Certificates of Insurance
ACORi).
CERTIFICATE OF LIABILITY INSURA
II )
OR-I 11/30/99
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 POUCIES BELOW.
PRODUC R
Brown & Brown, Inc.
290 Cypress Gardens Blvd. SE
Winter Haven FL 33880
Phone:941-293-7288 Fax: 941-294-7216
Ameurope
Heinz Schrada DBA
1097 W Lake Martha Drive NE
Winter Haven FL 33881
INSURERS AFFORDING COVERAGE
INSURER A: ESSEX INSURANCE CO.
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURED
COVERAGES
THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAilED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDlNG
ANY REQUIREMENT. TERII 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
POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IrM TYPE OF INSURANCE POLICY NUMBER &~'rE"MMIDDIYY) Dl'-}i';~r~~?N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
- 12/01/99 12/01/00
A X COMMERCIAL GENERAL LIABILITY 3CD829 FIRE DAMAGE (Anyone fire) $ 50000
l CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000
PERSONAL & ADV INJURY $ 1000000
GENERAL AGGREGATE $ 1000000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS. COMP/OP AGG $ 1000000
I .nPRO. n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- (Ea accident) $
ANY AUTO
-
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
-
HIRED AUTOS BODILY INJURY
- (Per accident) $
NON.OWNED AUTOS
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I ! TORY LIMrrS I IOJ~.
EMPLOYERS' LIABILiTY E.L. EACH ACCIDENT $
E.L. DISEASE. EA EMPLOYEI $
E.L. DISEASE. POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
(6occ 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Monroe County,.. ~_l~CI.' -
LEFT, BUO~~URE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
~ 100 ~.~.~ ; ANY KIND N THE INSURER, ITS AGEPC}S OR lJEPRESENTATlVES.
k~ hJ~'1 F---€ ' 3 -3 ()Lf-O " ~(JQ /JJIi7dJ
11 /"1
ACORD 25-S 7/97 V .. ACORD CORPORATION 1988
A CORD_ CERTIFICA TE OF LIABILITY INSURANC~~l I DATE (MM/DDIYY)
12/29/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Brown & Brown, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
11 Fifth Street SW Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Winter Haven FL 33880
Phone: 863-293-7288 Fax: 863-294-7216 INSURERS AFFORDING COVERAGE
INSURED INSURER A: ESSEX INSURANCE CO.
INSURER B:
Ameuro~e INSURER C:
Heinz chrada DBA
1097 W Lake Martha Drive NE INSURER 0:
Winter Haven FL 33881
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 CONDITlON 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 CONDITlONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER b2~lfrM~bB~YE p~.H~1~r~'r~?N LIMITS
LTR
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
-
A X COMMERCIAL GENERAL LIABILITY 3CD829 12/01/99 12/01/00 FIRE DAMAGE (Anyone fire) $ 50000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000
PERSONAL & ADV INJURY $ 1000000
-
GENERAL AGGREGATE $ 1000000
-
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1000000
"I .nPRO. n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
I--- -rru~ 5} $
ANY AUTO (~~'- " ~.. .' (Ea accident)
I---
ALL OWNED AUTOS BODILY INJURY
I--- $
SCHEDULED AUTOS uY (Per person)
I--- DATE -+--U--.()(J
HIRED AUTOS - fl n -JJC BODILY INJURY
- $
NON-OWNED AUTOS V Y ^ '.'1 ~ (Per accident)
- ~ ~(j
Wf.,IVER: ~.;~ . _ _ YES "'-'" PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
=l ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
=l DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I TORYLIMITS I IU~~-
ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYE $
E.L. DISEASE. POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATlONSlLOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICA TE HOLDER I N I ADDITlONAL INSURED; INSURER LETTER: CANCELLATION
MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NP. CE TO THE CERTIFICATE HOLDER NAMED TO THE
Monroe County BOCC -
LEFT, BUT FAILURE TO DO Is SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
5100 College Road , ITS AGENTS r4R R~TATlVES.
Key West FL 33040 ANY KIND UPON THE INSUI
I Sandi FavuzZ1l. \!ll\(\j '1- 'f--C1J. Jli ~ J J
ACORD 25-S (7/97) / .. ACORD CORPORATION 1988
11J96El1i1iDa
MONROE COUNTY, rLORlDA
Reqa.tJ'or Waiver
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fr-ud.eft Reqairalleaa
RI."fV~D DEe f 6 1999
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