Certificates of Insurance
ACORD", CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DIJNVYY)
3/29/2006
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATrER OF INFORMATJON
Seitlin ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
9800 HW 41 Street, Suite *300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
IIi ami FL 33178 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(305) 591-0090 (305) 593-6993
INSURERS AFFORDING COVERAGE NAIe #
INSURED INSURER A: Bridgefield ~loyer. 10701
Charley Toppino & Sons, Inc. & INSURER B: We.tchester SurDlus Lines Ins 10172
IIonro. Concrete Products Inc. :National Casualty COlIQ)aDy
P.O. Box 787 INSURER C: 11991
Itey W.st FL 33041 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.
INSR ...D' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
~ERAL LIAIIUTY EACH OCCURRENCE $ 1 000 000
B X COMMERCIAL GENERAL LIABILITY G22037407001 2/2/2006 2/2/2007 PREMISES lea occurencel $ 50,000
W CLAIMS MADE W OCCUR MED EXP (Any one pe<son) $ 5,000
~
f--- PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
~
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000
npOLlcyT=l~ n-LOC
AUTOMOIILE LIABILITY COMBINED SINGLE LIMIT
~ $
C ANY AUTO 0.00196848 2/2/2006 2/2/2007 (Ea accident) 1,000,000
r-
ALL O'IIINED AUTOS BODILY INJURY
~ $
~ SCHEDULED AUTOS (Per person)
~ HIRED AUTOS BODILY INJURY
$
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~-ANYAUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESSJUMBRElLA L1A11L1TY EACH OCCURRENCE $ 5,000,000
B ~ OCCUR 0 CLAIMS MADE G22037419001 2/2/2006 2/2/2007 AGGREGATE $ 5,000,000
$
~ DEDUCTIBLE $
X RETENTlON $ 10,000 $
A WORKERS COMPENSATION AND 830-35707 1/14/2006 1/14/2007 I II'<<: STATU-. I IOJ~
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNE~TNE E.L. EACH ACCIDENT $ 1,000,000
OFACERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000
~I~~V~S below E.L. DISEASE - POliCY LIMIT $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEllCLES/ EXCLUSIONS ADDED BY ENDORSEMENT / SPECAL PROVISIONS
U, BIG COPPITT PAlllt, BIG PDIB UY PAlllt PJl.OJBC'r. PROJBCT 10604
CUTIFICATB SOLDU IS ADDITIOJrAL msURBD AS Jl.BSPECTS GBlfBRAL LIABILITY AS JlBQUIRBD BY WIlITTD
CONTRACT SUBJECT TO THE POLICY TERMS, COlIDITIOIrS, LIIIITATIOlrS AND EXCLUSIONS.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION
IIOJIJl.OB comrry BOARD OF comrry DATE THEREOF, THE ISSlIING INSURER WILL ENDEAVOR TO MAIL --1L DAYS WRITTEN
COJIIIl: SSIOlfBRS NOTICE TO THE CERTlACATE HOLDER NAIlED TO THE LEFT, BUT FAILURE TO DO SO SHALL
1100 SIIIOHTO:N ST IMPOSE NO OBLIGATION OR L1A81UTY OF /W'( KIND UPON llE INSURER, ITS AGENTS OR
REPRESENTAllVES.
