Laserfiche WebLink
AC CERTIFICATE OF LIABILITY INSURANCE <br />FDA <br />lle�RbP <br />zrz,reo,e <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), <br />PRODUCER <br />CONTACT <br />NAME: Tara Camey <br />RRL Insurance Agency <br />4450 W. Eau Gallie Blvd., Suite 115 <br />PHONE <br />.{ c�, o' Emit 8 407-4077INC, Nuts .321-752-7980 <br />Melbourne FL 32934 <br />Ao L s; tcamey@rrl-ins.com <br />INSURER(S) AFFORDING COVERAGE NAIC a+1 <br />i A 1 S <br />INSURER A: American Automobile Insurance CO. 21849 <br />! YAMS <br />INSURED STELTRA-01 <br />Stellar Inc. <br />INSURER 8: <br />�___._......._... W... . <br />301 E Hibiscus Blvd <br />1EHibiscus B <br />INSURER C- l <br />INSURER D_ <br />Mclbourne FL 32901 <br />_ <br />INSURER E <br />UMBRELLA UAB i ! OCCUR � i I # <br />I <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 688607023 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 <br />OR. OTHER 60CtJIktEW 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 ANIS CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS, <br />LTR I TYPE. OF INSURANCE. I D B POLICY NUMBER -I PhOULD EFF . <br />1,=., V"Y i LIMITS <br />t ".8 <br />A X COMMERCIAL 0 ENERAL LIABILITY MXCEt 12( <br />i <br />2MMS _�pHOCCIUR.RMICE S 4 ,000.000 <br />~—" CLAIM -&MADE �-I OCCUR <br />fI <br />rEy S 700.000 <br />SE^S <br />I <br />MED EXP e -ay om peri 1 s 5,000 <br />j { <br />PERSONAL S"AOV INJURY S 1.000 000 <br />` GEN'LAGGREGATE LIMRAPPLIES PER:�GEN°Rillh <br />POLICY l E T LL_. LOC ; <br />i <br />i ,EG.ATE k 52,000.000 <br />PRODUCTS•COMPK)PAGG S.2.000,00D <br />OTHER: f <br />- - - <br />i A 1 S <br />A ` AUTOMOBILE LIABILITY; MXC805Mt2 228me <br />! YAMS <br />{ QMOM 6IN["JTSViCI;E LIMIT I S'1 <br />L..��..�„,�...1. <br />' • ANY AUTO s <br />i <br />OWNED r --x-7, SCrEDULED i <br />AUTOS ONLY �AUTO - <br />HIRED i X (NON -OWNED E t <br />AUTOS ONLY i_1 AUTOS ONLY <br />i <br />BODILY INJURY (Per parson) S <br />BODILY INJURY rttad rtl k S <br />ice+ i <br />UMBRELLA UAB i ! OCCUR � i I # <br />I <br />� EACHO X UAIRSNCE` S <br />EXCESS LIAB <br />I t OE,O 1 RETENTION 5 <br />WORKERSCOMPENSATION i <br />) <br />( PEt h!• <br />�pNOEMPLOVERS`UABILiTY YIN <br />(--_- <br />(F '"' y <br />IIIIIIANYPROPRiETORIPARTNE.-R/EXELUTWE <br />OFFiCERIMEMBEREACLUDED4 !'! NIA� <br />t <br />EJ- S <br />`IMyyaeensadatoryryinnNH) � I ; <br />dOH) <br />.._ <br />EL DISEASE • POLICY LIMP ; S <br />DESCRIPTION OF OPERATIONS below I s <br />j Pwftsianal Uatiuty <br />f <br />DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Certificate holder is named as additional Insured with respect to the operations of the named insured only, <br />CERTIFICATE HCLDFR r:lrh(r:Fl I ATI(w in <br />191988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 9 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF', NOTICE WELL BE DELIVERED IN <br />ACCORDANCE WrrH THE POLICY PROVISIONS. <br />A2C <br />16331 BAY VISTA DRIVE <br />AUTHORIZED REPRESENTATrVE <br />CLEARWATER FL 33760 <br />191988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 9 <br />