07/10/2018 - Laserfiche WebLink

Home Browse Search

EXHIBIT "B" ACOR 1 0 CCO CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 07/02/2018 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: Klein Agency, LLC. PNGNE (410) 832-7600 F 410 832-1849 AfC No Ext): (AIC No): ( ) P.O. Box 219 L ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC rl Timonium MD 21094 INSURER A: National Surety Corp. INSURED INSURER B.- American Automobile Ins. Co. Great Horn Financial Services, LLC INSURER C : Sentinel Insurance Company P.O. Box 4306 INSURER D: Maxum Indemnity Company INSURER E: Travelers Casualty and Surety Company of America Timonium MD 21094-4306 INSURER F: COVERAGES CERTIFICATE NUMBER: 18-19 Updated PL REVISION NUMRER7 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 MAYBE 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 LTR TYPE OF INSURANCEINSD WVD POLICY NUMBER (MM)DDY EFF (MMID� P LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 �/ CLAIMS-MADEE /� OCCUR ° PREMISES Ea occurrence) S 1,000,000 MED EXP (Any one person) S 10,000 A ABC80918305 08/01/2017 08/01/2018 PERSONAL SADVINJURY S 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY JET [7 LOC GENERAL AGGREGATE S 4,000,000 PRODUCTS-COMP/OPAGG S 4,000,000 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s 2,000,000 Ea accident X ANYAUTO BODILY INJURY (Per person) S B OWNED SCHEDULED AUTOS ONLY AUTOS MXA80326938 08/01/2017 08/01/2018 BODILY INJURY (Per accident) S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE S Per accident S X.UMBRELLALIAB X OCCUR EACH OCCURRENCE S 3,000,000 A EXCESS LIAB CLAIMS -MADE ABC80918305 08/01/2017 08/01/2018 AGGREGATE S 3,000,000 DED I I RETENTION S S C WORKERS COMPENSATION AND AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 30WECCR1457 08/01/2017 08/01/2018 OTH- STATUTE ER E.L. EACH ACCIDENT S 100,000 E.L. DISEASE- EA EMPLOYEE S 100,000 E.L. DISEASE - POLICY LIMIT S 500,000 D/E Professional Liability/ Fidelity Coverage PFP6022392-05/105634977 06/14/2018 06114/2019 Per Claim/Aggregate $3M/$3M Single Loss Limit $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required) Policy # 105634977 includes Forgery and or Alteration/Computer Fraud/Funds Transer Fraud - $2,000,000 Single loss limit. Indian River County A Political Subdivision of the State of Florida 1800 27th Street Vero Beach FL 32960 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 38