Certificates of Insurance
ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID F21 DATE (MMlDDNYVY)
MILLE-2 01120/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
5900 N. Andrews Ave. #300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Ft. Lauderdale FL 33310-5727
Phone: 954-776-2222 Fax:954-776-4446 INSURERS AFFORDING COVERAGE NAlC#
INSURED INSURER A: Ohio Casualty Ins. Co. OH
INSURER B, Bridgefield Employers IDS. Co.
Miller Mechanical Inc. INSURER C,
P.O. Box 1243 INSURER D,
Key Largo FL 33037-1243 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.
L TR NSR[
POLICY NUMBER
~~!<'~. I POLl(;Y I:A":L~1]\.lN
DATE (MMlDOiYVl DATE (MMlDDNY)
TYPE OF INSURANCE
GENERAL LIABILITY
-
X
01/15/04
01/15/05
EACH OCCURRENCE
PREMISES (~~~~nce)
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS. COM PlOP AGG
BLO 52802964
A
X
COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE [!] OCCUR
~Aggregate per Pro
Blanket Add'l Ins
A
-
GEN'L AGGREGATE LIMIT APPLIES PER:
I POLICY !xl ~~8i n LOC
AUTOMOBILE LIABILITY
-
X ~ ANY AUTO
252802~64 / 01/15/04 01/15/05
AP . "'1:- BfRj'ck MANA~1ENr
BY II U ~.~~ 1111 rz.:?"
DATE- r --6.001
WAIVER NIA.../5:-..... YES /)
Dll)': i~
OTHER THAN
AUTO ONLY:
COMBINED SINGLE LIMIT
(Ea accident)
ALL OWNED AUTOS
-
SCHEDULED AUTOS
-
~ HIRED AUTOS
~ NON-QWNED AUTOS
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
-
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
==l ANY AUTO
EXCESS/UMBRELLA LIABILITY
A X ~ OCCUR D CLAIMS MADE
h DEDUCTIBLE
Ix1 RETENTION $ lO , 000
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
B ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
~~~Elit~~v~g?6~s below
OTHER
AUTO ONLY. EA ACCIDENT
01/15/04
01/15/05
EACH OCCURRENCE
AGGREGATE
252802964
LIMITS
$1,000,000
$100,000
$10,000
$ 1,000,000
$2,000,000
$2,000,000
$1,000,000
$
$
$
EA ACC
AGG
$
$
$
$1,000,000
$1,000,000
$
$
$
08/01/03
08/01/04
X I TORY LIMITS I IUJ~'
E.L. EACH ACCIDENT $ 100000
E.L. DISEASE. EA EMPLOYEE $ 100000
E.L. DISEASE. POLICY LIMIT $ 500000
83029517
A Inland Marine
01/15/04
52802964
01/15/05
Rented
Leased
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAl PROVISIONS
Certificate holder is included as an additional insured with
written contract except for the workers compensation policy.
305-295-3672.....
respects to a
Faxed to:
CERTIFICATE HOLDER
CANCELLATION
10,000 Max
10,000 Max
MONRO 0 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn: Ann
3583 S. Roosevelt Blvd. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Key West FL 33040 REPRESENTATIVES.
AUT~~E~~TIV~ oJ')
\.'\" __T L...
ACORD 25 (2001/0Jij
cc.:~
@ ACORD CORPORATION 1988
ACORDN CERTIFICATE OF LIABILITY INSURANCE OP ID E2/ DATE (MMlDONYVY)
MILLE-2 12/27/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
5900 N. Andrews Ave. #300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Ft. Lauderdale FL 33310-5727
Phone: 954-776-2222 Fax:954-776-4446 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Ohio Casualty Ins. Co. OH
INSURER B: Bridgefield Employers Ins. Co.
Miller Mechanical Inc. INSURER C:
P.O. Box 1243 INSURER D:
Key Largo FL 33037-1243
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.
