Certificate of Insurance
A.~..III.~
CERTIFICATE OF INSURANCE
ISSUE DATE (MM/DD/YY)
GREENWICH RISK MANAGEMENT
P.O. BOX 1209
BOCA RATON, FL 33429
INC.
8/4/92
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
P.QLI~JESJ~ELOW '_.__
PRODUCER
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER LIBERTY MUTUAL INSURANCE
INSURED
f~T~~NY B
LIBERTY INTERNATIONAL, INC.
805 N.W. 159TH DRIVE
NORTH MIAMI, FL 33169
f~T~~~NY C
f~T~~NY D
f~~~NYE REPLACING CERTIFICATE ISSUED 7/21/92
COVERAGES
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDD/YY) DATE (MM/DDIYY)
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
GENERAL AGGREGATE $
PRODUCTS-COM PlOP AGG. $
PERSONAL & ADV. INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED. EXPENSE (Anyone person) $
CLAIMS MADE
OCCUR.
OWNER'S & CONTRACTOR'S PROTo
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
-"'- ""''''~'''~'----'----_.__-..<_,......-._.,.> "__"'_'~"~~"_"'''''_"''.,." _ >'" "~__"""_""_"'_'._.N,_'_''''_''__"''''''~'_'___
COMBINED SINGLE $
LIMIT
BODIL Y INJURY $
(Per person)
BODIL Y INJURY $
(Per accident)
PROPERTY DAMAGE $
EACH OCCURRENCE $
AGGREGATE $
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
A
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
WC1-351-481692-02
12/16/91
12/16/92
STATUTORY LIMITS
EACH ACCIDENT
DISEASE-POLICY LIMIT
DISEASE-EACH EMPLOYEE
$ 500,000
$ 500,000
$ '100,000
~...,..~...,,,.,,,,,-,_._._._-,_.._ >",>~"_~,__",_,,~,,_,w,",_,_-,"<_'r'._'_""._~___,,.,'._ <~^_"''''''__'._'~.''''''
OTHER
DESCRIPTION OF OPERATlONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
REF: NEW MONROE COUNTY, DETENTION FACILITY, 5501 COLLEGE ROAD, DOCK ISLAND, KEY WEST 33004
CERTIFICA TE HOLDER
CANCEL LA TION
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
MORRIS/KNUDSEN/GERRITS
500 WHITEHEAD STREET
KEY WEST, FLORIDA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ----3..0.. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF NY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
RESENT A TIVE c....,.,~ .. I
k'~~
_ ____ ________ / @ACORD CORPORATION 1990
ACORD 25-S (!/91!l._______....