UY WEST FL 33040 AUTHOR~DREPRESENTATlVE
I
ACORD 25 (2001108)
@ACORD CORPORAT1ON 1988
ACORDJII CERTIFICATE OF LIABILITY INSURANCE 1 DATE (MMIDD/YYYY)
4/2112006
PRODUCER THIS CERnFICA TE IS ISSUED AS A MATTER OF INFORMA nON
Seit1in ONLY AND CONFERS NO RIGHTS UPON THE CERnFICA TE
9800 NW 41 Street, Suite #300 HOLDER. THIS CERnFICATE DOES NOT AMEND, EXTEND OR
Miami FL 33178 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(305) 591-0090 (305) 593-6993
INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Bridaefie1d Employers 10701
Charley Toppino & Son., Inc. & INSURER B: We.tche.ter Suro1u. Line. In. 10172
Monroe Concrete Products Inc. National Casualty Comoany
P.O. Box 787 INSURER C: 11991
Key West FL 33041 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~~ ~ POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UIIITS
~NERAL LIABlUlY EACH OCCURRENCE $ 1 000 000
B ~ 3MERCIAL GENERAL LIABILITY G22037407001 2/2/2006 2/2/2007 PREMISES lea occurence' $ 50,000
f--- CLAIMS MADE [!] OCCUR MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
n'L AGG~E~ LIMIT An PER: PRODUCTS - COMP1OP AGG $ 2,000,000
POliCY X P,~ LOC
~OMOBILE UABlUlY COMBINED SINGLE LIMIT $
C ANY AUTO CAOO196848 2/2/2006 2/2/2007 (Ea accident) 1,000,000
>---
I--- ALL OWNED AUTOS BODILY INJURY
$
~ SCHEDULED AUTOS (Per person)
~ HIRED AUTOS .,-)r~ J' (1 BODILY INJURY
r( (Per accident) $
i----- NON-OWNED AUTOS
- +- J.S OC? PROPERTY DAMAGE
(Per accident) $
RGE UABlUlY 'f- AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
tiJESSlUMBRELLA UABlUlY EACH OCCURRENCE $ 5,000,000
B X OCCUR D CLAIMS MADE G22037419001 2/2/2006 2/2/2007 AGGREGATE $ 5,000,000
$
8 DEDUCilBlE $
X RETENTION $ 10.000 $
A WORKERS COMPENSATION AND 830-35707 1/14/2006 1/14/2007 we STATU- IOJ~
EMPLOYERS' UABlLllY
ANY PROPRIETORJPARTNERlEXECUTNE E.L. EACH ACCIDENT $ 1,000,000
OFACERMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000
~,~'M1~~~s below E.L. DISEASE - POLICY LIMIT $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES 1 EXCLUllIONS ADDED BY ENDORSEMENT 1SPEaAl. PROVllllONS
RB. BIG COPPITT PAJUt, BIG PDIlB ltBY PAJUt PROJECT. PROJECT #0604
CI!:Jl.TIFlCATE BOLDER IS ADDITIOHAL INSURBD AS RBSPECTS GBHBJl.AL LIABILITY AHD AUTOMOBILE LIABILITY AS
RBQtl'IRBD BY WRITTBN COIlTJl.ACT Stl'BJBCT TO Till!: POLICY TEJl.IIS, COHDITIOIrS, LIIIITATIOIrS AHD BXCLtJSIOHS.
CERTIFICATE HOLDER
CANCELLA nON
SHOULDAI('( OF THE ABOVE DESCRIBED pouaES BE CANCELLED BEFORE THE EXPIRATION
IIODOE COtnrrY BOAJl.D OP COtnrrY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
COIIIIISSIOHBJl.S NOTICE TO THE CERTIFICATE HOLDER NAIlED TO THE LEFT, BUT FAILURE TO DO SO SHALL
1100 SIIIOHTON ST IMPOSE NO OBUGATION OR UABlUlY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
UY nST PL 33040 AUTHORIZED REPRESENTATIVE . .~"
I
ACORD 26 (2001108)
@ ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) rTLIst be endorsed. A statement
on this certificate does not confer righ1s to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001108)
, ~#~fA~
Contract ~onnection inc.
FACTORY REPRESENTATIVES & DISTRIBUTORS
Monroe County
Facllltie.') Develooment
OCT 20 2006
NOTICE TO OWNER
ItiVlt:_.--....._.._
RECEIVED BY"
DATE: October 16,2006
TO: Monroe County BOCC
1100 Simonton St.
Key West, Fl. 33040
The undersigned hereby informs you that he has furnished or is furnishing services
or materials as follows:
SHELTERS AND INSTALLATION
For the improvement of the real property: Big Coppitt Park 270 Ave. "F" Key
West, FL 33040
Under an order by: Charley Toppino & Sons, Inc.
PO Box 787
Key West, Fl. 33041
Florida law prescribes the serving ofthis notice and restricts your right to make
payments under your contract in accordance with section 713.06, Florida Statutes
Copies to: Arch Insurance Company
InSource, Inc.
William L. Parker
!~?~~aJj
o ? 0
o 0
ADDRESS: P.O. BOX 848254, Pembroke Pines, FL. 33084 e{!..' ~a-nce
C/9Y ~
- - FT.LAuDeRDALe-- - - - - - - - -18 off~es i;; Flo;.'da~G-;o-;gTa,-Ah.ba';;a~ - ,[f jACKSONvlLLE - - - - - - -
'Jt 2851 Polk Street North & South Carolina, and Mississippi 504 S. 2nd. Street
Hollywood, FL 33020 P.O. Box 848254 Jacksonville Beach, FL 32250
(954) 925-2800 . FAX: (954) 925-0800 Pembroke Pines, FL 33084-0254 (904) 249-5353 . FAX: (904) 249-8177
e-mail: contractC2@aol.com e-ma"I' nt clC1@ I
webslte: hllp//:www.contrac1con.com..coraao.com
"Quality, Service and Value Is our Focus" 8M "We're In your Neighborhood" 8M
FIRM: CONTRACT CO. ~NNECTION' INC.
i", !"
