My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2015-166A
CBCC
>
Official Documents
>
2010's
>
2015
>
2015-166A
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/30/2017 4:39:17 PM
Creation date
12/2/2015 2:02:39 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
09/15/2015
Control Number
2015-166A
Agenda Item Number
8.U
Entity Name
West Florida Maintenance
Subject
Painting Exterior South County WWTF
Area
South County Wastewater Treatment
Bid Number
2015047
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
11
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
ACORD <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (NM/DO/YYYY) <br />9/22/2015 <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, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />---certificate-holder in lieu-of-such-endorsement(s) — <br />PRODUCER <br />Poppell Insurance Inc. <br />503 W Dr M. L King Blvd. <br />Plant City FL 33563-5217 <br />INSURED <br />WEST FLORIDA MAINTENANCE INC <br />253 ALOHA DR <br />PALMETTO <br />FL 34221 <br />CNAMONTACTEPatty Lyons <br />--'- -—-- <br />PHONE - <br />(813) 752-4155 -r FAX (a13)7sz-Teal <br />t, NEJll <br />DOaco INC. N°L __- —. <br />gMAIIREbb. Pattyt?poppellinsurance.com <br />A <br />INSURER(S) AFFORDING COVERAGE MAIC s <br />INSURER A.Progressive ExpressComp Ins Co__ - 10193 <br />INSURER B . <br />INSURER C <br />(I INSURER_D <br />I INSURER E <br />Illy --INSURER F . <br />•15-16 <br />REVISION NUMBER: <br />.. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE <br />INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE tNSURANCE AFFORDED BY THE POLICIES <br />LUSIONS AND CONDITIONS_ OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID <br />EXCLUSIONS <br />ii ii I100L SUPOLICY EFF <br />LIMITS <br />TYPE OF INSURANCE <br />LTRINS!) WVD' POLICY NUMBER ! (MMJOOPYYY) (MM/DOrYYYYI <br />INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />CLAIMS _ ----- <br />POLICY EXP <br />COMMERCIAL GENERAL LIABILITY I <br />.. <br />o <br />CLAASS-MADE I OCCU„ <br />• <br />t1f.N'L AGGREGATE LIMIT APPLIES PER <br />_. _..-- PRO- r—._. <br />..____ PUUCv ;_� JE. r L._ LQC j <br />i <br />OTHER <br />1 <br />i <br />; EACH OCCURRENCE , S <br />: PR M SES IEa 0 RENTED- <br />' S <br />L MF.O EXpi Aly o.,!ccvson; 3 <br />1 PERSONAL a ADV INJURY 5 <br />i GENERAL AGGREGATE L 5 _ __ _ <br />PRODUCTS COMPM.➢AGG ! 3— - <br />— ' -s — —a_ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />A ALL Os' O SCHEDULED : AUTOS_ <br />X - ' 0832E1371-3 <br />_. ., AUTOS . NON -OWNED <br />. IIIRE(1 AUTOS •AUTOS <br />-- j <br />i <br />3/9/2015 • <br />EOMBINED dSINCLE LIMIT , 5 1,000,000 <br />I BODILY INJURY (Per persons . S <br />3/9/2016 ' BODILY INJURY (Per ac w:yxi S <br />_ <br />: PROPERTY DAMAGE r s <br />acc�Jor:t: <br />WIPO, <br />Medcal oayments ! 3 5.000 <br />UMBRELLA LIAB OCCUR' <br />• EXCESS LIAB CLAIMS -MADE; <br />QED REttNt,ONS <br />EACH OCCURRENCE I S <br />AGGREGATE. 5_-__.,---_-•___ .. <br />, <br />' <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y (N ' <br />AN' i'A:i“H:E:^vH;PnFiiNERIE,ECUTIvtE• <br />1MdER E7'=:ICF D' N / A • i <br />�cc (Mandatory <br />(Mandatory in NH) --" <br />•' y=`c.::n ,.a0?r <br />Cr.SCRIP TION or OPE?ATIONS nc:nw <br />,PER DTH. <br />STATUTF ' i ER <br />i <br />__ EACH ACCIDENT 5 -------'_'--'-'-- <br />I E L DISEASE - EA EMPLOYEE S <br />E 1 DISEASE POLICY LIMII - <br />I <br />1 <br />DESCRIPTION OF OPERATIONS: LOCATIONS,' VEHICLES (ACORD 101 Additional Remarks Schedule. may be attached IJ more space is required) <br />RE Indian River county Bid No. 2015047 <br />South County WWTF Painting <br />Certificate holder is hearby named additional insured <br />CERTIFICATE HOLDER <br />Indian River County Purchasing Division <br />1800 27th Street <br />Vero Beach, FL 32960 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ACORD 25 (2014/01) <br />INS025 41, <br />AUTHORIZED REPRESENTATIVE <br />2 ` r ��_ <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />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.