The URL can be used to link to this page

Certificates of Insurance CERTIFICATE OF INSURANCE RANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE o OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: [gI STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois o STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois o STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas, or o STATE FARM INDEMNITY COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown below: NAMED INSURED: OVERHOLT CONSTRUCTION CORP 10460 SW 187m TERRACE ADDRESS OF NAMED INSURED: POLICY NUMBER EFFECTIVE DATE OF POLICY LIABILITY COVERAGE [gI YES LIMITS OF LIABILITY a. Bodily Injury Each Person Each Accident b. Property Damage Each Accident c. Bodily Injury & Property Damage Single Limit Each Accident PHYSICAL DAMAGE COVERAGES a. Comprehensive b. Collision EMPLOYERS NON-OWNED CAR LIABIUTY COVERAGE HIRED CAR LIABILITY COVERAGE FLEET - COVERAGE FOR ALL OJIItEOAND LICENSED MOTOR VEHICLES 0 YES 0 NO ~~0 L)(PJ~ Signa1J1 of Authorized Representative Na~ Address of Certificate Holder MONROE COUNTY BOARD OF COMMISSIONERS 500 WHITEHEAD ST KEY WEST, FL 33040 DESCRIPTION OF VEHICLE (Induding V1N) 106 1978 09/14/05-03/14/06 01 CHEVROLET EXPRESS VAN 1GCFG25M611175362 DNa 1 MIL [gI YES $ 250 [gI YES $ 250 DNa Deductible DNa Deductible 11 7 2304 11 7 2305 313 1259 DYES DYES DNa DNa 10/10/05-04/10/06 OS/29/05-11/29/05 01 CHEVROLET C3500 PICKUP 1GBJC34131Fll1368 08/04/05-02/04/06 05 FORD F150 PICKUP 1FTPW14595KE92774 2003 SATURN L 1G8JW54R23Y547893 [gI YES DNa [gI YES DNa [gI YES DNa I\PP~VEp-t ~ Hi:~t{ t/- ,J BY _I l,~ __-!I '._ ~~<.q.__,.__ I!"'\ ,r, /I~ UAI t: ___..._. .u..C..I/.. '-/~ ___ WAIVER ~ fA y.. 'iF,S 1 MIL 1 MIL 1 MIL [gI YES DNa [gI YES DNa [gI YES DNa $ 250 Deductible $ 250 Deductible $ 500 Deductible [gI YES DNa [gI YES DNa [gI YES DNa $ 250 Deductible $ 250 Deductible $ 500 Deductible DYES DNa DYES DNa DYES DNa DYES DNa DYES DNa DYES DNa DYES DNa DYES DNa DYES DNa AGENT 1236 10/11/2005 Title Agent's Code Number Date Name and Address of Aaent JOHN WILKERSON INSURANCE AGENCY 15455 W DIXIE HWY iF N MIAMI BEACH, FL 33162 OFF: (305) 945-4000 FAX: (305) 945-5564 INTERNAL STATE FARM USE ONLY: 0 Request permanent Certificate of Insurance for liability coverage, 122429.2 Rev,06-10-2004 181 Request Certificate Holder to be added as an Additional Insured, ~i ACORD ~;~!iJi;I;'m~ ;~~II'~:~';;;-~i.~.~";;,~,.~.!it:.~J;~r~~{;. THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVilEGES AFFORDED UNDER THE POLICY, PRODUCER =:::: ~Q,~=~~_i:'C?2'86--=--===~,=~== 'COMPANY -,' DATE (MWDDiYY) ~;l 10/11/05 ~~1 BUTLER, BUCKLEY, DEETS INC. 6161 BLUE LAGOON DR" STE 420 MIAMI FL 33126 THOMAS C BUTLER CODE: CUSTOMER ID II: OVEC 9-1 I~---------- Assuranoe Company of Amerioa SUB CODE: --~._--------_._- LOAN NUMBER Overholt Construotion Corp. 10460 SW 187 TERR MIAMI FL 33157 EFFECTiVEDATE--- 20058965 eXPIRATION DATE 09/30/05 09/3Qt06 THIS REPLACES PRIOR EVIDENCE DATED: CONTINUED UNTIL TERMINATED IF CHECKED - . LOCA TIONlDESCRIPTION 001 220 Reef Drive Key Largo !l'L COVERAOEIPERILSlFORMS -----._~----_.._._-----~-_._.