2016-161 - Laserfiche WebLink

Home Browse Search

Client#:25320 KIMLHORN ACORD. CERTIFICATE OF LIABILITY INSURANCE s/osDATE(M9/09/2016 M1DDN 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 NAME: Jerry Noyola Greyling Ins. Brokerage/EPIC PHONE 770-552-4225 FAX 866-550-4082 AIC,No Ext: AIC,No 3780 Mansell Road,Suite 370 E-MAIL no oa ADDRESS: r1er ry• l y @greIln y g'com Alpharetta,GA 30022 INSURER(S)AFFORDING COVERAGE NAIC!i 877 908-5619 INSURER A National Union Fire Ins.Co. 19445 INSURED INSURER B Commerce&Industry Ins. Co. 19410 Kimley-Horn and Associates, Inc. New INSURER C Hampshire Ins.Co. 23841 P.O. Box 33068 Lloyds of London 085202 Raleigh, NC 27636 INSURER D Y INSURER E I E] INSURER F. COVERAGES CERTIFICATE NUMBER: 16-17 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 CONTRACTOR 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY 5268169 4/01/2016 04/01/2017 EACH OCCURRENCE $1,000,000 CLAIMS-MADE �OCCUR PREMISES(EaE�r RENTED ) 5 500 OOO X Contractual Liab. MED EXP(Any one person) 525,000 PERSONAL&ADV INJURY S1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,000 POLICY�J CT FX LOC PRODUCTS-COMP/OPAGG S2,000,000 OTHER: I S A AUTOMOBILE LIABILITY 4489663 4/01/2016 04/01/2017 COMBINED SINGLE LIMIT 1,000,000 � Ea accident $ X ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ S B X UMBRELLA LIAB X OCCUR BE013778306 4/01/2016 04/01/2017 EACH OCCURRENCE s5 000 OOO EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 DED I X RETENTION S10 000 S C WORKERS COMPENSATION 15893685(AOS) 4/01/2016 04/01/20171 X I PER 0TH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT S11,000,000 OFFICER/MEMBER EXCLUDED? N/A A (Mandatory in NH) 15893686(CA) 4/01/2016 04/01/20171 E.L.DISEASE-EA EMPLOYEE S1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I 51,000,000 D Professional Liab P070831600 4/01/2016 04/01/2017 Per Claim$2,000,000 Aggregte$2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:Annual Professional Surveying and Mapping Services, IRCO Project#1605,Project Mgr-Chris Demeter. Indian River County is named as an Additional Insured with respects to General&Automobile Liability where required by written contract. The above referenced liability policies with the exception of professional liability are primary 8r non (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Indian River Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Mgmt ACCORDANCE WITH THE POLICY PROVISIONS. 1801 27th Street Bldg.A AUTHORIZED REPRESENTATIVE Vero Beach, FL 32960 I ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD #S553861/M461305 N LAR1