Laserfiche WebLink
Client#: 12662 <br />SUSTENG3 <br />AC®RD� CERTIFICATE OF LIABILITY <br />INSURANCE <br />INSRE <br />DATE (MMIDD <br />9/21/2010mYY, <br />PRODUCER <br />ISU Suncoast Insurance Assoc <br />P.O. Box 22668 <br />THIS CERTIFICATE IS ISSUED AS A MATTER <br />ONLY AND CONFERS NO RIGHTS UPON THE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />ALTER THE COVERAGE AFFORDED BY THE <br />OF INFORMATION <br />CERTIFICATE <br />EXTEND OR <br />POLICIES BELOW. <br />Tampa, FL 33622-2668 <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE D OCCUR <br />813 289-5200 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />Sustainable Engineering & Design, LLC <br />PO Box 2247 <br />Vero Beach, FL 32961 <br />INSURER A: XL Specialty Insurance Company <br />$ <br />37885 <br />INSURER B: <br />PERSONAL & ADV INJURY <br />$ <br />INSURER C: <br />$ <br />INSURER D: <br />PRODUCTS - COMP/OP AGG <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO LOC <br />JECT <br />INSURER E: <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />INSRE <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIDD <br />POLICY EXPIRATION <br />DATE MM/DDIYY <br />LIMITS <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE D OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED PREMISES (Ea occ; rrence) <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS - COMP/OP AGG <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO LOC <br />JECT <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR 1 CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />WC STATU- <br />OTH- <br />_ _EEL <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />1 $ <br />A <br />OTHER professional <br />Liability <br />DPS9685954 <br />07/03/10 <br />07/03/11 <br />$1,000,000 per claim <br />$1,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Professional Liability is written on a claims made and reported basis, <br />For Proposal Purposes <br />ACORD 25 (2001/08) 1 of 2 #S2729761M259366 <br />CANCELLATION 10 Days for Non -Payment <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />NLH © ACORD CORPORATION 1988 <br />