2018-168A - Laserfiche WebLink

Home Browse Search

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) �...� ,104/I /4/2018 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 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). PRODUCERCertificate Department BB Insurance Marketing Inc888-728-0817 rAA954-452-0450 10167 W Sunrise Blvd A/C No Ext : A/C No): 3rd Floor ADDRESS:certi Icates Imi.com Plantation FL 33322 INSURERS AFFORDING COVERAGE NAIC # THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INSURERA:Kinsale Insurance Company 38920 INSURED SOUTHERN C Southern Coatings, Inc. 2241 NW 22nd Street Pompano Beach FL 33069 INSURERB:Technology Insurance Company 42376 INSURER c :Bridgefield Casualty Ins Co 10335 INSURER D INSURER E: INSURER F: roVFRA(:FC (`FRTImrATC K11111ARCD• riQiiiQann POLICYEFF_POLI 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. UL OB POLICYEFF_POLI - LTR TYPEOFINSURANCE INSD WVD POLICYNUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 0100028491-2 4/19/2017 4/19/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR AMA NTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) , $5,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY � PRO- PRODUCTS - COMP/OP AGG $2,000,000 I LOC OTHER: Medical $Excluded B AUTOMOBILE LIABILITY TPP1070564 02 4/19/2017 4/19/2018$ Ea accident 1,000,000 ANY AUTOBODILY INJURY (Per person) S ALL OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS AUTOS Ix HIRED AUTOS %� AUUTOSWNED PROPERTY DAMAGE $ Per accident UMBRELLALIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ EXCESSLIAB AGGREGATE $ DEDRETENTION $ $ C WORKERS COMPENSATION 30920 1/1/2018 1/1/2019X PER TH- AND EMPLOYERS' LIABILITY ,, / N STATUTE ER E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in If yes, describe under E.L. DISEASE - EA EMFLLOYEIf$1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Waterproofing/ Roofing Contractor. General liability coverage includes blanket additional insured, blanket waiver of subrogation, and primary/non-contributory wording for ongoing and completed operations when required by a written contract with Certificate Holder, provided that Certificate Holder is a property owner, property lessee, or contractor, and in accordance with all terms of the applicable endorsements attached to the policy. CFRTICI(`ATC Ur%1 nCn -- ""----" %,AIVI.GLLA I ILJN - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE AditionallnsuredforAutomobile THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Indian River County Board ACCORDANCE WITH THE POLICY PROVISIONS. of County Commissioners AUTHORIZED REPRESENTATIVE - ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD