My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2011-134A
CBCC
>
Official Documents
>
2010's
>
2011
>
2011-134A
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/10/2016 10:21:39 AM
Creation date
10/1/2015 2:40:14 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
06/14/2011
Control Number
2011-134A
Agenda Item Number
8.D.1
Entity Name
TAG Grinding Services, Inc.
Subject
Disaster Debris Removal and Disposal
Primary Contract
Bid Number
2011040
Supplemental fields
SmeadsoftID
9989
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
36
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
wt IV1 1 1 <br /> AcoRo - CERTIFICATE OF LIABILITY INSURANCEDATE IMWDDIYYYY ) <br /> llkm� 1 06 /13/ 11 <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: If the certificate holder is an ADDITIONAL INSURED, the policy (ies ) must be endorsed. If SUBROGATION IS WAIVED <br />, subject to <br /> the terms and conditions of the policy , certain policies may require an endorsement. A statement on this certificate does not confer <br /> rights to the <br /> certificate holder in lieu of such endorsement (s). <br /> CONTACT <br /> PRODUCER 888 -822- 1173 NAME: Terri Talley <br /> Hawkins 8 Rawlinson , Inc . a334-821 -5801 a334-821 -5800 cP . O. Box 3493 <br />- <br /> /cN : Nol: 334 -821 -5801 <br /> 2515 East Glenn Ave , Ste 101 EMAIL <br /> ADDRESS: ttalley@hrinsurance . com <br /> Auburn , AL 36831 -3493 PRODUCER <br /> Chuck Hawkins &USTOMFRID #: TAGGR - 1 <br /> INSURER(S) AFFORDING COVERAGE NAIL k <br /> INSURED TAG Grinding Services , Inc. INSURER A : Companion Property & Casualty 12157 <br /> JWB Leasing Co. , Inc . INSURER B : <br /> 1113 Horseshoe Bend Road <br /> INSURER C : <br /> Dadeville, AL 36853 <br /> INSURER O : <br /> INSURER E : <br /> INSURER F : <br /> COVERAGES CERTIFICATE NUMBER : REVISION NUMBER : <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, 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 THE <br /> TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . <br /> INSR I ADDTYPE OF INSURANCE L POLICY NUMBER SUSH MWDDYYYY MUCY EFF M <br /> LICY EXP <br /> TR /DO/YYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> MA <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ <br /> CLAIMS-MAOE OCCUR MEO EXP (Any one person) $ <br /> PERSONAL & ACV INJURY $ <br /> GENERAL AGGREGATE S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S <br /> POLICY PRO LOC $ <br /> AUTOMOBILE LIABILITY COMBINEO SINGLE LIMIT S <br /> ( Ea accident) <br /> ANY AUTO <br /> BOOILY INJURY (Per person) S <br /> ALL OWNEO AUTOS <br /> SOOILY INJURY (Per accident ) S <br /> SCHEOULEO AUTOS <br /> PROPERTY OHMAGE S <br /> HIREOAUTOS ( Per accident) <br /> NON-OWNEO AUTOS $ <br /> S <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE S <br /> EXCESS LIAR ClAIMS-MAOE AGGREGATE $ <br /> OEOUCTIBLE S <br /> RETENTION S $ <br /> WORKERS COMPENSATION X WCTATU- OTH - <br /> AND EMPLOYERS' LIABILITY T SIT R <br /> A ANY PROPRIETORiPARTNER/EXECUTIVE YIN N / A WC3613878 01 01 07/27/10 07/27/11 E. L. EACH ACCIDENT S 17000, 00 <br /> OFFICER/MEMBER EXCLUOEO? El <br /> (Mandatory in NH ) E. L. OISEASE - EA EMPLOYEE $ 1 , 000100 <br /> It yes, describe under <br /> DESCRIPTION OF OPERATIONS below E. L. (DISEASE - POLICY LIMIT I S 11000100a <br /> DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Anaeh ACORD 101 , Additional Remarks Schedule, If more space Is required) <br /> Grinding I Covered states are Georgia , Alabama , Texas and Florida <br /> I <br /> CERTIFICATE HOLDER CANCELLATION <br /> INDVE02 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Indian River County Board ACCORDANCE WITH THE POLICY PROVISIONS. <br /> of Commissioners <br /> AUTHORIZED REPRESENTATIVE <br /> 1800 27th Street <br /> Vero Beach, FL 32960 <br /> © 1988-2009 ACORD CORPORATION . All rights reserved . <br /> ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.