Laserfiche WebLink
J ' ® DATE (141411000 <br /> YYY} <br /> A R � CERTIFICATE OF LIABILITY INSURANCE 1 /1112012 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER . THIS ' <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER( S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: it the certificate holder is an ADDITIONAL INSURED, the poll (105) must be endorsed , if SUBROGATION IS WAIVED , subject to <br /> the <br /> terms and conditions of the policy, certain policies may require an endorsement A Statement on this certificate does not <br /> confer rights to the <br /> Certificate holder In lieu of such undo rsemant(s ). <br /> PRODUCER LOCAS TRO INSURANCE SVCS T LEONARD LOCASTRO III <br /> FAX <br /> 100 VENICE AVE. STE K WcaN c»r - - LAIC Not : <br /> e•MAIL <br /> ADDRESS: LENII1QCASTBnjNAtJi3ANC <br /> INSUAERJSI AFFORDING COVERAGE MNc a <br /> VENICE FL 34265 INSURER.A : FWCJ A <br /> INSURED KORO BUILDING AND PROPERTY MAINTENANCE IN INSURER e : <br /> 6321 PORTER ROAD SUITE 5z <br /> INSURER C <br /> INSURER 0 : <br /> SARASOTA FL 34240 1NSURERE : <br /> FEIN ! 273414287 INSURER F : <br /> COVERAGES CERTIFICATE NUMBER: 20120ibi2 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAhIED ABOVE FOR THE <br />POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIRENENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br /> THE TERMS , <br /> EXCLUSIONS AND CONDITION5 OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> t}B[ § e <br /> POLICY E PDLIC XP <br /> � Ij _ _., - �+ TYPO OF INSURANCE'. I P NU D 1 LIMITS <br /> jGENENAIUA81UTY j EACHOCCURRENCE S <br /> COMMERCVIL. GENERAL LIABILITY <br /> PR I ES E eeruAOe TO rtenea} �_ <br /> C WN6•MAOE 17 OCCUR ( MED EXP jAny one aerson_)) <br /> I I PERSONAL & ADV INJURY ' <br /> GENERALAGGREGATP• f <br /> GEN1 AGGREGATE LIMIT APPLES PER: PRODUCTS • COMPIOP AGG 5 <br /> : <br /> S <br /> POLICY 171 RO•PLOG ' <br /> AUTOMOBILE LIA6kJTY I RoaW L ; <br /> Ron <br /> IED sathlentl {• _..._ <br /> ANY AUTO i BODILY INJURY 1Perpersm) S <br /> ALL OVONCID SCHEDULED � BODILY INJURY (Par accident) S <br /> I AUTOS A <br /> NON-0'ANEO _ PR r P S <br /> HIREDAUTOS AUTOS <br /> I $ <br /> UMORELLA LIAR OCC I EACH OCCURRENCE 5 <br /> EXCESS LIAR CLAJ ►,ig.+,lgOBl AGGREGATE 5 <br /> DED RETENTIONS S <br /> iVIKERS ON NSATION x 710 lC 9TARY m T- DTFR <br /> TH• <br /> I AND EMPLOYERS' LIABILITY Y I N / 2844CI72 <br /> ANY PRIFIRIETORIPARTNERIEXEiCUTLV6 i 9/21 /2011 9/21 /2012 E.LEA.CHAGCiDEPlT i _ 1Q4.Q90 -OG <br /> A OFFICEIMEMPeREXCLUDED? Y NIA <br /> (Mandatary la NN} EL DISEASE - EA EMPLOYE 5 .540 QOO. DO <br /> It yea, dsscabs under E.L DISEASE • POLICY LIMIT 5 100 OOD. 00 <br /> i <br /> ;❑ <br /> DESCRIPTION Of DPIRATIONSI LOCATIONa 1 VEHICLES (Attach ACORD 101, Addldonal Remarks Schedule, It more space Is tequkedi <br /> I <br /> CERTIFICATE HOLDER CANCELLATION <br /> Indian River County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 18{10271h5lreet THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POUCV PROVISIONS, <br /> I <br /> I <br /> Vero Beach FL 32980 AUTHORIZED REPREseNTAT1VE <br /> PhoneNumber 1 -772426-1416 ,� ti?r�rlGy <br /> (0198&2010 ACORD CORPORATION. All rights reserved . <br /> ACORD 25 ( 2010/05) The ACORD name and logo are registered marks of ACORD <br />