Certificates of Insurance
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CERTIFICATE OF LIABILITY INSURANCE
OPID
HIPPI-1 03 18 04
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Florida Insurance Planners HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 915077 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
:i~:~~~7?a~~~~~;50~7_ -__ _ __ __ I :=;~~~E?~f,,~:'!"i~~:~~~ S';;;;i~e;-~ NAIC-"__
I--._~.~,---~---~------~---. ._________..___ _______n_._____ '__'U_I__"_~___ __ __'00__
INSURER B Florida United Business Ass~c
It>I~!~I'lC_________.______ .,_,,_ "___. _____ ,-----_J .___.___,__
INSURER D
.
PRODUCER
HIPP Industries/D. Pochedley
1386 5th Street
Sarasota FL 34238
COVERAGES
I INSURER E
A
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
m~~'r,--'--:;::;PE OF I~;~~~~;----- -----.-;,OLlc,;;ru'.mER----- I r;,<i%\f~f.m:;WE ~IfeYl~~ggs:~Nr - ------- --UM~is-'---- ___
A i ;"'~~~::'~:"GC"~-'~'M'U" SCP41966152 03/13/04 03/13/05 ~1~~\ry,:;~,;;; :jrj-~6~~===
CLAIMS MADE L~j OCCUR I !-".E~~XPJ~ny on"?,,,son)__~_?Q..O 0.._.__
- ----- --- --- DEDUCTABLE 0 [e",-"",,,,"v,",",, _ t'-20QClOOO __
____n__________ L~N~R~L~GREGATE $ 2000000 __n
GEN'L AGGREGATE LIMIT APPLIES PERI ~ ~~o~yc~.:.c:;,()~~OP AG~L.!_~ 0 OQQQ.Q...____
~~i ril LOC I
I AUTOMOBILE LIABILITY
,--'
i~-~ ANY AUTO
X I ALL OWNED AUTOS
L.____,
.I_X! SCHEDULED AUTOS
X , HIRED AUTOS
...--!
~X~ NON-OWNED AUTOS
f---j --- -- -------.-_
i
SCP41966152
03/13/04
03/13/05
I
COMBINED SINGLE LIMIT 1$1 000 000
(Ea awdenl) t'"
rr5'-'-- ------ - ---- - - --
BODILY INJURY $
(Per person)
- - -- ___n_ ____~- _ _ __ ___.
~ODILYINJURY 1$
(Per aCCident) i
-'- '...--.-------'--t-'--.-.----.-----
I PROPERTY DAMAGE i $
, (Per accident)
DEDUCTABLE 0
OCCUR
CLAIMS MADE
AP
BY
DATE
WAIVER
YESi
GARAGE LIABILITY
ANY AUTO
B
DEDUCTIBLE
RETENTION $
I WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
I OFFICER/MEMBER E;XCLUDED?
i g~~~11rS~~~v~~?6~s below
I OTHER
34452-000
10/16/03
10/16/04
I
~!\lJT()()NLY_-~~AC_CI[)~foJr._i.!__ __ _n __ .
I OTHER THAN EA ACC 1 $
AUTO ONLY -- AGG-r-$- -----
~~H....c>CCURRE~~ __.__ .1$_ __ ___
LAGGREGATE i $
j .,,------------------- - -- - -----4____________._______._____
~~:~=---=--i:: ---~- _
~-~I:~Z~~~~~~~~=-~~j_i-oo-o-o_c>o- .--
i EL DISEASE - EA E;MPLOYEEf $ 1000000
1-'- - --....--_'_._._-+-______._...__.__
I EL DISEASE - POLICY LIMIT $ 1000000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
BOARD OF COUNTY COMMISSIONER TO BE NAMED AS ADDITIONAL INSURED
CERTIFICATE HOLDER
MONROE COUNTY &
Key West International
attn: Bev Moore
3491 S Roosevelt Blvd
Key West FL 33040
CANCELLATION
MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DA TE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTlFICATIMfo ," --;--
@ ACORD CORPORATION 1988
ACORD 25 (2001/08)