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Addendum 04/19/1995 ADDENDUM TO AGREEMENT (Public Service Building Janitorial Contract) THIS ADDENDUM TO AGREEMENT is made and entered into this 19th day of April, 1995, between the COUNTY OF MONROE and ACE BUILDING MAINTENANCE in order to amend that certain agreement between the parties dated May 18, 1994, as follows: 1. In accordance with Article 3.04B of aforementioned agreement, the County hereby exercises its option to renew said Agreement and hereby amend Article 3.04B to read as follows: "3.04B The Owner shall have the option to renew this agreement after the second year for one additional year. The contract amount agreed to herein may be adjusted annually in accordance with the percentage change in the Consumer Price Index (CPI) for Wage Earners and Clerical Workers in the Miami, Florida area index, and shall be, based upon the annual average CPI computation from January 1 through December 31 of the previous year." 2. Payment by the County to Ace Building Maintenance for the performance of said service remains at $23,400.00 per year to be paid $1,950.00 per month." * 3. The term of this amended agreement shall commence on May 18, 1995, and terminate on May 17, 1996. 4. In all other respects, the agreement between the parties dated May 18, 1994 remains in full force and effect. C; .-IN WITNESS WHEREOF, the parties have hereunto ~nd9'and.seal, the day and year first written above. :....) co "- '>. L..J c:c cr.. \0 23 I ~eaF1 UJ . ~ ~test: set their ... vI . ~...- ......... _.~ ,-j '~_.' BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA ~"'- :::(~ LL.i .t. ;- <::) z .J m::: <.<: z :::, ~ "'- DANNY L. KOLHAGE, CLERK By:cS~-F~ By:- o...~ C. ~;4~ Deputy Cl rk ACE BUILDING MAINTENANCE ~ ),r:h....b"^~ o~ ~o~~ By: ')Akf?l~ ) '~ '1'., j '\ SWORN STATEMENT UNDER ORDINANCE NO. 10-1990 MONROE COUNTY, FLORIDA ~~ICS CLAUSE . v ~ ' < )U~ lIv\'J \<1.<- tBrr Au. &l~ (f) warrants that he/it has not employed, "- retained or otherwise had act on he/its behalf any former County officer or employee subject to the prohibition of Section 2 of Ordinance No. 10-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 10-1990. For breach or vio~ation of this provision the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee. STATE OF 4f~ Crn00L~ COUNTY OF ~~. Date: )-.3 -q L) ! - *' , i I .(\ , PERSONALLY APPEARED BEFORE ME, the undersigned authority, Judy 1306 I~ who, after first being sworn by me, affixed hiS~signatu~e \pr~v;ded above on this I r l~, 19%. My commission expires: (name of individual signing) in the space ~~ . C)~ day of ~iD.~~ NOTARY PUBLIC h\\"'.."'.."'......,....................<.<.W..<.,\\<., \\\,' ,,\\ <., ,w",'.. :1 ~~....y "iI<< Becky D. Hernandez-Bauer I~ . : · ~ Notary Public, State of Fiorida ~ : : ~~ i Commis.si~n No. CC 459118 ( : or....