---,._,.._---- AMOUNT OF INSURANCE DEDUCTIBLE Builders Risk Coverage/All Risk Exoept Windstorm 1,600,000 5,000 IWP~f~~1"iC-~r: ~V\GcM[jn 8Y'-_...l9~1:~_~~ DATE: ---'" JD.=--lQ-05 WAI\lEFl ~Iii\ --.Y:_ YES MONROE COUNTY BOARD O!l' COUNTY COMMISSIONmRS,ITS EMPLOYEES 1100 SIMONTON STREET KEY mST FL 33040 ~l~: 'J" .::' IJkORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID M~ DATE (MM/DDIYYYY) OVEC9-1 10/03/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BUTLER, BUCKLEY, DEETS INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6161 BLUE LAGOON DR. , STE 420 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33126 I i Phone: 305 - 262 - 0 086 INSURERS AFFORDING COVERAGE . NAlC # ----------------------------------------- -1=----- - INSURED ,~SURER A: __ FC~COMMERCI~ INS?AA"~C"'-_ ___ ___ _ _ __ ___ _ _ ~INSURER B: BRIDGE FIELD EMPLOYERS INS, CO, t- .----..---..---.--------.--..-..------ ---..--------..--.- OVERHOLT CONSTRUCTION CORP. INSURER C: . North River Insurance Co (C&F) . =1= G--- -------------- -------- 10460 SW 187 Terrace INSURER D: MIAMI FL 33157 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. --~-;-;~F INSURANC~--I POLICY NUMBER GENERAL LIABILITY LIMITS Alx x . COMMERCIAL GENERAL LIABILITY ~~.l CLAIMS MADE ~J OCCUR x' --I - -- -- ----- --.------- IJ _____ ______ rGEN'L AGGREGATE LIMIT APPLIES PER: - POLICY j j~T LOC I AUTOMOBILE LIABILITY i-l ANY AUTO [.J ALL OWNED AUTOS .~ J SCHEDULED AUTOS I HIRED AUTOS 1-1 NON-OWNED AUTOS r--l ! .-----~---- -._____n_____.__ GL0003271 .-----.------------------ 02/01/05 I 02/01/06 EACH OCCURRENCE $ 1,000,000 ~RE.MIS..ES~aOCCur.enCe)----!-$. 10. 0-,000=_ l MED~XP (Anyone person)_v ~, 000 _ __ . p. ERSONAL & ADV INJURY I $ 1 , 000 , 000 ---..---------- -...+---=---.---_____n____ I GENERAL AGGREGATE ' $ 2,000,000 ---.-----jj. ------. PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 .-------..-----..----. ---------- ! 1 ,.'\PPJilO\/E.D~.. . "~~"tt\GEMd. n "y 'YY'\ I '_l, -4-1+--_ , ----i-- n ^~-' l1t-1(1 r:c::::. + !.!rJ c. --..-."------__.'.-_- -:f.-:~-, ~ U\!AI\/r:Q \j/'j\ j Yf:'C' I II . c,_f. --,,""\_______~ ,_,'..J__--+- COMBINED SINGLE LIMIT I $ ~ (Ea accident) .--------.:-------- BODILY INJURY I $ I (Perperson) . . +' 1------- ------- BODILY INJURY (Per aCcidlOrlt) _ _ i $ f- . .-----1---------- PROPERTY DAMAGE $ (Per accident) I EXCESS/UMBRELLA LIABILITY C X 'XJ OCCUR [J CLAIMS MADE 5530871142 I 1__ DEDUCTIBLE r RETENTION $ I WORKERS COMPENSATION AND I EMPLOYERS' LIABILITY BI ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER ! 03/09/05 L AUTOONLY~AACCIDENT I~______ OTHER THAN ~ AC~!...________ AUTO ONLY: AGG $ I EACH OCCURRENCE $ 3,000,000 02/01/06 AGGREGATE $ 6,000,000 --.----------rs-------- r-=-____Qo===-= $ ANY AUTO ! 830-29850 I I 02/16/05 TORY LIMITS -------.