Certificates of Insurance
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 (Lienor) EVERY TIME YOU
PA Y YOUR CONTRACTOR. MONROE COUNTY FLIGHT
MAY 6,2005 71073226748005359973 _ 5359980
NOTICE TO OWNER I NOTICE TO CONTRACTOR
To: (Owner)
MONROE COUNTY FLIGHT
MARATHON AIRPORT TERMINt RECEIVED
500 WHITEHEAD STREET
KEY WEST FL 33040 MAY 1 1 Z005
BY:
MONROE COUNTY FLIGHT
MARATHON AIRPORT TERMINAL
500 WHITEHEAD STREET
KEY WEST FL 33040
MONROE COUNTY FLlG
The undersigned hereby informs you that he or she has furnished or is furnishing services or materials as follows:
ELECTRICAL MATERIALS
for the improvements of real property identified as PART OF GOVERNMENT LOTS 1,3 AND 4 KEY VACCAS
SECTION 1 TOWNSHIP 66 RANGE 32 MONROE COUNTY FLORIDA 9400 OVERSEAS HIGHWAY, MARATHON;
MARATHON AIRPORT PROJECT, JOB NUMBER 45027
under an order given by FLORIDA INDUSTRIAL ELECTRIC.
Florida law prescribes the serving of this notice and restricts your rights to make payments under your contract in accordance with
Section 713.06, Florida Statutes. In the event that the contract for improvement is bonded, pursuant to Section 255.05 or
Section 713.23, Florida Statutes Title 40 use Section 3131, et seq., or any other form of bond, the undersigned intends to look to
that bond for protection and payment. The undersigned requests a copy of the payment bond and a copy of any direct contracts
pertaining to the improvements for this project and agrees to pay reasonable copy costs for such copy.
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.
(OWNER)
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
ATTN: FINANCE DEPT
500 WHITEHEAD ST
KEY WEST FL 33040
By:
Authorized Agent for Lienor:
COPIES TO:
71073226748005359980
(GEN CONTR)
FLORIDA INDUSTRIAL ELECTRIC
1050 MILLER DRIVE
ALTAMONTE SPRINGS FL 32701
GRAYBAR ELECTRIC CO INC
CECELlA GITTO
POBOX 2033
ORLANDO FL 32802-2033
(REF # : 4125610)
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FEDERAL INSURANCE COMPANY
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1600 JFK BLVD
4 PENN CENTER
PHILADELPHIA PA 19103
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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 (Lienor) EVERY TIME YOU
PA Y YOUR CONTRACTOR. MONROE COUNTY BOARD
MAY 6, 2005 71073226748005359973 - 5359980
NOTICE TO OWNER I NOTICE TO CONTRACTOR
To: (Owner)
MONROE COUNTY BOA
MONROE COUNTY FLIGHT
MARATHON AIRPORT TERM IN
500 WHITEHEAD STREET
KEY WEST FL 33040
CF:I\!l::L: :
MAY i J )f1("1~
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
ATTN: FINANCE DEPT
500 WHITEHEAD ST
KEY WEST FL 33040
BY: _ ___....
The undersigned hereby informs you that he or she has furnished or is furnishing services or materials as follows:
ELECTRICAL MATERIALS
for the improvements of real property identified as PART OF GOVERNMENT LOTS 1,3 AND 4 KEY V ACCAS
SECTION 1 TOWNSHIP 66 RANGE 32 MONROE COUNTY FLORIDA 9400 OVERSEAS HIGHWAY, MARATHON;
MARATHON AIRPORT PROJECT, JOB NUMBER 45027
under an order given by FLORIDA INDUSTRIAL ELECTRIC.
Florida law prescribes the serving of this notice and restricts your rights to make payments under your contract in accordance with
Section 713.06, Florida Statutes. In the event that the contract for improvement is bonded, pursuant to Section 255.05 or
Section 713.23, Florida Statutes Title 40 use Section 3131, et seq., or any other form of bond, the undersigned intends to look to
that bond for protection and payment. The undersigned requests a copy of the payment bond and a copy of any direct contracts
pertaining to the improvements for this project and agrees to pay reasonable copy costs for such copy.
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:
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(OWNER)
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
ATTN: FINANCE DEPT
500 WHITEHEAD ST
KEY WEST FL 33040
By:
CECELlA GITTO
POBOX 2033 .
ORLANDO FL 32802-2033 .il>
(REF # : 4125610)
Authorized Agent for Lienor:
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GRAYBAR ELECTRIC CO INC 6 ~-
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FLORIDA INDUSTRIAL ELECTRIC
1050 MILLER DRIVE
ALTAMONTE SPRINGS FL 32701
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ALTAMONTE SPRINGS FL 32701
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FEDERAL INSURANCE COMPANY
(BOND NO: 81967740)
1600 JFK BLVD
4 PENN CENTER
PHILADELPHIA PA 19103
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ACORD", CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY)
9/8/2005
PRODUCER Phone: 713-880-7100 Fax: 713-880-7166 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bowen, Miclette & Britt, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1111 North Loop West, #400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Houston TX 77008
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Continental Casualty Co. 20443
The New Florida Industrial Electric Inc INSURER B: Landmark American Ins Co 33138
1050 Miller Dr INSURER C: Transportation Insurance Comp 20494
Altamonte Springs FL 32701 INSURER D:
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.
'~~: ~~~~ POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
A ~NERAL LIABILITY TCP2084800139 8/31/2005 8/31/2006 EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY ~~~~~'E~ YE~~~~';~ncel $ 100,000
--- ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000
- PERSONAL & ADV INJURY $1,000,000
- GENERAL AGGREGATE $2,000,000
~'LAGGRE~E LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000
POLICY X P'f},9-i n LOC
A ~OMOBILE LIABILITY BUA2084800142 8/31/2005 8/31/2006 COMBINED SINGLE LIMIT $ 1,000,000
~ ANY AUTO (Ea accident)
- ALL OWNED AUTOS \PPRvn~('{j ;, ~;~(,rvt~(-; BODILY INJURY
$
SCHEDULED AUTOS (Per person)
- () 1/ .__._.__._-:-' -- . -'~
X HIRED AUTOS ~1:Q5 BODILY INJURY
- $
X r- y--' ::t (Per accident)
NON-OWNED AUTOS )/ I t: ______
- -Y..-.. y
f---- \N^N~:R N!A PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EAACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
B ~ESS/UMBRELLA LIABILITY LHN031639 8/31/2005 8/31/2006 EACH OCCURRENCE $5,000,000
X OCCUR D CLAIMS MADE AGGREGATE $5,000,000
$
~ DEDUCTIBLE $
X RETENTION $10,000 $
C WORKERS COMPENSATION AND WC2084800092 8/31/2005 8/31/2006 X 1.fr,?'~T ~Jg" I \OJ~-
EMPLOYERS' LIABILITY $1,000,000
ANY PROPRIETORlPARTNER/EXECUTIVi: EL EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000
If yes. describe under $1,000,000
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Re: Taxiway Airfield Lighting, marathon Airport AIP#3-12-0044-1499
Certificate holder is completed to read: Office of the Director of Purchasing.
Certificate holder is named as additional insured as respects to general liability and auto liability as required by
written contract.
C. c.. : F 1>-\ Cl... V'\ C. L
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
Monroe County Board of County Commissioners BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE
Attn: Bevette Moore-Key West Int'l Airport CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO
3491 S. Roosevelt Blvd. SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
Key West FL 33040 THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~a6I~
ACORD 25 (2001108)
@ ACORD CORPORATION 1988