~ My CoIDDUISIOD Expires 05103199 ~ .: 1-IOO-3-NOTAllY. PIa. NoIIIy s..mee a: BoadiDc Co. ~ . '((((((((((((((((((((((((((((((((((((((((((((((((((( ~ ~ 0000000000 0000001800 0000292400020366 1001 4 ..-'" ___0_-__ --.-.--__--'J--..--~ 002067 I No. OCCUPATIONAL LICENSE City of Key West, Florida LICENSE YEAR 1994--19\,5 ~-~ NO REFUNDS RECI "222842 TR' .125 ID CCE "CHI .28 lot CKYlI CRI973 WI .3/28/95 13:'7 ACCTI5"1-6139-'1-2 ACE BUilDING "AINTENAMCE AttOUNT PAID: 112.5' 156 DCC LIC 112.5' P2 112.5' CH .... FINANCE DEPARTMENT DIVISION OF REVENUE 09/30/95 50016139012 THIS LICENSE MUST BE PROMINENTLY DISPLAYED LICENSE PERIOD BEGINNING 10/01/94 THROUGH PENAL TV SCHEDULE g 75.00 82.50 86.25 I . 90.00 , 93 LICENSE FEE OCTOBER NOVEMBER DECEMBER JANU BUSINESS P.O. eo)( 2763 ADDRESS: .TOTAL~UNITS ,. TYPE 1ZC SERVICES LICENSE: GENERAL; SERVICES , ., /rt BUSINESS r .~ NAME: ACE BUILDING. "AINTEIUNCE ...~.: J I\"ITOR IAl' S ERVI C E'>(1/;:",. Y . I . 0 3/27/95 i't"t-llJ'''' JU D BRYtE e (\ICk, "iI,..;', ::i", f OWNER: 1 2 (j 0 2 0 T H T ERR 1\ C f ., :"',,;;rj.q:,'i ADDRESS: KEY. VEST fli33040 CITY: "- J _\ /' ~ THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDmONS SHOWN ON THE REVERSE"'siDE OF THIS FORM~ PIfODUCER Pl1g~o Exl3 05 - 852 - 3 3.. COMPANY BINOER , REGAN INSURANCE AGCY INS CO BOBJ50-4 Risk Mgmt. & Loss ContI. EXPlRAnON 90144 OVERSEAS HWY DATE-#/tL/ / 'i\r"" DAn: DAn: TAVERNIER FL 33~71qAL TIME 12:01 AM NOON CODE: 09033053 ~g~~8~ER ID: ABOBJ50 - 4 INSURED SUIH:ODE: THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY X PER EXPIRING POUCY': 5071442 8 DESCRlPnON OF OPERAnONSNEHlCLESlPROPERTY (including Locadon) 89 CADILLAC 1G6ELl150KU601257, JUDY BOBICK DBA ACE BLDG MAINTENANCE 1200 20 TERR EY WEST FL 33042 :#~;Ut_~m.M:::tt:tttttlm:::t:::l:t:m:::::l':{m:':::::::::::::t:::m::t:::m:m::ttlIIII:ttlIi:l:t:I:mII:tt:II::i::::I::::::::m:m:m:::::::I:tt:I::::IimI:t::t:m::lllf:ll:::tt:::::rm::::::tntl:llI:l;ltltll'MttI;W~mWWt::@mmilWl TYPE OF INSURANCE COVERAGElFORMS" .. AMOUNT DEDUCnBLE COINS '" PROPERTY CAUSES OF LOSS BASIC D BROAD 0 SPEC GENERAL UABIUTY COMMERCIAL GENERAL UABILlTY CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT BY 5" - 5/ - y....s- 0'~ GENERAL AGGREGATE $ PRODUCTS. COMPIOP AGG $ PERSONAl. & ADV INJURY $ EACH OCCURRENCE $ ARE DAMAGE (Any one fire) $ MED EXP (Any one person) $ COMBINED SINGLE UMIT $ 300,000 BODILY INJURY (Per person) $ BODILY INJURY (Per IICCIdenl) $ PROPERTY DAMAGE $ MEDICAL PAYMENTS $ 5 000 PERSONAl. INJURY PROT $ 10 000 UNINSURED MOTORIST $ 300 000 on-Stacked $ ACnJAL CASH VALUE STATED AMOUNT $ OTHER AUTO ONLY. EA ACCIDENT $ OTHER l1iAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE SELF-INSURED RETENTION STATUTORY UMITS [lATE '/.', '''rf'). '" I ~ RETRO DATE FOR CLAIMS MADE: AUTOMOBILE UABIUTY ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS AUTO PHYSICAl.. DAMAGE DEDUCTIBLE COWSION: 500 OTHER THAN COL: 5 0 0 GE UABI.lTY ALL VEHICLES X SCHEDULED VEHICLES EXCESS UABIUTY UMBREUA FORM OTHER l1iAN UMBREUA FORM RETRO DATE FOR CLAIMS MADE: WORKER'S COMPENSAnoN AND EMPLOYER'S UABIUTY SPECIAL CONDmoNSl OTHER COVERAGES 't1 i~~!