- 02/16/06 EL EACH ACCIDENT_ $ 1,000, O.Q.Q... EL DISEASE - EA EMPLOYEE $ 1 , 000 , 000_ EL DISEASE - POLICY LIMIT $ 1 , 000 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED ON GENERAL LIABILITY AND EXCESS POLICIES MII~ONROE COUNTY vutWllfUCTlON MANAGEMENT OCT 5 CERTIFICATE HOLDER - MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, ITS EMPLOYEES & OFFICIALS 1100 SIMONTON STREET KEY WEST FL 33040 CANCELLATION MMONCOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN ACORD 25 (2001/08) @ ACORD CORPORATION 1988 rtrcic CERTIFICATE OF INSURANCE • RANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE aretCL D OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: E STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois ❑ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas , or ❑ STATE FARM INDEMNITY COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown below: NAMED INSURED: OVERHOLT CONSTRUCTION CORP ADDRESS OF NAMED INSURED: 10960 SW 187" TERRACE POLICY NUMBER 106 1978 117 2304 117 2305 EFFECTIVE DATE OF POLICY 07/01/05-01/01/06 11/14/05-03/19/06 07/31/05-01/31/06 _ OF 99 CHEVROLET 01 CHEVROLET 00 FORD F350 DESCRIPTIONES (Inclu OF FVIN) C1500 PICKUP C1500 FLATBED V1GCEC14W6XE159197 2GCEC19V111218410 3FDWF36FXYMA10500 LIABILITY COVERAGE E YES ❑ NO E YES ❑ NO E YES ❑ NO ❑YES ❑ NO LIMITS OF LIABILITY a. Bodily Injury Each Person I4A3EMEI0 Each Accident 3✓ .. b. Property Damage DATE Each Accident WAIVER rM._ _ c.Bodily Injury& Property Damage Single Limit Each Accident 1 MIL 1 MIL 1 MIL PHYSICAL DAMAGE COVERAGES E YES ❑ NO C4 YES ❑ NO E YES ❑ NO ❑ YES ❑ NO a.Comprehensive $250 Deductible $ 250 Deductible $ 250 Deductible $ Deductible E YES ❑ NO E YES ❑ NO E YES ❑ NO ❑YES ❑ NO b.Collision $250 Deductible $250 Deductible $250 Deductible $ Deductible EMPLOYERS • LIABILITY BILI YC�RAGEED ❑ YES ❑ NO ❑YES ❑ NO ❑YES ❑ NO ❑YES ❑ NO HIRED CA• GELwsILm ❑ YES ❑ NO ❑ YES ❑ NO ❑YES ❑ NO ❑ YES ❑ NO FLEET-COVERAGE FOR ALL CAMEO AND LICENSED NQTOR VEHICLES ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO I \ pp��eftl M � v{tative AGENT 1236 10/11/2005 f Aultarized Representative Title Agent's Code Number Date Address of Certificate Holder Name and Address of Agent MONROE COUNTY BOARD OF COMMISSIONERS JOHN WILKERSON 500 WHITEHEAD ST INSURANCE AGENCY KEY WEST, FL 33090 15955 W DIXIE HWY 9F N MIAMI BEACH, FL 33162 OFF: (305) 945-4000 FAX: (305) 945-5564 INTERNAL STATE FARM USE ONLY: 0 Request permanent Certificate of Insurance for liability coverage. 122429.2 Rev.06-10-2004 0 Request Certificate Holder to be added as an Additional Insured. ACORD. CIERTIFICATE OF LIABILITY INSURANCE OPID,l~ DATE~ 0VE9-1 1J,LJ.t/06 PROIlUCER THIS CERTIFlCAlE IS ISSUED AS A MATlBI OF INFORMAllON ONLY AND CONFERS NO RIGHTS UPON THE CERTlFlCAlE BUTLBR, BUCJa.I:Y, DEBTS Die. HOLDER, THIS CERllFICAlE DOES NOT AMENO, EXTEND OR 6161 BLtlB LAGOON DR., S'l'B t:zO ALlER THE COVERAGE AfFORDED BY THE POLICIES BELOW, KIJII[[ FL 331:Z6 Phane:305-:Z6:Z-0086 INSURERS AFFORDING COVERAGE NAlCII ........, INSURER A:. ,..... --_._~ <>-!holt Cc:mstructi= I INSURER 8: m poc~t. COrp, i INSURER C: i 1 UO SW 18 '1'BRK I INSURER Do i HIAKI FL 33157 J INSlJAER Eo COVERAGES THE POlICIES OF INSURANCE L,ISTED BELOW HAVE BEEN ISSUEO TO l1E INSURED tW.ED ABOVE FOR THE POlICY PERK>O INDICATED. NOlWI1liSTANOING ANY REOlNREMENT, TERM OR GONOmON OF IWY CONTRAcT OR OTtER DCX:lJMENT Wrl1i RESPECT TO WHICH THfS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDeD BY THE POlICIES DESCRIBED HEREW IS SUBJECT TO