Certificates of Insurance
ACORD", LIABILITY INSURANCE I DATE (MM/DDIYYYY)
CERTIFICATE OF 6/9/2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Paul Lynch & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3388 NE Sugarhill Ave., Suite 201 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Jensen Beach, FL 34957
772-232-2552 INSURERS AFFORDING COVERAGE NAlC#
INSURED ASAP, Inc. INSURER A: Llovds of London
INSURER B: Zeni th Insurance Company
Post Office Box 804 INSURER C: New York Marine &: General
Tavernier, FL 33070 INSURER D: Water Quality Insurance Syndicate
1(305) 852-4554 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.
INSR I'DD'L TYPI= OF 1"""lOAN"" POLICY NUMBER ~9..y~rM~b5~YE P8k+~~~6~J{~N LIMITS
LTR NSRD
~NERAL LIABILITY EACH OCCURRENCE $ 1,000,000
COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence) $
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $
A X X P&I M5040799 06/09/04 06/09/05 PERSONAL & ADV INJURY $
- GENERAL AGGREGATE $ 2,000,000
~'L AGGREGATE LIMIT APlS PER: PRODUCTS-COM~OPAGG $ 1,000,000
nPRO-
X POLICY JECT LOC
~OMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
-
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
- SCHEDULED AUTOS
- HIRED AUTOS I~K MAtlJEM BODILY INJURY
AtmB $
NON-OWNED AUTOS ::NT (Per accident)
-
- i3 Y _. __..._ ( :'), t 01 PROPERTY DAMAGE $
- f_ , f- - (Per accident)
~RAGE LIABILITY ...Ii . ,..: "___""'._.~..,.__ \ y LJ-' ) '-( AUTO ONLY - EA ACCIDENT $
ANY AUTO NAt)E[:' N/A. ~ YES :___._ OTHER THAN EA ACC $
1--. AUTOONL Y: AGG $
::5ESSIUMBRELLA LIABILITY , .~ EACH OCCURRENCE $
OCCUR [] CLAIMS MADE AGGREGATE $
$
=I DEDUCTIBLE ' IAinm rYl ( hfOJ $
RETENTION $ $
WORKERS COMPENSATION AND I TORY LIMITS T IUJ~-
EMPLOYERS' LIABILITY Z048763802 08/16/03 08/16/04 E.L. EACH ACCIDENT $ 1,000,000
ANY PROPRIETORlPARTNERlEXECUTIVE
B OFFICERlMEMBER EXCLUDED? (incl. USL&H) E.L. DISEASE - EA EMPLOYE $ 1,000,000
~~~c?:~~ri~6~~~I'6NS below E.L. DISEASE - POLICY LIMIT $ 1,000,000
OTHER Limit: $990,000
C MEL (Jones Act) MMO-26253ML203 08/16/03 08/16/04 Excess: $ 10,000
D POLLUTION 37-25262 06/06/04 06/06/05
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Regarding General Liability Insurance, Monroe County Board of County
Conunissioners is listed as additional insured with respect to work performed
by the insured.
CERTIFICATE HOLDER
COVERAGES
Monroe County Board
of County Conunissioners
1100 Simonton Street
Key West, Florida 33040
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL].L DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENT ATI\f.
ACORD 25 (2001f08) c.c: ~
oI~C)
ION 1988
ACORDTII CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
6/9/2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Paul Lynch & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3388 NE Sugarhill Ave., Suite 201 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Jensen Beach, FL 34957
772-232-2552 INSURERS AFFORDING COVERAGE NAIC#
INSURED ASAP, Inc. INSURER A: Llovds of London
INSURER B: Zenith lnsurance Como any
Post Office Box 804 INSURER C: New York Marine & General
Tavernier, FL 33070 INSURER D: Water Quality Insurance Syndicate
1(305) 852-4554 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 DD'L TVP"" nF b~Y~iM'K.tb5~YE P8kt~~~~6W'J{,~N LIMITS
LTR NSRD POLICY NUMBER
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
f-- I ~~~~~'Es /Ea occurencel
COMMERCIAL GENERAL LIABILITY $
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $
A ..!. P&I 1M5040799 06/09/04 06/09/05 PERSONAL & ADV INJURY $
GENERAL AGGREGATE $ 2,000,000
-
~'L AGG~EnE LIMIT APlS PER: PRODUCTS-COM~OPAGG $ l,OOO,OOO
X POLICY ~r8i LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
f-- $
ANY AUTO (Ea accident)
f-- i\ Mrt~GEME11
f--- ALL OWNED AUTOS ~O,3 BODILY INJURY
f I.AI. ~ (Per person) $
~ SCHEDULED AUTOS l)\\r- '~
HIRED AUTOS D n ,tu BODILY INJURY
f--- $
NON-OWNED AUTOS LQ--- (Per accident}
~ D
, f.L ___yES
f--- - PROPERTY DAMAGE $
W {Per accident)
GARAGE LIABILITY 61e(j,roo (2 ~ AUTO ONLY - EA ACCIDENT $
=I ANY AUTO EA ACC $
OTHER THAN
II ~ /) AUTOONL Y: AGG $
EXCESS/UMBRELLA LIABILITY "(.-(/1 \ ~ EACH OCCURRENCE $
o OCCUR CI CLAIMS MADE AGGREGATE $
\f)IfJf\ ~ $
=I DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I WCSTATU-, I 10J~-
TORY LIMITS
EMPLOYERS' LIABILITY Z048763802 08/16/03 08/16/04 1,000,000
ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT $
B OFFICERlMEMBER EXCLUDED? (incl. USL&H) E.L. DISEASE - EA EMPLOYE $ l,OOO,OOO
~PE"c~"t~~OVr~I'gNS below E.L. DISEASE - POLICY LIMIT $ 1,000,000
OTHER Limit: $990,000
C MEL (Jones Act) MMO-26253ML203 08/16/03 08/16/04 Excess: $ lO,OOO
D POLLUTION 37-25262 06/06/04 06/06/05
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Marine Contractor.