~t!t!.P.P!~~::::::::::::t:::r::::::m:::trr::::m,:::tt:::::::::ll:::::::::::::::I::IIt:::::I::::::::::::::::::::f::l:fm::::tlr:Ii:::t::::::::::::::ll:::::::r::::l,,:,,;;;::;.,.,:;:;:;:;;:;;:,:,:;:;;:';:;:;,i:lI::II:t:::::::l:::::::mr:I:t:::i:l:ii:::::t:I:n:::::::::::t:::::III:tt:m:t::tlUWUltlllilMl:::::t MORTGAGEE X ADDmoNAl. INSURED LOSS PAYEE LOAN , MONROE COUNTY BOARD OF COMM ATT: RISK MANAGEMENT AU11tORIZED REPRESENTA E I /",~ 5100 COLLEGE RD /// ,""'.r /.{ . . . ~EY WEST FL 33040 Robert E Re9a~""" /-~, Z Co#o,...,.. .....?~.J.~) il4cQa#m,iit:3.fI#::i':m:::::::::t:,::::mmt:rj',::::'m':ttm'imttt:::::::ij6.~fjMi.ijtffiWf:r$fifitiijilijMitid.irQijtiji.yti.$itiiQittt't'fUI::::r':.:,Aa.aijp'j:::cb.ijp.bijifiQij:tj'$~ l .' ~>_.t,' CONDITIONS This Company binds the kind(s) of insurance stipulated on the reverse side. The Insurance is subject to the terms, conditions and limitations of the policy(ies) in current use by the Company. This binder may be cancelled by the Insured by surrender of this binder or by written notice to the Company stating when cancellation will be effective. This binder may be cancelled by the Company by notice to the Insured in accordance with the policy conditions. This binder is cancelled when replaced by a policy. If this binder is not replaced by a policy. the Company is entitled to charge a premium for the binder according to the Rules and Rates in use by the Company. .. .~ Applicable in Delaware The mortgagee or Obligee of any mortgage or other instrument given for the purpose of creating a lien on real property shall accept as evidence of insurance a written binder issued by an authorized insurer or its agent if the binder includes or is accompanied by: the name and address of the borrower; the name and address of the lender as loss payee; a description of the insured real property; a provision that the binder may not be canceled within the term of the binder unless the lender and the insured borrower receive written notice of the cancel- lation at least ten (10) days prior to the cancellation; except in the case of a renewal of a policy subsequent to the closing of the loan, a paid receipt of the full amount of the applicable premium, and the amount of insurance coverage. Chapter 21 Title 25 Paragraph 2119 Applicable In Nevada J Any person who refuses to accept a binder which provides coverage of less than $1.000.000.00 when proof is required: (A) Shall be fined not more than $500.00. and (B) is liable to the party presenting the binder as proof of insurance for actual damages sustained therefrom. A~Qijtt1.~Ht':t~mjr,:::rrr:::::'r:mr::::::::mtm::rrm:Ir:::mm::::trIrr::mtttJmm:rmJJfJ:::::rmttttttmmt:r:ft:rm::j:t:::rr:ttfmr::::::r::::rr:::j:t::::::::j:::j::':mtt:mfjrrm:!:t:::@r:fI:!:mmrrt::tmtttfltlfffflttlfmtffffmrit ( ( ~./07/1994 14125 fF:ON GF.