ALL THE TERMS. EXClUSIONS AN) CONDmONS OF SUCH POLICIES. AGGREGATE UMITS liHOWN MAY HAVE BEEN REDUCED BY PAtD CLAIMS. ~ nPEDFOB_ I POIJC'( ...... "DATE 'l'a.i'E ...... ~UA8LJTY I ! I EACH 0CCURllENCe Is . I COMMERCIAL. GENERAl.. LIABILITY i PReiiiiEs (Ea ..........) ,S J CLAIMS MACE 0 OCCUR UED!;)(P(AnymA~) is PERSONAl & ADV INJURY is GeERAl AGGfEGATE S GEN'L~U.offT APPUESPEFt. PRODlJCT5. COW",()p AGG S I POlICV ~~ n Loe AUTOlIIOIIlU; UAl!llLlTr COMBINEO SINGlE UMIT S 1,000,000 A X RANYmTO CI!I09000001:Z0 09/30/06 09/30/07 lEa_) , ALL OWNED AUTOS I BODlL Y IN.lJRY 'X I S SCHEDIAB> AUTOS I i (""'......) 'X HIRED AUTOS . BODILY IN.AJRY X S NON-OWNEO AUTOS (Per accident) - PROPERTY DAMAGE S , I (Per acddent) EF::= AUTO ONly. EA PCCIDENT S I EAf'CC S _,M (-f) OlliER THAN i1 AlITOONLY: AOO S EXCESSIUII8AE1.J.A LIA..-rY I'l'~ J EACH OCCURRENcE S o OCCUR o ClAIMS MACE [1-)5 Op AGGREGATE Is ~. I 'S q DEDUCTIBLE ,s I RETENTION S III,' S WORkI!RS CO~TION.v1D C; 1"0'_ I TORY UMlTS I IVe.' 1!IIPLOVBl8' UA8LJTY $)~~ E.L EACH ACCIDENT S AHY PROPAIETORIPARTNERlEKECUTrVE : ( C ' ~,~ l))Q OFFICERIM:MElER EXCl.UOED';' E.L DISEASE. EA S ~_"undo' PROVJSIONS below E.L otSEA5E. POUCY UMIT S 0TlER I I I DEBQ.wr11UN OF 0PEFIA1IDH81 LOCAlIONB I YENC1a I-e- IIDIO"'B ADDED BY EfCItI- r :f1Er1T I SPECIAL PfKWI8IONB *30 DAYS .....__u '\!I.':IOIII BXCBPT FOR 10 DAYS IIIOIIPADiIIaI'J.' OF PRBIamI. ICIiDtOl!: CODIlI'... BOlIR:D OF COu...,,~ CCBaSSIO!II!:RS IS 1iIlIIIIIII:l AS ADDITIOIIIAL IIIISUJIBD . CERllFICATE HOlDER CANCELLATION Maaroe CouDty Board of COWIlty CCllllliaaic:mera 1100 Simcmt= street Key weat PL 330tO SHOULD /lit'( OF TIE ABOVE D6 POlJCEB Ell!! c...-- I AI BEFORE TIE EXPRtATION DATETtEREOF, THE IIJ8tMG INSURER WILL ENDEAVOR TO 11M.. 30* DAYS WRITTEN NOTICE TO THE CER11FICATE HOI..D&I NAIED TO TIE l..a;T, an- FAILURE TO DO SO SHALL M'OSE NO O8l.I3ATION OR LIABI.nY OF IW'I UPON THE IN8IMER.lTS AGENTS OR "_ _ ITAT1VES. AIJT1.-..::u f_ BITATlVE - . ---- ------ --_.. ~ --- ......-...............-...... . c.c..:~,-,<- TB<<*AB C ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10.-nJ DATE (MMlDDIYYYY) OVEC9_1uor 11/14/06 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 BUTLER, BUClILEY, DEETS INC. 6161 BLUE LAGOON DR., STE 420 MIAMI FL 33126 Phone: 305-262-0081; INSURED INSURERS AFFORDING COVERAGE NAIC# OVerholt Cl:)nstruction Corp. Neal PocqI,lette 10460 SW 187 TERR MIAMI FL 3:3157 INSURER A: INSURER B: INSURER c: INSURER 0: INSURER E: CLARBNIXlN DlSlJRANCZ coDftD\r'"'''' ("r, r=acHif:e,': OeW:>iopment ':,' '1 'j :,,," ,:' COVERAGES r:v~. __.._,_ .__.__ ..._ THE POLICIES OF INSURANCE L1S1"ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INmc~imri: 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 NSR TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY - COMMERCIAL GENERAL LIABILITY I CLAIMS MADE D OCCUR - - GEN'l AGGREGATE LIMIT APPLIES PER: -'l' (n- PRO- n POLICY JECT lOC ~OMOEULE UAEULITY CN0900000120 A X ANY AUTO - - ALL OWNED AUTOS It. SCHEDULED AUTOS ~ HIRED AUTOS ~ NON-OWNED AUTOS - DATE{MwD~l~kTE.