Certicates of Insurance
ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY)
2/7/2005
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ATIG INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
207 B West State Road 434 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Winter Springs, FL 32708
877-933-2550 INSURERS AFFORDING COVERAGE NAIC#
INSURED s , INC., 'S INSURER A: AEON CE GROUP
AUTO & MARINE BBPAIR, DfC., B K TOIlING & INSURER B:
5540 3RD AVENUE KEY WEST FL 33040 INSURER C:
KEY WEST, FL 33040 INSURER D:
,305-296-3832 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.
ICY F
D
POLICY NUMBER
DAn
LIMITS
LTR
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
A
WAIVi::R
EACH OCCURRENCE $
PREMISES $
MED EXP {Any 0'" person> $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMPIOP AGG $
LOC
Ot6' .~
(L,
4/28/2004 4/2B/2005
COMBINED SINGLE LIMIT
(Ea accident)
$
500,000
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
BODILY INJURY
(per peISOn)
$
$
$
A
OTHER THAN
ALlTOONLY:
ALlTO ONLY. EA ACCIDENT $
EA ACC $
$
$
$
$
$
$
4/28/2004
4/28/2005
AGG
EXCESSlUMBRELLA LIABILITY
OCCUR CI CLAIMS MADE
EACH OCCURRENCE
AGGREGATE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
NfY PROPRIETOft/PARllIIERIEXECI1T1VE
OFFICER/MEMBER EXCLUDED?
~~P"~t1~~s below
OTHER
A GARAGEKEEPERS
" RY I
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLO
E.L. DISEASE - POLICY LIMIT $
tBKTO042804
04/28/2004 04/28/2004 $100,000 W/$SOO DEDUCTIBLE
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Additional Insured - Monroe County Board of County Commisioners
C tl 'f J" ~ '(\. 0.. nc.e...
CERTIFICATE HOLDER
Monroe County Board of County
Commissioners
1100 Simonton St.
Key West, Fl. 33040
CANCELLATION
SHOULD AfolY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRA
DATE THEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAl~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHAL
IMPOSE NO OBLIGATION OR LIABILITY OF AfolY KINO UPON THE INSURER, rrs AGENTS
REPRESENTATIVES.
AUTHORIZED REPRESENTATlV
ACORDZI (2001108)
ACORDrM CERTIFICATE OF LIABILITY INSURANCE T DATE (MM/DDIYYYY)
4/29/2005
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ATIG ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
207 B W. State Road 434 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Winter Spring, FL 32708
407-327-5850 INSURERS AFFORDING COVERAGE NAIC#
INSURED s , J.ll(';., S INSURER A: ...~.~'" ...~..... FIRE &
AUTO & MARINE REPAIR, INC., B K TOWING & INSURER B:
5540 3RD AVENUE KEY WEST FL 33040 INSURER C
KEY WEST, FL 33040 INSURER D:
,305-296-3B32 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.
I~~: N~~~ TYPE OF INSURANCE POLICY NUMBER b'iYPMl1b'EPIVE LIMITS
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ~ OCCUR
00006060
PERSONAL & ADV INJURY
04/28/05 04/28/06 GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
4/28/2005 4/28/2006
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
AUTO ONLY. EA ACCIDENT
4/28/2005 4/28/2006 EA ACC
OTHER THAN
AUTO ONLY: AGG
1,000,000
$
APP:'~r .
BY':..)1\~.. ' . :%
r)-''''.' . i ~--o i..1
",;::'r ~
'l:\J..\.~_:l".._.,- 'itlj'f,M.,-fl ,,-'!:"';' l'
EACH OCCURRENCE
, AGGREGATE
$
$
$
$
$
$
$
$
$
E.L. DISEASE - EA EMPLOYE $
E.L. DISEASE - POLICY LIMIT $
04/28/2005
04/28/2006
$100,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
PER VEHICLE SCHEDULE ON FILE W/COMPANY
ON-HOOK/MOTOR TRUCK CARGO 50,000/500; PHYSCIAL DAMAGE INCLUDED STATED AMOUNT
COMP/COLLISION DEDUCTIBLE $1000; INC BASIC PIP FL NO FAULT;
CERTIFICATE HOLDER
MONROE COUNTY BOARD OF COUNTY COMMISION
502 WHITEHEAD STREET
KEY WEST FLORIDA 33040
ATTN MARIA
ADDITIONAL INSURED
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 OBLI AT! OR LIABILITY OF. ANY KIND UPON THE INSURER, ITS AGENTS OR
'" -
ACORD25 (2001/08) Cc..'~.t/1/l.-<.-Z