(lIHH 116T. 0 Ill. I1Q~I<TH(lH TO ,,~~O F.. ('I COHtTRVCllOH INDUSTRY CERnACATE OF EUCnOfot TO 8( EXEWPT mow TliE ftORICA WORKtR.. COUPE.1i'Al1OH LAW -: \ w""" TO; 0.. V' 4"11" Law , r...,......... a..w.y .'-" w.c:.Ql 4"-" ir-..c 0"'- ....... f) 'j C 0 T"""" ,.... I," ,,1\4."" T~ r. 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VMIofNM "a,.. .... ,t.'.tof.'"tt"'~ft' C"'~ICW. ..~. w .tft_ at. -,...1Ioft...... .l4oc', .......pOoft .-- "" oha,..., ~ All", . ~f\....., ~IIM 4IMe' &. 4040." -, ~I_..., ~~.. N ..11\,.....100\ ~ eaI. cfIa,..-. I ~ "ft4eot""" ""I~" I. I 'IMIt.f foo.- ...~. W ~r.. ~.. ."'te,&. . K't~ I'\at uy _,Ie~ .1.... ""w".. ftI~ 'N" '.......-4 "" WMt..... _~"SOIl ....."._. "EOVI" fa lilt CUl'lflf.O ~ "EOII1"tA!J) I.JC(I(n. HUD I"V"IUAHT TO eHAI'TU ~t F... OR"~ OCCVPAlIOHAl.lIc.EH'U. ti4t Lc c:.qt4o( ~~ ,), t,:, Of 0 I" t.l. (C) T.w; 0 1.4 . tlwmbw: '1 NO \.V.l 05(~~ ~w: IN~ORT.vc" A Ioi .RU'UHOAll.5 ~n fin OO(.LAAI (tu.OO] Il'MltwWootJ c~ till",... Ie ~v1n4 ,.,.....,.,.C tor CIl.e,... +4O.os.'" ftC ""a. :NF-4.00t{8J. _1Of 'I ,..r."''''''., ""'1oof'1 tt..ca N":-" ~.. w.e. AMI,,'trtr.hft Ttv. FvftC. FeIJ\noI" .~Io.. .... th4 -.raw, ...."r ~Ie" .... ...... wUI "wit '" ,,"'" .f ~ ",wlIC.~ _.. . ~y /II toeI9fIu~ Al'FIOAYn' OF ~ocrEHOEHJ COfCTRACTOIIlITATUI: .. .=r-. ..t V'.... A If ,,- . -.. tm6w ...... 40 ..,... .. ~ 1" .-1,.",. Mp<<... butt",.. wi" II' INft --' 1MIlhr. '-II, aq"'''''''''' _1Mid.. w tlmll6( .ocoIl104tOOt~ t. I W4 w he... ~ .., . ....... ........,., WMrllcdOl\ II_~ " I r' riMwI w .,,... .. ~ ~ Mn'IM. w ~ let ~Iftc """"," .f _, ..-4 ,...,w co.. IftoHft. of ~Ift. ~ ~. II wwt; ... · "-"... ,nnc.t,..r ..,..".., t9&t....... fl. ~. ~....l I powitr. w ~.. ~"'; .. .- '""""'We .., .... ..r","~ -pklell.r..ott. Mn1o., f\d 1 pwtono . ..,.. ~ ,..-tonII ~ It 0( -U ... hIU~'" ,", WWf'I .. _plot.. ~-*H~; .. ........ ....'"'..~ lor "'"' w Mni... ~ Iw. -Ift'-'ott N NI'", 1M" -,.n_&>14 ....... tM rIO' on Ill"~ MIf1l; 1. .....,...na.. Pf.II. wttw. '"" "'____ W<" p.rlannJ", -' w Mniote; .. · N... ~'lWItlf.. rwvm.., .......... ..~Uh'1of ""'rhfta:..... .. 11\4.~M" ton_.,..., ..."'_ -'pw04. eft ... t9&t~,.c """..... "'"',.... .~"',... T~~~ :""J\!~ ,~ct , ~~u. d Nt-.: ~/Jl"--1 jJ-ut~. (prIy - s,,;t..\.q fl. fGmIJ . P~CI'\: vJ I ~ OWHEM>l'\Of''''E'~ two...... TO ~o IVes~O BEFORE 1oC~ TH:I 711' .\' '--"r ~ T. u. Soc..r '~Iy Nuoooobr: .:.} {; ~3-<1i1-I-.s -Cf (; 'AA~[" CAy~-$ CON"OAArE OFfICEIVT1l\.! 13q~ .F\~ 'OJi'1J.:.l}f) 6 ______ :;,~,,. r.J....:.~. $0:0:. g/, nO""'G4. ..., c.c-.-..... U:>Of'HCUI. J.J(1T M.Y S~L , .~ ....u. IJO i',""'^^w.... ...,J_I~!"""~";"'1 Typa or 1d...."".ClI"I --~-.--4 -.