Certificates of Insurance
~AlIstate.
)bu're In good hands.
POLICY NUMBER 049828888 BAP
COMMERCIAL AUTO
CA 20 01 10 01
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LESSOR - ADDITIONAL INSURED AND LOSS PAYEE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is in-
dicated below.
Endorsement Effective FEBRUARY 02, 2005 Countersigned By:
Named Insured:
BLUEWATER MARINE SERVICE
DBA TOW BOAT US S DADE (Authorized Representative)
SCHEDULE
Insurance Company ALLSTATE INDEMNITY COMPANY
Policy Number 049828888 BAP
Effective Date FEBRUARY 02, 2005
Expiration date FEBRUARY 02, 2006
Named Insured BLUEWATER MARINE SERVICE DBA TOW BOAT US S DADE
Address 14100 SW 256 ST #1
HOMESTEAD, FL 33032-6500
Additional Insured (Lessor) MONROE CNTY RISK MAN
Address 1100 SIMONTON STREET
KEY WEST, FL 33040-3110
Designation or Description of "Leased Autos"
AS THEIR INTEREST MAY APPEAR
Co~~ ~: Y"'- 0.... Y\ ( ...tL--
CA 20 01 10 01
Copyright, ISO Properties, Inc., 2000
Page 1 of 2
BU114-2
~
Coverages Limit Of Insurance
Liability
$300,000 EACH" ACCIDENT
Personal Injury
Protection (or equivalent
no-fault coverage) $
Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS:
$ For Each Covered "Leased Auto"
Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS
$ For Each Covered "Leased Auto"
Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS
$ For Each Covered "Leased Auto"
(If no entry appears above, information required to complete this endorsement will be shown in the Declara-
tions as applicable to this endorsement.)
1, Any "leased auto" designated or described
in the Schedule or in the Declarations will
be considered a covered "auto" you own
and not a covered "auto" you hire or bor-
row. For a covered "auto" that is a "leased
auto" Who Is An Insured is changed to in-
clude as an "insured" the lessor named in
the Schedule.
3, If we make any payment to the lessor, we
will obtain his or her rights against any
other party.
A, Coverage
C, Cancellation
1. If we cancel the policy, we will mail notice
to the lessor in accordance with the Can-
cellation Common Policy Condition.
2. The coverages provided under this
endorsement apply to any "leased auto"
described in the Schedule until the expira-
tion date shown in the Schedule, or when
the lessor or his or her agent takes pos-
session of the "leased auto", whichever
occurs first.
2. If you cancel the policy, we will mail notice
to the lessor.
3, Cancellation ends this agreement.
D, The lessor is not liable for payment of your
premiums.
B. Loss Payable Clause
1. We will pay, as interest may appear, you
and the lessor named in this endorsement
for "loss" to a "leased auto".
E. Additional Definition
As used in this endorsement:
2. The insurance covers the interest of the
lessor unless the "loss" results from
fraudulent acts or omissions on your part.
"Leased auto" means an "auto" leased or
rented to you including any substitute, re-
placement or extra "auto" needed to meet
seasonal or other needs, under a leasing or
rental agreement that requires you to provide
direct primary insurance for the lessor.
CA 20 01 10 01
Copyright, ISO Properties, Inc., 2000
Page 2 of 2
~AlIstate.
You're in good hands.
CERTIFICATE OF INSURANCE
ALLSTATE INDEMNITY COMPANY
HOME OFFICE - NORTH BROOK, IL 60062
hereby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
BLUEWATER MARINE SERVICE 049828888 BAP
DBA TOW BOAT US S DADE
14100 SW 256 ST #1
HOMESTEAD, FL 33032-6500
The person or organization designated below is described in the policy as:
MONROE CNTY RISK MAN
1100 SIMONTON STREET
KEY WEST, FL 33040-3110
EFFECTIVE DATE
OF CERTIFICATE
02/02/05
POLICY PERIOD
02/02/05 TO 02/02/06
AT 12:01 A.M. STANDARD TIME
Coverages designated are afforded as stated below:
~ LIENHOLDER (Loss Payable Clause)
X ADDITIONAL INTERESTED PARTY
ADDITIONAL INSURED
CERTIFICATE HOLDER
AS THEIR INTEREST MAY APPEAR
To the person or organization stated above:
This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder
named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days
written notice at its last address known to the Company.