BY: !,--(J~.J.-,..../ lA--L
GLENEDA KROHN
PRODUCER
Seitlin
9800 NW 41 Street,
Miami FL 33178
(305) 591-0090
Suite #300
DATE (MMIDD{YYVY)
1/26/2007
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
RAGE AFFORDED BY THE POLICIES BELOW.
I
A CORD,.
CERTIFICATE OF LIABILITY INSURANCE
(305) 593-6993
RECtlVtu
FORI NG COVERAGE
NAIC#
INSURED
Charley Toppino &. Sons, Inc. &. Monroe Conc Iete P odufflfn
INs~se
~lJ"mDL w.
INSURER C: Na
righ
ches
ona1
Insurance Company
er surplus Lines Inri '~ ,10172
Casualty Company ... 1199~,-1
(J Y'rCt--;E r' f.-L- ;;l/).
, ; ,.) --
'07
P.O. Box 787
Key West FL 33041
MONR _
COVERAGES ' lIlY
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCYP'ERIOD tNOlCATEDrNQTWLT/::ISTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS Cf!RTIFIC.ATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS ANI:fcONOmooS Of SIjGII
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR DD' '9'Vn"" POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LIMITS
B
~NERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE [!] OCCUR
G22037407002
2/2/2007
EACH OCCURRENCE , 1 000 000
2/2/2008 ~~~~~iJ9E~~~J~~nce\ , 50,000
MED EXP (Anyone person) , 5,000
PERSONAL & ADV INJURY , 1,000,000
GENERAL AGGREGATE , 2,000,000
PRODUCTS - COMP/OP AGG , 2,000,000
c
e-
~ Contractual Liab
~'L AGGRE~E.L1MIT AP~S PER:
I I POLICY I X I ~~9,: I I LOC
~TOMOBILE LIABILITY
_ ANY AUTO
_ ALL OWNED AUTOS
~ SCHEDULED AUTOS
_ HIRED AUTOS
~ NON-OWNED AUTOS
- - ----
CA00196848
2/2/2007
2/2/2008
COMBINED SINGLE LIMIT
(Eaaccidenl)
1,000,000
BODILY INJURY
(Per accident)
'I'
I,
t-
.---
n~GE LIABILITY
t-i ANY AUTO
unl ~/.. 0'"
,A'd In 1
DG I ........... .
BODILY INJURY
(Per person)
f-- -
I
PROPERTY DAMAGE ,
{Per accident)
AUTO ONLY EA ACCIDENT ,
OTHER THAN EA ACC , -...-
AUTO ONLY AGG ,
EACH OCCURRENCE , 5,000,000
2/2/2008 AGGREGATE , 5,000,000
A
~ESSIUMBRELLA LIABILITY
~ OCCUR 0 CLAIMS MADE
h DEDUCTIBLE
Q RETENTION $ 10,000
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
~~Etl~~s~~OVlS1gNS below
OTHER
G22037419002
2/2/2007
B
BB1060373
5/19/2006
5/19/2007
,
,
I ,
X I T"X~,JT~JN;, I IOlfl
EL EACH ACCIDENT ! $
EL DISEASE - EA EMPLOYE~ $
E_L. DISEASE - POLICY LIMIT $
1,000,000
1,000,000
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS
RE: BIG COPPITT PARK, BIG PINE KEY PARK PROJECT. PROJECT #0604 CERTIFICATE HOLDER IS ADDITIONAL
INSURED AS RESPECTS GENERAL LIABILITY AND AUTOMOBILE LIABILITY AS REQUIRED BY WRITTEN CONTRACT
SUBJECT TO THE POLICY TERMS, CONDITIONS, LIMITATIONS AND EXCLUSIONS.
c..c:
~"'Cl.V'\C~
CERTIFICATE HOLDER
CANCELLATION
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 ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATIO BILlTY OF ANY KINO UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTA IVE
\..
.~
ACORD CORPORATION 1988
MONROE COUNTY BOARD OF COUNTY
COI-BoIISSIONERS
1100 SIMONTON ST
ACORD 25 (2001/08)
1/26/2007
IMPORTANT
~r
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the pOlicies listed thereon.
ACORD 25 (2001/08)