Certificates of Insurance
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DATE (MMIDDIYY)
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
KEEN BATTLE MEAD & CO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P 0 BOX 1 7 1 8 7 0 COMPANIES AFFORDING COVERAGE
MIAMI LAKES FL 3 3 0 1 7 - 1 8 7 0 COMPANY
A NATL TRUST INS CO
INSURED COMPANY
AIRMAX SERVI CE CORPORATION B FCCI
COMPANY
5 8 7 5 S W 6 9 STREET C UNITED CAP ITOL
MIAMI FL 3 3 14 3 COMPANY
I D
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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.
CO TYPE OF INSURANCE POUCY NUMBER POUCY EFFEcnYE POUCY EXPIRAnON UMrrB
LTR DATE (MMIDDIYY) DATE (MMIDDIYY)
A: GENERAL UABIUTY B I 2 4 2 5 1 1 / 1 7 / 9 7 1 1 / 1 7 / 9 8 GENERAL AGGREGATE $2 , 0 0 0 I 0 0 0
-
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMPIOP AGG $2 , 0 0 0 I 0 0 0
>> I CLAIMS MADE [K] OCCUR PERSONAL & ADV INJURY $1 , 0 0 0 I 0 0 0
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1 I 0 0 0 , 0 0 0
-
FIRE DAMAGE (Any one fire) $ 1 0 0 I 0 0 0
f--
MED EXP (Any one person) $ 5 , 0 0 0
~ AUTOMOBILE UABIUTY CAUO 1 0 - 0 0 0 0 3 74 0 1 / 1 5 / 9 8 1 1 / 1 7 / 9 8 3 0 0 I 0 0 0
I-- COMBINED SINGLIE UMIT $
- ANY AUTO
- ALL OWNED AUTOS BODILY INJURY
$
~ SCHEDULED AUTOS (Per person)
~ HIRED AUTOS \.,,"'''wOVED r ~ r[~ BODILY INJURY
(/ $
~ NON-OWNED AUTOS u Y "'',({\. ..I (Per accident)
f---- \} , () "'II les( PROPERTY DAMAGE $
~AGE UABIUTY UAIt. AUTO ONLY EA ACCIDENT $
ANY AUTO l't,-; / /' OTHER THAN AUTO ONLY: d
- WAIVER: YES
- EACH ACCIDENT $
AGGREGATE $
EXCESS UABIUTY EACH OCCURRENCE $
~IUMBRELlA FORM AGGREGATE $
--
OTHER THAN UMBRELlA FORM $
l3 WORKERS COMPENSAnON AND 0 0 1WC9 7A4 0 5 2 7 1 2 /3 1 / 9 '7 12 / 3 1 / 9 8 X I T~~ll~~s I I~~. <
ER
EMPLOYERS' UABIUTY 1 0 0 0 0 0
EL EACH ACCIDENT $ I
THE PROPRIETOR! B INCL EL DISEASE-POLICY LIMIT $ 5 0 0 0 0 0
PARTNERs/EXECUTIVE I
OFFICERS ARE: X EXCL EL DISEASE-EA EMPLOYEE $ 1 0 0 I 0 0 0
t OTHER AIRS52 - 3 0 9 / 14 / 9 8 0 9 / 14 / 9 9 LI 1 0 0 0 0 0 0 / 1 0 0 0 0 0 0
I I I I
PROF/POLLUTION *
DESCRIPTlON OF OPERAnONSILOCAnONSNEHICLESlSPECIAL ITEMS
* CONTRACTOR , S POLLUTION LIAB ILITY AND PROFESSIONAL LIABILITY
CERTIFICATE HOLDER IS ADDITIONAL INSURED
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
MONROE COUNTY BOARD OF EXPlRAnON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
COMMISS ION/ PUBLI C WORKS PFM .JJL DAYS WRITJEN NOnCE TO THE CERnFlCATE HOLDER NAMED TO THE L1EFT,
3 5 8 3 SO ROOSEVELT BLVD BUT FAILURE TO MAIL SUCH NonCE SHALL IMPOSE NO OBUGAnON OR UABIUTY
KEY WEST FL 3 3 0 4 0 OF ANY KIND UPON THE COMPANY/.;s AGEIR'lJ'A)R .JlEIIIIESENTAnvES.