Proof of such mailing is deemed sufficient proof of such notice.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy
referred to above.
~_..'.I. .;;;iilN'L.I\iL"i,., [-IH--,t .J-
i\PP, I , . "n U)\~
BY -:- . . ~'. ~~_ ~_Zfj ~'. ~
~~~~~~,.:-='i.YES c.;~~ yrr~
BU1380-1
COf'6" ~V'-.Q.Y\lL
PAGE 1 OF 1
BUl14-2
~
Client#. 9682
BLUEWAT
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYVY)
12/29/04
PROOOCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Starkweather & Shepley ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Insurance, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO Box 294
Westerly, RI 02891 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERI'.: THE ST PAUL COMPANIES, INC.
Blue Water Marine Services INSURER B:
14100 South West 256th Street, Ste 14 INSURER c:
Homestead, FL 33032 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.
L TR NSR TYPE OF INSURANCE POLICY NUMBER PJ>1-~~1,i~~68tWIE P~~fJ ,'ij':'~~N LIMITS
GENERAL LIABILITY
f--
COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE D OCCUR
$
$
$
$
$
PRODUCTS - COMP/OP AGG $
EACH OCCURRENCE
~~~~*~J9,,~~~T.~..o~nce )
MED EXP (Anyone person)
-
PERSONAL & ADV INJURY
GENERAL AGGREGATE
~'L AGGREGATE LIMIT APPLIES PER:
I POLICY n j~P.T n LOC
~TOMOBILE LIABILITY
ANY AUTO
-
COMBINED SINGLE LIMIT
(Ea accident)
-
ALL OWNED AUTOS
BODILY INJURY
(Per person)
AP\A9\VE~ 1st< ...~. --'-MEW!I I" ){( ~ '~L.V IltJJJR~
8Y_~.('W)~~1Z" ~ ~l~ I
DATE _'___00._,.. (~ K ---0 ~ rp~~:;C~d::;gAMAGE
_ SCHEDULED AUTOS
-
HIRED AUTOS
_ NON-OWNED AUTOS
GARAGE LIABILITY
~ ANY AUTO
EXCESS/UMBRELLA LIABILITY
~ OCCUR D CLAIMS MADE
WAI\h3.R
:liI~ l( yr:C'
I~'-- ...'-"--
AUTO ONLY - EA ACCIDENT
OTHER THAN
AUTO ONLY:
~'.UL~
C'~
EACH OCCURRENCE
AGGREGATE
"I DEDUCTIBLE
r---t--~ , RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORlPARTNERlEXECUTIVE
OFFICERlMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
A OTHER P & I
..-.-- --.-----
III 'AhI . N1TjJ;'T T~~J;r~J.~;,T 10J~'
Y\I.J/f II , , 1'- ""
~.L. EACH ACCIDENT
12/20/05
E.L. DISEASE - EA EMPLOYEE $
EL. DISEASE - POLICY LIMIT $
$1,000,000
369CP0006
12/20/04
$
$
$
$
$
EA ACC $
$
$
$
$
$
$
AGG
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
P&I includes Jones Act, Collision, Towers and Salvor's Liability C o~U .' 0'"
I" h a...,.,c.<-
Vessels: 199425'9" Silvership, 199830' Silvership, 2001 28' Silvership, 2000 25'
Silvership, 199825'9" Silvership, 199955' Madison, 200045' Madison, 199025'9" Bay Kat,
200326' Progressive, 199825' Madison, Komatsu 220LC3 Equip, 2002 Kendall Trailer with
(See Attached Descriptions)
CERTIFICATE HOLDER
CANCELLATION
Monroe County Board Of
Commissioners
Marine Projects Section
5100 College Road
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 --10.- DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
.............--_.h
~
ACORD 25 (2001/08) 1 of 3
LJW
@ ACORD CORPORATION 1988
#S112772/M112764
DESCRIPTIONS (Continued from Page 1)
Marine Rescue Equip, 2003 24' Sea Ark, 2004 20' Sea Ark and Kobelco SK220 Equipment
Certificate Holder is included as Additional Insured ATIMA.