(MWo~ LIMITS EACH OCCURRENCE $ PREMISES (Ea ~~~nce) $ MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ 09/30/06 COMBINED SINGLE LIMIT 09/30/07 (Eaero'eot) $1,000,000 BODILY INJURY (Per person) $ BODilY INJURY (Peraccidenl) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ~ ANY AUTO ~ESSlUMBRELLA LIABILITY -..---J OCCUR D CLAIMS MADE I DEDUCTIBLE I RETENTION $ WORKERS COMPENSATION ANID EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNERlEXECUTIVE OFFICER/MEMBER EXCLUDED? ~~~CI~f~~~V1Sf6~S below OTHER .N\~I':'C ' ~- 1\' -n; I-~:':g, , ,',' kIf- i- AUTO ONLY - EA ACCIDENT $ EA ACC $ $ AGG OTHER THAN AUTO ONLY: EACH OCCURRENCE $ AGGREGATE $ $ $ $ I TORY LIMITS livE" E.L. EACH ACCIDENT $ E.l. DISEASE - EA EMPLOYEE $ E.l. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCJ~TIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVtSlONS *30 DAYS CANCELLAT:WN EXCEPT FOR 10 DAYS NONPAYMENT OF PREMIUM. MONROE COUNTY BOAR]) OF COUNTY COMMISSIONERS IS NAMED AS ADDITIONAL INSURED. c.c.: r:-.. nGl.. l'IC.Q... CERTIFICATE HOLDER Monroe County Board of County commissioners 1100 Simonton Street 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 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLtGATION OR LIAEULITY OF ANY KIN REPRESENTATIVES. AUTHORIZED REPRESENTATIVE @ACORDCORPORATlON 1988 ACORD 25 (2001/08) THOMAS C BUTLE ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 ~1 DATE (MMIDDNYYY) OVEC9-1 01/26/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BUTLER, BUCKLEY, DEETS INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6161 BLUE LAGOON DR. , STE 420 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33126 Phone: 305-262-0086 R r r. FW J~URERSAFtORDING COVERAGE NAlC# INSURED " - -.. F CI CCMomRCIAL INSURANCE CO. Overholt Construction i INSURERJe: N rth River Insurance Co (C&F) /1r/'-;~ t!.../;. d. rX// / CJ I Cprp. , JAN ~ 1 ',I""~RER'C: ~NDON INSURANCE COMPANY 1. ' , Neal Poc~ette ! ,) 10460 sw 187 TERR : '- -INSURER'D: .. . ". MIAMI FL 33157 , , , I INSURER E: .' >, COVERAGES .' .' ...!1l' t'rl' THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEoTO"'HE INSURED NAMED,~8ClYE FOR, THE POpCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPE-CT fO WHICfI 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 n" / POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPE OF INSURANCE POLICY NUMBER DA'TE (MMIDDIYVI- rrD'kTE MMlDDIYY LIMITS f~n- . LTR GENERAL LIABILITY EACH OCCURRENCE $1, OU00J~ B X COMMERCIAL GENERAL LIABILITY GLOO04775-2 02/01/07 02/01/08 . PREMISES rEa occurence) $100,000 I CLAIMS MADE 0 OCCUR MED EXP (Any vne person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 ~ $2,000,000 GENERAL AGGREGATE ~ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 "I <.D PRO. n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $1,000,000 C ANY AUTO CN0900000120 09/30/06 09/30/07 (Ea accident) - ALL OWNED AUTOS X BODILY INJURY $ SCHEOULED AUTOS (\ {Per person) - -0 .!... HIRED AUTOS .,VJ ( 'Q BODILY INJURY $ .!... NON-OWNED AUTOS (Per accident) ". r-- ~-(- )/ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY i , AUTO ONLY - EA ACCIDENT . R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE .3,000,000 B '!J OCCUR o CLAIMS MADE 553-088332-8 