Certificates of Insurance
>
,- I DATE(MMIDDNYYY)
ACORDrn CERTIFICATE OF LIABILITY INSURANCE 6/1Q/2006
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Paul Lynch & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR I
701 N Federal Hwy, Suite 140l - THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Stuart, FL 34994 (;'-cFlifrO 1 ·
772 232 9371 f .--_1 \ s: .\ ':: URE AFFORDING COVERAGE ~~>-->J
INSURED ASAP, Inc. ! I 'N RER A Llovds of London
~ 22 ~OO6 IN RER B Safeco Insurance ---+==-~~=-=::-
PO Box 804 IN RER C Commerce & Industrv
-----------
I Tavenier, FL 33070 IN RER D Water Quality Insurance Syndicate
.
,''>'"'' <>~;_A~'" MONROE COUNT( INSURER E New York Marine & General
COVERAGES Ri,K MAr
1- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
i 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 LJMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS.
IINSR OO'L ~po no IN.' 'O^"oo b9.,Y~;MKf,&B1liVE P8k+~~~~~6~J{.~N
CO. NSRO POLICY NUMBER LIMITS
r ~NERAL llABllITY EACH OCCURRENCE , 1 000 000
I X COMMERCIAL GENERAL LIABILITY I ~~~~S Ea occurence\ , 50 000
I l CLAIMS MADE GJ OCCUR MEDEXP(Anyonepersol'1) ,
A X >XI P&I (];~=,;g'~J1:__. M5050799 06/09/06 06/09/07 PERSONAL & ADV INJURY , 1 000 000
I ~ & carqol GENERAL AGGREGATE , 2 000 000 .
I ~'L AGG:E~i UMJT AnS PER: PRODUCTS - COMPIOP AGG , 1 000 000
X POLICY ~~8T LOC
~TOMOBllELIA8fUTY COMBINED SINGlE UMIT , 1,000,000
ANY AUTO (Eaaccident)
e.-- I
I e.-- ALL OWNED AUTOS BOOIL Y INJURY
(Per person) ,
f.X SCHEDULED AUTOS
I B f.X HIRED AUTOS 01CG8744211 08/10/05 08/10/06
I BODilY INJURY
(Peraccidenl) ,
f.X NON-OWNED AUTOS _00-
I
I e.-- PROPERTY DAMAGE ,
(Pefaccidenl)
r r==rGE LIABILITY AUTO ONLY - EAACCIDENT ,
,
, ro~.JL
ANY AUTO .'., .@.< EAACC ,
OTHER THAN
i AUTO ONLY AGG ,
,
r ~CESSIUM8RELLA llABllITY ~(: . ,J,) .. O}
I EACH OCCURRENCE $
! 1---1 OCCUR CI CLAIMS MADE i- AGGREGATE ,
, , ,
, ak ~.12.t
I R DEDUCTIBLE Cl'(s: . 1. .
'(,' l..o ,
RETENTION , , . ,
, WORKERS COMPENSATION AND flvl'n i Il TORY L!M,.r-~ I IOJ~'
i EMPLOYERS' LIABILITY ER .
ANY PROPRIETOR/PARTNER/EXECUTIVE WC5846441 08/16/05 08/16/06 E,L. EACH ACCIDENT , 1 000 000
C OFFICER/MEMBER EXCLUDED? (inc!. USL&H) EL. DISEASE - EA EMPLOYE , 1 000 000
i ~~ESc?A~~~o~r~IONS below [,L OISFASE- POLICY LIMIT , 1 000...000 I
D OTHER Pollution 39-25262 06[06[06 06[06[07 I
I
, E MEL (Jones Act) MMO-26253ML205 08/16/05 08/16/06 Limit: $990,000 I
, (XS $10,000 StRJ
r DESCRIPTION OF OPERAnONS / LOCATJONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS I
-)~(:-;"
Regard1ng the general 11ab1l1ty 1nsurance, Monroe County Board of County
Commissioners is listed as an additional insured with respect to work
performed by the insured.
