2012-227A - Laserfiche WebLink

Home Browse Search

i-� Exhibit A - Insurance Certificate PR0CT-2 OP ID: RP ,4coR� ` CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) �-� o1 /15/13 THIS CERTIFICATE IS 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 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). CNT CT PRODUCER 954-776-2222 NAME: Brown & Brown of Florida, Inc. 954-776 446 PHONE ac No 1201 W Cypress Creek Rd # 130 P.O. Box 5727 MAILS FL Lauderdale, FL 333104727 ADDRESS: Ken E Willits, CPCU, CFP, CRIS INSURERS AFFORDING COVERAGE NAIC s INSURERA : Amer(sure Insurance Co. 19488 INSURED Proctor Construction Company INSURER 8 : North River Insurance Co. 21105 2050 Highway US 1 ; Suite 200 INSURER C : Chartis Specialty Ins . Co. 26883 Vero Beach , FL 32960 INSURER 0 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE POLICY NUMBER MMIDD� MPOLICY LIMITS R GENERAL LIABILITY EACH OCCURRENCE t 11000,00 A X COMMERCIAL GENERAL LIABILITY X GL20346110701 01 /14/13 01/14/14 PREMISES Ea o AMAGE TO T rice i 300100 X CLAIMS•MADE 0 OCCUR MED EXP (Any one person) E 10900 PERSONAL & ADV INJURY $ 11000900 GENERAL AGGREGATE S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS = COMP/OP AGG S 21000,00 17 POLICY X PRO 7 LOC _ AUTOMOBILE LIABILITYO eBBIINEDt SINGLE MIT 11000100 AX ANY AUTO CA20346090701 01/14/13 01/14/14 BODILY INJURY (Pet person) S AUTOS NEO SSC�HEEDULED BODILY INJURY (Per accident) S AOS I X HIRED AUTOS X NON-OWNED P DAMA E S AUTOS Pera dent E X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000.00 B EXCESS UAB CLAIMS•MADE 6811012738 01/14/13 01/14/14 AGGREGATE $ 20,000000 DED X RETENTION $ 0 t WORKERS COMPENSATION X WC STATU-LIM 0TH AND EMPLOYERS' LIABILITY TOR FR A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N / A C203730507 06/25/12 06/25/13 E.L. EACH ACCIDENT 0 11000,00 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 11000100 ifea, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 11000100 C Pollution CPLI067283 01 /28/13 01128/15 Each Loss 2,000900 Liability Aggregate 2,000100 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Project: IRC Sheriffs Office Crime Scene Facility. Indian River County is additional insured as respect general liability as required by written contract. A 30 days notice of cancellation except for 10 days notice of cancellation for non-payment. CERTIFICATE HOLDER CANCELLATION INDIANR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, Indian River County ACCORDANCE WITH THE POLICY PROVISIONS.E WILL BE DELIVERED IN Administration Bldg B 1801 27th Street AUTHORIZED REPRESENTATIVE Vero Beach , FL 32960 �4 4 /a4 01988-2010 ACORD CORPORATION . All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD r -