AUTHORIZED REPRESENTAnvE ,."K: ~
:ie.PW:fji~$=?n{jj):?:=?:::i?mm::::i:::f:m:m:::~i'im:m:m:i==~=~m:m::i::'~=~m:::::::m?::::::::?~m:i???:::::m:=?:~i::::::==m:~:~~~i::?~=:~~~:m:m::i:i:: Frank owin c-A""'_;::..... '~ T .
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PRODUCER
KEEN BATTLE MEAD & CO
POBOX 171870
MIAMI LAKES
FL 33017-1870
COMPANY
A
NATIONAL TRUST INS CO
INSURED
AIRMAX SERVICE CORPORATION
COMPANY
B
FCCI
5875 S W 69 STREET
MIAMI FL 33143
COMPANY
C
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.
CO TYPE OF INSURANCE POUCY NUMBER POUCY EFFEcnYE POUCY EXPllAnoN UMRS
Llll DATE (MMIDDIYY) DATE (MMIDDIYY)
GENERAL UABIUTY BI2425 11/17/97 11/17/98 GENERAL AGGREGATE 52,000,000
COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG 52 , 000 , 000
CLAIMS MADE 00 OCCUR PERSONAL & ADV INJURY 51,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE 51,000,000
FIRE DAMAGE (Any one fire) 5 100,000
MED EXP (Any one person) $ 5,000
AUTOMOBILE UABILITY CAU010-0000374 01/15/98 11/17/98 1,000,000
X COMBINED SINGLE LIMIT $
ANY AUTO
All OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Per accident) $
PROPERTY DAMAGE $
GARAGE UABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EXCESS UABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELlA FORM
WORKERS COMPENSAnON AND 001WC97A40527 12/31/97 12/31/98
EMPLOYERS' UABLITY $100,000
THE PROPRIETOR! INCL $500,000
PARTNERSlEXEcunVE
OffiCERS ARE: X EXCL EL DISEASE-EA EMPLOYEE $100,000
OTHER
DESCRIP110N OF OPERAnONSILOCAnONS/VEHICLESISPECIAL ITEMS
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.................
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...........................
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MONROE COUNTY
BUILDING DEPT
88800 OVERSEAS
TAVERNIER
HWY
FL 33070
SHOULD ANY OF THE ABOVE DESCRIlED POUCIES BE CANCEUED BEFORE THE
EXPlRAnON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TC? MAIL
.l..1L- DAYS WRITTEN NOncE TO THE CERn~ ED.
BUT FAlWRE TO MAIL SUCH NOTICE SHALL 0
OF ANY KIND UPON THE CO P
AUTHORIZED REPRESENTAnvE
"""..."""""""")""""""",,, ,
:,~~"'Q~..~mtl.[
Frank Gowin
U$lt
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KEEN BATTLE MEAD & CO
DATE (MM/DDIYY)
08/18/98
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.
COMPANIES AFFORDING COVERAGE
PRODUCER
POBOX 171870
MIAMI LAKES
FL 33017-1870
COMPANY
A
NATIONAL TRUST INS CO
INSURED
AIRMAX SERVICE CORPORATION
COMPANY
B
FCCI
5875 S W 69 STREET
MIAMI FL 33143
COMPANY
C
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.