02/01/07 02/01/08 AGGREGATE $ 6,000,000 . q DEDUCTIBLE $ RETENTION . . WORKERS COMPENSATION AND 1")RyOLI""'; I IV",,' EMPLOYERS' LIABILITY 830-29850 02/16/07 02/16/08 $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 ~P~tr~Ls~~~VIS?6~s below . E.L. DISEASE - POLICY LIMIT $1 000 000 OTHER DESCRIPTION OF OPERATIONS J LOCATIONS {VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *30 DAYS CANCELLATION EXCEPT FOR 10 DAYS NONPAYMENT OF PREMIUM. MONROE COUNTY BOARD OF CONTY COMMISSIONERS IS NAMED AS ADDITIONAL INSURED. ce,' ~^~O......lI , CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* 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 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUT IZE'z:..ESEN"F @ACORDCORPORATION1988 ACORD 25 (2001108) ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID J,~ DATE (MMfDDIYYYY) OVEC9-1 01/29/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BUTLER, BUCKLEY, DEETS INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6161 BLUE LAGOON DR., STE 420 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MJ:AMJ: FL 33126 RECEIVr QSURERS A FORDING COVERAG~nt} f!/# NAIC #d</I/t1'i Phone: 305-262-0086 --~ '"~--.--..- INSURED I INSUREF A:. CI: COHMBRCI:AL :IlllStJRANCB co. I " " '. rp.1 JAN 3 1 .c//tIjUAEF B, rth River IIl8urazwe Co (C&P) ',p.,- , OVerholt Construction C ulM'~URER c: Neal PocCl\1ette , :tUSUR&NCE COMPANY 10460 SW 187 TERR L INSURER 0: , MIAMI FL 33157 .. '->.~;~.~~ :';.;'~-'~::-:~: ~ji1NSURE-R E: COVERAGES Ri ',l; r,,~n,p,'.ri;f:NT JIll' ....- 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. LTA NSA TYPE OF INSURANCE POLICY NUMBER b'A'TEiMMlDDIY~- DATE MwhDiVYi- LIMITS GENERAL LIABILITY EACH OCCURRENCE .1,000,000 B X COMMERCIAL GENERAl LIABILITY GLOO04775-2 02/01/07 02/01/08 PREM~ES(EaO~Uffin~) .100,000 J CLAIMS MADE D OCCUR MED EXP (Anyone person) .5,000 PERSONAL & ADV INJURY .1,000,000 <- .2,000,000 GENERAL AGGREGATE r-- .2,000,000 GEN'L AGG~E~~r LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 'i PAO, n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - .1,000,000 C ANY AUTO CN0900000120 09/30/06 09/30/07 (Eaaccidenl) <- AlL OWNED AUTOS BODILY INJURY - $ ~ SCHEDULED AUTOS (Per person) X HIRED AUTOS ~.~( ':~~ BODILY INJURY X . NON-OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Pera~ident) GARAGE LIABILITY I ,( AUTO ONLY - EA ACCIDENT . ~ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG . EXCESSlUMBRELLA UABIUTY EACH OCCURRENCE $ 3,000,000 B I!J OCCUR o CLAIMS MADE 553-088332-8 02/01/07 02/01/08 AGGREGATE .6,000,000 $ ==j DEDUCTIBLE . RETENTION . . WORKERS COMPENSATION AND jTa"y'UMIT" I IUEA' EMPLOYERS' LIABILITY 830-29850 02/16/07 02/16/08 $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 ~~~tl~~~~V~~?6~s below E.L. DISEASE - POLICY LIMIT .1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHJCLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *30 DAYS CANCELLATION EXCEPT FOR 10 DAYS NONPAYMENT OF PREMIUM . MONROE COUNTY BOARD OF CONTY COMMISSIONERS IS NAMED AS ADDITIONAL INSURED. CC . (;; V\ "'-'Y\ t:,.JJ , CERTIFICATE HOLDER CANCELLATION MONROE COUIiITY BOARD OF COUNTY COMMJ:SSIONERS 1100 