-_____ " 111..........1 " THIS CERnFlCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERnFlCATE HOLDER. THIS CERnFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER REGAN INSURANCE AGCY 90144 OVERSEAS HWY TAVERNIER FL 33070 COMPANY A OHIO CASUALTY INS CO INSURED COMPANY JUDY BOBICK DBA B ACE BLDG MAINTENANCE COMPANY 1200 20 TERR C KEY WEST FL 33042 COMPANY I D ::!!!gmq~i{:t::)t~:::m):):):),t::t::!ttt::~tt!:!:!:):tt::!tttttt:::!:):):!:::ttt!:!tt:::t)t:::t):::)t'tt::::tmmt!tt:::!:::::!tmmt:,:!:!t{tt:tm:):::):):)tt'!t:!:):!tt:)'!:::):tt):):)tmttttt!tt:!t'!tmmt:):):):)tt'!'t!t't):):I)t:IIIIIIItIttt:{'t!:!:!:':):):):):):)::~)tmIII:{:!:!:): THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOlWlTHSTANDING 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 DESCSIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAle CLAIMS. , CO LTR TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRA1l0N DATE (MM/DDIYY) DATE (MM/DDIYYI LIMITS ~ GENERALUABUTY BH050714428 ~MERCIAL GENERAL LIABILITY ~ CLAIMS MADE [}[] OCCUR OWNER'S & CONTRACTOR'S PROT - 2/25/95 2/25/96 GENERAL AGGREGATE $I, 000,000 P~DOC~ COMP~p~G$l,OOO,OOO PERSONAL & ADV INJURY $1, 000, 000 EACH OCCURRENCE $1, 000, 000 ARE DAMAGE (Any one fire) $ 5 0 , 0 0 0 MED EXP (Any one person) $ 5 , 0 0 0 AUTOMOBILE UABUTY - '-- ANY AUTO _ ALL OWNED AUTOS _ SCHEDULED AUTOS _ HIRED AUTOS _ NON-OWNED AUTOS - APPRo\'fD BY , ISI< ',t~~~GFMENT r,v _~~~ ~ ;b~_ f _.______~ ~~ 5 ~~ -- ;~ N/A ./ YES COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE UABUTY - _ ANY AUTO - AUTO ONLY. EA ACCIDENT~ OlliER lHAN AUTO ONLY: ~ EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ 1 EXCESS UABUTY 1 n.UMBRELLA FORM 11 OlliER lliAN UMBRELLA FORM WORKERS COMPENSA11ON AND EMPLOYERS' UABUTY lliE PROPRIETOR! PAR1l\IERSlEXECUTlVE OFFICERS ARE: OTHER RINCL EXCL ~ I STATUTORY LIMITS ~ EACH ACCIDENT $ DISEASE. POUCY LIMIT $ DISEASE. EACH EMPLOYEE $ DESCRI>11ON OF OPERA1l0NSILOCATIONS/VEHICLESISPECIAL ITEMS ::i1XHjfWi~${li&i){t:tI::!'):""I::':I':I:~{{mI::~ttt!,),t:'t':~::t JANITORIAL SERVICES 600 WHITEHEAD STREET KEY WEST FL 33040 PUBLIC SERVICE BUILDING )~~~Pf!q+"'@M9.!1M~@){::'::t):@@I@@://'::::::):):":mt::::@:::):{/::::{:::I::I:/!:::/:::t:'@:/:::::::'/'ftt'ItItt:/rS!!Q9W4.n9,,/t:):::,::,,'t@)'t)/:@!::/::,),)::/,t),t@@@:'@):m:::):mt::,::t::)::,:::,),),!,!'::@@@@t::@'f/:!///:)::::)::)t:!:):)/:)::/:!:!:):::): SHOULD ANY OF THE ABOVE DESCRBED POLICIES BE CANCEU.ED BEFORE THE EXPlRA110N DATE THEREOF, THE ISSU&lG COMPANY WILL ENDEAVOR TO MAL .lL DAYS WRITTEN N011CE TO THE CERTFICATE HOLDER NAMED TO THE LEFT, BUT F~E TO MAIL SUCH N~ SHALL "POSE NO OBLlGA11ON OR UABLITY OF ~Y;&IO UPON lltE A:f1MpANY, ITS AGENTS OR REPRESENTATIVES. AUTHl'~r .J~P \ -kE( C/~'((.,: a.- .. .. ...~.,:,~}..;.7:, '. ::. .~.. :.:...... G~., .',..' .:'.:.:'..:.'.., ".,."'>.;.;;,~::>-li;.~...:.""'~!_~:i~iii.~...:,o;;'..",, ':':':';'::::::::::;':.:.:.:.:.:.:.:.:.:.:.:.;.:.,,:.:.:... .,': "....... '.' ;':':::::" ," . .....:. .:: . ..: ....:..: ~::~:: .', .: :,,:;,:,,:::'{';" :.;.';.' :.:.:~~~~"- "'~W'nrw~:'1,," '.::-=..