CO
Lm
TYPE OF INSURANCE
POLICY MlMBER
POLICY EFFEcnYE POLICY EXPIRAnoN
DATE (MM/DDIYY) DATE (MMIDDIYY)
LiMns
GENERAL UABILIrY B I 2 4 2 5
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [K] OCCUR
OWNER'S & CONTRACTOR'S PROT
11/17/97 11/17/98
GENERAL AGGREGATE $2 , 000 , 000
PRODUCTS - COMP/OP AGG $ 2 , 0 0 0 , 0 0 0
PERSONAL & ADV INJURY $1, 000, 000
EACH OCCURRENCE $1, 000, 000
FIRE DAMAGE (Any one fire) $ 1 0 0 , 0 0 0
MED EXP (Any one person) $ 5 , 0 0 0
1,000,000
COMBINED SINGLE LIMIT $
AUTOMOBLE UABILITY CAUO 1 0 - 0 0 0 0374
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
01/15/98 11/17/98
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE $
EXCESS UABIUTY
UMBRELLA FORM
OTHER ll-tAN UMBRELLA FORM
WORKERS COMPENSAnON AND
EMPLOYERS' UABILIrY
001WC97A40527
12/31/97 12/31/98
AUTO ONLY. EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENIT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
GARAGE UABILITY
ANY AUTO
THE PROPRIETOR!
PARTNERSlEXECUlTIVE
OFFICERS ARE:
OlltER
INCL
X EXCL
EL DISEASE.POLlCY LIMIT
EL DISEASE-EA EMPLOYEE
DESCRIPTION OF OPERAnONSILOCAnONSNEHlCLESlSPECIAL ITEMS
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..................................................................
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.... ....... ............
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MONROE COUNTY
BUILDING DEPT
88800 OVERSEAS
TAVERNIER
SHOULD ANY OF 11tE ABOVE DESCRIBED POLICES BE CANCEllED BEFORE litE
"""""""""'"""L"",,""""'"
IlbM\~*=I~\t1l.[
.........................................
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....................
.. . . . . .. . . . . . . . . . . . . .
.....................
....................
.....................
................... .
.....................
....................
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BUT FALURE TO MAIL SUCH NOTICE SHALL
OF ANY KIND UPON 1lE CO
AUlItORIZED REPRESENTATIVE
Frank Gowin
HWY
FL 33070
...... .......... .....
..............................
.......... ..............................
..............................................................................
..........................................
...................................-..
{ ACORD:.111111!111:1111!1:1!1J.:I'I:'::I~III:I:I:I:11111:!!!',::: ;~i~;~;~~
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.
COMPANIES AFFORDING COVERAGE
PRODUCER
KEEN BATTLE MEAD & CO
POBOX 171870
MIAMI LAKES
FL 33017-1780
COMPANY
A
FCC I INSURANCE GROUP
INSURED
AIRMAX SERVICE CORPORATION ~.
5875 S W 69 STREET
MIAMI FL 33143
COMPANY
B
COMPANY
C
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFEC11VE POLICY EXPIRATION
DATE (MM~DIYY) DATE (MM~DIYY)
LIMITS
GENERAL UABILlTY B I 2 4 2 5
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [R] OCCUR
OWNER'S & CONTRACTOR'S PROT
11/17/98 11/17/99
GENERAL AGGREGATE $2 , 000 , 000
PRODUCTS - COMP/OP AGG $2 , 000 000
PERSONAL & ADV INJURY $1, 000, 000
EACH OCCURRENCE $1 0 0 0 , 0 0 0
FIRE DAMAGE (Anyone fire) $ 1 0 0 , 0 0 0
MED EXP (Anyone person) $ 5 , 0 0 0
300,000
$
AUTOMOBILE UABILlTY CAUO 10 - 0000374
11/17/98 11/17/99
COMBINED SINGLE LIMIT
ANY AUTO
All OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
BODILY INJURY
(Per person)
$
\.IV
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
WAIVER:
~,J YES
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
GARAGE LIABIlITY
ANY AUTO
DATE
EXCESS UABllITY
UMBRElLA FORM
OTHER THAN UMBRElLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABIlITY
BI2425
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
EL EACH ACCIDENT $
EL DISEASE-POLICY LIMIT $
EL DISEASE-EA EMPLOYEE $
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER IS ADDITIONAL INSURED (ATN: CINDY SAWYER, CONTRACT MONITOR
* CONTRACTOR'S POLLUTION LIABILITY & PROFESSIONAL LIABILITY.