LTR NSRE TYPE OF INSURANCE POLICY NUMBER ~<i~~T~Mrol:5~l: P9\-LG,Y(~~I~~~1N LIMITS
DATE MMlDD
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
-
A X X COMMERCIAL GENERAL LIABILITY BLO 52802964 Ol/15/05 01/15/06 !!~~.~":!.'=- I u_ t<l:N I t:u $lOO,OOO
PREMISES (Ea occurence)
I-- ~ CLAIMS MADE [iJ OCCUR MED EXP (Anyone person) $10,000
X Aggregate per Pro PERSONAL & ADV INJURY $1,000,000
Blanket Add'l Ins GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $2,000,000
I fil PRO. nLOC
POLICY X JECT
AUTOMOBILE LIABILITY COMBINED :;lINGLE LIMIT
- $1,000,000
A X -..!.. ANY AUTO 252802964 01/15/04 01/15/05 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
I-- $
SCHEDULED AUTOS (Per person)
I--
c-!- HIRED AUTOS AP~~ ~"~. cMEfrl BODILY INJURY
't',.",! ~ $
. ,1.\_'_ I". "
X NON-OWNED AUTOS (Per accident)
- BY tt ~'_-
- -~l).& PROPERTY DAMAGE $
rJATF. . (Per accident)
GARAGE LIABILITY WAi\!F:q : " ~ AUTO ONLY. EA ACCIDENT $
q ANY AUTO '/ f:~ c:
~'. all. OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESSlUMBRELLA LIABILITY cY~ --t'...t .Yo EACH OCCURRENCE $1,000,000
~ OCCUR o CLAIMS MADE ..,.
A X 252802964 01/15/05 01/15/06 AGGREGATE $1,000,000
~vn k $
~ DEDUCTIBLE $
X RETENTION $10,000 $
WORKERS COMPENSATION AND X !TORY LIMITS I IU~R-
B EMPLOYERS' LIABILITY 83029517 08/01/04 08/01/05
ANY PRDPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT $ 100000
OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100000
If yes, descrtbe under $ 500000
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT
OTHER
A Inland Marine 52802964 01/15/05 01/15/06 Rented 10,000 Max
Leased lO,OOO Max
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Certificate holder is included as an additional insured with respects to a
written contract except for the workers compensation policy. Faxed to:
305-295-3672.....
CERTIFICATE HOLDER
ACORD 25 (2001~
CANCELLATION
MONRO 0 6 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 OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AU~~ES _ ATIVE
Monroe County Board of County
Cormnissioners
Attn: Ann
3583 S. Roosevelt Blvd.
Key West FL 33040
@ACORD CORPORATION 1988
ACDRD~ CERTIFICATE OF LIABILITY INSURANCE OP ID E21 DATE (MMlDDIYYYY)
MILLE-2 02/04/05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
5900 N. Andrews Ave. #300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Ft. Lauderdale FL 333l0-5727 I
Phone: 954-776-2222 Fax:954-776-4446 INSURERS AFFORDING COVERAGE I NAIC#
INSURED !INSURER A: Ohio Casualty Ins. Co. OH
INSURER B: Bridgefield Employers Ins. Co.
Miller Mechanical Inc. I INSURER C:
P.O. Box 1243 INSURER D:
Key Largo FL 33037-1243
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.