AMS 25.3 (2001/08)
3 of3
#S112772/M112764
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYVY)
12/21/05
P~ODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Starkweather & Shepley ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Insurance, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO Box 294
Westerly, RI 02891 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: St. Paul Travelers
Blue Water Marine Services, Inc INSURER B:
14100 South West 256th Street, Ste 14 INSURER c:
Homestead, FL 33032 INSURER D:
INSURER E:
Client#. 9682
BLUEWAT
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.
LTR NSR~ TYPE OF INSURANCE POLICY NUMBER PJ>AI{~~~~~6g,wlE P~~fl /if:'~~N LIMITS
A ~ERAL LIABILITY OH06900651 12/20/05 12/20/06 EACH OCCURRENCE $1 000000
X COMMERCIAL GENERAL LIABILITY ~~~~~~J9E~~;'~~ence ) $50 000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $5 000
PERSONAL & ADV INJURY $1 000000
GENERAL AGGREGATE $2 000 000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1 000 000
I -nPRO-.n
POLICY JECT lOG
A ~OMOBILE LIABILITY OH06900651 12/20/05 12/20/06 COMBINED SINGLE LIMIT
ANY AUTO (Ea accident) $$1,000,000
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
A HIRED AUTOS OH06900651 12/20/05 12/20/06 BODILY INJURY
- $
A NON-OWNED AUTOS OH06900651 12/20/05 12/20/06 (Per accident)
-
I-- PROPERTY DAMAGE $
(Per accident)
RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA AGC $
AUTO ONLY: AGG $
A OESS/UMBRELLA LIABILITY OH06900651 12/20/05 12/20/06 EACH OCCURRENCE $$1 000 000
OCCUR D CLAIMS MADE 'U~a; K, ~~EME~i AGGREGATE $
APP ~,' \ 1 $
~ DEDUCTIBLE UY._ . $
.-.,._~..-
RETENTION $ l I-l ,-()!/t
A ~_, $
WORKERS COMPENSATION AND LJt'lII:: ""--."< --- .- T ~__.~ES___ I T~gN~~~<:.1 10J~-
EMPLOYERS' LIABILITY WAIVER -', (()'Jl
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? {} 15/:- ~ .L. DISEASE - EA EMPLOYEE $
If yes. describe under
SPECIAL PROVISIONS below EL. DISEASE - POLICY LIMIT $
A OTHER P & I OH06900651 12/20/05 ~2/~ $1,000,000
(C
1111 ../"
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS {~ g'~f::Y(
P&I includes Jones Act, Collision, Tower's & Salvor's Liability.
Vessels: 199425'9" Silvership, 1998 30' Silvership, 2001 28' Silvership, 2000 25'
Silvership, 199825'9" Silvership, 1999 55' Madison, 2000 45' Madison, 199025'9" Bay Kat,
200326' Progressive, 199825' Madison, 200324' Sea Ark and 200420' Sea Ark. ..
Certificate Holder is included as Additional Insured ATIMA.
CERTIFICATE HOLDER
CANCELLATION
Monroe County Board Of
Commissioners
Marine Projects Section
5100 College Road
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 .....11L. DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORI~!t.REPRESENTA TIVE
ACORD 25 (2001/08) 1 of 2 i:1-L. ~#S129900/M129890
<::.c..~~
LJW
@ ACORD CORPORATION 1988