CEFrtiFicATE) HOLOER
........................................
............................................................................
..................................
:-:.;.:.:-:-:.:.:.:.:.:.:.:.:.:-:-:.:-:.:-:.:.:-:.:..........
q:'i:::,:::,:::,::,:::P.~~~~~l'~:::'::=:::=::::::::::::::::::
...... ......... ............ .........
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MONROE COUNTY BOARD OF
COMMISSION / PUBLIC WORKS PFM
3583 S. ROOSEVELT BLVD
KEY WEST, FL 33040
AY K
.......................................
:.~8m>8A1J~f. i.$
ACORD CERTIFICA TE OF LIABILITY INSURANCE DATE (MMIDDIYY)
TM 07/13/2000
PRODUCER (3 0 5) 5 5 8 - 11 0 1 (305)822-4722 I HIlS \..1::1"t I.. ._~. _ , AlS A 'VI'" I II::I"t UI"
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
KBM Construction Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
7850 Northwest 146 Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 200 INSURERS AFFORDING COVERAGE
Miami Lakes, FL 33016
INSURED Airmax Service Corporation INSURER A: Charter Oak Fire Insurance Co
5875 SW 69 Street INSURER B: National Trust Insurance Co
Miami, FL 33143 INSURER C: Travelers Indemnity Co of Conn
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. NOlWlTHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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,
'LrR TYPE OF INSURANCE POLICY NUMBER "'~k+~(MM/DDIYY) DATE (MM/DDIYY) LIMITS
GENERAL LIABILITY 680366H8774 07/25/2000 12/31/2000 EACH OCCURRENCE $ 1,000,000
-
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 300.000
I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 5,000
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 'nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY AU0120000374 11/17/1999 11/17/2000 COMBINED SINGLE LIMIT
- $
X ANY AUTO (Ea accident) 1,000,000
-
ALL OWNED AUTOS BODILY INJURY
f-- $
SCHEDULED AUTOS (Per person)
B I--- ....1;\(\11"" 00 ,: .,,",., l~! '~
X HIRED AUTOS "rn ' hib BODILY INJURY
f-- $
X NON-OWNED AUTOS IPer accident)
f-- c.Y .
~l' J~ I PROPERTY DAMAGE
cJD $
nHE ~ (Per accident)
GARAGE LIABILITY ..c. AUTO ONLY - EA ACCIDENT $
=J ANY AUTO (','~,IVFl:?: ~f'~ VI:'$ OTHER THAN EA ACC $
, IYJ~ f) AUTO ONLY AGG $
EXCESS LIABILITY r:l :if. - EACH OCCURRENCE $
~ OCCUR o CLAIMS MADE ~r~j AGGREGATE $
f-:t ~ /"l $
~ DEDUCTIBLE ~ ~" - $
RETENTION $ $
WORKERS COMPENSATION AND EUB558H104999 12/31/1999 12/31/2000 I TORY LIMITS I IU_'H-
EMPLOYERS' LIABILITY ER
E.L. EACH ACCIDENT $ 100,000
C
E.L. DISEASE - EA EMPLOYEE $ 100,000
E.L. DISEASE - POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
onroe County Board of County Commissioners is listed as additional insured for general liability and
utomobile liability policies
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER CANCELLA TION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
--.l.ll- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Monroe County Board of County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
5100 College Road OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Key West, FL 33040 AUTHORIZED REPRESENTATIVE #~~
Frank Gowin/FRANK
Al.UI"tU ":0-;;) {(I:lf) c "1:100
-
FAX.
(305)295 4364