Certificates of Insurance
ACORD CERTIFICA TE OF LIABILITY INSURANCE T DATE(MMlDDIYYYY)
TM 07/11/2005
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Rooney Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
6216 w. Gulf to Lake Hwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Crystal River, FL 34429
352-795-1008 INSURERS AFFORDING COVERAGE NAIC#
INSURED Patricia McNeese INSURER A: Hartford
P.O. Box 450 INSURER B:
Crystal River, FL 34423 INSURER c:
INSURER D:
I 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'OLICY EFFEC fiVE FOUCYEXPiRATION
I~: ~~~ CF POLICY NUMBER DATE','MM/DONV\" DATEiMMlDDiYVl LIMITS
~NERAL LIABILITY EACH OCCURRENCE $1,000,000
X rElMERCIAL GENERAL LIABILITY ~~~MISES lEa occurencel $300,000
f--- CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $10,000
A X 21SBMBQ1703 11/23/04 11/23/05 PERSONAL &ADV INJURY $1,000,000
- GENERAL AGGREGATE $2,000,000
GEN'L AGGREM LIMIT APn PER: PRODUCTS-COM~OPAGG $2,000,000
I POLICY ~fP.,= LOC
~OMOBILELIABllITY COMBINED SINGLE LIMIT $
ANYAUTO (Ea accident)
-
- ALL OWNED AUTOS BODIL YINJURY
$
SCHEDULED AUTOS (Per person)
-
- HIRED AUTOS BODIL YINJURY
$
NON,OWNED AUTOS (Per accident)
I--
f--- PROPERTY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANYAUTO OTHER THAN EAACC $
- - AUTOONL Y: AGG $
~rT'~l' ,'V~~-;. :'. (J '"
OESSlUMBRELLA LIABILITY ~ EACH OCCURRENCE $
OCCUR 0 CLAIMS MADE By...... T .."....... .._.~ ~:......." AGGREGATE $
DATE _ ~...,!6::-_2 $
~ DEDUCTIBLE N,';,,,,,~, $
RETENTION $ WAIVER $
WORKERS COMPENSATION AND 1 WCSTATU, T 10TH-
TORYLlMITS ER
EMPLOYERS' LIABILITY
ANY PROPRIETORlPARTNERlEXECUTIVE E.L EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
Ilyes, describe under
SPECIAL PROVISIONS below E.L, DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/ LOCATIONS/VEHICLESI EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Environmental Consultant
Monroe County Board of County Commissioners are automatically listed as an
additional insured.
CERTIFICATE HOLDER
CANCELLATION
Monroe County
Commissioners
2798 Overseas
Marathon, FL
Board of County
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 0 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 T
Highway, Suite 400
33050
ACORD25(2001/08)
ACORD", CERTIFICATE OF LIABILITY INSURANCE I DATE(MMlDDNYVY)
11/16/2005
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Rooney Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
6216 w. Gulf to Lake Hwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Crystal River, FL 34429
352-795-1008 INSURERS AFFORDING COVERAGE NAIC#
INSURED Patricia McNeese INSURER A: Hartford
P.O. Box 450 INSURER B:
Crystal River, FL 34423 INSURER C:
INSURER D:
I INSURER E:
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 ,,"OO'l POUCY NUMBER 'rii~~rM~~~~VE ~J;:l~1~JbrrJWN UMITS
lll< NSRO
~NERAL LIABIUTY EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES lEa ocaJrence) $300,000
I CLAIMSMADE I!J OCCUR iviED EXP (Anyone personj $10,000
A X 21SBMBQ1703 11/23/05 11/23/06 PERSONAL & ADV INJURY $1,000,000
I-- GENERAL AGGREGATE $2,000,000
n'L AGGREM LIMIT APn PER: PRODUCTS - COMP/OP AGG $2,000,000
POLICY ~~,9,: LOC
~TOMOBILEUABIUTY COMBINED SINGLE LIMIT $
ANYAUTO (Ea accident)
-
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
-
I-- HIRED AUTOS BODIL YINJURY
$
NON-OWNED AUTOS (Per accident)
I--
PROPERTY DAMAGE $
(Per accident)
RGE UABIUTY AUTO ONLY, EA ACCIDENT $
ANYAUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
OESSlUMBRELLA LIABIUTY 'PP'l<rt' ~VSK MA ]~:~EMEI~1 EACH OCCURRENCE $
OCCUR 0 CLAIMS MADE h ' j,. J ,/ AGGREGATE $
. _ '116'1
b Y ....,....._ _. _~>..L_ -'-' :;. -;95 $
H DEDUCTIBLE ,--~~~ $
RETENTION $ $
WORKERSCOMPENSATlONAND ,,; ~J/A -~ ,..Y ~'.. . I WCSTATU- I 10TH,
EMPLOYERS' UABIUTY -rnRy,'IMIT" ER
ANY PROPRIETORlPARTNERJEXECUTIVE EL EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? .- E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE, POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Environmental Consultant
c.~' ~
'. , V\CL l'\( ./L-
Monroe County Board of County Commissioners are automatically listed as an
additional insured.
CERTIFICATE HOLDER
CANCELLATION
COVERAGES
Highway, Suite 400
33050
Monroe County
Commissioners
2798 Overseas
Marathon, FL
Board of County
ACORD 25 (2001/08)