NSR[ POLICY NUMBER ~~I;!~lJ~J~~E POLICY EXPIRATION LIMITS
LTR TYPE OF INSURANCE DATE (MMlDDNY)
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
-
A X X COMMERCIAL GENERAL LIABILITY BLO 52802964 01/15/05 Ol/l5/06 PRE~~ES (E~~~~~~nce) SlOO,OOO
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $10,000
~ Aggregate per Pro PERSONAL & ADV INJURY $1,000,000
Blanket Add'l Ins GENERAL AGGREGATE $2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000
I Ixl PRO- nLOC
POLICY X JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $1,000,000
A X ~ ANY AUTO BAO ( 06) 52802964 01/15/05 01/15/06 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
- AP~tf ~O d4J1J (2
X HIRED AUTOS C;!,:MENT BODILY INJURY
- $
X NON-OWNED AUTOS BY . .J (Per accident)
-
=1.. -q -Q:. ."-'~'''''''''--''''''~..-.....-
- DATE _.,. 2.,...".....,... PROPERTY DAMAGE $
(Per accident)
~=r ~UTI WAIVER ~J/};. 'f '1''- AUTO ONLY - EA ACCIDENT $
ANY AUTO Oil J ()_ OTHER THAN EA ACC $
0() o<J ~ (I AUTO ONLY: AGG $
~
t]ESSlUMBRELLA LIABILITY .JU' ...... I EACH OCCURRENCE ,$l,OOO,OOO
A X OCCUR n CLAIMS MADE 252802964 01/15/05 01/15/06 AGGREGATE $1,000,000
L-..J
Uj.~ ~ $
~ "'"="" $
X RETENTION $10,000 (} ~/l i1I /101 $
WORKERS COMPENSATION AND l A.../V// ( V '(j J X IT~~i~I~:fls I IUJ~-
B EMPLOYERS' LIABILITY 83029517 08/01/04 08/01/05 $ 100000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100000
If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500000
SPECIAL PROVISIONS below i
OTHER
A Inland Marine 52802964 Ol/l5/05 01/15/06 Rented lO,OOO Max
Leased 10,000 Max
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is included as an additional insured with respects to a
written contract except for the workers compensation policy. Faxed to:
305-295-3672.... .
Lo?'j " ~~ '0-~~c.,,-
CERTIFICATE HOLDER
CANCELLATION
ACORD 25 (2001/08)
MONRO 0 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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.
A~~~ES
@ACORD CORPORATION 1988
Monroe County Board of County
Commissioners
Attn: Ann
3583 S. Roosevelt Blvd.
Key West FL 33040
ACORDN CERTIFICATE OF LIABILITY INSURANCE OP 10 E2\ DATE (MMlDDNYYY)
MILLE 2 08/04/05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
5900 N. Andrews Ave. #300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Ft. Lauderdale FL 33310-5727 \ NAIC#
Phone: 954-776-2222 Fax:954-776-4446 INSURERS AFFORDING COVERAGE
INSURED INSURER A, Ohio Casualty Ins. Co. 24074
INSURER B: Bridgefield Employers Ins. Co. 10701
Miller Mechanical Inc. INSURER C,
P.O. Box 1243 INSURER D,
Key Largo FL 33037-1243
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.
LTR NSRC TYPE OF INSURANCE POLICY NUMBER ~'!~irimg,w;E Pgk'Pt,vfijX:'b~J!gN LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
---; ~~lSh (Ea occurence)
A X X COMMERCIAL GENERAL LIABILITY BLO 52802964 01/15/05 01/15/06 $ 100,000
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 10,000
~ Aggregate per Pro PERSONAL & ADV INJURY $ 1,000,000
Blanket Add'l Ins GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000
I [Xl PRO- n
POLICY X JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $ 1,000,000
A X X ANY AUTO BAO (06) 52802964 01/15/05 01/15/06 (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
>-- $
SCHEDULED AUTOS (Per person)
f-- ~
~ HIRED AUTOS :00' .," J, l BODILY INJURY
$
~ NON-OWNED AUTOS f.\:~:~ (Per accident)
'f),,, t I~____, c ,.~ PROPERTY DAMAGE
- ---. $
T '(\)_<:::J '^ (Per accident)
GARAGE LIABILITY DAT C .'(L ' . .~-L....'''-'U .A-r i AUTO ONLY - EA ACCIDENT $
~ ANY AUTO \L ,VV'I' 01.- EAACC $
WA\\/;::f< '.r' "t.. OTHER THAN
AUTO ONLY: AGG $
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $1,000,000
A X :J OCCUR o CLAIMS MADE 252802964 01/15/05 01/15/06 AGGREGATE $1,000,000
$
~ DEDUCTIBLE $
X RETENTION $10,000 $
WORKERS COMPENSATION AND I X I TORY L1Mm; \ IOJr-
ER
B EMPLOYERS' LIABILITY 830-34324 05/06/05 05/06/06 $ 100000
ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $ 100000
If yes, describe under EL. DISEASE - POLICY LIMIT $ 500000
SPECIAL PROVISIONS below
OTHER
A Inland Marine 52802964 01/15/05 01/15/06 Rented 10,000 Max
Leased 10,000 Max
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Certificate holder is included as an additional insured with respects to a
written contract except for the workers compensation policy. Faxed to:
305-295-3672.....
