2015-130M - Laserfiche WebLink

Home Browse Search

ACO OR CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/1/2015 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 POUCIES 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 ADDRIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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). 1 PRODUCER SUNZ Insurance Solutions LLC. ID: (Kymberly) c/o Kymberly Group Payroll Solutions, Inc. 3218 E. Colonial Drive, Ste F Orlando_,_FL32803 CONTACT NAME: Phil Martina PH (AIC.NNo. Erd1: 407-228-6428 FAX (AIC. Not E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : SUNZ Insurance Company 34762 INSURED Kymberly Group Payroll Solutions, Inc. 3218 E Colonial Drive Suite F Orlando FL 32803 INSURER e : Aspen Re - London - Best Rating "A" INSURER C : Catlin Syndicate - Lloyds - Best Rating "A" INSURER D : Brit Syndicate - Lloyds - Best Rating "A" INSURER E : INSURER F: CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR INSURANCE INSD SUBR D MD POLICY NUMBER POLICY EFF (MMI/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIAlnTS COMMERCIAL GENERAL LABLITY EACH OCCURRENCE S DAGE TO RENTED PREM SES (Ea oxurtancel S CLAIMS -MADE OCCUR MED EXP (Arty one person) S PERSONAL a ADV INJURY $ GENERAL AGGREGATE S GEM_ AGGREGATE LIMIT APPLE PR POUCY n ECaT OTHER S PER LOC PRODUCTS - COMP/OP AGG S S AUTOMOBILE _ANY _ UABIIJT, AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE UMITS (Ea accident) BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) S S UMBRELLA LIAR EXCESS LIAR _ OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S S DED RETENTION S A wDR10Erts COMPENSATION AND EMPLOYERS' LIABIIJTY ANY PROPRIETOR/PARTNER/D(ECUTTVE Y❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) 5 ym, describe under D SCRIPnON OF OPERATIONS below N / A WCPE00000152 03 3/1/2015 3/1/2016 1 STATUTE OTH ER EL EACH ACCIDENT S 1,000,000 EL DISEASE - EA EMPLOYEE S 1,000,000 EL DISEASE - POLICY UMIT S 1,000,000 B C D Workers Compensation Excess Coverage This is for informational purposes and nothing shaD create any right under such reinsurance. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltimet Reamtla Schedule, may be abashed 0 more spars Is required) Coverage provided for all leased employees but not subcontractors of: Exchange Club Center for the Prevention of Child Abuse of the Treasure Coast, Inc Client Effective: 5/12/2014 CERTIFICATE HOLDER CANCELLATION 1114 Indian River County Commissioners & County FL 1801 27th Street Vero Beach FL 32960 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE Glen J Distefano Itz-ece: ACORD 25 (2014/01) @ 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 26778763 I Master Certificate 152 03 I Kathy Interval 110/1/2015 6:09:42 PM (ADT) I Page 1 of 1