Certificates of Insurance
ACORQM CERTIFI.CAT'E OF LIABILITY INSURANCE "I DATE (MM/DDIYYYY)
01/31/2005
PRODUCER (305)822-7800 FAX 305-821-8212 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Collinsworth, Alter, Fowler, Dowling & French ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. O. Box 9315 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Miami Lakes, FL 33014-9315
Sherlys Miranda INSURERS AFFORDING COVERAGE NAIC#
INSURED Comfort Tech Air Conditioning INSURER A: Hartford Casualty
1215 W. 76 Street INSURER B: Hartford Underwriters Ins CO
Hialeah, FL 33014 INSURER C: Technology Ins. Co.
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.
INSR DD'l TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY 2lSBABI2679 02/01/2005 02/01/2006 EACH OCCURRENCE $ 1,000,000
-
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000
I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 10,000
A PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY 2lUETT0114 11/10/2004 11/10/2005 COMBINED SINGLE LIMIT
f-- $
X ANY AUTO (Ea accident) 1,000,00(]
'--
ALL OWNED AUTOS BODILY INJURY
I-- $
SCHEDULED AUTOS (Per person)
B -
HIRED AUTOS APP~ V BODILY INJURY
- $
NON-OWNED AUTOS ~~A~t1 viENT (Per accident)
- ,/
BY ~ '" PROPERTY DAMAGE
- ~'- $
...-- V- --r)":; (Per accident)
GARAGE LIABILITY _rH.... ,- AUTO ONLY - EA ACCIDENT $
R ANY AUTO WAIVER NIA LVES OTHER THAN EA ACC $
AUTO ONLY: AGG $
OESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND TWC3055343 11/09/2004 11/09/2005 I :X~~T ~I,~;, I 10l~-
EMPLOYERS' LIABILITY 500,00(]
C ANY PROPRIETORIPARTNERlEXECUTIVE EL. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $ 500,000
If yes, describe under 500,000
SPECiAl PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
f.ESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
e: Terminal Rehabilitation (Custom Building Replace A/C and Handrails, Key West International
I\irport, Monroe County, FL
he Monroe County Board of County Commissioners, its employees and officals are named as additional
insureds on the general liability insurance. Additional insured on the automobile liability form
HA9902 will follow.
The Monroe County Board of County
Commissioners
1100 Simonton Street
Room 2-213
Key West, FL 33040
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE .----......
Bill Bodenhamer/SJM
CERTIFICATE H LDER
ACORD 25 (2001108)
@ACORDCORPORATION 1988
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 (2001108)
r
ACOBQ CERTIFICATE OF LIABILITY INSURANCE .1 DATE (MMIODNYYY)
12/02/2004
PRODUCER (305)822-7800 FAX THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Collinsworth, Alter, Fowler, Dowling & French ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. O. Box 9315 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Miami lakes, Fl 33014-9315
INSURERS AFFORDING COVERAGE NAIC#
INSURED 'tom fo rt Tech Air Conditioning & Refrigerat ior INSURER A Hartford Casualty
1215 W. 76 Street INSURER B Hartford Underwriters Ins CO
Hialeah, Fl 33014 INSURER C Technology Ins. CO.
INSURER D
INSURER E
ES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
N4Y REQUIREMENT, TERM OR CONDITION OF N4Y CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURN4CE 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~: .w,~~ TYPE OF INSURANCE POLICY NUMBER Pgk~Y ~~Jigm,e Pg~!f: EXPIRATION LIMITS
GENERAL LIABILITY 21SBAB12679 02/01/2004 02/01/2005 EACH OCCURRENCE $ 1,000,000
-
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000
- ~ CLAIMS MADE m OCCUR
MED EXP (Any ooe person) $ 10,000
A X XCU PERSONAL & ADV INJURY $ 1,000,000
-
GENERAL AGGREGATE $ 2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS. COMP/OP AGG $ 2,000,000
I n PRO. nLOC
POLICY JECT
AUTOMOBILE LIABILITY 2lUETT0114 11/10/2004 11/10/2005 COMBINED SINGLE LIMIT
- $
X ANY AUTO (Ea accident) 1,000,000
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
B -
X HIRED AUTOS BODILY INJURY
- (Per accident) $
X NON-OWNED AUTOS
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
tJ OCCUR o CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND lWC3055343 11/09/2004 11/09/2005 I -rc;~$'l~1fs I I OJ~-
EMPLOYERS' LIABILITY 500,000
C ANY PROPRIETORIP ARTNER/EXECUTIVE EL EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $ 500,000
~~e~t?:C~'~M~~I~NS below EL DISEASE - POLICY LIMIT $ 500,000
OTHER
Il~ESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Key West International
e: Terminal Rehabilitation (Custom Building Replace A/C and Handrails,
!\irport, Monroe County, Fl
he Monroe County Board of County Commissioners, its employees and officals are named as additional
nsureds on the general liabil ity insurance.
RECEIVED
The Monroe County Board of County
Commissioners
1100 Simonton Street
Room 2-213
Key West , Fl 33040
CANCEL A TION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE~ F
EXPIRATION DATE THEREOF, THE ISSUING INSURER ~^~N~ T'I"A/!....... Ale
.3Q.... DAYS WRITTEN NOTICE TO THE CERTIFICATE~MMrfAllM-k ~,I .
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE .-A'/~_~____________.
Bill Bodenhamer/SJM ':;/;;(:;71ZJJ/:5""~
@ACORDCORPORATION 1988
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)