CERTIFICATE HOLDER
CANCELLATION
COVERAGES
MONRO 0 6
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 OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
A~~~ES
@ACORDCORPORATION 1988
Monroe County Board of County
Conunissioners ~..
ll~:~ ~l'V~E:D\J
3583 S. Roosevelt ~CE :.,I
Key West FL 33040 ~005
f.\UG 0 B L
ACORD 25 (20ljil/0~
GG.'~
NTO Management, Inc 7012 1640 0001 6123
607 South Alexander Street, Suite 212
Plant City, Florida 33563-5050
Pv1a11dg0911e "t j
WARNING! FLORIDA'S CONSTRUCTION LIEN LAW ALLOWS SOME UNPAID CONTRACTORS,
SUBCONTRACTORS, AND MATERIAL SUPPLIERS TO FILE LIENS AGAINST YOUR PROPERTY EVEN IF
YOU HAVE MADE PAYMENT IN FULL. UNDER FLORIDA LAW, YOUR FAILURE TO MAKE SURE THAT WE
ARE PAID MAY RESULT IN A LIEN AGAINST YOUR PROPERTY AND YOUR PAYING TWICE. TO AVOID A
LIEN AND PAYING TWICE, YOU MUST OBTAIN A WRITTEN RELEASE FROM US EVERY TIME YOU PAY
YOUR CONTRACTOR.
CERT #:70121640000166006123 OWNER: Monroe County
TO: Monroe County 500 Whitehead Street
500 Whitehead Street Key West, Florida 33040
Key West, Florida 33040
N O T I C E T O O W N E R / N O T I C E T O C O N T R A C T O R
The undersigned hereby informs you that he or she has furnished or is furnishing services and /or materials, as follows:
Insulation Work
or the improvement of the real property identified as: N
=
Marathon Courthouse
3117 Overseas Highway, Marathon, Florida 35050 ° ..-"") to) 11
in the County of Monroe and furthermore described as Parcel ID: 00102310- 000000 9 66 32 Key vaccas pt lot 1 or15- 374/76 or284- 18/2
under an order given by:
rn
_ C)
Miller Mechanical, Inc. - { �- p
6555 West Broward Boulevard, #403C W O
Plantation Florida 33317
Florida law prescribes the serving of this notice and restricts your right to make payments under your contract in accordance with section 713.06, Florida Statutes. If job is
bonded under section 713.23 or section 255.05, Florida Statutes, the undersigned will look to the contractor's bond for protection and payment. If a payment bond exists,
the undersigned request that you furnish a copy of the payment bond or provide the name and address of the bonding company.
IMPORTANT INFORMATION FOR YOUR PROTECTION
Under Florida's laws, those who work on your property or provide materials and are not paid have a right to enforce their claim for payment against your property. This
claim is known as a construction lien. If your contractor fails to pay subcontractors or material suppliers or neglects to make other legally required payments, the people
who are owed money may look to your property for payment, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL.
PROTECT YOURSELF
RECOGNIZE that this Notice to Owner may result in a lien against your property unless all those supplying a Notice to Owner have been paid.
LEARN more about the Construction Lien Law, Chapter 713, Part I, Florida Statutes, and the meaning of this notice by contacting an attorney or the Florida Department
of Business and Professional Regulation.
COPIES TO: This Document Prepared By: As Agent For:
Pedro Falcon Electrical Contractors, Inc. C.M. Nalepa G �
31160 Avenue C 1100 Simonton 57, Room # 2 -216
Big Pine Key, Florida 33043 Key West, Florida 33040
70121640000166006130 70121640000166006147 Shirley C. Spencer, Pres Insulation Group of Miami, Inc.
Miller Mechanical, Inc. NTO Management, Inc. 14235 SW 85th Street
6555 West Broward Boulevard, #403C Sep 17 2012 Miami Florida 33183
Plantation, Florida 33317 Contact: Ana R. Estrada
(305) 994 9422
Re #: 8G750
/ Direct demands pursuant to Section713.16, Florida Statutes to
Insulation Group of Miami, Inc.
GL• e