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Certificates of Insurance r---'"-~""" ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 D~ DATE (MMlDDNYYY) SMITH-9 01/21/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bouchard-Starcrest ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 101 starcrest Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR F 0 Box 6090 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater FL 33758-6090 Fhone:727-447-6481 Fax:727-449-1267 INSURERS AFFORDING COVERAGE NAlC # INSURED INSURER A: HANOVER INSURANCE COMFANY smith Industries6 Inc. INSURER B ....IIlGlCI'IZLD DJPLOYUS us co dba smith Fence ompany INSURER C and Smith Fence 4699 110th Ave North INSURER D Clearwater FL 33762 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~~~ ~~~ TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY - A X X COMMERCIAL GENERAL LIABILITY RZJ7226346 ~:=J CLAIMS MADE ~ OCCUR ~ CON'l'i:~CTUAL :i.IiU$ ~XCU GEN'L AGGREGATE LIMIT APPLIES PER h POLICY IXl j~gT n LOC AUTOMOBILE LIABILITY f--- A X ~ ANY AUTO ALL OWNED AUTOS P&~(MMIODIYY) DATE (MMlDDrN) 10/10/04 10/10/05 EACH OCCURRENCE PREMISES (E~"~~~'u~ence) MED EX? (Anyone person) PERSONAL & P-DV INJURY 10 DAY CAIIC KO'nCII KOKPAY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG AZJ7229200 10/10/04 10/10/05 COMBINED SINGLE LIMIT lEe aCCident) I--- '~ SCHEDULED AUTOS ~ HIRED AUTOS ~ NON-OWNED AUTOS f--- ',')P!i{~,. . : rrt:i)rtfIAN1\G ~:~~RY d'~ '\U~7U : :;- :-\-~ ~B:i :-;:'~e ." " ' 'f'. V f:: C; (Per accident) I ," ',0' -' - AUTOONLY-EAACCIDENT 10 DAY CAJrC JfO'l'ICJ: .ORAY LIMITS $ 1000000 $ 300000 $ 10000 $ 1000000 $ 2000000 $ 2000000 $ 1000000 GARAGE LIABILITY R ANY AUTO EXCESS/UMBRELLA LIABILITY ~ OCCUR D CLAIMS MADE I DEDUCTIBLE XI RETENTION $ none WORKERS COMPENSATION AND EMPLOYERS' LIABILITY B ANY PROPRIETORIPARTNERlEXECUTIVE OFFICER/MEMBER EXCLUDED? If yes. describe under SPECiAL i=R0ViS:01~S below $ EA ACC $ AGG $ $ 10000000 $ 10000000 $ Notice $ Non Fay $ IU~8' $ 500000 EL DISEASE - EA EMPLOYEE $ 500000 E.LDISEASE-POLlCYLIMIT $ 500000 OTHER THAN AUTO ONLY EACH OCCURRENCE 10/10/05 AGGREGATE UKJ1236996/roLLOW roD 10/10/04 A 10 Day Cancl 0830-30352 10/10/04 10/10/05 X TTb'R'y t:CI'i'S I EL EACH ACCIDENT 10 DAY CAIIC KO'nCl: KOKPAY OTHER 10/10/04 10/10/05 Limi ts Ded. A Leased & Rented RZJ226346 Equipment 10 DAY CAIIC KonCII KOKrAY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS FROJECT: KEY WEST INTElUtATIONAL AIRPORT. THE MONROE COUNTY BOABD OF COUNTY COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE INCLUDED AS ADDITIONAL INSUREDS ON GENERAL LIABILITY AND AUTO LIABILITY FOLICIES SUBJECT TO ALL TERMS, CONDITIONS AND EXCLUSIONS OF THE FOLICY. UMBRELLA FOLICY FOLLOWS FORM OVER GL, AUTO AND WC FOLICIES. CERTIFICATE HOLDER CANCEllATION $150,000 $1000. MONROE DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DAYS WRITTEN MONROE COUNTY BOABD OF COUNTY COMMISSIONERS 3491 S ROOSEVELT BLVD KEY WEST FL 33040 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. AUTHO P SENTA @ACORDCORPORATION1988 ACORD 25 (2001/08) IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) ACORDN CERTIFICATE OF LIABILITY INSURANCE OP ID J~ DATE (MMlDDIYYYY) SMIT 10 09/30/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Florida Insurance Center, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 414 N. Alexander Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Plant City FL 33563 Phone: 813-754-3561 Fax:813-764-8402 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: FCC I Insurance Co Smith Industries, Inc. INSURER B: Bridg.field Bmployers Ins Co dba Smith Fence Company INSURER C: and Smith Fence 4699 110th Avenue N. INSURER D: Clearwater FL 33762 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. NSRi P.Oll~'fr EF"-E_CTIVE PQLLG'ycijXPIRA flXN LIMITS LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYW DATE MM/ODIYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 - A X X COMMERCIAL GENERAL LIABILITY CPPOO04834 06/01/05 06/01/06 PRE'MISEs (E;~~~~r~nce) $ 300,000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 f-- f-- GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 II [Xl PRO- n Emp Ben. 1,000,000 POLICY X JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT '-- $1,000,000 A X ~ ANY AUTO CAOO05846 06/01/05 06/01/06 (Ea accident) ALL OWNED AUTOS BODilY INJURY '-- b:~~~~~bjM[ $ SCHEDULED AUTOS APP~":~ r~\ (Per person) I---- X HIRED AUTOS BODILY INJURY '-- BY. -'-- R::;' $ ~ NON-OWNED AUTOS DATE --~ :"'S-a:) (Per accident) I---- {' vcc: PROPERTY DAMAGE (Per accident) $ -~ ,. GARAGE LIABILITY VYr"\1 _ -- AUTO ONLY. EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESs/UMBRELLA LIABILITY EACH OCCURRENCE $ 10,000,000 A ~ OCCUR D CLAIMS MADE UMBOO03079 06/01/05 06/01/06 AGGREGATE $10,000,000 $ ~ DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND X I TORY LIMITS I 10J~- B EMPLOYERS' LIABILITY 0830-30352 10/10/05 10/10/06 ANY PROPRIETORlPARTNERlEXECUTIVE EL. EACH ACCIDENT $ 1,000,000 OFFICERlMEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $1,000,000 ~~~MiS~~~~~?O~S below EL. DISEASE - POLICY LIMIT $ 1,000,000 OTHER A Equipment Floater CMOOO1970 06/01/05 06/01/06 Leased/ $135,000 Rented Eq DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Project: Key West International Airport. The Monroe County Board of County Commissioners, Its Employees and Officials are named as Additional Insureds on General and Automobile Liability. umbrella policy follows form over GL, Auto and WC policies. CERTIFICATE HOLDER Monroe County Board of County Commissioners 3491 S. Roosevelt Blvd Key West FL 33040 CANCELLATION MONR491 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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. AU IZ D REPRESEL~Elf, @ ACORD CORPORATION 1988 ACORD 25 (2001/08)