~ V MONROE CO BOARD OF COMMISSIONERS/ADDL 5100 COLLEGE ROAD KEY WEST FL 33040 COUNTY INS REGAN INSURANCE AGCY COMPANY A OHIO ~~SUALTY INS CO ~][r~!~!;':Jt~.IIIII.~fI':~'~::':~,,~~~~jl PRoouea. 90144 OVERSEAS HWY TAVERNIER FL 33070 INSURED --.-.".~,.. ____6_._..___._~........__'".... JUDY BOBICK DBA ACE BLDG MAINTENANCE 1200 20 TERR KEY WEST FL 33042 COMpANY 8 COMPANY C ! :~~~g~:l@@~t.m: li~&:S*~~$WM~~i@@ji.~~~~~j,~~~~t.$~~~if;::':"{...m~W~~~m[i.x.~lli~l!tt~M{f~*$'if' ,. ~. :&ML~~1i~!ltJil~'t, T"15 IS TO CERTIFY THAT 1l4E POUCIES OF INSURANCE USTED BELOW HAve ItESN ISSUED TO THE INSURED NAMED ABOVE ~R THE POLICY PERIOD INDICATED. NOTWITHSTANDING ~NV REQUIREMENT. TERM OR CONDmON OF AN" CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAtt MAY BE ISSUED OR MAY PERTAIN. 1l4E INSURANCE AfFORDED 8Y iHE:: POUClES DE~FU8eo HEREIN IS SUBJECT TO ALL. THE TERMS, EXOUISIONS AND CONDITIONS OF SUCH POUCIES. UMrrs SHOWN MAY HAVE BEEN AE:DUCEO BY PAiD OlAIMS. COMPANy D co ~TR ........-.....--.--...."- 1YPt! 01" ~ poucy NUM8Eft POLICY EFFECTrvIa POUCY EXPIIIA1IQf( DATI! (llllWllIYY) DATE (llMIDDIYV) LE1S ~ UABIUTY COMMERCIAL G.,.,ERAl- lIABIlITY :i:: ...__ C&.AlMS MAIlE 0 OOCUR OWNER'S l C~IfS PROT BY G!N!IW. AGGAEGATE . PRODUCTS. CClMPI'OP AGG S PeA80NAL &. N:N INJURY . EACH accuRQENCE < S ARE DNilN.iE tJ.nt _ h, . MED EXP (My Ottt 1*'tOl\) S AUTOIlOR! LIMIUfY NlV AUTO AI.L OWNED AUTO$ SCHEDULeD Alrn)S IflflEO A11rO$ NON.oWN!O Alrn)S COMBIlED &INGLE u.trt . 8001~V INJURY (p.,~ . OATE 1001L., INJURY' (Per~ I Pfll)PERlY DAMAGIi' . AlIfO ONL l' - IIlA ACCma.-r . 0'I1'fIR 'ItWtI AUTO OHl. Y: ;:~:~~~:: :~~~j:~~::~:~;: :~:S::-:~~~~~;~::~: E'ACH ACClDENT . AGGRl:GAre . EACH OCCUlllDICe ~ ABcl;AEGA1I: $ I tIC&. EXCL !!!A1ttl'ORY LIMmI EACH ACCIDENT Dl8EiASE . PCLUCY l.IIllT OIS~ . EACH EM . ..... .... ............. ... .... I....~...... .......... ...\"...1.......... ................... ~:::: .:~.~;::-::;.!".~ . ':"<<':',' ..... <":::. ...::~:~;~ 'THE PflO~f'IIETORI I"MlNERSlUSCUTlW! OFFICeRs ~~; cmt!Il I . I DQCIlIPTlON OF OPERAlI.OfC$II.DeA~ rm.s JANITORIAL BOND LIMITS $10,000 TERM 3/3/95-96 i,.;".x..,;' >II;, ",~.. .,JL:~.;";;,,, ."';,~f_ffiimft#i~M~ii1:!~%~@f);~ffl~$?~]fli~M_:t~tlK~;"".;"~$,,;. '~ . , J&: . > '~~5 IttOUIJI Mn' OF lItE Maw IIUCQIm I'OUCIEI It! CANCeU.D MFON 114! 0PIAA1ION DAlE "--0', 'lie IIItIIICII COMPANY wu. blDUYOA TO MAL - D&~........ ~ 10 'nC ~'IE tIOl..aEIIllIAIIED TO". LU:t. BUT PAA.UftE TO II'" IUCH IIIO'Ya *tWL ...... NO QIIUQA'I1QN 011 UAIIILIrY OF MY ,....,,~ 'mE COMPANY:''I""" AGI!WrI OR REPREIENTAlWU. AUTlfQftlZED I AJIff!' f" : '..- . ~jicWi:f~i~l"''Ji.f ::iit*::~;}!~::;ir)$~ii~~~1?~~ii;:~1if,i;!@t~~~:f:;iint:~~.\@i:\U{!11n~1!~I:~iii(Wi~/~m!~r'~:~~IJ~~~~:!~:1WJi~-;m'i~j~t4~~-n1r"_.~;~~i~:~fijJ F l-: (i 1'.1 -, I ' .j r -.; 'l (I IE I-_,! I I!'-, < j r~, (I .'~ I-I I }_ ~,I:" f ,-.,