Certificates of Insurance
ISSUE DATE (~M iOOIVYI
975989
o 1/26/04
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHIS UPON THE CERTIFICATE
HOLDER, THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED Bi' THE POLICIES BELOW
COMPANY A
LEITER GREAT AMERICAN ASSURANCE COMP~
COMPANY B
LETTER
COMPANY C
LETTER
COVERAGES--
THIS 15 TO CERTIFY TH.6:1" THE POLICIES OF INSURANCE LISTED BELOW HAVE I!EJ:N ISSUED TO THE INSU1'IECl NAMED ABOVE FOR THE POLICY PERIOD IN.
DICATED. NonMTHSThNDING AN.,. REQUIREt.ENT. TERM OR CONomON OF AN.,.. COHll'lACT OR OTHER DOCUMENT WITH RESPECT 10 WHICH TH IS CERTIFICATE
MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BVTHE POliCIES DESCR/BED HEREIN IS SUBJECT mALL TH E TERMS. EXCLUSIONS AND CONDI-
TIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO, POlICY EFFECTiVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYYl DATE (MMJODIYV) LIMITS (inlhousands)
1000 $
Statuto",
Each Accident
Disease-Policy Limit
Disease-Each Employee I
$
$
$
$
CERTIFICATE OF INSURANCE
PRDDl.JCER
K & K Insurance Group,
1712 Magnavox Way
P.O. Box 2338
Fort Wayne, In 46801
Inc.
COMPANIES AFFORDING COVERAGE
INSURED
DOLPHJN RESEARCH CENTER I INC.
58901 Overseas Highway
, Grassy Key, Fl. 33050
A
General Liability
OOCommercial General LiabiliW
o Claims Made [XI DcclJf,
o Ownllir's B. ConlraClors Prot
o
General Aggrega1 e $
PrOdUCIS-CDmMOos Aooreoa!e :Ii
Personal & Mvel1ising Iniurv S
Each Occurrence S
Fi r!j CamaClll (Any one UIllI $
Me<llcal Excense (Anv one oerson) :&
~r1jdpanl LegOli Liability $
C~mbin8d
rii::r.a $ 1 000
Bodily
Injury
(pil p8rsoni $
Bodilv
kliury
(per accide1l11 $
Pro 0 erty
Dam lOB $
PAC0788949401
12:01AM
3/01/03
12:01AM
3/01/04
A
Aulamoblle Liability
o Any aulo
o All lM'ned autos
[X\ Scheduled &Utos
~ H~:-ed auto~
[ilNon.owned autos
o GaragB Liability
o
Excess L iabillly
[X\
o Other than Umbrella form
$
PAC0788949401
12:01AM
3/01/03
12:01AM
3/01/04
Each
OCCUrrer\C8
12:01AM 12:01AM
3/01/03 3/01/04
~.. F"') ", (/ [).,. ..'I~
:'" .-,' ..... ":'j'( 'VlA, EMr::NT
c, ".. ,,- \ y 1-' a 7'
'=' T ?
-. ~ --lJ-!5_Ll
EXC0788950201
A
Workers' Compensation
and
Employel'$' liability
$
$
$
AD&D
Primary Medical
E)(cess Medical
Weekly Ind&mnily
Pllrtlc;lplUlt
Accident
...., ,'....
t.:.)
-
DESCRIFTION 01' OPERATIC'foISI LOCATIONS IVEtiICLESJRESfRlCl"IONS/SPECIAL ITEMS
THE CERTHOLDER IS LISTED AS ADDITIONAL INSURED, BUT ONLY WITH RESPECT TO
LIABILITY ARISING FROM THE ACTIVITIES OR OPERATIONS OF THE NAMED INSURED.
CERTIFICATE HOLDEn
CANCELLATION
NONE
5000
1000
1000
300
5
N/A
Agg'egatlll
1000
x
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS & MONROE CO. TOURIST
DEVELOPMENT COUNCIL
1100 SIMTON STREET
KEY WEST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE
CANCELLED BEFORE THE EXPIRATION DATE THEREQF, THE I
ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFtCATE HOLDER NAI>JIED TO THE
LEFT, BUT FAILURE 10 MAIL SUCH NOTICE SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY
ITS AGENTS OR REPRESENT,I\TIVES, '
,,,"CO'',, "~;J':'4' c: A: ~
/ # I
(, , P' 1 92
SL 39
AC.ORQM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
02/03/2004
PRODUCER FAX THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
T.R. Jones a Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1780 North Krome Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Hoemstead, FL 33030
Patti Spires INSURERS AFFORDING COVERAGE NAIC#
INSURED Dolph,n Research Center, Inc INSURER A: Great American Insurance Co.
5890l Overseas Highway INSURER B:
Grassy Key, FL 33050 INSURER c:
INSURER D:
INSURER E:
,-
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 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~: ~9;~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE P~~!f"Y EXPIRATION LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
- DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
-
GENERAL AGGREGATE $
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
I POLICY n ~~8-r n LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- (Ea accident) $
ANY AUTO
-
ALL OWNED AUTOS {1~~':; .: \ AG MENl BODILY INJURY
- 1)t\~ $
SCHEDULED AUTOS (Per person)
- -
HIRED AUTOS ~ -I i}T- BODILY INJURY
,-- $
NON-OWNED AUTOS -, (Per accident)
I-- li' "'-:r
I-- . \" yE.S - PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=l ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESSlUMBRELLA LIABILITY EACH OCCURRENCE $
:J OCCUR D CLAIMS MADE AGGREGATE $
$
=l DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND WC9695543 04/01/2003 04/01/2004 I T~~.5'J~r.~;,l IOJ~-
EMPLOYERS' LIABILITY 500, OO~
A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEI $ 500,OOt
~~~~I~t~~.)\~1oNS below E.L DISEASE - POLICY LIMIT $ 500, OO~
OTHER
DESCRIPTION OF OPERATIOtlS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Monroe County Board of County
Commisssioners a Monroe Co. Tourist
Development Council
llOO Simonton Street
Key West, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
...lL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER TS GENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIv€,j:)
Debbie McAfee A ent of Record
@ACORD CORPORATION 1988
ACORD 25 (2001/08)
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.
ACORD 25 (2001/08)