMIT
MEDICAL EXPENSE LIMIT
WORKERS' COMPENSATION &
EMPLOYERS' LIABILITY
Policy
Number
Effective
Date
Limits
ANY ONE LOSS
ANY ONE PERSON
Expiration
Date
COMMERCIAL GENERAL LIABILITY
Effective
Date
Covera e
WORKERS' COMPENSATION
EMPLOYERS'
LIABILITY
STATUTORY - a lies onl in the followin
BODILY INJURY BY ACCIDENT
BODILY INJURY BY DISEASE
BODILY INJURY BY DISEASE
Policy
Number
states:
$
$
$
EACH ACCIDENT
EACH EMPLOYEE
POLICY LIMIT
Expiration
Date
DANY AUTO
Covera e Basis
D OWNED AUTOS
D HIRED AUTDS
Effective
Date
AUTOMOBILE LIABILITY
DSPECIFIED AUTOS
D NON-OWNED AUTOS
EACH ACCIDENT
DOWNED PRIVATE PASSENGER AUTOS
DOWNED AUTOS OTHER THAN PRIVATE PASSENGER
Bodily In'ury
$
$
$
Each
PERSON
ACCIDENT
Expiration
Date
UMBRELLA LIABILITY
EACH OCCURRENCE
Policy
Number
Effective
Date
GENERAL AGGREGATE
PRODUCTS - COMPLETED OPERATIONS AGGREGATE
$
OTHER (Show
type of Policy)
$
Policy
Number
$
Effective
Date
~AlIstate.
You're in good hands.
DESCRIPTION OF OPERATIONS/LOCATlONSIVEHICLES/RESTRICTIONS/SPECIAL ITEMS
SCOTT GORHAM, INSURANCE AGENT
125 NE 8th STREET, #7
HOMESTEAD, FL 33030
BUS: (305) 245-8488 . FAX: (305) 245-8660
ADDITIONAL INSURED "MONROE COUNTY BOARD OF COUNTY COMMISSIONERS."
CANCELLATION
Number of days notice
go
/q6.s-~~
" Date'
Should any of the above described policies be cancelled before the expiration date, the issuing company will endeavor to mail within the number of
days entered above, written notice to the certificate holder named above. But failure to mail such notice shall impose no obligation or liability of any
kind upon the company, its agents or representatives.
Ul0523.2
'-
ACDEJDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDNY)
10./18/0.2
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Starkweather & Shepley ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
PO Box 549 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Providence, RI 0.290.1-0.549
40.1 435-360.0. E. INSURERS AFFOROING COVERAGE
~-_._- -- - -_._-~----- _._.~---_. -..-.-------- --- - ------ ~--- -- -- ---
INSURED IN.~URERA:JHE S_T_PAUL_~OMPANIES, IN~ _ _____~~ ~__
Blue Water Marine Services INSURER B'
P.O. Box 901716 -------~ ---~---------- -----...-.--
Homestead, FL 330.90. : INSU~I'l~~___ ------ .._._~- "---~-----_._._--_.,---~._,._._-
~~D'
~-_._-_.- ----.--------.--
I INSURER E:
Client#. 9682
BLUEWAT
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~f~ TYPE OF INSURANCE POLICY NUMBER Pgk'fEY ~~~~~E
A GENERAL LIABILITY 39o.FA52876
~..I~.'RO~G""~'~"~
[~~;'~:~:':rr'~.::
. POLICY ~~o.r LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
12/20./0.1
LIMITS
12/20./0.2
_EACH OCCURRENCE $1 ,o.o.o.,Q()~_____
FIRE ~~AGE (Anyone fire) $50.,0.0.0. ______
MED EXP (Anyone person) $5,0.0.0.
PERSONAL & ADV INJ.LJRY $1 0.0.0.,0.00.
GENERAL AGGREGATE $2,0.0.0.,0.0.0.
PRODUCTS -COMP/OP AGG rt,Oo.o.,o.o.o.
GARAGE LIABILITY
--,
I ANY AUTO
A
BY
DATE
WAIVER
COMBINED SINGLE LIMIT -t
(Ea accident)
---- - - --~--
~ODIL Y INJURY I $
(Per person)
-----~--f----
BODILY INJURY I
(Per accident) : $
-~ ~--r-
PROPERTY DAMAGE II $
(Per accident)
AUTO ONLY. EA ACCIDENT $
~--~--
EA ACC $
OTHER THAN
AUTO ONLY:
AGG $
EXCESS LIABILITY
L_ _J OCCUR D CLAIMS MADE
I
r=] DEDUCTIBLE
. RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
EACH OCCURRENCE $
-----_._~_._-
AGG~EGATE.--=--_~__--=----==-----==
-~----~-- -------
$
$
A OTHER P & I
39o.FA52876
12/20./0.1
12/20./0.2
I
E.L. DISEASE. EA EMPLOYE.~I $
E.L. DISEASE. POLICY LIMIT $
$1,0.0.0.,0.0.0.