CERTIFICATE
,
I
,
HOLDER
CANCELLATION
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 INSURER. ITS AGENTS OR
i
I Fax: 205-295-4342
I
ACORD2512001P18) .
Gc.~~
Monroe County Board of County
Commissioners
1100 Simonton Street
Key West, Florida 33040
@ACORDCORP
N1988
Paul Lynch & Associates, I
701 N Federal Hwy, Suite 4 1
Stuart, FL 34994
772 232-9371
INSURED ASAP, Inc.
91795 Overseas High y
PO Box 804
Tavenier, FL
2
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
D CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER T E COVERAGE AFFORDED BY THE POLICIES BELOW.
ACORDm
CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
COVERAGES
RC
MONROE CO UN
RISK MANAGEMEN INSURER 0
FFORDING COVERAGE
10 ds of London
feco Insurance
mmerce & Industr
w tar Quality Insurance Syndicate
W York Marine & General
NAIC#
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 DO'L TYpe "'FIN POLICY NUMBER POLICY EFFECTIVE P8H~~~~f6~~~N LIMITS
"" NSRO DATE MMIDDIYY
~NERAL LIABILITY EACH OCCURRENCE $ 1 000 000
eX ~MMERCIAL GENERAL LIABILITY PREMISES l'E~t:~C~~~nce) $ 50 000
- 1--1 CLAIMS MADE ~I OCCUR MED EXP (Anyone person) $
A X ~ P&I (Ex crew M5060799 06/09/06 06/09/07 PERSONAL &ADV INJURY $ 1 000 000
_I. & carao ) GENERAL AGGREGATE ~~OO,OOO
-;l'L AGG~~IE LIMIT An~ PER PRODUCTS - COMP/OP AGG $ 1 000 000
X POLICY :;~gi LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
- ANY AUTO (Eaaccident)
- ALL OWNED AUTOS BODILY INJURY
$
~ SCHEDULED AUTOS (Per person)
B ~ HIRED AUTOS 01CG8744212 08/10/06 08/10/07 BODILY INJURY
$
~ NON-OWNED AUTOS (Peraccident)
- PROPERTY DAMAGE $
,. (Peraccidenl) I
=rGE LIABILITY .~l- 1]"... Y AUTO ONLY -EAACCIDENT $ ,
ANY AUTO .'.'.. .. , OTHER THAN EAACC $
: . ", '"' A""'-'-- '. -. .. AUTO ONLY AGG $
-. .....-._LN '" t(JkJ. I,r~ . (Mi
~ESSfUMBRELLA LIABILITY EACH OCCURRENCE $
_I OCCUR CI CLAIMS MADE )- AGGREGATE $
" '~" '~),
$
~I DEDUCTIBLE r $
X RETENTION $ C . t , ,. "AA I n( (<1.00 $
WORKERS COMPENSATION AND 'J I TORyLIM1~S I I'-E~
EMPLOYERS' LIABILITY WC584644100 08/16/06 08/16/07
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ 1 000 000
C OFFICER/MEMBER EXCLUDED? (incl. USL&H) EL DISEASE - EA EMPLOYE $ 1 000 000
ffyes, describe under
SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT $ 1 000 000
D OTHER Pollution 39-25262 06/06/06 06/06/07
E MEL (Jones Act) MMO-26253ML206 08/16/06 08/16/07 Limit: $990,000
(XS $10 I 000 SIR)
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Regarding the general liability insurance, the automobile liabili ty
insurance, the pollution insurance and the Maritime Employers Liability
Insurance, Monroe County Board of County Commissioners is listed as an
additional insured with respect to work performed by the insured.
CERTIFICATE HOLOER
Monroe County Board of County
Commissioners
1100 Simonton Street
Key West, Florida 33040
CANCELLATION
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 CERTIFICAT ER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
ACORD25(2001/08)
CC"hntL'lc-e.
@ACOROCORPORATION 1988
Fax: 205-295-4342