2017-037C7 - Laserfiche WebLink

Home Browse Search

• ® CERTIFICATE OF LIABILITY INSURANCE . DATE(M /4�0 04!177/2017/2017YYY) 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: Risk Management Department Wells Fargo Insurance Services USA,Inc. PHONE FAX Attn:Alejandra Evans (MC,No,Ext): (866)443-8489 (A/C,No):(800)889-0021 2601 S.Bayshore Drive,Suite 1600 ADDRESS: work.comp@trinet.com Coconut Grove,FL 33133 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:Commerce&Industry Inc Co 19410 TriNet HR Corporation and all its affiliates and subsidiaries Labor Contractor for Ocean Research&Conservation Association, INSURER B:Illinois National Ins Co 23817 .Inc. INSURER C:Ins Co State of Penn 19429 9000 Town Center Parkway Bradenton,FL 34202 INSURER D:Nat'l Union Fire Ins Co of Pittsburgh,PA 19445 INSURER E:New Hampshire Ins Co 23841 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. Limits shown are as requested INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR VYVD (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL UABIUTY • EACH OCCURRENCE $ DAMAGE TO RENTED • PREMISES(Ea occurrence) $ _ CLAIMS-MADE OCCUR MED EXP(Anyone person) ,$ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ —J POLICY n PROJECT n LOC AUTOMOBILE LIABILITY COMBINED SINGLE UMIT (Each accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per AUTOS ONLY _AUTOS accident $ HIRED AUTOS - NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY _ (Per accident) $ UMBRELLA UAB _OCCUR EACH OCCURRENCE _$ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED ' 1 RETENTION$ E WORKERS AND EMPLOYERS'LIABILITY Y/N 064564895(MA) 07/01/2016 07/01/2017 X STATUTE OTH ER ANY PROPRIETOR/PARTNER/EXECUTIVE $2,000,000 OFFICER/MEMBER EXCLUDED? EL.EACH ACCIDENT _ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UMIT $2000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required):Client ID: 767 Workers'Compensation coverage is limited to worksite employees of Ocean Research&Conservation Association,Inc.through a co-employment agreement with TriNet HR Corporation and all affiliated entities. • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Ocean Research &Conservation Association, Inc. BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE 1420 Seaway Drive DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2nd FL AUTHORIZED REPRESENTATIVE Fort Pierce, FL 34949 ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 0 1988-2015 ACORD CORPORATION.All rights reserved.