DESCRIPTION OF OPERA TIONSlLOCA TIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Certificate Holder listed below is named as Additional Insured
P & I includes the Jones Act, Collision, Tower's & Salvor's Liability and
Diver Coverage
Vessels: 199426' Silvership, 199825'9" Madison, 199824' Silvership, 26'
(See Attached Descriptions)
CERTIFICATE HOLDER ADDmONALINSURED;INSURERLETTER: CANCELLATION
Monroe County Board Of
Commissioners
Risk Management
1100. Simonton Street
Key West, FL 33040.
SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30..___ DAYS WRITTEN
NOTICE TOTH E CERTlFIC~~AU!!oi.Tbdidl&~lliul:ie, TO DOSOSHALL
IMPOSE NO OBLIGATION lihllSU '.Q.,l;Ii~ ~~~,ITS AGENTS OR
Attorn.:;,
REPRESENTATIVES.
AUTHORIZED REPRESENTATIV
DESCRIPTIONS (Continued from Page 1)
Baycat, 2000 45'X 25' Barge, 220 LC3 Komatsu, 1999 55' X 25' Barge, 2000 25'9"
Silvership, 1999 Kobelco, 2001 28' Silvership & 1998 30' Silvership
AMS 25.3 (07/97) 3
of 3
#S57245/M541 05
IMPORTANT
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.
ACORD25-S(7197)2 of 3 #S57245/M54105
ACQRDTM CERTIFICATE OF LIABILITY INSURANCE 1 DATE (MMIDDNYYY)
12/18/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Starkweather & Shepley ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Insurance, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO Box 294
Westerly, RI 02891 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: THE ST PAUL COMPANIES, INC.
Blue Water Marine Services INSURER B,
P.O. Box 901716 INSURER C:
Homestead, FL 33090 INSURER D:
INSURER E:
Glient#. 96B~
BLUEWAT
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.
LTR NSRI TYPE OF INSURANCE POLICY NUMBER p~Lf~~J~;g8~~\E Pg~fll~XJ,b~~.gN LIMITS
A ~NERAL LIABILITY 390FA52876 12/20/02 12/20/03 EACH OCCURRENCE $1 000 000
X COMMERCIAL GENERAL LIABILITY ~~~~~H9E~~~~~~ence' $50 000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $5.000
PERSONAL & ADV INJURY $1 000 000
GENERAL AGGREGATE $2.000 000
GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS - COMP/OP AGG $2.000 000
~ nPRO- n
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
- APPROVErn ; rn:NA~~ ~
- ALL OWNED AUTOS oU ,~ BODILY INJURY
$
SCHEDULED AUTOS (Per person)
- BY_- J-A~U l3
- HIRED AUTOS BODilY INJURY
DATE - (Per accident) $
- NON-OWNED AUTOS LVES
- WAIV' .. PROPERTY DAMAGE
/" ~') II (Per accident) $
~RAGE LIABILITY mto- ~ ~ AUTO ONLY - EA ACCIDENT $
ANY AUTO IvI ~~(Jo OTHER THAN EA ACC $
AUTO ONLY: AGG $
[JESS/UMBRELLA LIABILITY eel r-----' EACH OCCURRENCE $
OCCUR D CLAIMS MADE ~ ~C(;~ AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T~~N~W;; I 10J~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under E.L. DISEASE. POLICY LIMIT $
SPECIAL PROVISIONS below
A OTHER P & I 390FA52876 12/20/02 12/20/03 $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS eOjJ;' h:
Certificate Holder listed below is named as Additional Insured . , J1Q.,n Ce..
P & I includes Jones Act, Collision, Tower's and Salvor's Liability
Vessels: 199426' Silvership, 199825'9" Madison, 199824' Silvership, 26' Baycat, 2000
45'x25' Barge, 220 LC3 Komatsu, 1999 55'x25' Barge, 2000 25'9" Silvership, 1999 Kobelco,
200128' Silvership, 1998 30' Silvership, Kobelco SK229 & 1988 13'5" Whaler
CERTIFICATE HOLDER
ACORD 25 (2001/08) 1 of 2
#S59223/M 59212
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -..1.0...... DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLD....ER "iA~ED T H EttT8t~'i!t'E~ SHALL
IMPOSENOOBLlGATlONORLIABILiifr~ . _ 1\l..TJ:l.1~R..R'SAG6NTSOR
T"NSU NKU ~uc; 1l~.
