2015-221A - Laserfiche WebLink

Home Browse Search

AC o® CERTIFICATE OF LIABILITY INSURANCE 12;2E(MWD0"n") /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 POLICIES 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 ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms 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). PRODUCER George H Friedlander Company 1566 Kanawha Blvd. E. Charleston WV 25311 NAMEACT Kristen LaPlante PHONE 321-254-8477 FAx 321-988-0209 (AJC No, Ext)• lac. Nor A DARESS: kristenlaplante@friedlandercompany com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A .Travelers Insurance 25674 INSURED RANG002 Ranger Construction Industries, Inc. 1200 Elboc Way Winter Garden FL 33411 INSURER B .Travelers Indemnity Co 25658 INSURER C . 4/1/2015 INSURER D. EACH OCCURRENCE INSURER E . I I CLAIMS -MADE INSURER F . 5500,000 COVERAGES CERTIFICATE NUMBER: 1348348287 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER PO M/LICY EFF (MDDIYYYY) POLICY EXP (MMJDDIYYYY) LIMITS A X I COMMERCIAL GENERAL X LIABILITY OCCUR CO -58078217-15 4/1/2015 4/1/2016 EACH OCCURRENCE 51,000,000 I I CLAIMS -MADE DAMAGETORENTED PREEMIMI SES ((Eaaoccurrence) 5500,000 X I Contractual Liab MED EXP (Any one person) 510,000 PERSONAL & ADV INJURY 51,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,000 I POLICY X TeiLOC PRODUCTS - COMP/OP AGG 52,000,000 OTHER: 5 8 AUTOMOBILE LU\BIUTY ANY AUTO AU70S�ED HIRED AUTOS SCHEDULED NON-0WNED AUTOS I CAP -58076186-15 4/1/2015 4/1/2016 COMBINED SINGLE LIMI f (Ea accident) 51,000,000 X BODILY INJURY (Per person) 5 BODILY INJURY (Per accident) 5 X PROPERTY DAMAGE (Per accident) 5 5 A X I UMBRELLA UAB EXCESS UAB X OCCUR CLAIMS -MADE CUP -58078198-15 4/1/2015 4/1/2016 EACH OCCURRENCE 53,000,000 AGGREGATE 53,000 000 DED I X 1 RETENTIONS 10,000 S A WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS Y J N N I A UB -63398488-15 4/1/2015 4/1/2016PER OTH- X I STATUTE I I ER E.L. EACH ACCIDENT 51 000.000 N E.L DISEASE - EA EMPLOYEE 51.000,000 below E.L. DISEASE - POLICY LIMIT 51,000,000 I 1 DESCRIPTION OF OPERATIONS l LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Per Project Aggregate applies when required by written contract. Indian River County is an Additional Insured when required by written contract with respect to work performed for them by the Named Insured and at the specified project. Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will mail 30 days written notice to the certificate holder, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. Project: CR 512 Resurfacing, From 125th Ave to 1-95, Fellsmere, FL, Project No 1304, Bid No 2016003, RCI Job No 3506224 CERTIFICATE HOLDER CANCELLATION Indian River County 1800 27th Street Vero Beach FL 32960 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHO IZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION All rights reserved. The ACORD name and logo are registered marks of ACORD