My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2016-164
CBCC
>
Official Documents
>
2010's
>
2016
>
2016-164
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/11/2016 1:23:01 PM
Creation date
10/11/2016 1:23:00 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
10/04/2016
Control Number
2016-164
Agenda Item Number
8.M.
Entity Name
Civilsurv Design Group
Subject
Professional Surveying and Mapping Services
Project Number
1605
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
12
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
ACORO0 1 DATE(MMIDDIYYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> F9/6/2016 <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 CONTANAME: Jessica Fale <br /> Heacock Insurance Group, Inc. PHONE 863-337 4020 I FAX <br /> 1105 US Hwy 27 North 863-683-3309 <br /> E- AIL <br /> Sebring FL 33870 jfale@heacock.com <br /> INSURER(S)AFFORDING COVERAGE I NAICls <br /> INSURER A.Wesco Insurance Company I <br /> INSURED CIVIDES-01 INSURER B Travelers Property Casualty Company 125674 <br /> CivilSury Design Group, Inc. INSURER C.Travelers Indemnity Company 125658 <br /> 2525 Drane Field Road, Ste 7 INSURER D.Travelers Casualty&Surety 19038 <br /> Lakeland FL 33811 <br /> INSURER E. <br /> INSURER F. I <br /> COVERAGES CERTIFICATE NUMBER:745001728 REVISION NUMBER: <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 /> 1NSR TR TYPE OF INSURANCE I INSD WVD POLICY NUMBER I MMIDDIYY I MMIDD/YPOLICYFYXP LIMITS <br /> B I X I COMMERCIAL GENERAL LIABILITY Y 6805F946119 2/27/2016 2/27/2017 EACH OCCURRENCE 51.0001000 <br /> 1 CLAIMS-MADE X� PREMISES OCCUR DAMAGES(Ea ocRENcuTEDnence) I S300,000 <br /> MED EXP(Any one person) I S5,000 <br /> PERSONAL&ADV INJURY 1 51,000.000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 1 52,000.000 <br /> POLICY�JEC7 F—]LOC PRODUCTS-COMPIOP AGG 1$2.000,000 <br /> OTHER: Is <br /> B I AUTOMOBILE LIABILITY Y Y BA5F947417 2/27/2016 2127/2017 1Ea act Dn IN L I 151.000,000 <br /> X ANY AUTO BODILY INJURY(Per person) S <br /> AUTOS OWNED SSCHHOEDULED BODILY INJURY(Per accident) S <br /> NON-OWNED' ROPER Z DAMAGE 15 <br /> HIRED AUTOS AUTOS <br /> I Is <br /> C X UMBRELLA LU\B �j OCCUR Y Y �CUP5F95257A 2/27/2016 2/27/2017 EACH OCCURRENCE S 1.000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE 1 51,000.000 <br /> DED 1 X I RETENTION 510,000 I S <br /> D WORKERS COMPENSATIONY UB4402T275 2/27/2016 2127/2017 X I PER X OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE OR <br /> ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $1.000:000 <br /> OFFICER/MEMBER EXCLUDED? N/A I <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000.000 <br /> DESCdescribe under <br /> RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S 1,000.000 <br /> A Professional Liability ARA111969902 2/27/2016 2/27/2017 Per Claim 2,000,000 <br /> Aggregate 2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> IRC Project #1605 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Indian River County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 1800 27 Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Vero Beach FL 32960 <br /> AUTHORtZP REPRESENTATIVE <br /> htT <br /> I <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) 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.