SIMONTON STREET KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WROTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUT IZErz::.ESENl' @ACORD CORPORATION 1988 ACORD 25 (2001108) ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 N~ DATE (MMlDDfYYYY) OVEC9 1 01/26/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO-C DNFERS NO RIGHTS UPON THE CERTIFICATE BUTLER, BUCKLEY, DEETS INC. HOLDER. TH S CERTIFICATE DOES NOT AMEND, EXTEND OR 6161 BLUE LAGOON DR. , STE 420 -- _ 'P-L TER THE OVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33126 ! Phone: 305-262-0086 INSURE SAF pRDING COVERAGE NAIC# INSURED ')AN 1..'l:J _ER FC I CCMo:!ERCIAL INSURANCE CO. INSURER B No th River Insurance Co (C&F) /J J>1 '~ .....h:L 'IA. ~ .I>.~ OVerholt Construction Co :po u-;_ ~ERC: CL :U:NDQN INSURANCE COMPANY I 'v I I Neal pocqy.ette 10460 SW 187 TERR : .. INSI:lRER O. . I- MIAM! FL 33157 -.-' -~-~......_,.~.-.._._._._- Tr;rsam:RE':'-~- ..- ^iI , COVERAGES n.r .-,.- 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 RESPECTTD 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 NSR TYPE OF INSURANCE POLICY NUMBER I rDA~E IMMfDDIYVI- t'Mktl' IMMJtb~" LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 - B X COMMERCIAL GENERAL LIABILITY GLOO04775-2 02/01/07 02/01/08 PREMISES (Ea occurence) $100,000 I CLAIMS MADE 0 OCCUR MED 8<P (Anyone person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 c- $2,000,000 GENERAL AGGREGATE c- $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG h rQPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 - C ANY AUTO CN0900000120 09/30/06 09/30/07 (Eaaccident) - X ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY - (Per accident) $ ~ NON-OWNED AUTOS i)D sn, Q - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY I~ '0/ AUTO ONLY - EA ACCIDENT $ t':J ANY AUTO "f- OTHER THAN EAACC $ AUTO ONLY' AGG $ EXCESSlUMBRELLA LIABILITY EACH OCCURRENCE $ 3,000,000 B ~ OCCUR D CLAIMS MADE 553-088332-8 02/01/07 02/01/08 AGGREGATE $ 6,000,000 $ R ~EDUCTJBLE $ RETENTION $ $ WORKERS COMPENSATION AND I TORY LIMITS I XEi{ EMPLOYERS' LIABILITY 830-29850 02/16/07 02/16/08 $1,000,000 ANY PROPRiETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $1,000,000 ~~E~I~tS~~~V~~?ONS below E.L DISEASE - POLICY LIMIT $ 1,000 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS {VEHICLES {EXCLUSIONS ADDED BY ENDORSEMENT {SPECIAL PROVISIONS *30 DAYS CANCELLATION EXCEPT FOR 10 DAYS NONPAYMENT OF PREMIUM. MONROE COUNTY BOARD OF CONTY COMMISSIONERS IS NAMED AS ADDITIONAL INSURED. (?a, '~tI-??r/e CP'l ? 1 CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL 30* 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 THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUT IZE~ESEN'r @ACORDCORPORATION1988 ACORD 25 (2001/08) J~ STATE FARM INSURANCE COMPANIES~ 7401 Cypress Garden. Boulevard Winter Haven FL 33888 DATE OF NOTICE: MAY 02 2007 CODE: 19 884 A MONROE COUNTY BOARD OF COMMISSIONERS 500 WHITHEAD ST KEY WEST FL 33040 NOTE: PLEASE NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDRESS INFORMATION. rg 8 '" "- 00 rCi:lVED ~AY 0 5 Z007 I NOTICE OF TERMINATIONOFATHIRD PARTY INTEREST Slate Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: g OVERHOLT CONSTRUCTION CORP YR/MAKE/MODEL: ~ 10460 SW 187TH TER VIN/CAMPER: ;: MIAMI FL 33157-6727 AGENT NAME: AGENT PHONE: 106 1978-C14-59F 2001 CHEVROLET VAN 1 GCFG25M61 1 175362 JOHN WILKERSON (305)945-4000 1236-F606-L COVERAGE: I &I ,; ! 