Monroe County Board of
County Commissioners
5100 College Road
Public Ser. B1dg-Wing IV-Room 410
Key West, Florida 33040
Fax: (305) 295-4317
ACORD 25 (2001/08) /
c::..c:~
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
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
REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE
@ACORD CORPORATION 1988
CERTIFICATE HOLDER
ACORD.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
9/20/2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Paul Lynch & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
701 N. Federal Highway, Suite 401 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Stuart, Florida 34994
772-232-9371 INSURERS AFFORDING COVERAGE NAIC#
INSURED ASAP, Inc. INSURER A: Lloyds of London
INSURER B: Zenith Insurance Comoany
Post Office Box 804 INSURER C: New York Marine & General
Tavernier, FL 33070 INSURER D: Water Quality Insurance Syndicate
1(305) 852-4554 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 I""DL TYPi= OF IN'" IDAN/""t: POLICY NUMBER b9..Y~;M~b~~WE P8k+<i1~~6~J:,9N LIMITS
LTR NSRD
GENERAL LIABILITY EACH OCCURRENCE $ l,OOO,OOO
I-- I ~~~~~~S ~(Ea occurence\
X COMMERCIAL GENERAL LIABILITY $
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $
A X X P&I M5040799 06/09/04 06/09/05 PERSONAL & ADV INJURY $
GENERAL AGGREGATE $ 2,000,000
f-- 1,000,000
GEN'L AGGRnE LIMIT AnS PER: PRODUCTS - COMP/OP AGG $
IXI PRO-
X POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
-
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
SCHEDULED AUTOS
-
HIRED AUTOS APPP\ovm~~( :1;1:~f~I~I~( BODILY INJURY
I-- $
NON-OWNED AUTOS (Peraccidenl)
f---
I-- PROPERTY DAMAGE $
BY , '\ n,' j )lJ (Peraccldenl)
-,
GARAGE LIABILITY DATE v AUTO ONLY. EA ACCIDENT $
R ANY AUTO I
N/A~. ..YES___ OTHER THAN EA ACC $
WAIVER " /) AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY 0kf5 '. \i tJ/ lk EACH OCCURRENCE $
o OCCUR CI CLAIMS MADE I"'"' AGGREGATE $
7z!aff( W $
R DEDUCTIBLE U/; $
RETENTION $ ~ $
WORKERSCOMPENSA TIONAND l " II' I ~~~I~JI~s I 10JH-
ER
EMPLOYERS' LIABILITY Z048763803 08/16/04 08/16/05 E.L. EACH ACCIDENT $ 1,000,000
ANY PROPRIETORlPARTNERlEXECUTIVE
B OFFICERlMEMBER EXCLUDED? ( inc 1. USL&H) E.L. DISEASE. EA EMPLOYE $ 1,000,000
~~~C?:~~~6~~~I'6NS below E.L. DISEASE. POLICY LIMIT $ l,OOO,OOO
OTHER Limit: $990,000
C MEL (Jones Act) lMMo-26253ML203 08/16/04 08/16/05 Excess: $ lO,OOO
D POLLUTION 37-25262 06/06/04 06/06/05
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Regarding the general liability insurance, Monroe County Board of County
Commissioners is listed as an additional insured with respect to work
performed by the insured.
C t) ~ \ t..S .Ie. 0 ~ 0\~",c..~
Monroe County Board of County
Conunissioners
1100 Simonton Street
Key West, Florida 33040
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL1JL.. DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR L1AB ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTA E
@ACORD CORPORATION 1988
CERTIFICATE HOLDER
Fax: 205-295-4342
ACORD 25 (2001/08)