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2017-059C
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Last modified
6/8/2017 10:37:09 AM
Creation date
6/8/2017 10:31:16 AM
Metadata
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Template:
Official Documents
Official Document Type
Contract
Approved Date
05/02/2017
Control Number
2017-059C
Agenda Item Number
8.J.
Entity Name
Advanced Roofing Inc.
Subject
Roof Replacement Project for Administration Building
Project Number
1705
Bid Number
2017040
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A� ®® CERTIFICATE OF LIABILITY INSURANCE <br />2/16/2017 <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 />Frank A. Furman, Inc. <br />CONTACT <br />NAME: <br />PHONE (954) 943-5050AIC. Nu: (954)943-5417 <br />E-MAILRESS: Sandi®furmaninsurance.com <br />D <br />1314 East Atlantic Blvd. <br />P. O. BOX 1927 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER ANational Fire Ins of Hartford 20478 <br />Pompano Beach FL 33061 <br />INSURED <br />INSURER BNational Fire Ins of Hartford 20478 <br />INSURER CAmerican Guarantee and Liab 26247 <br />Advanced Roofing Inc; Advanced Leasing Inc <br />INSURER DZrid efield Employers Ins Co 10701 <br />1950 N W 22 St <br />INSURERE:Continental Casualty Co 120443 <br />INSURERF: <br />Ft Lauderdale FL 33311 <br />COVERAGES CERTIFICATE NUMBER:Jan 2017 no forms RFVISIAN NIIMRFR' <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 <br />I-TRPOLICYNUMBER <br />TYPE OF INSURANCEADDLISUBRI <br />AUTHORIZED REPRESENTATIVE <br />POLICY EFF <br />MMIDD <br />POLICY EXP <br />MM/DDrYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 11000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RERfrD- <br />PREMISES Ea occurrence) $ 100, 000 <br />A <br />CLAIMS -MADE OCCUR <br />Y <br />Y <br />017071866 <br />/1/2016 <br />/1/2017 <br />MED EXP (Any one person) $ 15,000 <br />PERSONAL &ADV INJURY $ 11000,000 <br />X Per Proj Agg <br />Contractual Liability & <br />X Broad Foam PD <br />GENERAL AGGREGATE $ 2,000,000 <br />XCU Liability Included <br />GENL AGGREGATE LIMIT APPLIES PER:* <br />PRODUCTS -COMPIOPAGG $ 2,000,000 <br />POLICYFX PRO- LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident 1,000,000 <br />B <br />X <br />ANY AUTO <br />BODILY INJURY (Per person) $ <br />ALLOWNED SCHEDULED6017071849 <br />AUTOS AUTOS <br />Y <br />Y <br />/1/2016 <br />/1/2017 <br />BODILY INJURY (Per accident) $ <br />.NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident)$ <br />X <br />Nonown-PhyDm <br />$ <br />X <br />UMBRELLA LIAB <br />X <br />I OCCUR <br />UC930367414 <br />EACH OCCURRENCE $ 25,000,000 <br />AGGREGATE $ 25,000,000 <br />L, <br />EXCESSLIAB <br />CLAIMS -MADE <br />�.b is excess of all <br />DED X RETENTION ZERC <br />$ <br />overage incl TCC <br />/1/2016 <br />/1/2017 <br />D <br />WORKERS COMPENSATIONY <br />- <br />X WC STATU- OTH• <br />AND EMPLOYERS' LIABILITY YIN <br />E.L. EACH ACCIDENT $ 1,000,000 <br />ANY PROPRIETORJPARTNERJEXECUrNE <br />OFFICERJMEMBER EXCLUDED? <br />(Mandatory In NH) <br />N I A <br />83056020 <br />/1/2017 <br />1/1/2018 <br />E.L. DISEASE - EA EMPLOY $ 11000,000 <br />If yyes, describe under <br />E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 <br />DESCRIPTIONOFOPERATIONS below <br />E <br />INSTALLATION FLOATER <br />016260407 <br />/1/2016 <br />/1/2017 <br />Any On:Jobsite $2,000,000 <br />5% WIND/HAIL DED$1000.AOP <br />Any One Occurrence $4,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br />CERTIFICATE HOLDER CANCFI_I_ATION <br />ACORD 25 (2010/05) <br />INS025 oninnsi ni <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />Tho Ar_ru2n name and Inn^ aro mniafarorl mardre ^f ArnRn <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />"FOR BIDDING PURPOSES ONLY" <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Dirk DeJong/CS ✓�' <br />ACORD 25 (2010/05) <br />INS025 oninnsi ni <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />Tho Ar_ru2n name and Inn^ aro mniafarorl mardre ^f ArnRn <br />
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