3RD PARTY INTEREST TERMINATED EFFECTIVE MAY 15 2007 .. ~ POLICY MESSAGES: i Protection of the third party's Intereat provided by this policy i. terminated aa of the effective date above for the following realon: Unpaid ;::- premium of $855.36. This advance notice is eately to protect the third party'a intereata aa they are affected by the ownership, maintenance, .,; or use of the car described In the policy. ~ .; :! I . c.c:~ FRT ----RN 1,-AcjG1ti, OP ID:MA aYYYYJ `.--- CERTIFICATE OF LIABILITY INSURANCE DATE01/30/ 2 01/30/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. 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). PRODUCER 305-262-0086 Mr;CT THOMAS C BUTLER BUTLER,BUCKLEY,DEETS INC. PHONE .305-262�506 FAX col 305-262-0187 6161 BLUE LAGOON DR.,STE 420 JAic.No Em. 1 MIAMI,FL 33126 E-MAILADDRESS_TBUTLER@BBDINS.COM THOMAS C BUTLER PRODUCERTOER ID II:OVEC8-1 _ INSURERISLAFFORDING COVERAGE NAIC II INSURED Overholt Construction Corp. INSURER A:National Trust Ins Co 20141 18635 SW 105TH AVENUE INSURER B;Harleysville Mutual Ins Co MIAMI,FL 33157 INSURER C:North River Insurance Co INSURERD:BRIDGEFIELD EMPLOYERS INSURERS INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. LICY UP LIR TYPE OF INSURANCE IWSRE WVD POLICY NUMBER SIADIIIMMJODYDAYYYI IMMIDD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE I 1,000,000 A X COMMERCIAL GENERAL GL0004775-7 02/01/12 02I01H3 DAMAGE S(EaExwvence) I$ _ 100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) I $ 5,000 J PERSONAL a ADM INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $rk 2,000,000 pan_ -I I $ —. — POLICY I MCI I I LOC AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT $ 1,000,000 B ANY AUTO BA00000098322C 02/16/11 02/16/12 (Ea welders) - _ BODILY INJURY(Per person) $ ALL OWNED AUTOS I BODILY INJURY(Per accidenl) $ X SCHEDULED AUTOS ' PROPERTY DAMAGE X HIRED AUTOS I I(Per accident) a - X NON-OWNED AUTOS _ $ F $ % UMBRELLA LAB 3,000,000 OCCUR EACH OCCURRENCE $ 3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 6,000,000 C - -- 553-094912-7 02/01/12 02/01/13 — DEDUCTIBLE _. _ $ X RETENTION $ 0 $ WORKERS COMPENSATION WC STATU- % IUTERH) AND EMPLOYERS'LIBILITY XITORTI IMITS D ANYPROPRIETORRARTNER@%ECUTIVE YIN 830-29850 02/16/12 02/16/13 E L.EACH ACCIDENT ',$ _ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE_EA EMPLOYEE;$ 1,000,009 D O under P ERATIONS below E.L.DISEASE-POLICY LIMIT S 1OQOS DESCRIPTION OF OPERATORS r LOCATIONS/VEHICLES(Attach ACO D1a1r 1 i.markaBchMrle,II more space Is required) • FEB 012012 CERTIFICATE HOLDER Finance Not CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MONROE COUNTY BOARD OF ACCORDANCE WITH THE POLICY PROVISIONS. COMMISSIONERS 500 WHITEHEAD ST. AUTHOR12E0 REPRESENTATIVE KEY WEST L33040 arc- 5 .�o®1988-[2`0009 ACORDACL CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD