COI Expires 05/26/2006
ACORD.
CERTIFICATE OF LIABILITY INSURANCE
OP 10 DATE (MMlDDIYYYY)
IMAG-C1 08 02 05
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 POLICIES BELOW.
PRODUCER
Uni ted Insurance Agency Inc.
116 W. Elm - P.O. Box 1604
El Dorado AR 71731-1604
phone:870-863-4123 Fax: 870-862-6956
, - "t.'-
COVERAGES IN'!\I" "
--
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.
LTR NSRI: TYPE OF INSURANCE POLICY NUMBER PD'i~1:m~ Pgk'-&Y/~J!.RN LIMITS
~RAL LIABIUTY EACH OCCURRENCE $1 000,000
A X COMMERCIAL GENERAL LIABILITY GLP208912701 OS/26/05 OS/26/06 PREMISES rEa occurence) $ 50,000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5 ,000
- PERSONAL & ADV INJURY $ L 000 000
GENERAL AGGREGATE $1,000,000
GEN'L AGGREGATE LIMIT 7lS PER: PRODUCTS - COMP/OP AGG $ L 000.000
h -n PRO-
POLICY JECT LOC
AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ee accident)
-
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
-
f-- HIRED AUTOS BODILY INJURY
$
NON-OWNED AUTOS (Per accident)
f--
- PROPERTY DAMAGE $
(Per accident)
~GE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
OESSlUMBRELLA LIABIUTY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T'ff~yS~I';I~S 1 1O~-
EMPLOYERS' LIABIUTY
ANY PROPRIETORIPARTNERlEXECUTtVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If~, describe under
S ECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate Holder has been added as Additional Insured to named policy
Images in Concrete, LLC
Gerald Taylor
600 Garland
El Dorado AR 71730
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E'
NAIC#
25135
INSURERS AFFORDING COVERAGE
INSURED
\1Ei~T
CERTIFICATE HOLDER
CANCELLATION
MONROE 1
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATlO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL
IMPOSE NO OBUGATlON OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTH
D REPRJsrrlJ~
/(,("lJa ~
@ACORDCORPORATION 1988
Monroe County Board of County
Commissioners
c/o Construction Management
1100 Simonton St.
Key West FL 33040
ACORD 25 (2001/08)