Laserfiche WebLink
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 />