2012-003C - Laserfiche WebLink

Home Browse Search

rrorr . ,ie$Wa s enter ha>;IL). Page 1 Ct 1 Cate: 11172012 10: 09 AM Page . ? of 1 (� C OP ID: J2 A " CERTIFICATE OF LIABILITY INSURANCE DATE (MMlOwYYYY ) 01117,12 THS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER , THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed . If SUBROGATION 19 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 Ileu of such endorsementie). aR^GLtiER - - - - - � CN1TA CT I 863-763 - 7711 l"E , - Jessika Siefker _____ Pritchard- 8 Associates, Inc. 863 -763-56291 P: cWE B63 763-7711 _ 1 FAX A 863.76315629 1902 S Parrott Ave ,�-na fi�SL— — _ !__ _ t. Oiceschobee, FL 34974-8179 „�esu jsiefker ritchardsinc . com Lavrell H Pritchard � R $ piefk -��tc --- ----- --- CARTE-4 — -- - - _ 148_URER_(8) AFFORDING COVERAGE NAIC • NSURED Chad Carter DBA Into ri Lawn _ g tY WSJRERA ; Southern Owners 110190 _ & Landscaping INSURER S . RetailFirst Insurance Cole 110700 501 SW 14th Court - -i- -- — — Okeechobee , FL 34974 WSURERc . WSURERO ' -- - -- --- -- - - --- -- - -- - - --- -- 14SURER E ; WBURER F COVERAGES CERTIFICATE NUMBER : REVISION NUMBER : 'HiS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ,PID CATED. NOTIIVrTHSTANDING ANY REOJIRFMENT, TERM OR CONDITION OF ANY CON r4ACT OR OTHER DOCUMENT WTi RESPECT TO WHICH THIS j CERTIFICATE MAY BE SSLED OR MAY PERTAIN THE INSURANCE AFFCRDED BY TnE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EF.CLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMn' S SHOWN MIAY HAVE BEEN REDUCED BY PAIC CLAIMS . 1d3R - --- --- ------ - -'�bbCj5�1�----- --- - ----- - --- p0'LY1F TtrOLICY TR PIPE OF INSUr24NCE iliI&R WNT FOUL? NUMBER (MMADMIYY I MMMMIYYYYI I _ LiMITS GSNt3tAl '_;4&LrN i cF':`iCCC'JPrE'drE 3 — 19000, 00 DALMAk A X n E= - lar , rr usr Ir 172033890 09!00111 OB/O6112 !I PREt E 5c c I�j s 300, 00 - — - -- L_ a,Ea EXP rs� v 9 p. V ,: s to,00 -- - -- ------------� I �GEN9RLt .gr REtIATE 1 1x000, - . . (, -NLr:CUhEG.,TELIMIT .t}%FL .c3FFF I I FRODUC - s - COMP/0PAf,. L= ; 1S000, 00 d®r f- --r1cCC - A'.�tl�I�i. an-.Iti.'* - .: ,`- . .. .z .- . tL'+Gr'81M@l�l5iE7il'Mr!'.". s"".5K'111"� AN', rI.TO - (Ea acadant) HL_ GYaJEC' A ..TGS i I I BCOILfNJ_RY ;?arpaso �) 1 — . I ^ I BCDII[..6ALraa ;Fac.acoQae; •i1_ ...•».aa .ea : - . . .. - „ ;.,�r. _ . .- I I oCFrEr� at r.;r _-�: - . �� . 4{t r�]FfiR�T3W.M>u�r: '- ' t � 3'Y w. +a� ts .• u:me: . (Por 3rider!) . _ N ' ti -C &NED �Tn ,i — UMSRrtitAIt” - - � — J _ t? I ! I ! EA^wceGtxoEer� • -,4 ,: - 4 _ u`-t _EXCEIl6 LlAB - - I - Ly�WSI 4 PE6?,TE 3 W05N3Z5 OMPcNSATIU. _—. . -----�— '— -- - - --'- - --1-----7-----r A "Z EMP VERY L:AoI.JTY X Tr' PV - it rll'i I r. k Li 4 a ' c F - sR , RF <E'U', IlF Y1 IT BD 11/22/11 11122!12 I— +- - --- ;.Ff - ERi6 t ' .. .F c + '_.- .. LE•. t N J,Gi a . . CRiT - '. t 10- - (Naaeawryr µ1I L'-- E " : 1 E� •t - EA E fPL E s 100. 00 i as iEs ce �nner I I I '. F'---- > Pr EL 500, 00 ' MPIPYtON OF OPERATION$ ! LOCA'inNS ! VENC -FS (Attach ACCRD IRI . Addltlorta+ Rvwks Schaduls , it mors -pact is required) — L CERTIFICATE HOLDER CANCELLATION INDW 5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Indian Rivet County THE EY,PIRATION DATE THEREOF, NOTICE WILL BE DELrVERED IN ATTN: Jerry Davis ACCORDANCE WITH THE POLICY PROVISIONS. 1800 27th Street Vero Beach, FL 32980 AU'rM)RIZEDREPRESENTATIVE 121988-2008 ACORD CORPORATION . All rights reserved. ACORID 25 " 7009/00) The ACORD name and logo are registered marks of ACORD NM o`