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2016-162
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Last modified
10/11/2016 1:18:31 PM
Creation date
10/11/2016 1:18:30 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
10/04/2016
Control Number
2016-162
Agenda Item Number
8.M.
Entity Name
Morgan & Eklund Inc.
Subject
Professional Surveying and Mapping Services
Project Number
1605
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i <br /> S011123 <br /> ,aco CERTIFICATE OF LIABILITY INSURANCE 79/2/2016 <br /> D/YYYY) <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> Commercial Lines PHONE FAX <br /> MIC. o E t: 888-572-2412 ac No <br /> Wells Fargo Insurance Services USA,Inc. EMAIL <br /> ADDRESS. certs@trinet.com <br /> 6100 Fairview Road <br /> INSURER(S)AFFORDING COVERAGE NAIC p <br /> Charlotte,NC 28210 INSURER A: Indemnity Insurance Company of North America 43575 <br /> INSURED INSURER B. <br /> Strategic Outsourcing,Inc. <br /> INSURER C. <br /> PO Box 241448 <br /> INSURER D. <br /> Charlotte,NC 28224 <br /> INSURER E <br /> RE. Morgan&Eklund,Inc. INSURER F. <br /> COVERAGES CERTIFICATE NUMBER: 10821370 REVISION NUMBER: See below <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR I TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR I D WVD POLICY NUMBER MMIDD/YYYY MMVDD/YYYY <br /> COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE S <br /> DAMAGE TO RENTED <br /> I��III I CLAIMS-MADE I OCCUR PREMISES Ea occurrence S <br /> I MED EXP(Any one person) S <br /> PERSONAL&ADV INJURY S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I S <br /> POLICY JEC LOC PRODUCTS-COMP/OP AGG I S <br /> OTHER: I S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I S <br /> _ Ea accident <br /> ANY AUTO BODILY INJURY(Per person) I S <br /> OOWNED ONLY AUTOS BODILY INJURY(Per accident)I S <br /> AUTOHIRED <br /> AUTOS ONLY AUUTOS ONLDY Per <br /> OPER accidenDAMAGE 15 <br /> I I I IS <br /> II UMBRELLALIABHI OCCUR EACH OCCURRENCE I S <br /> I I EXCESS LIAB CLAIMS-MADE AGGREGATE Is <br /> I I DED I RETENTION S I I S <br /> A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WLRC48767230 03/01/2016 03/01/2017 X STAPE TUTE OERH <br /> ANYPROPRIETOR/PARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT I S 1'000.000 <br /> OFFICER/MEMBER EXCLUDED? C N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI S 1,000.000 <br /> Ues.deibe under <br /> SCR PTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S 1'000'000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Workers'Compensation Insurance is limited to employees of Morgan&Eklund,Inc.through a co-employment contract with Strategic Outsourcing,Inc. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Indian River County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 1801 27th Street,Building A ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Vero Beach,FL 32960 <br /> I AUTHORIZED REPRESENTATIVE <br /> 9e-�,� <br /> I <br /> The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) <br />
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