REPRESENTATIVES. U / .
AUTHORIZED REPRESENTATIVE /r::fc ./
/ If A /-">
. "-SLN RPORATION 1988
Monroe County Board Of
Commissioners
Marine Projects Section
5100 College Road
Key West, FL 33040
~
Client#: 9682
BLUEWAT
. CERTIFICATE OF LIABILITY INSURANCE I
ACDBDTM DATE (MM/DDNY)
10/18/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Starkweather & Shepley ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
PO Box 549 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Providence, RI 02901-0549
401 435.3600 INSURERS AFFORDING COVERAGE
~--------,. --- _._-~-------------- , ..- ----- -.._-_.__.,~--..._.----_.- ----....---------....-.-.--.---------- ___0'- -- "..- --
---~------~------~-. .------
INSURED , INSURER A: THE ST PAUL COMPANIES, INC.
Blue Water Marine Services r------.-..---------.----------.------- .. ------..---..-----------..-...- - "-------
P.O. Box 901716 I-'~SUF~ER B:_~____~___________~_____ _____ __ __
Homestead, FL 33090 I~~~~::~: -- -=---=-===~=--==-~-=- '-',.--.,'--.-...----
._.-.._---,~----._---
I 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.
~~ TYPE OF INSURANC~---r-~I~Y NUMBER --------:P8k'fEY ~~%~~E
AUTO ONLY. EA ACCIDENT $
-'--~~
EA ACC $
AGG $
EACH OCCURRENCE $
.-.--------
AGGREGAT_~___---+$~ ________
me b-et _____==-==~:~-=~-=~=
$
A GENERAL LIABILITY 390FA52876
-I COM M ERCIAL GENERAL UAB IUTY
::::J CLAIMS MADE [=:J OCCUR
e-
12/20/01
12/20/02
LOC
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
APP
BY
DATE
WAIVER
~RAGE LIABILITY
I---=] ANY AUTO
EXCESS LIABILITY
OCCUR CJ CLAIMS MADE
Cc/f,
I ~ vv1
~~
, I
--I
Ii DEDUCTIBLE
, RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
A OTHER P & I
390FA52876
12/20/01
12/20/02
LIMITS
EACH OCCURRENCE
$1 000,000___
$50,000___
$5,000
$1 ,000,000
$2 000 000
$1~000,OOO _
FI."l.E DAMAGE (An~one fi",t
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS .COMP/OP AGG
COMBINED SINGLE LIMIT I
(Ea accident) I $
-------------..---1-----.
BODILY INJURY I $
(Per person)
--~------_.._+-- ------ ---
BODILY INJURY I
(peraCcident)__ I~____________
PROPERTY DAMAGE
(Per accident)
$
OTHER THAN
AUTO ONLY,
DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Certificate Holder listed below is named as Additional Insured
P & I includes the Jones Act, Collision, Tower's & Salvor's Liability and
Diver Coverage
Vessels: 199426' Silvership, 199825'9" Madison, 199824' Silvership, 26'
(See Attached Descriptions)
CERTIFICATE HOLDER ADDmONALINSURED;INSURERLETTER: CANCELLATION
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3Q___DAYSWRITTEN
Monroe County Board Of
Commissioners
Risk Management
1100 Simonton Street
Key West, FL 33040
NOTICE TOTH E CERTlFleAi1'6. HOLe.IiR ~ Eo.:ro.r~ E,,~Fl,.~f~IjlE TO DO SO SHALL
,:) l.tuu.... W ~d r .lA'>. ,^",.)1 11.:'1 L1:.r
IMPOSE NOOBUGATI~ fm:~ ~t!~f~EER.ITSAGENTSOR
REPRESENTATIVES.
AUTHORIZED REPRESENTA
ACORD 25-S (7/97) 1 "'of 3 #S57245/M541 05
CoCo: ~
CORD CORPORATION 1988
DESCRIPTIONS (Continued from Page 1)
Baycat, 2000 45'X 25' Barge, 220 LC3 Komatsu, 199955' X 25' Barge, 2000 25'9"
Silvership, 1999 Kobelco, 2001 28' Silvership & 1998 30' Silvership
AMS 25.3 (07/97) 3
of 3
#S57245/M54105